HESI leadership & management EXAM
(VERSION 1-5) All Questions and Answers Included
(HESI leadership & management
EXAM)
Rn is uncomfortable with writing prescriptions and explains this to the DR, but the DR
tells the nurse that she will be reported if she does not write the prescriptions. how
should the nurse manage this conflict? - answers-discussing the situation w/ the nurse
manager
a negligent act - answers-using clean gloves to change a gastrostomy tube dressing
beneficence - answers-RN administers an immunization to a child even though it may
cause discomfort
float nurse to ICU is angry with the assignment - answers-ask the nurse manager of the
ICU to discuss the assignment
Which clients should be assigned to a nursing assistant? - answers-1. pt who requires
transport to the radiology department
2. pt w/ a foley catheter for whom a 24 hr urine collection is in progress
change of shift report should include - answers-needs and priorities of care
current diagnosis
results of lab studies conducted that day
pt response to tx implemented that day
DM is having a hard time drawing the insulin into syringe bc he cant see the markings
on the syringe. refer him to - answers-home care
new nurse needs help w time management if - answers-documents task completion &
client info at the end of the day
Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN
and a nursing assistant. which clients should the nurse assign to the LPN? - answers-1.
a client w/ a colostomy who requires reinforcement regarding the procedure for irrigation
,2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a
sliding dosage scale every 4 hrs
A client scheduled for surgery tells the nurse that he signed an informed consent for the
surgical procedure but was never told about the risks of the surgery. The nurse serves
as the client's advocate by: - answers-calling surgeon and asking that the risks be
explained to the client
A nurse is preparing the client assignments for the day. One of the nurses on the team
has just learned that she is pregnant. Which client does the nurse refrain from assigning
to the pregnant team member? - answers-a client w/ a solid sealed cervical radiation
implant
A RN is supervising a nursing assistant ambulating a client with right-sided weakness.
The RN would conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant: - answers-stands behind the client
A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle.
the RN determines that the LPN is performing the procedure correctly if the LPN: -
answers-administers the injection 2 in below the acromion process
The nurse is preparing client assignments for the day. Which client should the nurse
assign to a nursing assistant? - answers-unconscious pt who requires oral care
A RN who has a LPN and a nursing assistant on the nursing team is planning client
assignments for the day. Which client should the RN assign to the LPN? - answers-a pt
receiving oxygen who requires frequent pulse oximetry monitoring and resp treatments
A nurse has delegated several nursing tasks to staff members. The nurse's primary
responsibility after the delegation of the tasks is to: - answers-follow up with each staff
member regarding the performance of the task and the outcomes r/t implementation of
the task
A nurse is planning the client assignments for the shift. Which of the following clients
should the nurse assign to the nursing assistant? - answers-a client who needs frequent
ambulation with a walker
A nurse employed at a hospital is asked by a nurse manager to review the
organizational chart. The nurse reviews the chart so that he will: - answers-be familiar
with the organizations line of authority
A nurse leader in a med-surg unit overhears the nursing staff openly discussing a client
and stating that the client is "uncooperative and a real pain to care for." the nurse leader
would most appropriately manage this issue by: - answers-discourage the judgemental
comments
,a nurse educator describes the standards of care formulated by the american nurse
association to a group of new nursing graduates hired by the hospital. which of the
following are accurate descriptions of these standards of care - answers-1. define
professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care
or performance
the nurse educator, discussing care maps, asks the graduate nurse whether she
understands how a care map is used. which response indicates understanding -
answers-care map outlines the day-to day expected outcomes of care and the
outcomes anticipated at discharge
the unit secretary says to the nurse "i read in mr. gage's medical record that he has
gonorrhea." how should the nurse respond to the secretary - answers-we cant discuss a
clients medical condition
during the program, a crew from a local television station arrives to film the proceedings
because the station is publicizing a series on hospital services. the nurse conducting the
