2023 Hesi Leadership Exit Exam V1 & V2 TB Guide (LATEST) A+ ALL Questions & Answers

Hesi Leadership Exit Exam version 1 1. The nurse is caring for an older adult who was admitted with a Urinary tract infection and is now exhibiting signs of Severe Inflammatory Response Syndrome (SIRS). Which collaborative care goals should the nurse include in the plan of care? (Select all that apply) - CORRECT ANSWER BODY TEMP within normal limits. REDUCE WBC count. NEGATIVE URINE CULTURE The nurse is caring for clients on an orthopedic unit. Which client has the greatest risk for developing osteomyelitis? - CORRECT ANSWER OLDER ADULT W/OSTEOPOROSIS WHO IS BEDFAST FOLLOWING COMPRESSION FRACTURE OF THE VERTABRAE . A male college student is brought to an emergency clinic by his friends because they report that he has been vomiting for the past 3 days as the result of food poisoning. Laboratory findings indicate that the client's potassium level is 2.5 mEq/L (2.5 mmol/L), so he is admitted to a local hospital, which intervention is most important for the nurse to include in this client's plan of care? - CORRECT ANSWER Initiate cardiac monitoring for the clients. The practical nurse (PN) is visiting a client who has stage four colon cancer and is receiving palliative home care the day. Which intervention should the nurse ask the PN to ensure the family is providing the client? - CORRECT ANSWER MUCOUS MEMBRANE MOIST The nurse is caring for a group of five clients with the assistance of an experienced and capable unlicensed assistive personnel (UAP). Which nursing actions can the nurse delegate to the UP? (Select all that apply.) - CORRECT ANSWER POST OP VITAL SIGNS HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION When triaging emergency room clients, which client should the nurse assess first? - CORRECT ANSWER FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN FEBRILE AND VOMITING *Confirm While eating breakfast, a client admitted with syncope and a 2-month history of vertigo complains of dizziness. Using the standard communication tool SBAR (Situation, Background, Assessment, Recommendation), which statement is best for the nurse to provide the healthcare provider about the client's background? - CORRECT ANSWER The client's significant history includes atrial fibrillation and hypoglycemia. Several nurses are elected by their peers to serve on a negotiating committee to recommend new healthcare benefits - CORRECT ANSWER BE AVAILABLE TO ALL SHIFTS TO DISCUSS CHANGES IN HEALTH BENEFITS Several family members are visiting a client who had a myocardial infarction 4 days ago. The unlicensed assistive one of the visitors is lying on the client's bed. Which action should the nurse implement? - CORRECT ANSWER EXPLAIN THE CLIENT HAS THE RIGHT TO HAVE VISITOR LIE ON THE BED . The healthcare provider prescribes an oral medication to be given daily for 3 days. However, the medication was also given on the fourth day. - CORRECT ANSWER REVIEW MEDICATION TRANSCRIPTION WITH THE NURSE. . The nurse initiates the procedure to remove a client's peripherally inserted central catheter (PICC) when a code blue is called for another collapsed in the hallway while ambulating with the unlicensed assistive personnel (UAP). Which action should the nurse take - CORRECT ANSWER Respond to the code. OR Finish the procedure Not sure Which client requires the most immediate intervention by the nurse? - CORRECT ANSWER CLIENT WITH ACUTE KIDNEY INJURY who is somnolent and does respond to verbal commands. . The nurse receives a telephone prescription from the healthcare provider for a client's persistent cough and wheezing, the prescription includes a chest x-ray, an antibiotic, and a nebulizer treatment now and PRN. Alter reading the prescription back to the healthcare provider to ensure accuracy, which intervention should the nurse implement first? - CORRECT ANSWER NEBULIZER BREATHING TREATMENT 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? - CORRECT ANSWER Watch the PN perform sterile wound care to validate her skill level A male client is admitted with difficulty breathing related to a recent diagnosis of metastatic lung cancer. He tells the nurse that he does not want to be "hooked up to any machines". His vital signs are heart rate 120 beats/minute, blood pressure 98/50 mm, respirations 30 breaths/minute, and oxygen saturation rate is 88%. Which action should the nurse take? - CORRECT ANSWER Discontinue the intravenous infusion A child is admitted to the pediatric unit after being diagnosed with pertussis. The nurse observes an unlicensed assistive personnel (UP) donning on a pair of gloves before entering the room to give the child a Popsicle. Which action should the nurse take? - Hesi Leadership Exit exam Version 2 1. A nurse is performing telephone triage at the clinic office. Which client has the most acute problem and should be scheduled for the first available appointment? - CORRECT NSWER A 21 year old with a history of a kidney transplant. Today the client reports flu-like symptoms with a fever of 100.4 F (38 C) 2. 