Module 5 HESI Management of Care Exam Questions with Answers Rated A
** A client with leukemia is being considered for a bone
marrow transplant. The healthcare team is discussing the
risks and benefits of this treatment and other possible
treatments with the goal of inflicting the least possible
harm on the client. Which principle of healthcare ethics
is the team practicing? Nonmaleficence
Nonmaleficence
Autonomy
Justice
Fidelity
Which action by the nurse represents the ethical principle
of beneficence?
The nurse upholds a client's decision to refuse
chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain The nurse administers an immunization to a child even
though it may cause discomfort.
in a client with cancer.
The nurse administers an immunization to a child even
though it may cause discomfort.
The nurse provides equal amounts of care to all assigned
clients on the basis of illness acuity.
The nursing instructor asks a student to name an example
of false imprisonment. Which of the following situations
reflects a violation of this client right?
Telling the client that he or she may not leave the hospital
Observing the provision of care to the client without the
client's permission
Telling the client that he or she may not leave the hospital
Performing a procedure without consent
,Module 5 HESI Management of Care Exam Questions with Answers Rated A
Threatening to give a client a medication against his or her
will
A nurse and a nursing assistant enter a client's room to
provide care and find the client lying on the floor. The
nurse should first:
Ask the nursing assistant to assist in getting the client back
Check the client's level of consciousness and vital signs
to bed
Ask the nursing assistant to complete an incident report
Contact the unit secretary on the intercom and ask that the
client's primary health care provider be called
Check the client's level of consciousness and vital signs
Which of the following actions exemplifies the use of evi-
dence-based practice in the delivery of client care?
Donning sterile gloves to change an abdominal wound
dressing
Advising a client to agree to the treatment recommended Donning sterile gloves to change an abdominal wound
by her primary health care provider dressing
Taking a rectal temperature from a client for whom bleed-
ing precautions have been instituted
Encouraging a client to take an herbal substance to treat
his insomnia
The registered nurse has accepted a new position as case
manager in a hospital. Which of the following responsibil- Evaluating and updating the plan of care as needed
ities are part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equip-
Assessing the client's needs for home supplies and equip- ment
ment
Coordinating consultations and referrals to facilitate dis-
Prescribing treatments specific to the client's needs
charge
Evaluating and updating the plan of care as needed
,Module 5 HESI Management of Care Exam Questions with Answers Rated A
Coordinating consultations and referrals to facilitate dis-
charge
Establishing a safe and cost-ettective plan of care with the
Establishing a safe and cost-ettective plan of care with the
client
client
The nurse manager of a quality improvement program
asks a nurse in the neurological unit to conduct a retro-
spective audit. Which of the following actions should the
auditing nurse plan to perform in this type of audit?
Obtaining the assigned medical record from the hospital's
medical record room to review documentation made dur- Obtaining the assigned medical record from the hospital's
ing a client's hospital stay medical record room to review documentation made dur-
Checking the crash cart to ensure that all needed supplies ing a client's hospital stay
are readily available should an emergency arise
Checking the documentation written by a new nursing
graduate on her assigned clients at the end of the shift
Reviewing neurological assessment checklists for all
clients on the unit to ensure that these assessments are
being conducted as prescribed
A nurse preparing a client for a bronchoscopy notes that
the client is wearing a gold necklace. What should the
nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the Ask the client for permission to lock the necklace in the
top drawer of the bedside table hospital safe
Ask the client for permission to lock the necklace in the
hospital safe
Ask the client to sign a release to free the hospital of
responsibility if the necklace is damaged or lost during
the procedure
, Module 5 HESI Management of Care Exam Questions with Answers Rated A
A nurse providing preoperative care to a client who is
scheduled for a left mastectomy and axillary lymph node
dissection notes that the client is wearing a wedding band
on her left ring finger. The nurse should:
Tape the wedding band in place Explain to the client why the wedding band must be re-
Explain to the client why the wedding band must be re- moved
moved
Ask the client to sign a release to free the hospital of
responsibility if the wedding band is lost during surgery
Ask the client whether she would like to remove the wed-
ding band or wear it to surgery
** A nurse preparing a client to go to the radiology de-
partment for a chest x-ray notes that the client is wearing
a religious medal on a chain around the neck. The client, a
Catholic, expresses a concern about removing the medal.
What is the most appropriate action for the nurse to take?
Asking the client to remove the medal until the x-ray has
been completed Assisting the client in pinning the medal and chain to the
Asking the client to place the medal in the top drawer of waistband of the client's pajama bottoms
the bedside stand just before leaving for the radiology
department
Assisting the client in pinning the medal and chain to the
waistband of the client's pajama bottoms
Telling the client that the medal and chain will be kept
at the nurses' station for safekeeping while the client is
undergoing the x-ray
** A physician writes a medication prescription in a client's
record. While transcribing the prescription, the nurse
notes that the prescribed dose is three times higher than
** A client with leukemia is being considered for a bone
marrow transplant. The healthcare team is discussing the
risks and benefits of this treatment and other possible
treatments with the goal of inflicting the least possible
harm on the client. Which principle of healthcare ethics
is the team practicing? Nonmaleficence
Nonmaleficence
Autonomy
Justice
Fidelity
Which action by the nurse represents the ethical principle
of beneficence?