program should - answers-explain to the television crew that videotaping is not allowed
a nurse manager discusses staff empowerment with the nursing team. the nurse
manager explains that staff empowerment - answers-fosters the growth of others so that
they are less dependent on the leader
which notes in a client's record indicated an unexpected outcome and the need for
follow-up? - answers-pt w/ a central venous catheter has a temp of 100.6
an ed nurse is performing an assessment of a client who has sustained circumferential
burns of both legs. what should the nurse assess first - answers-peripheral pulses
which situation is an example of the use of evidence based practice in the delivery of
client care - answers-
a client whose right leg is in skeletal traction complains of pain in the leg. which action
should the nurse take first - answers-
in which situation is the nurse upholding the ethical principle of fidelity - answers-
A nurse, newly employed by a home health agency, is told that the organization's
decision-making process is centralized. the nurse determines that this means that the
authority to make decisions is vested in - answers-a few individuals, such as the board
of directors
a client with cancer is transported to the radiology departement for a bone scan to
determine whether the cancer has metastasized to bone. while the client is in the
, radiology department the clients wife arrives and asks what test is being performed. the
nurse should tell the wife - answers-she will have to discuss the prescribed test with the
client
After initial rounds, which client will the RN plan to care for first? - answers-a pt who is
scheduled for surgery at 1 pm
difficulty holding utensils while eating - answers-occupational therapy
client wants a DNR. the nurse should tell him that - answers-DNR request should be
discussed w/ physician, who will write the order
a rn providing preop care to a pt scheduled for left mastectomy and axillary lymph nose
dissection notes that the client is wearing a wedding band on her left ring finger. the
nurse should - answers-explain to the pt why the wedding band must be removed
goal of inflicting the least possible harm on the client - answers-nonmaleficence
nursing assistant - answers-pt w/ diarrhea on whom contact precautions have been
imposed
authority most appropriately refers to - answers-the official power to see that an
organizational decision is enforced
3. B
4.B
5. A
6. A, C, D, E
7. D
8. B.
9.
10. B
11. A
12. C
13. A
14. C
16.B Rn could be charged w assault
17. B. report the incident
18. A
19. A
20.A
21. D
25.
26. C
27. A
(VERSION 1-5) All Questions and Answers Included
(HESI leadership & management
EXAM)
Rn is uncomfortable with writing prescriptions and explains this to the DR, but the DR
tells the nurse that she will be reported if she does not write the prescriptions. how
should the nurse manage this conflict? - answers-discussing the situation w/ the nurse
manager
a negligent act - answers-using clean gloves to change a gastrostomy tube dressing
beneficence - answers-RN administers an immunization to a child even though it may
cause discomfort
float nurse to ICU is angry with the assignment - answers-ask the nurse manager of the
ICU to discuss the assignment
Which clients should be assigned to a nursing assistant? - answers-1. pt who requires
transport to the radiology department
2. pt w/ a foley catheter for whom a 24 hr urine collection is in progress
change of shift report should include - answers-needs and priorities of care
current diagnosis
results of lab studies conducted that day
pt response to tx implemented that day
DM is having a hard time drawing the insulin into syringe bc he cant see the markings
on the syringe. refer him to - answers-home care
new nurse needs help w time management if - answers-documents task completion &
client info at the end of the day
Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN
and a nursing assistant. which clients should the nurse assign to the LPN? - answers-1.
a client w/ a colostomy who requires reinforcement regarding the procedure for irrigation
,2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a
sliding dosage scale every 4 hrs
A client scheduled for surgery tells the nurse that he signed an informed consent for the
surgical procedure but was never told about the risks of the surgery. The nurse serves
as the client's advocate by: - answers-calling surgeon and asking that the risks be
explained to the client
A nurse is preparing the client assignments for the day. One of the nurses on the team
has just learned that she is pregnant. Which client does the nurse refrain from assigning
to the pregnant team member? - answers-a client w/ a solid sealed cervical radiation
implant
A RN is supervising a nursing assistant ambulating a client with right-sided weakness.
