HESI LEADERSHIP & MANAGEMENT –
ELABORATED REVIEW
1. Priority Setting (VERY HIGH-YIELD)
HESI almost always uses priority frameworks:
Use in this order:
1. ABCs – Airway, Breathing, Circulation
2. Maslow’s hierarchy – Physiological needs first
3. Acute vs Chronic – Acute first
4. Unstable vs Stable – Unstable first
5. Actual vs Potential – Actual first
, 6. Safety first – Always overrides others
🔹 Example Question A nurse has four patients. Who should be seen first?
A. Client with chronic pain rating 7/10
B. Client with BP 90/60 and dizziness
C. Client awaiting discharge teaching
D. Client with constipation x3 days
✅ Correct Answer: B
📌 Rationale: Circulation problem = unstable patient → priority.
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2. Delegation (Extremely Tested)
Know what the RN can delegate to:
UAP (CNA)
LPN/LVN
ELABORATED REVIEW
1. Priority Setting (VERY HIGH-YIELD)
HESI almost always uses priority frameworks:
Use in this order:
1. ABCs – Airway, Breathing, Circulation
2. Maslow’s hierarchy – Physiological needs first
3. Acute vs Chronic – Acute first
4. Unstable vs Stable – Unstable first
5. Actual vs Potential – Actual first
, 6. Safety first – Always overrides others
🔹 Example Question A nurse has four patients. Who should be seen first?
A. Client with chronic pain rating 7/10
B. Client with BP 90/60 and dizziness
C. Client awaiting discharge teaching
D. Client with constipation x3 days
✅ Correct Answer: B
📌 Rationale: Circulation problem = unstable patient → priority.
---
2. Delegation (Extremely Tested)
Know what the RN can delegate to:
UAP (CNA)
LPN/LVN
