2023 HESI RN LEADERSHIP EXIT EXAM 7 LATEST VERSIONS AND 3 PRACTICE EXAM EACH EXAM CONTAINS 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+||HESI LEADERSHIP EXIT EXAM ALL IN ONE DOCUMENT

2023 HESI RN LEADERSHIP EXIT EXAM 7 LATEST VERSIONS

AND 3 PRACTICE EXAM EACH EXAM CONTAINS 55

QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES|ALREADY GRADED A+||HESI LEADERSHIP

EXIT EXAM ALL IN ONE DOCUMENT

VERSION A

1/ An adult client is admitted via the Emergency Department with a head injury that will initially require

intensive care. Which nurse should be responsible for coordinating the progression of this client’s care through

rehabilitation and discharge?

A. Nurse case manager.

B. Adult nurse practitioner.

C. Risk management nurse.

D. Neurology unit supervisor.

2/ A client who had a laparotomy 8 days ago is readmitted to the hospital because of a methicillin-resistant

Staphlococcus aureus (MRSA) infection. Which infection control intervention is most important for the nurse to

include in the plan of care?

A. Place contact precaution cart outside the client’s private room.

B. Cleanse frequently touched surface daily with disinfectant.

C. Reinforce gowning and gloving procedures with hospital staff.

D. Use disposable equipment when providing daily client care.

3/ Which staff assignment, made by the primary nurse, requires the most immediate follow-up action by the

charge nurse on a medical unit?

A. A graduate nurse is assigned to obtain a unit of packed red blood cells from the blood bank.

B. A practical nurse (PN) is assigned to monitor the blood pressure of a client with hypertension. x

C. A practical nurse (PN) is assigned to transport a postoperative client to the rehabilitation unit. x

D. An unlicensed assistive personnel (UAP) is assigned to check a client for fecal impaction.

Checking a client for fecal impaction (D) may cause a vagal response, leading to severe bradycardia. This action

should be performed by the nurse, rather than a UAP, so the charge nurse should immediately change this

assignment. A graduate nurse can obtain and administer blood products (A), but may need supervision with the

administration. (B and C) do not require immediate follow up by the charge nurse.

4/ 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 unlicensed assistive personnel (UAP) who is

working with the nurse?

A. Measure vital signs.

B. Obtain body weight per bed scale.

C. Check for fistula bruit.

D. Notify dialysis unit of admission.

5/ A nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula based on which

data ensures quality client care and is most cost-effective?

A. Skills of staff and client acuity.

B. Number of staff and number of clients.

C. Weekend and weekday staff availability.

D. Client geographic location and age.

6/ the nurse-manager overhears an older female nurse complaining to a co-worker about the time being used to

attend an in-service session for bioterrorism preparedness. How should the nurse-manager respond?

A. Encourage the nurse to share her concerns and discuss ways to prepare for such emergencies.

B. Ask the nurse why she thinks there is no need for an in-service program about these emergencies.

C. Choose to send another nurse who is more receptive because the older nurse is not interested.

D. Inform the older nurse that in-service is not optional, and her scheduled attendance is mandatory.

7/ A male client is admitted to the hospital for a carotid angiogram with stent placement. The healthcare

provider explains the risks and benefits prior to the client signing the consent form. When the client tells the nurse

that he is afraid of having a stroke, which action should the nurse take?

A. Assess the client’s level of understanding.

B. Ask the healthcare provider to clarify the risks.

C. Perform a neurological assessment.

D. Reinforce the benefits of the procedure.

8/ To help prevent litigation by a dissatisfies client, which objective is most important to include in the

orientation classes for staff nurses? New nursing staff members will?

A. Describe how to obtain legal service if needed.

B. Demonstrate how to complete an adverse occurrence or variance report.

C. Maintain personal malpractice insurance.

D. Discuss how to handle complaints from clients and/or their families.

9/ Which older client should the charge nurse assign to the most experienced nurse?

A. An 80-year-old client admitted with chronic constipation and a fecal impaction.

B. An 83-year-old client in end stage liver failure who is terminally ill and has a do not resuscitate

prescription.

C. A 75-year-old client who is being evaluated for a possible total knee replacement.

D. A 72-year-old client with type 1 diabetes mellitus who is newly diagnosed and scheduled for discharge

today.

10/ The nurse is working at a diabetes clinic with a practical nurse (PN). Which nursing care is best to assign to

the PN?

A. Perform dressing change for stage 2 ankle ulcer.

B. Assess cause of nausea and vomiting for past 2 days.

C. Describe meaning of Hgb A1C result of 9.9%.

D. Observe first attempt at self-administration of insulin.

11/ The nursing staff expresses concern about a new policy that increases the nurse-to-patient ratio by 25% on

all shifts. Which action is best for the nurse-manager to take?

A. Disseminate factual information to all nursing staff to avoid misinformation and rumors.

B. Provide a virtual forum or chat room to discuss the increased nurse-patient ratio. x

C. Encourage the nursing staff to organize a group meeting to voice their complaints. x

D. Request a judgment from the State Board of Nursing regarding safety of the new policy.

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12/ The nurse is providing report about a client who is being transferred from an acute care hospital to a longterm care facility. Which information is most important for the nurse to include in this report?

A. Client’s ability to provide self-care.

B. Current plan of care for the client.

C. Family’s availability to assist with client’s care.

D. The client’s concerns about being transferred.

13/ An experienced, female practical nurse (PN) is hired to work on the surgical unit of a tertiary hospital. The

first day she is working on the unit, the PN tells the charge nurse that she has excellent wound care skills. It is a

busy day and a postoperative client needs to have a sterile dressing change. Which action is best for the charge

nurse to take?

A. Review the PN’s skill checklist to assess for wound care competency.

B. Watch the PN perform sterile wound care to validate her skill level.

C. Tell the PN past experience does not indicate ability to perform skills.

D. Ask the PN to change the sterile dressing while the nurse is busy.

14/ While walking down the hallway, the nurse finds a female client yelling, swinging her hands, and pushing a

male visitor away from her hospital bed. Which intervention should the nurse implement first?

A. Enter the room and quietly observe the interaction.

B. Determine who is assigned the care of the client.

C. Instruct the visitor to leave the room immediately.

D. Notify the hospital security department immediately.

15/ A staff nurse has been tardy for morning shift assignments for the past three days and provides no

explanation for arriving late. Which approach is best for the nurse manager to use when addressing this staff

member’s tardiness?

A. Have the nurse sign a copy of the hospital employee attendance policy.

B. Offer to switch the nurse’s shift assignments to afternoons or evenings.

C. Stress the expectation that the nurse will arrive on time for all scheduled shifts.

D. Caution the nurse that one more tardiness will result in probational employment.