HESI LEADERSHIP EXAM /APPROVED HESI LEADERSHIP
EXAM TEST BANK 2026/2027 COMPREHENSIVE PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS WITH WELL ELABORATED
ANSWERS WITH DETAILED RATIONALES (100% CORRECT
VERIFIED SOLUTIONS)
When administering nitroglycerin, which possible
outcome does the nurse need to monitor the
patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload
- ANSWER-C. peripheral vasodilation
A patient is admitted to the ICU with a pulmonary
artery (PA) catheter in the left internal jugular.
During the nurse's shift, the PA pressure increases.
What additional priority assessment does the nurse
need to perform next?
1|Page
,A. Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
D. Assess the patient's heart rhythm
- ANSWER-B. Assess the patient's lung sounds
The nurse is caring for a patient with an internal
jugular central line and a left radial arterial line. The
patient asks the nurse why he needs two lines and
what the difference is. What will the nurse include
in the explanation?
A. "The internal jugular line is only for medication
administration and the arterial line monitors your
central venous pressure."
B. "The internal jugular line is for monitoring your
central venous pressure and the arterial line is only
for medication administration."
2|Page
,C. "The internal jugular line is only for monitoring
your central venous pressure and the arterial line is
for monitoring your blood pressure."
D. "The internal jugular line is for monitoring your
central venous pressure and medication
administration. The arterial line is for monitoring
your blood pressure."
- ANSWER-D. "The internal jugular line is for
monitoring your central venous pressure and
medication administration. The arterial line is for
monitoring your blood pressure."
The nurse observes asystole on the patient's
telemetry monitor. What is the nurse first action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV.
3|Page
, - ANSWER-C. Assess the patient.
When reviewing the patient's medication
administration record (MAR) the notes the
medication atropine listed. The nurse understands
that this medication is administered for which
problem?
A. Symptomatic bradycardia
B. Symptomatic tachycardia
C. Supraventricular tachycardia
D. Ventricular dysthymias
- ANSWER-A. Symptomatic bradycardia
A patient has an intraaortic balloon pump (IABP) in
the left groin. Which assessment finding requires
immediate action by the nurse?
A. Heart rate of 60 beats per minute
4|Page
EXAM TEST BANK 2026/2027 COMPREHENSIVE PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE
EXAM ACTUAL QUESTIONS WITH WELL ELABORATED
ANSWERS WITH DETAILED RATIONALES (100% CORRECT
VERIFIED SOLUTIONS)
When administering nitroglycerin, which possible
outcome does the nurse need to monitor the
patient for?
A. Peripheral vasoconstriction with tissue necrosis
B. Increased afterload
C. Peripheral vasodilation
D. Increased preload
- ANSWER-C. peripheral vasodilation
A patient is admitted to the ICU with a pulmonary
artery (PA) catheter in the left internal jugular.
During the nurse's shift, the PA pressure increases.
What additional priority assessment does the nurse
need to perform next?
1|Page
,A. Assess the patient's urine output
B. Assess the patient's lung sounds
C. Assess the patient's blood pressure
D. Assess the patient's heart rhythm
- ANSWER-B. Assess the patient's lung sounds
The nurse is caring for a patient with an internal
jugular central line and a left radial arterial line. The
patient asks the nurse why he needs two lines and
what the difference is. What will the nurse include
in the explanation?
A. "The internal jugular line is only for medication
administration and the arterial line monitors your
central venous pressure."
B. "The internal jugular line is for monitoring your
central venous pressure and the arterial line is only
for medication administration."
2|Page
,C. "The internal jugular line is only for monitoring
your central venous pressure and the arterial line is
for monitoring your blood pressure."
D. "The internal jugular line is for monitoring your
central venous pressure and medication
administration. The arterial line is for monitoring
your blood pressure."
- ANSWER-D. "The internal jugular line is for
monitoring your central venous pressure and
medication administration. The arterial line is for
monitoring your blood pressure."
The nurse observes asystole on the patient's
telemetry monitor. What is the nurse first action?
A. Carry out defibrillation.
B. Notify the physician.
C. Assess the patient.
D. Administer atropine IV.
3|Page
, - ANSWER-C. Assess the patient.
When reviewing the patient's medication
administration record (MAR) the notes the
medication atropine listed. The nurse understands
that this medication is administered for which
problem?
A. Symptomatic bradycardia
B. Symptomatic tachycardia
C. Supraventricular tachycardia
D. Ventricular dysthymias
- ANSWER-A. Symptomatic bradycardia
A patient has an intraaortic balloon pump (IABP) in
the left groin. Which assessment finding requires
immediate action by the nurse?
A. Heart rate of 60 beats per minute
4|Page
