HESI Case Studies: Management-Management of a Medical Unit Exam Questions and Answers 2024

HESI Case Studies: Management-Management of a Medical Unit Exam Questions and Answers 2024 1. Which client situation requires the most immediate intervention by the charge nurse? - Answer- New onset ST segment elevation is observed on the telemetry monitor of a Client admitted with angina 2. As he enters the client's room, Mr. Young learns that the ED needs to give report on a client to be admitted to the unit as soon as possible. What action should Mr. Young take? - Answer- Request that another staff RN obtain the report 3. The UAP enters the room and informs Mr. Young that the confused client with hyponatremia is attempting to climb over the bedrails. How should the charge nurse respond to this situation? - Answer- Remain with the client who has angina and assign a PN to monitor the confused client while the UAP obtains a bed alarm 4. The RN reports the vital signs to Mr. Young a T 102, P 112, R 28, and BP 84/42. Who should the charge nurse assign to care for this client? - Answer- The newly licensed RN and the staff RN preceptor 5. The PN requests a change in assignment, stating that due to her pregnancy, she is concerned about entering isolation rooms. How should the charge nurse respond? - Answer- "What concerns do you have about your pregnancy and this client care situation?" 6. When adhering to the ethic of caring in a leadership role while still maintaining client safety, what is the best action for the charge nurse to implement? - Answer- Assign another PN to care for the client and reassign the pregnant PN to other clients 7. A client with which diagnosis and upcoming procedure can best be assigned to this PN, rather than an RN? - Answer- Osteoporosis scheduled for a bone mineral density test that day 8. Which tasks can be delegated to the UAP who is assisting the PN and RN in the care of these 4 clients? (Select all) - Answer- -Deliver and prepare the meal tray of the client who is in isolation with MRSA-induced pneumonia -Assist an elderly client who is 3 days postoperative with a bath and change of gown Which action should the respiratory therapist take? - Answer- increase the rate of oxygen being administered Mr. Young consults with the case manager about which aspect of the client's care? - Answer- initiating a referral for durable medical equipment and home health care It is best for the newly licensed RN to collaborate with which team member to ensure that the dosage is adjusted correctly? - Answer- the RN who is acting as a preceptor for the newly licensed RN When changing client care assignments, Mr. Young knows that it is important to assign the client on which medication /solution to the care and expertise of another RN rather than a PN? - Answer- an insulin/potassium infusion to treat DKA Which on of the RN's clients can best be assigned to the PN? - Answer- a 56-yo female client with anemia due to long-term chronic renal failure who is scheduled for a hemodialysis treatment that afternoon How many mL should be added to the 500 mL bag? - Answer- 7.5 Which instruction should the RN convey to the UAP? - Answer- report any change in mental status, such as disorientation