HESI Case Study
How should Ms. Young respond? -correct answer_I need you to find the reports as quickly as
possible. Which action should the charge nurse implement in response to this information?
-correct answer_Contact the healthcare provider immediately to report the lab test results
verbally. What is the best response by the charge nurse? -correct answer_You may obtain
data from the charts until the staff nurse assigned to your client has time to give report. A PN
may be assigned to care for a client with which nursing diagnosis? -correct answer_Disturbed
body image related to alopecia Which of the clients is experiencing pain management
problems is the most appropriate assignment for the PN? -correct answer_Complaining of
constipation after opioid analgesics for 1 week. What action should Ms. Young implement first?
-correct answer_Observe the suspected abuser's behavior to confirm the nurse's suspicions.
How should Ms. Young respond? -correct answer_Random drug testing protects all the staff
and clients from unsafe practice. How many total people should sign the log when a narcotic is
wasted? -correct answer_2 Which client care assignment makes use of this nurse's expertise?
-correct answer_Monitor a client with thrombocytopenia receiving platelets. Which client
should be assigned to the RN rather than the PN? -correct answer_Unwilling to observe his
new ileostomy stoma and pouch. Which client care activity should be assigned to the PN from
the float pool? -correct answer_Provide postmortem care. What action should the charge
nurse implement? -correct answer_Review the tasks assigned to the UAP to help determine
priorities. How should Ms. Young respond? -correct answer_Allow the student to assist the PN
with portmortem care, but remind him that the UAP may not delegate client care. Which task
can be delegated to the UAP who is assisting the nurse? -correct answer_Monitor the client's
oxygen saturation and respiratory rate What action should Ms. Young implement? -correct
answer_Return to the client's room with the student and explain the meaning of the DNR
status to the client. After speaking with the client about the change in DNR status, what action
should the charge nurse initiate first? -correct answer_Notify the healthcare provider of the
client's wishes. What action should the charge nurse implement first? -correct answer_Page
the emergency response team. Which instruction is most important to emphasize with the
primary RN caring for the client? -correct answer_Perform circulation checks every 15 minutes
and report any changes. What management error has just occurred? -correct answer_-The RN
delegated care to the UAP which should have been performed by the RN. -The RN did not
check the clients IV site as instructed Which action should Ms. young take first? -correct
answer_Assign an RN to assess a newly admitted client diagnosed with brain cancer. What
action by the charge nurse has the greatest priority? -correct answer_Advise the primary nurse
that a new admission will be arriving shortly. How should Ms. Young proceed? -correct
answer_-Instruct the UAP to call security -Go into the client room to assist the RN With whom
should Ms. Young collaborate to revise the nursing plan of care for this man's mother? -correct
answer_-The primary nurse caring for this patient -The hospital chaplain Which action should
How should Ms. Young respond? -correct answer_I need you to find the reports as quickly as
possible. Which action should the charge nurse implement in response to this information?
-correct answer_Contact the healthcare provider immediately to report the lab test results
verbally. What is the best response by the charge nurse? -correct answer_You may obtain
data from the charts until the staff nurse assigned to your client has time to give report. A PN
may be assigned to care for a client with which nursing diagnosis? -correct answer_Disturbed
body image related to alopecia Which of the clients is experiencing pain management
problems is the most appropriate assignment for the PN? -correct answer_Complaining of
constipation after opioid analgesics for 1 week. What action should Ms. Young implement first?
-correct answer_Observe the suspected abuser's behavior to confirm the nurse's suspicions.
How should Ms. Young respond? -correct answer_Random drug testing protects all the staff
and clients from unsafe practice. How many total people should sign the log when a narcotic is
wasted? -correct answer_2 Which client care assignment makes use of this nurse's expertise?
-correct answer_Monitor a client with thrombocytopenia receiving platelets. Which client
should be assigned to the RN rather than the PN? -correct answer_Unwilling to observe his
new ileostomy stoma and pouch. Which client care activity should be assigned to the PN from
the float pool? -correct answer_Provide postmortem care. What action should the charge
nurse implement? -correct answer_Review the tasks assigned to the UAP to help determine
priorities. How should Ms. Young respond? -correct answer_Allow the student to assist the PN
with portmortem care, but remind him that the UAP may not delegate client care. Which task
can be delegated to the UAP who is assisting the nurse? -correct answer_Monitor the client's
oxygen saturation and respiratory rate What action should Ms. Young implement? -correct
answer_Return to the client's room with the student and explain the meaning of the DNR
status to the client. After speaking with the client about the change in DNR status, what action
should the charge nurse initiate first? -correct answer_Notify the healthcare provider of the
client's wishes. What action should the charge nurse implement first? -correct answer_Page
the emergency response team. Which instruction is most important to emphasize with the
primary RN caring for the client? -correct answer_Perform circulation checks every 15 minutes
and report any changes. What management error has just occurred? -correct answer_-The RN
delegated care to the UAP which should have been performed by the RN. -The RN did not
check the clients IV site as instructed Which action should Ms. young take first? -correct
answer_Assign an RN to assess a newly admitted client diagnosed with brain cancer. What
action by the charge nurse has the greatest priority? -correct answer_Advise the primary nurse
that a new admission will be arriving shortly. How should Ms. Young proceed? -correct
answer_-Instruct the UAP to call security -Go into the client room to assist the RN With whom
should Ms. Young collaborate to revise the nursing plan of care for this man's mother? -correct
answer_-The primary nurse caring for this patient -The hospital chaplain Which action should
