HESI Management of Care | Module 5 | Practice Questions & Verified Answers
** A client with leukemia is being considered for a bone Nonmaleficence
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
Autonomy
Justice
Fidelity
Which action by the nurse represents the ethical principle The nurse administers an immunization to a child even though it may cause
of beneficence? discomfort.
The nurse upholds a client's decision to refuse
chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain 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 Telling the client that he or she may not leave the hospital
of false imprisonment. Which of the following situations
reflects a violation of this client right?
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
Threatening to give a client a medication against his or her
will
A nurse and a nursing assistant enter a client's room to Check the client's level of consciousness and vital signs
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
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 Donning sterile gloves to change an abdominal wound dressing
evidence-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
by her primary health care provider
Taking a rectal temperature from a client for whom
bleeding 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 Evaluating and updating the plan of care as needed
manager in a hospital. Which of the following
responsibilities are part of the nurse's new role? Select all Assessing the client's needs for home supplies and equipment
that apply.
Coordinating consultations and referrals to facilitate discharge
Assessing the client's needs for home supplies and
equipment Establishing a safe and cost-effective plan of care with the client
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate
discharge
Establishing a safe and cost-effective plan of care with the
client
, HESI Management of Care | Module 5 | Practice Questions & Verified Answers
The nurse manager of a quality improvement program Obtaining the assigned medical record from the hospital's medical record room to
asks a nurse in the neurological unit to conduct a review documentation made during a client's hospital stay
retrospective 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 during
a client's hospital stay
Checking the crash cart to ensure that all needed supplies
are readily available should an emergency arise
Checking the documentation written
A nurse preparing a client for a bronchoscopy notes that Ask the client for permission to lock the necklace in the hospital safe
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
top drawer of the bedside table
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
A nurse providing preoperative care to a client who is Explain to the client why the wedding band must be removed
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
removed
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
wedding band or wear it to su
** A nurse preparing a client to go to the radiology Assisting the client in pinning the medal and chain to the waistband of the client's
department for a chest x-ray notes that the client is pajama bottoms
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
Asking the client to place the medal in the top drawer of
the bedside stand just before leaving for the radiology
department
Assisting t
** A physician writes a medication prescription in a client's Contacting the nursing supervisor
record. While transcribing the prescription, the nurse notes
that the prescribed dose is three times higher than the
recommended dose. The nurse calls the physician, who
states that this is the dose that the client takes at home
and that it is acceptable for this client's condition. What is
the appropriate action for the nurse to take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer
the medi
, HESI Management of Care | Module 5 | Practice Questions & Verified Answers
** A nurse monitoring a client with a chest tube notes that Inform the physician that removal of a chest tube is not a nursing procedure
there is no tidaling of fluid in the water seal chamber. After
further assessment, the nurse suspects that the client's
lung has reexpanded and notifies the physician. The
physician verifies with the use of a chest x-ray that the lung
has reexpanded, then calls the nurse to asks that the
chest tube be removed. The nurse should first:
Explain the procedure to the client, then remove the chest
tube
Obtain petrolatum-impregnated gauze and
A nurse calls a physician to report that a client with Calling the primary health care provider who gave the telephone prescription to
congestive heart failure (CHF) is exhibiting dyspnea and clarify the prescription
worsening of wheezing. The physician, who is in a hurry
because of a situation in the emergency department, gives
the nurse a telephone prescription for furosemide (Lasix)
but does not specify the route of administration. What is
the appropriate action on the part of the nurse?
The nurse calls a primary health care provider to report
that a client with congestive heart failure (CHF) i
A nurse is assisting a primary health care provider in Asking the primary health care provider to write the prescription in the client's record
assessing a hospitalized client. During the assessment, before leaving the nursing unit
the primary health care provider is paged to report to the
recovery room. The primary health care provider leaves
the client's bedside after giving the nurse a verbal
prescription to change the solution and rate of the
intravenous (IV) fluid being administered. What is the
appropriate nursing action in this situation?
Calling the nursing supervisor to obtain permission to
accept the ve
A client scheduled for surgery tells the nurse that he Calling the surgeon and asking that the risks be explained to the client
signed an informed consent for the surgical procedure but
was never told about the risks of the surgery. The nurse
serves as the client's advocate by:
Calling the surgeon and asking that the risks be explained
to the client
Writing a note on the front of the client's record so that the
surgeon will see it when the client arrives in the operating
room
Reassuring the client that the risks are minimal
Noting in the client's record that the cli
*A nurse is planning to administer an oral antibiotic to a The nurse could be charged with assault.
client with a communicable disease. The client refuses the
medication and tells the nurse that the medication causes
abdominal cramping. The nurse responds, "The
medication is needed to prevent the spread of infection,
and if you don't take it orally I will have to give it to you in
an intramuscular injection." Which of the following
statements accurately describes the nurse's response to
the client?
The nurse could be charged with assa
A nurse discovers that another nurse has administered an Report the incident to the nursing supervisor
enema to a client even though the client told the nurse that
he did not want one. The most appropriate action for the
nurse is to:
Confront the nurse who gave the enema and tell the nurse
that she is going to be charged with battery
Contact the client's primary health care provider
Report the incident to the nursing supervisor
Tell the client that the nurse did the right thing in giving the
enema
** A client with leukemia is being considered for a bone Nonmaleficence
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
Autonomy
Justice
Fidelity
Which action by the nurse represents the ethical principle The nurse administers an immunization to a child even though it may cause
of beneficence? discomfort.
