Leadership HESI Questions and Answers Already Passed

Leadership HESI Questions and Answers Already Passed NB: Answers are highlighted in yellow and appear at the bottom of the choices The nurse calls the surgeon to report that a male client who has transitioned from a PCA to PO analgesic one hour ago is now complaining in a loud voice and asking for the PCA pump. The nurse explains that the client's behavior is disturbing his roommate. The client's BP has increased from 120/72 to 150/98. Which question is best to include in the recommendation component of the SBAR report the the surgeon? A. Could the behavior be a manifestation of drug seeking? B. Can the client be transferred to a private room? C. Can the PCA be initiated and prescribed for an additional 12 hours? A. Could the behavior be a manifestation of drug seeking? The nurse is assigned to care for four clients. After receiving the change of shift report, which client should the nurse assess first? A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB B. A 10 year old with sickle cell disease who has a PCA pump and is complaining of pain2-3/10 C. A 29 year old who has had CKD for the past year and had an AV fistula placed yesterday D. An older client with COPD who is experiencing SOB and who O2 sat is 88% on RA A. A client with diabetes and a history of coronary artery disease who is complaining of increased SOB A HCP notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement? A. Collect any needed form such as labs and radiology requisitions B. Clarify the prescriptions with the unit clerk to ensure accurate transcrition C. Document the time that the provider visited the client in the nurses' notes D. Read all of the new prescriptions for the client written by the provider D. Read all of the new prescriptions for the client written by the provider A RN, PN and UAP are working as team to provide care for a acutely ill client requiring immediate bedside insertion of a chest tube. Which assignment is the best use of each person's skills? A. RN inserts chest tub immediately after PN cleans the skin at insertion site B. The UAP listed to breath sounds while the RN witnesses the informed consent C. The PN instructs the family about he need for chest tube insertion while the RN obtains VS D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP An older woman with a long history of HTN is transferred from a long term care unit because of HF. She has a signed and witnessed DNR in her record. What action should the nurse take? A. Transfer client to palliative care unit for further supportive care B. Consult with hospice case manager regarding plan of care C. Confirm current resuscitation wishes with client and family D. Ask the unit supervisor to meet with the family about desired care level C. Confirm current resuscitation wishes with client and family When caring for an older adult with septic shock, which intervention is most important for the nurse to include in this client's plan of care? A. maintain strict I&O B. assess warmth of extremities C. Keep HOB elevated 45 degrees D. Monitor blood glucose level B. assess warmth of extremities A client is admitted with exacerbation of COBD and reports that it is difficult to eat due to SOB. WHich tasks should the nurse delegate to UAP? SATA A. Assist the client with eating small, frequent high calorie meals B. Offer high caloric foods such as milk and ice cream C. Consult with registered dietician about recommended nutritional needs D. Maintain a clean and pleasant environment during meals E. Set up the food and drink containers within easy reach A, B, D, E The nurse watches the UAP bring soap, washcloths, towel and a basin into the room of a male client who had a suprapubic catheter inserted earlier that day. Which action should the nurse implement? A. Remind UAP to provide warmth and privacy when washing and drying the area around the catheter B. Encourage UAP to offer client opportunity to perform his own catheter care independently C. Tell the UAP that the nurse will perform the client's catheter care while the UAP assists with his personal care D. Advise the UAP that the client's dressing will need to be removed before cleaning around his catheter C. Tell the UAP that the nurse will perform the client's catheter care while the UAP assists with his personal care The nurse observes a PN placing a client on the right side with left leg bent in prep for lumbar puncture. Which action should the RN take? A. Demonstrate to the PN how to position the client more effectively for the procedure B. Arrange for a UAP to assist PN during procedure C. Assume care of client and reassign PN D. Acknowledge the PN has positioned the client correctly A. Demonstrate to the PN how to position the client more effectively for the procedure The charge nurse observes a newly employed nurse begin to administered liquid meds via the clients gastrostomy feeding tube system via the bag hanging at above delivery pump. What action should the charge nurse take? A. Advise nurse to lower bag to eye level B. Confirm the nurse checked solution compatibility C. Instruct nurse to flush the bag with sterile saline D. Direct the nurse to stop medication administration