The RN would conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant: - answers-stands behind the client
A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle.
the RN determines that the LPN is performing the procedure correctly if the LPN: -
answers-administers the injection 2 in below the acromion process
The nurse is preparing client assignments for the day. Which client should the nurse
assign to a nursing assistant? - answers-unconscious pt who requires oral care
A RN who has a LPN and a nursing assistant on the nursing team is planning client
assignments for the day. Which client should the RN assign to the LPN? - answers-a pt
receiving oxygen who requires frequent pulse oximetry monitoring and resp treatments
A nurse has delegated several nursing tasks to staff members. The nurse's primary
responsibility after the delegation of the tasks is to: - answers-follow up with each staff
member regarding the performance of the task and the outcomes r/t implementation of
the task
A nurse is planning the client assignments for the shift. Which of the following clients
should the nurse assign to the nursing assistant? - answers-a client who needs frequent
ambulation with a walker
A nurse employed at a hospital is asked by a nurse manager to review the
organizational chart. The nurse reviews the chart so that he will: - answers-be familiar
with the organizations line of authority
A nurse leader in a med-surg unit overhears the nursing staff openly discussing a client
and stating that the client is "uncooperative and a real pain to care for." the nurse leader
would most appropriately manage this issue by: - answers-discourage the judgemental
comments
,a nurse educator describes the standards of care formulated by the american nurse
association to a group of new nursing graduates hired by the hospital. which of the
following are accurate descriptions of these standards of care - answers-1. define
professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care
or performance
the nurse educator, discussing care maps, asks the graduate nurse whether she
understands how a care map is used. which response indicates understanding -
answers-care map outlines the day-to day expected outcomes of care and the
outcomes anticipated at discharge
the unit secretary says to the nurse "i read in mr. gage's medical record that he has
gonorrhea." how should the nurse respond to the secretary - answers-we cant discuss a
clients medical condition
during the program, a crew from a local television station arrives to film the proceedings
because the station is publicizing a series on hospital services. the nurse conducting the
program should - answers-explain to the television crew that videotaping is not allowed
a nurse manager discusses staff empowerment with the nursing team. the nurse
manager explains that staff empowerment - answers-fosters the growth of others so that
they are less dependent on the leader
which notes in a client's record indicated an unexpected outcome and the need for
follow-up? - answers-pt w/ a central venous catheter has a temp of 100.6
an ed nurse is performing an assessment of a client who has sustained circumferential
burns of both legs. what should the nurse assess first - answers-peripheral pulses
which situation is an example of the use of evidence based practice in the delivery of
client care - answers-
a client whose right leg is in skeletal traction complains of pain in the leg. which action
should the nurse take first - answers-
in which situation is the nurse upholding the ethical principle of fidelity - answers-
A nurse, newly employed by a home health agency, is told that the organization's
decision-making process is centralized. the nurse determines that this means that the
authority to make decisions is vested in - answers-a few individuals, such as the board
of directors
a client with cancer is transported to the radiology departement for a bone scan to
determine whether the cancer has metastasized to bone. while the client is in the
, radiology department the clients wife arrives and asks what test is being performed. the
nurse should tell the wife - answers-she will have to discuss the prescribed test with the
client
After initial rounds, which client will the RN plan to care for first? - answers-a pt who is
scheduled for surgery at 1 pm
difficulty holding utensils while eating - answers-occupational therapy
client wants a DNR. the nurse should tell him that - answers-DNR request should be
discussed w/ physician, who will write the order
a rn providing preop care to a pt scheduled for left mastectomy and axillary lymph nose
dissection notes that the client is wearing a wedding band on her left ring finger. the
nurse should - answers-explain to the pt why the wedding band must be removed
goal of inflicting the least possible harm on the client - answers-nonmaleficence
nursing assistant - answers-pt w/ diarrhea on whom contact precautions have been
imposed
authority most appropriately refers to - answers-the official power to see that an
organizational decision is enforced
3. B
4.B
5. A
6. A, C, D, E
7. D
8. B.
9.
10. B
11. A
12. C
13. A
14. C
16.B Rn could be charged w assault
17. B. report the incident
18. A
19. A
20.A
21. D
25.
26. C
27. A
