HESI RN EVOLVE Management Practice Exam
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a RN?
A. Menorrhagia: 24 hrs post vaginal hysterectomy.
B. MI: 4-days post infarction, transferred from ICU yesterday.
C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol
D. Pneumonia: A 4 yo who is receiving IB antibiotics
C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol
Rationale: Requires communication skills and assessment skills beyond the educational level of a PN or
UAP. Establishing a therapeutic, one-on-one relationship with a depressed client is beyond the scope of
practice for a PN. Additionally, Tylenol is extemely hepatotoxic and careful assessment is essential.
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time.
B. Ask the nurse to call the supervisor to see if she can be reassigned.
C. Stop report and remind the nurse that all staff must "float" at some time.
D. In the presences of other staff members, inform the nurse that her behavior is inappropriate.
A. Continue with report, and talk to the nurse about the incident at a later time.
Rationale: This is the best immediate action. At a later time the charge nurse should discuss with the
nurse in private her inappropriate conduct.
A 15yo sexually active girl diagnosed with PID is admitted to the hospital with a temp of 101.6 F and
purulent vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which
room should the nurse assign this client?
A. A semi-private room with a 4yo girl who is currently receiving chemotherapy.
B. A semi-private room with an older adolescent girl who had surgery yesterday.
C. A room close to the nurse's station.
D. A private room.
, D. A private room.
Rationale: Despite the fact that the client has no insurance and enjoys small children, she in infected and
should be placed in a private room. The client is not acutely ill and does not need to be assigned next to
the nurse's station.
The RN and UAP are working together to provide care for a bedfast client needing total care,
medications, and Foley catheter irrigation. How should the RN assign the client's care?
A. UAP: Personal care, catheter irrigation, I&O. RN: Medications.
B. UAP: Personal care. RN: Medications, catheter irrigation, I&O.
C. UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications.
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications.
Rationale: The RN is reponsible to med administration and sterile procedures such as catheter irrigation.
The UAP is qualified to provide personal care and measure I&O.
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a PN. In
supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered.
B. Obtain the blood sugar results via skin puncture and glucometer.
C. Notify the healthcare provider of the daily serum glucose results.
D. Confer with the PN about any manifestations the client is exhibiting.
D. Confer with the PN about any manifestations the client is exhibiting.
Rationale: The nurse's expertise in needed to perform a critical assessment, such as assessing the client
for signs of hyperglycemia and to supervise the ongoing monitoring of the client by the PN.
A RN is caring for several clients on a progressive care "step-down" unit. After assessing the clients,
which clerical task should the nurse assign to a UAP?
A. Chart pulse ox readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts.
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a RN?
A. Menorrhagia: 24 hrs post vaginal hysterectomy.
B. MI: 4-days post infarction, transferred from ICU yesterday.
C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol
D. Pneumonia: A 4 yo who is receiving IB antibiotics
C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol
Rationale: Requires communication skills and assessment skills beyond the educational level of a PN or
UAP. Establishing a therapeutic, one-on-one relationship with a depressed client is beyond the scope of
practice for a PN. Additionally, Tylenol is extemely hepatotoxic and careful assessment is essential.
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time.
B. Ask the nurse to call the supervisor to see if she can be reassigned.
C. Stop report and remind the nurse that all staff must "float" at some time.
D. In the presences of other staff members, inform the nurse that her behavior is inappropriate.
A. Continue with report, and talk to the nurse about the incident at a later time.
Rationale: This is the best immediate action. At a later time the charge nurse should discuss with the
nurse in private her inappropriate conduct.
A 15yo sexually active girl diagnosed with PID is admitted to the hospital with a temp of 101.6 F and
purulent vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which
room should the nurse assign this client?
A. A semi-private room with a 4yo girl who is currently receiving chemotherapy.
B. A semi-private room with an older adolescent girl who had surgery yesterday.
C. A room close to the nurse's station.
D. A private room.
, D. A private room.
Rationale: Despite the fact that the client has no insurance and enjoys small children, she in infected and
should be placed in a private room. The client is not acutely ill and does not need to be assigned next to
the nurse's station.
The RN and UAP are working together to provide care for a bedfast client needing total care,
medications, and Foley catheter irrigation. How should the RN assign the client's care?
A. UAP: Personal care, catheter irrigation, I&O. RN: Medications.
B. UAP: Personal care. RN: Medications, catheter irrigation, I&O.
C. UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications.
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications.
Rationale: The RN is reponsible to med administration and sterile procedures such as catheter irrigation.
The UAP is qualified to provide personal care and measure I&O.
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a PN. In
supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered.
B. Obtain the blood sugar results via skin puncture and glucometer.
C. Notify the healthcare provider of the daily serum glucose results.
D. Confer with the PN about any manifestations the client is exhibiting.
D. Confer with the PN about any manifestations the client is exhibiting.
Rationale: The nurse's expertise in needed to perform a critical assessment, such as assessing the client
for signs of hyperglycemia and to supervise the ongoing monitoring of the client by the PN.
A RN is caring for several clients on a progressive care "step-down" unit. After assessing the clients,
which clerical task should the nurse assign to a UAP?
A. Chart pulse ox readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe the vital signs from a unit worksheet to the individual graphic page in the client charts.