The nurse upholds a client's decision to refuse
chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain 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 Telling the client that he or she may not leave the hospital
of false imprisonment. Which of the following situations
reflects a violation of this client right?
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
Threatening to give a client a medication against his or her
will
A nurse and a nursing assistant enter a client's room to Check the client's level of consciousness and vital signs
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
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 Donning sterile gloves to change an abdominal wound dressing
evidence-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
by her primary health care provider
Taking a rectal temperature from a client for whom
bleeding 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 Evaluating and updating the plan of care as needed
manager in a hospital. Which of the following
responsibilities are part of the nurse's new role? Select all Assessing the client's needs for home supplies and equipment
that apply.
Coordinating consultations and referrals to facilitate discharge
Assessing the client's needs for home supplies and
equipment Establishing a safe and cost-effective plan of care with the client
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate
discharge
Establishing a safe and cost-effective plan of care with the
client
, HESI Management of Care | Module 5 | Practice Questions & Verified Answers
The nurse manager of a quality improvement program Obtaining the assigned medical record from the hospital's medical record room to
asks a nurse in the neurological unit to conduct a review documentation made during a client's hospital stay
retrospective 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 during
a client's hospital stay
Checking the crash cart to ensure that all needed supplies
are readily available should an emergency arise
Checking the documentation written
A nurse preparing a client for a bronchoscopy notes that Ask the client for permission to lock the necklace in the hospital safe
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
top drawer of the bedside table
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
A nurse providing preoperative care to a client who is Explain to the client why the wedding band must be removed
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
removed
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
wedding band or wear it to su
** A nurse preparing a client to go to the radiology Assisting the client in pinning the medal and chain to the waistband of the client's
department for a chest x-ray notes that the client is pajama bottoms
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
Asking the client to place the medal in the top drawer of
the bedside stand just before leaving for the radiology
department
Assisting t
** A physician writes a medication prescription in a client's Contacting the nursing supervisor
record. While transcribing the prescription, the nurse notes
that the prescribed dose is three times higher than the
recommended dose. The nurse calls the physician, who
states that this is the dose that the client takes at home
and that it is acceptable for this client's condition. What is
the appropriate action for the nurse to take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer
the medi
, HESI Management of Care | Module 5 | Practice Questions & Verified Answers
** A nurse monitoring a client with a chest tube notes that Inform the physician that removal of a chest tube is not a nursing procedure
there is no tidaling of fluid in the water seal chamber. After
further assessment, the nurse suspects that the client's
lung has reexpanded and notifies the physician. The
physician verifies with the use of a chest x-ray that the lung
has reexpanded, then calls the nurse to asks that the
chest tube be removed. The nurse should first:
Explain the procedure to the client, then remove the chest
tube
Obtain petrolatum-impregnated gauze and
A nurse calls a physician to report that a client with Calling the primary health care provider who gave the telephone prescription to
congestive heart failure (CHF) is exhibiting dyspnea and clarify the prescription
worsening of wheezing. The physician, who is in a hurry
because of a situation in the emergency department, gives
the nurse a telephone prescription for furosemide (Lasix)
but does not specify the route of administration. What is
the appropriate action on the part of the nurse?
The nurse calls a primary health care provider to report
that a client with congestive heart failure (CHF) i
A nurse is assisting a primary health care provider in Asking the primary health care provider to write the prescription in the client's record
assessing a hospitalized client. During the assessment, before leaving the nursing unit
the primary health care provider is paged to report to the
recovery room. The primary health care provider leaves
the client's bedside after giving the nurse a verbal
prescription to change the solution and rate of the
intravenous (IV) fluid being administered. What is the
appropriate nursing action in this situation?
Calling the nursing supervisor to obtain permission to
accept the ve
A client scheduled for surgery tells the nurse that he Calling the surgeon and asking that the risks be explained to the client
signed an informed consent for the surgical procedure but
was never told about the risks of the surgery. The nurse
serves as the client's advocate by:
Calling the surgeon and asking that the risks be explained
to the client
Writing a note on the front of the client's record so that the
surgeon will see it when the client arrives in the operating
room
Reassuring the client that the risks are minimal
Noting in the client's record that the cli
*A nurse is planning to administer an oral antibiotic to a The nurse could be charged with assault.
client with a communicable disease. The client refuses the
medication and tells the nurse that the medication causes
abdominal cramping. The nurse responds, "The
medication is needed to prevent the spread of infection,
and if you don't take it orally I will have to give it to you in
an intramuscular injection." Which of the following
statements accurately describes the nurse's response to
the client?
The nurse could be charged with assa
A nurse discovers that another nurse has administered an Report the incident to the nursing supervisor
enema to a client even though the client told the nurse that
he did not want one. The most appropriate action for the
nurse is to:
Confront the nurse who gave the enema and tell the nurse
that she is going to be charged with battery
Contact the client's primary health care provider
Report the incident to the nursing supervisor
Tell the client that the nurse did the right thing in giving the
enema
