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RN HESI Leadership Latest Version 2025–2026 | Complete Exam Questions and Correct Answers, Exams of Nursing

West Coast UniversityNursing

RN HESI Leadership Latest Version 2025–2026 | Complete Exam Questions and Correct Answers | Verified Study Guide This document provides a complete and verified collection of questions and correct answers for the RN HESI Leadership Exam 2025–2026. It thoroughly addresses clinical judgment, SBAR communication, delegation, prioritization, ethical decision-making, and leadership scenarios in acute and long-term care settings. The document is highly suitable for final exam preparation or as a comprehensive review guide for nursing students focusing on leadership competencies. Keywords: leadership exam RN HESI 2025 questions SBAR communication delegation and prioritization nursing ethics case study nurse manager roles UAP and PN assignments critical thinking in nursing RN decision-making clinical scenarios practice

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2024/2025

Available from 07/03/2025

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RN HESI Leadership Latest Version
2025-2026| Questions and Correct
Answers | Verified Solution 100%
The nurse calls the surgeon to report that a male client who has transitioned from a PCA to PO
analgesic one hour ago is now complaining in a loud voice and asking for the PCA pump. The nurse
explains that the client's behavior is disturbing his roommate. The client's BP has increased from
120/72 to 150/98. Which question is best to include in the recommendation component of the SBAR
report the the surgeon?
A. Could the behavior be a manifestation of drug seeking?
B. Can the client be transferred to a private room?
C. Can the PCA be initiated and prescribed for an additional 12 hours?
A. Could the behavior be a manifestation of drug seeking?
The nurse is assigned to care for four clients. After receiving the change of shift report, which client
should the nurse assess first?
A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB
B. A 10 year old with sickle cell disease who has a PCA pump and is complaining of pain2-3/10
C. A 29 year old who has had CKD for the past year and had an AV fistula placed yesterday
D. An older client with COPD who is experiencing SOB and who O2 sat is 88% on RA
A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB
A HCP notifies the nurse that new prescriptions have been written for a client. Which is the first action
the nurse should implement?
A. Collect any needed form such as labs and radiology requisitions
B. Clarify the prescriptions with the unit clerk to ensure accurate transcrition
C. Document the time that the provider visited the client in the nurses' notes
D. Read all of the new prescriptions for the client written by the provider
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Download RN HESI Leadership Latest Version 2025–2026 | Complete Exam Questions and Correct Answers and more Exams Nursing in PDF only on Docsity!

RN HESI Leadership Latest Version

2025 - 2026| Questions and Correct

Answers | Verified Solution 100%

The nurse calls the surgeon to report that a male client who has transitioned from a PCA to PO analgesic one hour ago is now complaining in a loud voice and asking for the PCA pump. The nurse explains that the client's behavior is disturbing his roommate. The client's BP has increased from 120/72 to 150/98. Which question is best to include in the recommendation component of the SBAR report the the surgeon? A. Could the behavior be a manifestation of drug seeking? B. Can the client be transferred to a private room? C. Can the PCA be initiated and prescribed for an additional 12 hours? A. Could the behavior be a manifestation of drug seeking? The nurse is assigned to care for four clients. After receiving the change of shift report, which client should the nurse assess first? A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB B. A 10 year old with sickle cell disease who has a PCA pump and is complaining of pain2-3/ C. A 29 year old who has had CKD for the past year and had an AV fistula placed yesterday D. An older client with COPD who is experiencing SOB and who O2 sat is 88% on RA A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB A HCP notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement? A. Collect any needed form such as labs and radiology requisitions B. Clarify the prescriptions with the unit clerk to ensure accurate transcrition C. Document the time that the provider visited the client in the nurses' notes D. Read all of the new prescriptions for the client written by the provider

D. Read all of the new prescriptions for the client written by the provider A RN, PN and UAP are working as team to provide care for a acutely ill client requiring immediate bedside insertion of a chest tube. Which assignment is the best use of each person's skills? A. RN inserts chest tub immediately after PN cleans the skin at insertion site B. The UAP listed to breath sounds while the RN witnesses the informed consent C. The PN instructs the family about he need for chest tube insertion while the RN obtains VS D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP An older woman with a long history of HTN is transferred from a long term care unit because of HF. She has a signed and witnessed DNR in her record. What action should the nurse take? A. Transfer client to palliative care unit for further supportive care B. Consult with hospice case manager regarding plan of care C. Confirm current resuscitation wishes with client and family D. Ask the unit supervisor to meet with the family about desired care level C. Confirm current resuscitation wishes with client and family When caring for an older adult with septic shock, which intervention is most important for the nurse to include in this client's plan of care? A. maintain strict I&O B. assess warmth of extremities C. Keep HOB elevated 45 degrees D. Monitor blood glucose level B. assess warmth of extremities A client is admitted with exacerbation of COBD and reports that it is difficult to eat due to SOB. WHich tasks should the nurse delegate to UAP? SATA A. Assist the client with eating small, frequent high calorie meals B. Offer high caloric foods such as milk and ice cream C. Consult with registered dietician about recommended nutritional needs D. Maintain a clean and pleasant environment during meals E. Set up the food and drink containers within easy reach

