HESI RN Leadership and Management Exams Questions and

HESI RN Leadership and Management Exams Questions and Verified Answers 2023/2024 Guide

• A client is brought to the emergency department following a motor-vehicle crash. Drug use is

suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse?

• Tell the client that a catheter will be inserted.
• Document the client’s refusal in the chart.
• Assess the client for urinary retention.
• Obtain a provider’s prescription for a blood alcohol level.

• A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate

to assign to a licensed practical nurse?

• Pick up the meal trays after lunch.
• Administer a nasogastric tube feeding.
• Plan break times for assistive personnel.
• Determine adequacy of ventilator settings.

• A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a sterile

procedure.Which of the following actions indicates the newly licensed nurse is maintaining sterile technique? (SATA)

• Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile field
• Opens the sterile pack by first unfolding the top flap away from her body
• Prepares a container of sterile solution on the field after putting on sterile gloves
• Removes the outside packaging of a sterile instrument before dropping it onto the sterile field
• Holds the sterile solution bottle with the label facing up

• A nurse enters a client’s room and identifies that the client is receiving too much IV fluid

because the IV pump is not working properly. Which of the following actions should the nurse take first?

• Auscultate the client’s lungs.
• Notify the provider.
• Place a faulty equipment tag on the pump.
• Complete an incident report. 1 / 4

• A nurse is planning care for a group of clients and can delegate care to a licensed practical

nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

• Reinforcing teaching with a client who is learning to self-administer insulin
• Ambulating a client who is scheduled for discharge later in the day
• Administering morphine IV bolus to a client who is hr postoperative
• Admitting a new client who has chronic back pain to the unit

• A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After

donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

• The nurse applies goggles.
• The nurse turns her back to the sterile field.
• The nurse holds her hands above her waist.
• The nurse puts on a face mask.

• A nurse who is caring for a group of clients delegates collection of vital signs to an assistive

personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task?

• Review vital sign trends at the end of the shift.
• Recheck vital signs that are outside the expected reference range.
• Ask the AP to write a summary of the delegated tasks during the shift.
• Compare the vital signs the AP obtained with those taken by another AP on a previous shift.

• A nurse is caring for four clients. Which of the following tasks can be delegated to an assistive

personnel?

• Obtaining a stool sample from a client who has renal failure
• Monitoring a client who has a fluid restriction
• Assessing a client who just returned from hemodialysis
• Reviewing dietary instructions for a client who has kidney stones 2 / 4

• A nurse is triaging a group of clients following a disaster. Which of the following clients

should the nurse recommend for treatment first?

• A client who has a neck injury and is unable to breathe spontaneously
• A client who has two open chest wounds with a left tracheal deviation
• A client who has major burns over 75% of her body surface area
• A client who has bipolar disorder and is exhibiting signs of hallucination (Class 3)

• A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which

of the following statements by a staff nurse indicates that the teaching was effective?

• “A family member can interpret to obtain informed consent from a client who is deaf.”
• “Consent can be given by a durable power of attorney.”
• “Guardian consent is required for an emancipated minor.”
• “The nurse can answer any questions the client has about the procedure.”

• A nurse is caring for four clients. For which of the following clients should the nurse

collaborate with the facility ethics committee?

• A middle adult client who leaves the facility against medical advice
• An older adult client who has advanced directives on file
• A young adult client who is participating in a medical research study
• An adolescent client whose parents refuse a blood transfusion for religious reasons

• A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to

return a call to a client. The nurse should explain that which of the following is an objective of telehealth?

• Assessing client needs
• Developing client treatment protocols
• Providing medication reconciliation
• Establishing communication between providers (Community Health pg. 75) 3 / 4

• A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The

client expresses concern about the cost of blood-glucose monitoring supplies. Which of the following actions should the nurse take?

• Refer the client to the socialservices department.
• Provide the client with a week’s worth of supplies from the hospital (still needs help paying

after)

• Ask the provider about the possibility of less frequent monitoring (pt needs to monitor often)
• Recommend the client reuse the testing lancets (breaks the safety & infection protocol)

• A charge nurse is receiving change-of-shift report. Which of the following situations should

the charge nurse address first?

• A nurse on the previous shift wrote an incident report about a medication error.
• Two staff members have called to say they will be absent.
• Transport assistance is unavailable to take a client to occupational therapy.
• The emergency department nurse is waiting to give report on a new admission.

• A nurse who is precepting a newly licensed nurse is discussing the client assignment for the

shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

• Complete required tasks.
• Review the client’s new laboratory values.
• Determine client care goals (set/plan goals)
• Document assessment data.

• A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of

the following statements by a staff nurse indicates understanding?

• “Clients who participate in research studies forfeit their HIPAA right to privacy.”
• “HIPAA allows facility-specific coding of client health care information to ensure privacy.”
• “HIPAA prohibits the uploading of photographs of client’s providers to social media sites.”
• “HIPAA allows clients to request a review of their own medical records.”
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