HESI Leadership Exam LATEST UPDATE

HESI Leadership Exam LATEST UPDATE • A client who weighs 65 kg is receiving an infusion of dopamine 400 mg in 250 ml of D5W at 12 ml/hour. How many mcg/kg/min is the client receiving? o 4.9 • The nurse is planning for the care of a 30yearold primigravida with pregestational diabetes. What isthe most important factor affecting this client’s pregnancy outcome? o Degree of glycemic control during pregnancy • Which statement is an example of correctly written nursing diagnosis statement? o Ineffective coping related to response to positive biopsy test results. • The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comesin 8 mg per ml. How many ml should the nurse administer? o 0.5 ml • What description encompassesthe role in client care management played by nursing informatics? o The input and retrieval of electronic data about a client’s medical history • When evaluating a client’s plan of care, the nurse determines that a desired outcome was not achieved. What action will the nurse implement first? o Note which actions were not implemented • Which action should the nurse implement when administering a prescription drug that should be given on an empty stomach? o Give one hour before or two hours after a meal • A child with a penetrating eye injury comes to the school clinic. What action should the nurse implement first? o Apply a Fox shield to the affected eye and any type of patch to the other eye • A client who has a miscarriage at 10weeks gestation tells the nurse that she already purchased some baby things and picked out a name. After the surgical dilation and curettage (D&C), the client wants to go home as soon as possible. Based on the client’s statements, which action should the nurse implement? o Ask the client what name she had picked out for the infant • A 24hourold newborn has a pink popular rash with vesicles superimposed on the thorax, back, and abdomen. What action should the nurse implement? o Document the finding in the infant’srecord • The nurse is caring for a 9yearold male child who frequently speaks about sex and uses correct sexual vocabulary. What action should the nurse implement with this child? o Ascertain what the child understands about sex • A male client who lives in an area endemic with Lyme disease asks the nurse what to do if he thinks he may have been exposed. What response should the nurse provide? o Look for early signs of a lesion that increasesin size with red border, clear center • A child receiving maintenance intravenous (IV) fluids at the rate of 1000 ml for the first 10 kg of body weight, plus 50 ml/kg per day for each kilogram between 10 and 20. How many milliters per hour should the nurse program the infusion pump for a child who weighs 19.5 kg? o 61 • An anxious client expressing a fear of people and open places admitted to the psychiatric unit. What is the most effective way for the nurse to assist this client? o Accompany her outside for an increasing amount of time each day