A. Report changes in color in the client's feet or legs B. Check pedal pulse prior to application C. Elevate legs onto a pillow if the client reports discomfort D. Compression should start at the toes and move upward A. Report changes in color in the client's feet or legs The nurse hears new UAP who is working in long term care facility calling adult residents "honey" and "dearie." Which is the best action the nurse should take? A. Role model correct approach for addressing residents B. Call a staff meeting to encourage more professional behaviors C. Ask the facility supervisor to rebuke the UAP D. Meet with the UAP to discuss respectful client care strategies D. Meet with the UAP to discuss respectful client care strategies A nationally known management consultant, whose fee is very high, is scheduled to speak at a day long hospital education conference. The head nurses wants the information presented at the meeting to be disseminated among the staff. Which plan will be most useful in achieving this goal? A. Schedule educational leave for the staff so that all can attend the program B. Ask two staff members to attend and report what they learned to the unit staff C. Encourage the education department to schedule the program at a time convenient to all staff D. Ask that the program be offered at three different times so that all shifts can attend B. Ask two staff members to attend and report what they learned to the unit staff Four clients are scheduled to receive IV infusions, but there are only three pumps available. Which prescribed infusion can most safely be administered without a pump? A. Regular insulin in NS prescribed for ketoacidosis B. Heparin in NS prescribed for DVT C. Magnesium in NS prescribed for hypomagnesemia D. Ceftriaxone in 5% dextrose in Water prescribed for pneumonia D. Ceftriaxone in 5% dextrose in Water prescribed for pneumonia? It is most important to assign which client to an RN rather than a PN? A. One hour after receiving hydromorphone prescribed for pain q4h PRN, reports severe pain B. Two hours after receiving morphine for acute pain, patient's VS are BP 112/60, pulse 88 and RR 14 C. The fentanyl transdermal patch for a client with chronic cancer pain needs to be replaced D. After ambulating, a post op client grimaces and reports pain 9/

D. After ambulating, a post op client grimaces and reports pain 9/ The nurse supervisor sends a UAP to a medical unit to replace an absent UAP. When delegating the task of obtaining client blood glucose levels, which is important for the nurse to implement? A. Provide UAP with instructions about how to calibrate the glucometer B. Ask the UAP to document the results in the EHR C. Ask the UAP to describe the normal BL levels for fingerstick analysis D. Observe the UAP obtain a fingerstick glucose level using the glucometer D. Observe the UAP obtain a fingerstick glucose level using the glucometer Contact precautions are being implemented for a client with cellulitis of the right foot. The nurse observes the UAP eating candy given to her by the client's family in the client's room. What action should the nurse take? A. Add an update on the isolation protocols to the staff meeting agenda B. Send a saliva specimen form the UAP to the lab for testing C. Report the possibility of cross contamination to infection control D. Tell the UAP not to ingest anything while in the contact isolation room C. Report the possibility of cross contamination to infection control? D. Tell the UAP not to ingest anything while in the contact isolation room? A 5 year old boy with mumps is being transferred to the pediatric unit. Which nursing intervention is most important for the nurse to implement? A. Instruct the child's parents about the need for transmission precautions B. Place an isolation cart outside the room to initiate droplet precautions C. Schedule play time with the OT D. Assign the child a room near the nurses station B. Place an isolation cart outside the room to initiate droplet precautions The nurse is observing the staff provide care to a client with AIDS who was admitted yesterday with pneumocystis pneumonia. which staff scenario requires interventions by the nurse? A. Housekeeper using a bleach solution to remove spilled blood B. Lab tech wearing gloves while performing venipuncture C. PN performing handwashing when leaving the room D. UAP wearing mask to take patients blood pressure D. UAP wearing mask to take patients blood pressure The nurse who is working on a post surgical ICU receives report regarding the assigned clients for the upcoming shift. Which client should she assess first? A. An older adult 2 days post op mastectomy's and has 50 mL serosanguinous fluid in JP drain

