HESI Leadership and Management Exam
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER
HESI EXAMS)
When entering a client's room to administer a 0900 IV antibiotic, the nurse finds that the client is engaged in sexual
activity with a visitor. Which action should the nurse implement? ~ Leave the room and closed the door quietly
When triaging emergency-room clients, which client should the nurse assess first? ~ A female client with severe
right lower abdominal pain who is febrile and vomiting.
During a woman's health fair, which assignment is best for the practical nurse who is working with a registered
nurse? ~ Prepare a woman for a bone density screening
A mental health nurses admitting a female adolescent who is accompanied by her mother and father. The nurse
received report from the emergency department at the client has a medical diagnosis of depression and has
attempted to harm herself. Which task should the nurse assigned to the mental health technician? ~ Search all
of the clients belongings
The nurse assigns collection of the sputum specimen to an unlicensed assistive personnel. Before delegating this
task to the UAP, which action is most important for the nurse to implement? ~ Determines if the UAP has
received training to collect sputum specimen
When meeting with the client and the family, which nursing interventions demonstrates the nurse role of
collaborator of care? ~ Coordinating and educating about multidisciplinary services
Based on the change of shift report, the client with which signs and symptoms should be assessed by the nurse
first? ~ Chest pressure….yup, diaphoresis, nausea
The nurse working on a medical unit is assigned to care for four clients. Which client should the nurse assess first?
, ~ A client who is quadriplegic and is complaining of severe headache
Which action by the nurse-manager demonstrates an effective leadership style? ~ Fosters positive behavior
changes in staf f numbers
Female client complains to the charge nurse that the unlicensed assistive personnel did not close the window shades
to a public sidewalk while giving him a bath earlier in the morning. Which action should the charge nurse take? ~
Apologize to the client immediately
The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency
admissions. Which client is stable enough to be discharged from the unit? ~ A client scheduled for a femoro-
popliteal bypass surgery tomorrow
The charge nurse of the intensive care unit is making assignments for the permanent staff and Juan are in who has
floated from a medical unit. The client with which condition is best to assign to the float nurse? ~ Emphysema
extubated three hours ago receiving heated best
The charge nurse agrees to cover another nurses assignments during lunch break. Based on the status report
provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The
client: ~ With a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90%
During a staff meeting, the nurse verbally attacks the nurse-manager conducting the meeting stating, you always
let your favorites have holidays off and give them easier assignments. You are unfair and prejudice. How should the
nurse-manager response? ~ I would prefer to discuss t his with you privately
Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years is assigned
to the medical unit for orientation. After the first week of orientation the charge nurse notes that the she is
overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the
assignments are incomplete at the end of each day. The following week, which action is best for the charge nurse to
take? ~ Assign the orientee to work with a practical nurse who is a long time, efficient employ
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER
HESI EXAMS)
When entering a client's room to administer a 0900 IV antibiotic, the nurse finds that the client is engaged in sexual
activity with a visitor. Which action should the nurse implement? ~ Leave the room and closed the door quietly
When triaging emergency-room clients, which client should the nurse assess first? ~ A female client with severe
right lower abdominal pain who is febrile and vomiting.
During a woman's health fair, which assignment is best for the practical nurse who is working with a registered
nurse? ~ Prepare a woman for a bone density screening
A mental health nurses admitting a female adolescent who is accompanied by her mother and father. The nurse
received report from the emergency department at the client has a medical diagnosis of depression and has
attempted to harm herself. Which task should the nurse assigned to the mental health technician? ~ Search all
of the clients belongings
The nurse assigns collection of the sputum specimen to an unlicensed assistive personnel. Before delegating this
task to the UAP, which action is most important for the nurse to implement? ~ Determines if the UAP has
received training to collect sputum specimen
When meeting with the client and the family, which nursing interventions demonstrates the nurse role of
collaborator of care? ~ Coordinating and educating about multidisciplinary services
Based on the change of shift report, the client with which signs and symptoms should be assessed by the nurse
first? ~ Chest pressure….yup, diaphoresis, nausea
The nurse working on a medical unit is assigned to care for four clients. Which client should the nurse assess first?
, ~ A client who is quadriplegic and is complaining of severe headache
Which action by the nurse-manager demonstrates an effective leadership style? ~ Fosters positive behavior
changes in staf f numbers
Female client complains to the charge nurse that the unlicensed assistive personnel did not close the window shades
to a public sidewalk while giving him a bath earlier in the morning. Which action should the charge nurse take? ~
Apologize to the client immediately
The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency
admissions. Which client is stable enough to be discharged from the unit? ~ A client scheduled for a femoro-
popliteal bypass surgery tomorrow
The charge nurse of the intensive care unit is making assignments for the permanent staff and Juan are in who has
floated from a medical unit. The client with which condition is best to assign to the float nurse? ~ Emphysema
extubated three hours ago receiving heated best
The charge nurse agrees to cover another nurses assignments during lunch break. Based on the status report
provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The
client: ~ With a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90%
During a staff meeting, the nurse verbally attacks the nurse-manager conducting the meeting stating, you always
let your favorites have holidays off and give them easier assignments. You are unfair and prejudice. How should the
nurse-manager response? ~ I would prefer to discuss t his with you privately
Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years is assigned
to the medical unit for orientation. After the first week of orientation the charge nurse notes that the she is
overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the
assignments are incomplete at the end of each day. The following week, which action is best for the charge nurse to
take? ~ Assign the orientee to work with a practical nurse who is a long time, efficient employ