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 UPA who is working with the nurse? - CORRECT NSWER Measure Vital Signs 3. The nurse should assess the client with which problem first? - CORRECT NSWER Paresthesia secondary to an arterial occlusion 4. A young adult client with a brain tumor refuses further treatment and requests to be allowed to die a natural death. The healthcare provides does not agree with the client's decision and refuses to write do-not-resuscitate instructions. Which action should the nurse take? - CORRECT NSWER Initiate a review of the situation by the hospital's ethics committee. 5. A healthcare provider notifies the nurse that new prescriptions have been written for a client. Which is the 1st action the nurse should implement? - CORRECT NSWER Read all of the new prescriptions for the client written by the provider 6. The nurse is observing the staff provide care to a client with acquired immune deficiency syndrome - CORRECT NSWER Unlicensed assistive personnel wearing a mask to take client's blood pressure. 7. The nurse caring for a client with bacterial meningitis is preparing report for the oncoming nurse. It is most important to include which assessment finding in the report? - CORRECT NSWER Increasing Pulse Pressure 8. The charge nurse notices that a respiratory therapist who has been cross-trained to work as a phlebotomist and unlicensed assistive personnel (UAP) seems to be avoiding HIV positive clients - CORRECT NSWER Provide the employee with feedback about observed behavior 9. The nursing supervisor sends an unlicensed assistant personnel (UAP) to a medical unit to replace an absent UAP. When delegating the task of obtaining client's blood sugar levels using a glucometer, which action is most important for the nurse to implement? - CORRECT NSWER Observe the UAP obtain a finger stick glucose level using the glucometer. 10. The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit - CORRECT NSWER Conduct a closer examination of staff nurse's distribution of pain medication from evening shift 11. The smell of cigarette smoke is coming from a client's bathroom. Which action should the nurse - CORRECT NSWER Educate the client about the hospital smoking policy. 12. The practical nurse (PN) reports to the charge nurse that the transparent dressing covering a single lumen central venous catheter inserted in the subclavian vein of a client has come loose and the insertion site is inflamed. Which action should the charge nurse implement? - CORRECT NSWER Confirm the findings of the PN while securing the transparent dressing and notify the healthcare provider. 13. At 0200 the nurse phones the healthcare provider to request a PRN medication for a client who is unable to sleep. The healthcare provider is awakened and gives the nurse a prescription for four times the normal dosage. When questioned by the nurse, the healthcare provider responds in a sleepy - CORRECT NSWER Call the healthcare or back, and report that the dosage prescribed is our times the normal dosage. 14.The charge nurse notices that a female practical nurse (PN), who has a long work history on the unit and is a valued employee, seems tired and slow to respond verbally during the change of shift report. One hour later the charge nurse overhears the PN telling an unlicensed assistive personnel (UAP) that she took a sleeping pill 4 hours ago and she is still feeling its effects. Which action should the charge nurse take? - CORRECT NSWER Send the PN to the employee health center for a urine drug Screen 15. It is most important to assign which client to a registered nurse rather than a practical nurse? - CORRECT NSWER After ambulating, a postoperative client grimaces and reports incisional pain at a "9" on a point scale. 16. After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse - CORRECT NSWER Apply hydrocolloid dressings to venous 17. The charge nurse observes unlicensed assistive personnel (UAP) and a nurse arguing at the nurse's station. What action is best for the charge nurse to implement? - CORRECT NSWER Inform both individuals that their behavior is inappropriate in a work setting 18. A male client with metastatic lung cancer has requested that "no heroic measures" are used to extend his life, so the healthcare provider prescribes transferring the client to the palliative care - CORRECT NSWER Ensure the prescriptions or transfer include the client's end-of-life choice. 19. The charge nurse observes that a client with a nasogastric tube applied to low intermittent suction is drinking a glass of water immediately after the unlicensed assistive personnel (UAP) left the room. What is the best initial action for the charge nurse to take? - CORRECT NSWER Remove the glass of water and speak to the UAP. 20. The nurse hears a newly employed unlicensed assistive personnel (UAP) who is working in a long-term care facility calling the adult residents "honey" and "dearie." What