Obtain a prescription for a PRN analgesic When making assignments for the day, which information provided during the change of shift report is most important for the charge nurse to consider? An elderly female client who refuses to be cared for by a male nurse An older male client who lives alone has a history of HF and is admitted to the hospital after passing out while walking to the mailbox. The nurse notes multiple bruises in various stages of healing. He is being treated with a cardiac glycoside, diuretic, and restricted sodium diet. Which intervention is most important for the nurse to include in the client's plan of care? Continuous EKG monitoring The RN is gathering supplies to assist HCP with thoracentesis at the bedside when the ED nurse calls in report on a client with unstable angina. A PN and UAP are able to assist the RN. How should the RN assign the necessary tasks? Assign PN to assist with the thoracentesis while the nurse obtains report and the UAP prepares the room for the new client To facilitate the success of a new fall prevention program, which action should the nurse manager implement? Involve the staff in developing interventions for the program The charge nurse in an emergency center is planning client care assignments for the staff. Which action may be safely delegated to the PN? Remove peripheral IV catheter The nurse is inserting an indwelling catheter for a client experiencing urinary retention when a code blue is called for another client on the who unit who became unresponsive. Which action should the nurse take? Finish the procedure The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medication administer on the evening shift in post surgical unit is inconsistent. Which action should the manger take next? Conduct a closer examination of the staff nurse's distribution of pain medication from the evening shift The nurse is caring for a group of clients with the help of an experienced unlicensed assistive personnel UAP. Several specimens need to be collected and sent to the lab. Which specimen collection can the nurse delegate to the UAP? SATA Urine from indwelling catheter.Fecal drainage sample. The nurse manger observes that the staff nurse has used wrist restraints to help secure an elderly female to her wheel chair. What is the priority action by the nurse manager?

Advise the nurse to remove the restraints from the clients wrists the nurse calls the surgeon about a male client who is having abdominal pain after a bowel resection. He received hydromorphone 2 hours ago and is not requesting additional pain medication. VS include temp 97.8, HR 112 bpm, RR 24, BP 98/62, which is lower than an hour ago. Client has hx of chronic A fib and take clopidogrel, which was discontinued the day before surgery. The nurse recommends that the surgeon see the client immediately for evaluation. What information makes the report complete? The abdomen is rigid, tender to the touch and distended. The nurse manger is preparing the curricula for a class of charge nurses. A staffing formula based on which data ensures quality care and is most cost effective? Skills of staff and client acuity The nurse is reviewing the lab results on 4 clients on the medical unit. In addition to standard precautions, the client with which finding should also be placed on airborne precautions? Sputum confirms MRSA Because of budget cutbacks, a policy was established which mandates that when the census is low, nurses will be sent home. For the third time in two weeks, a nurse who has been employed at the hospital for three months is sent home immediately after arriving to work. The nurse is obviously upset and begins to cry when told to go home. Which action should the charge nurse take Take the nurse to private place and listen to the nurse's concerns The charge nurse on a surgical unit is assessing the morning lab work on four clients. which client's lab finding should be reported to the HCP immediately'? An elderly client in end-stage renal disease who has a creatinine level of 2.4 mg/dL and BUN of 84 The charge nurse notices that a respiratory therapist who has been cross-trained to work as a phlebotomist and UAP seems to be avoiding HIV positive clients. What action should the nurse take? Provide the employee with feedback about the observed behavior A home health aid caring for a homebound hospice client calls to inform the nurse that the client has reported feeling constipated. Assist the client to drink warm prune juice The charge nurse assigns an experienced PN to care for a client who needs a complex dressing change. The female PN who seems anxious with difficult assignments, tells the charge nurse that she does not feel competent to perform the procedure. Which is the best way for the charge nurse to handle this situation? Tell the PN that assistance is available if needed but she will be responsible for the patient's care After reviewing the morning lab findings for four clients, which client should the nurse follow up with first?

A group of nurse-managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organization's budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment? How many departments can use this equipment A fire is reported in the kitchen on the first floor of a three floor community hospital and the operator notifies the charge nurse of the third floor to start evacuation procedures. Which intervention should the charge nurse implement? Instruct nursing staff to evacuate ambulatory client to the nearest fire exits? an older female client who was recently widowed has become increasing confused and disoriented. Her family tells the healthcare provider's office nurse that it is imperative for their mother to be admitted to the hospital for medical evaluation. The client is a member of a managed health plan. Which information is best for the nurse to provide the family? Managed care providers have mandatory pre certification requirements for hospitalization The UAP reports to the nurse that a male client with fluid volume overload will not allow the UAP to obtain his daily weight. Which action should the nurse implement? Instruct the UAP to weight the client using the bed scale