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Hesi Leadership Exit exam Version 2 Exam 2024/2025 Questions With Completed & Verified Solutions.
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Hesi Leadership Exit exam Version 2 Exam 2024/2025 Questions With Completed & Verified Solutions.
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HesiLeadership
Exit
exam
Version
2
1.A
nurse
is
performing
telephone
triage
at
the
clinic
office.
Which
client
has
the
most
acute
problem
and
should
be
scheduled
for
the
first
available
appointment?
-
ANS
A
21
year
old
with
a
history
of
a
kidney
transplant.
Today
the
client
reports
flu-like
symptoms
with
a
fever
of
100.4
F
(38
C)
2.The
nurse
is
admitting
a
woman
who
has
an
arteriovenous
(AV)
fistula
in
her
right
arm
that
is
used
for
hemodialysis.
She
missed
her
last
hemodialysis
session
and
is
experiencing
shortness
of
breath
and
an
irregular
heartbeat.
Which
action
should
the
nurse
assign
to
the
UPA
who
is
working
with
the
nurse?
-
ANS
Measure
Vital
Signs
3.The
nurse
should
assess
the
client
with
which
problem
first?
-
ANS
Paresthesia
secondary
to
an
arterial
occlusion
4.A
young
adult
client
with
a
brain
tumor
refuses
further
treatment
and
requests
to
be
allowed
to
die
a
natural
death.
The
healthcare
provides
does
not
agree
with
the
client's
decision
and
refuses
to
write
do-not-resuscitate
instructions.
Which
action
should
the
nurse
take?
-
ANS
Initiate
a
review
of
the
situation
by
the
hospital's
ethics
committee.
5.A
healthcare
provider
notifies
the
nurse
that
new
prescriptions
have
been
written
for
a
client.
Which
is
the
1st
action
the
nurse
should
implement?
-
ANS
Read
all
of
the
new
prescriptions
for
the
client
written
by
the
provider
6.The
nurse
is
observing
the
staff
provide
care
to
a
client
with
acquired
immune
deficiency
syndrome
-
ANS
Unlicensed
assistive
personnel
wearing
a
mask
to
take
client's
blood
pressure.
7.The
nurse
caring
for
a
client
with
bacterial
meningitis
is
preparing
report
for
the
oncoming
nurse.
It
is
most
important
to
include
which
assessment
finding
in
the
report?
-
ANS
Increasing
Pulse
Pressure
8.The
charge
nurse
notices
that
a
respiratory
therapist
who
has
been
cross-trained
to
work
as
a
phlebotomist
and
unlicensed
assistive
personnel
(UAP)
seems
to
be
avoiding
HIV
positive
clients
-
ANS
Provide
the
employee
with
feedback
about
observed
behavior
9.The
nursing
supervisor
sends
an
unlicensed
assistant
personnel
(
UAP)
to
a
medical
unit
to
replace
an
absent
UAP.
When
delegating
the
task
of
obtaining
client's
blood
sugar
levels
using
a
glucometer,
which
action
is
most
important
for
the
nurse
to
implement?
-
ANS
Observe
the
UAP
obtain
a
fingerstick
glucose
level
using
the
glucometer.
10.The
nurse
manager
conducts
regular
audits
of
patient
care
medication
records
and
notices
that
the
amount
of
narcotic
pain
medications
administered
during
the
evening
shift
on
a postsurgical
unit
-
ANS
Conduct
a
closer
examination
of
staff
nurse's
distribution
of
pain
medication
from
evening
shift
11.The
smell
of
cigarette
smoke
is
coming
from
a
client's
bathroom.
Which
action
should
the
nurse
-
ANS
Educate
the
client
about
the
hospital
smoking
policy.
12.The
practical
nurse
(PN)
reports
to
the
charge
nurse
that
the
transparent
dressing
covering
a
single
lumen
central
venous
catheter
inserted
in
the
subclavian
vein
of
a
client
has
come
loose
and
the
insertion
site
is
inflamed.
Which
action
should
the
charge
nurse
implement?
-
ANS
Confirm
the
findings
of
the
PN
while
securing
the
transparent
dressing
and
notify
the
healthcare
provider.
13.At
0200
the
nurse
phones
the
healthcare
provider
to
request
a
PRN
medication
for
a
client
who
is
unable
to
sleep.
The
healthcare
provider
is
awakened
and
gives
the
nurse
a
prescription
for
four
times
the
normal
dosage.
When
questioned
by
the
nurse,
the
healthcare
provider
responds
in
a
sleepy
-
ANS
Call
the
healthcare
or
back,
and
report
that
the
dosage
prescribed
is
our
times
the
normal
dosage.
14.The
charge
nurse
notices
that
a
female
practical
nurse
(PN),
who
has
a
long
work
history
on
the
unit
and
is
a
valued
employee,
seems
tired
and
slow
to
respond
verbally
during
the
change
of
shift
report.
One
hour
later
the
charge
nurse
overhears
the
PN
telling
an
unlicensed
assistive
personnel
(UAP)
that
she
took
a
sleeping
pill
4
hours
ago
and
she
is
still
feeling
its
effects.
Which
action
should
the
charge
nurse
take?
-
ANS
Send
the
PN
to
the
employee
health
center
for
a
urine
drug
Screen
15.It
is
most
important
to
assign
which
client
to
a
registered
nurse
rather
than
a
practical
nurse?
-
ANS
After
ambulating,
a
postoperative
client
grimaces
and
reports
incisional
pain
at
a
"9"
on
a
point
scale.
16.After
receiving
a
change
of
shift
report
for
clients
on
a
medical
surgical
unit,
which
task
should
the
nurse
-
ANS
Apply
hydrocolloid
dressings
to
venous
17.The
charge
nurse
observes
unlicensed
assistive
personnel
(UAP)
and
a
nurse
arguing
at
the
nurse's
station.
What
action
is
best
for
the
charge
nurse
to
implement?
-
ANS
Inform
both
individuals
that
their
behavior
is
inappropriate
in
a
work
setting
18.A
male
client
with
metastatic
lung
cancer
has
requested
that
"no
heroic
measures"
are
used
to
extend
his
life,
so
the
healthcare
provider
prescribes
transferring
the
client
to
the
palliative
care
-
ANS
Ensure
the
prescriptions
or
transfer
include
the
client's
end-of-life
choice.
19.The
charge
nurse
observes
that
a
client
with
a
nasogastric
tube
applied
to
low
intermittent
suction
is
drinking
a
glass
of
water
immediately
after
the
unlicensed
assistive
personnel
(UAP)
left
the
room.
What
is
the
best
initial
action
for
the
charge
nurse
to
take.
-
ANS
Remove
the
glass
of
water
and
speak
to
the
UAP.
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