2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
Leadership HESI Questions and Correct
Answers | Latest Update
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into their
care. Families are seen as a nuisance rather than as partners in potential care provision.
What is the best approach for the new nurse to use for improving care in this setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack of
details on this unit.
✓ -:- C
✓ -:- Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is provided a
wheelchair. Dining with other residents is expected, and staffing is limited on a
holiday weekend. What is the best strategy to ensure Mr. Grandion has sufficient
nutrition and exercise?
1|P a g e | G r a d eA + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because the
staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in the
dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair.
✓ -:- c
✓ -:- When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the patient's
vasopressor medication, and the arterial line blood pressure has a reading of 76/40
mmHg. After discontinuing the intravenous medication infusion, what is the nurse
manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit.
✓ -:- C
2|P a g e | G r a d eA + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
✓ -:- An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted to
have a blood pressure reading of 76/40, the medication was discontinued, and the physician
was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for 500
mL normal saline administered for hypotension."
✓ -:- D
✓ -:- The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse follow for
the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a treatment is
ordered for a culturally diverse patient.
3|P a g e | G r a d eA + | 2 0 2 0 2 5
Leadership HESI Questions and Correct
Answers | Latest Update
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into their
care. Families are seen as a nuisance rather than as partners in potential care provision.
What is the best approach for the new nurse to use for improving care in this setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack of
details on this unit.
✓ -:- C
✓ -:- Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is provided a
wheelchair. Dining with other residents is expected, and staffing is limited on a
holiday weekend. What is the best strategy to ensure Mr. Grandion has sufficient
nutrition and exercise?
1|P a g e | G r a d eA + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because the
staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in the
dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair.
✓ -:- c
✓ -:- When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the patient's
vasopressor medication, and the arterial line blood pressure has a reading of 76/40
mmHg. After discontinuing the intravenous medication infusion, what is the nurse
manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit.
✓ -:- C
2|P a g e | G r a d eA + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!
✓ -:- An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted to
have a blood pressure reading of 76/40, the medication was discontinued, and the physician
was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for 500
mL normal saline administered for hypotension."
✓ -:- D
✓ -:- The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse follow for
the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a treatment is
ordered for a culturally diverse patient.
3|P a g e | G r a d eA + | 2 0 2 0 2 5