The nurse upholds a client's decision to refuse
chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain The nurse administers an immunization to a child even
though it may cause discomfort.
in a client with cancer.
The nurse administers an immunization to a child even
though it may cause discomfort.
The nurse provides equal amounts of care to all assigned
clients on the basis of illness acuity.
The nursing instructor asks a student to name an example
of false imprisonment. Which of the following situations
reflects a violation of this client right?
Telling the client that he or she may not leave the hospital
Observing the provision of care to the client without the
client's permission
Telling the client that he or she may not leave the hospital
Performing a procedure without consent
,Module 5 HESI Management of Care Exam Questions with Answers Rated A
Threatening to give a client a medication against his or her
will
A nurse and a nursing assistant enter a client's room to
provide care and find the client lying on the floor. The
nurse should first:
Ask the nursing assistant to assist in getting the client back
Check the client's level of consciousness and vital signs
to bed
Ask the nursing assistant to complete an incident report
Contact the unit secretary on the intercom and ask that the
client's primary health care provider be called
Check the client's level of consciousness and vital signs
Which of the following actions exemplifies the use of evi-
dence-based practice in the delivery of client care?
Donning sterile gloves to change an abdominal wound
dressing
Advising a client to agree to the treatment recommended Donning sterile gloves to change an abdominal wound
by her primary health care provider dressing
Taking a rectal temperature from a client for whom bleed-
ing precautions have been instituted
Encouraging a client to take an herbal substance to treat
his insomnia
The registered nurse has accepted a new position as case
manager in a hospital. Which of the following responsibil- Evaluating and updating the plan of care as needed
ities are part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equip-
Assessing the client's needs for home supplies and equip- ment
ment
Coordinating consultations and referrals to facilitate dis-
Prescribing treatments specific to the client's needs
charge
Evaluating and updating the plan of care as needed
,Module 5 HESI Management of Care Exam Questions with Answers Rated A
Coordinating consultations and referrals to facilitate dis-
charge
Establishing a safe and cost-ettective plan of care with the
Establishing a safe and cost-ettective plan of care with the
client
client
The nurse manager of a quality improvement program
asks a nurse in the neurological unit to conduct a retro-
spective audit. Which of the following actions should the
auditing nurse plan to perform in this type of audit?
Obtaining the assigned medical record from the hospital's
medical record room to review documentation made dur- Obtaining the assigned medical record from the hospital's
ing a client's hospital stay medical record room to review documentation made dur-
Checking the crash cart to ensure that all needed supplies ing a client's hospital stay
are readily available should an emergency arise
Checking the documentation written by a new nursing
graduate on her assigned clients at the end of the shift
Reviewing neurological assessment checklists for all
clients on the unit to ensure that these assessments are
being conducted as prescribed
A nurse preparing a client for a bronchoscopy notes that
the client is wearing a gold necklace. What should the
nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the Ask the client for permission to lock the necklace in the
top drawer of the bedside table hospital safe
Ask the client for permission to lock the necklace in the
hospital safe
Ask the client to sign a release to free the hospital of
responsibility if the necklace is damaged or lost during
the procedure
, Module 5 HESI Management of Care Exam Questions with Answers Rated A
A nurse providing preoperative care to a client who is
scheduled for a left mastectomy and axillary lymph node
dissection notes that the client is wearing a wedding band
on her left ring finger. The nurse should:
Tape the wedding band in place Explain to the client why the wedding band must be re-
Explain to the client why the wedding band must be re- moved
moved
Ask the client to sign a release to free the hospital of
responsibility if the wedding band is lost during surgery
Ask the client whether she would like to remove the wed-
ding band or wear it to surgery
** A nurse preparing a client to go to the radiology de-
partment for a chest x-ray notes that the client is wearing
a religious medal on a chain around the neck. The client, a
Catholic, expresses a concern about removing the medal.
What is the most appropriate action for the nurse to take?
Asking the client to remove the medal until the x-ray has
been completed Assisting the client in pinning the medal and chain to the
Asking the client to place the medal in the top drawer of waistband of the client's pajama bottoms
the bedside stand just before leaving for the radiology
department
Assisting the client in pinning the medal and chain to the
waistband of the client's pajama bottoms
Telling the client that the medal and chain will be kept
at the nurses' station for safekeeping while the client is
undergoing the x-ray
** A physician writes a medication prescription in a client's
record. While transcribing the prescription, the nurse
notes that the prescribed dose is three times higher than
