Leadership & Management HESI Practice Test Questions And Answers Verified 100% Correct

Leadership & Management HESI Practice Test Questions And Answers Verified 100% Correct Two clients in one room. One client has MRSA the other one neutropenia. What intervention should the nurse implement? - ANSWER Transfer client with neutropenia to a private room. Signed witnessed DNR - ANSWER Confirm current resuscitation wishes with client and family hospice nurse end of life care - ANSWER MUCOUS MEMBRANE MOIST old client to rn (going to give to most experienced nurse) - ANSWER 72 YEAR OLD WITH DM 1 4 clients, iv infusing - ANSWER CEFTATRIAXONE IN 5% DEXTROSE uap, colostomy - ANSWER record amount charge nurse, rn, pn - ANSWER cardiac cath, no pedal pulses .Charge nurse takes over for nurse on break, which client checked first - ANSWER 40 ml dark colored urine UAP stuck in palm by needle with Hep - ANSWER -wash hands with soap and water Assess first - ANSWER -coronary syndrome with increasing SOB New clinical documentation - ANSWER -Need to discuss new clinical documentation that helps save lifes and require one more document Most immediate, intervention by nurse - ANSWER Pneumothorax with 80 SpO2% Intervention best to delegate to LPN - ANSWER Duragesic PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP - ANSWER -can PCA be reinitiated Morning lab, follow-up first - ANSWER BNP assay, MI with SOB 1000 UAP to assemble nephrostomy tube - ANSWER -change bag to leg bag Women health fair, PN helping RN - ANSWER -assist with bone density prep Warrants immediate attention - ANSWER -female with RLQ pain in abd, febrile and vomiting Delegated to UAP` - ANSWER apply abdominal binder Multidisplinary team - ANSWER -elderly man with BGL 400 Assess first -constipation -weakness -pressure ulcer with skin flap -hep A Triaging ER client assess first - ANSWER -elderly -child -female -male 67 y/o female client recently widowed, increased confusion/disorientation. - ANSWER - medical eval, managed healthcare plan Female resident who is mentally alert and lives in a long-term care facility reports that a staff member slapped her - ANSWER -does she know the name of the person Most important to assign which client to a RN rather than PN - ANSWER -Pain scale of 9 PN reports to RN, patient pulled out CVC, UAP is with him in room. Stat dose of oral antianxiety med. RN assign care - ANSWER -RN with CVC, PN stat med, UAP VS on new admission RN assigned to care for four surgical clients. Which client should nurse see first. - ANSWER 3 postop, 1 preop The nurse is caring for a group of clients on a surgical unit. What action should the nurse implement first - ANSWER prepared for OR 0200 nurse phones HCP to request med for client who is unable to sleep four times the the dose. Nurse questions, HCP sleepy says "yea, ok" action first - ANSWER call HCP about dosage Telephone triage at clinic office. Which client is most acute and should be scheduled for the first available appointment. - ANSWER 21 y/o with kidney transplant, fever of 102, flu-like symptoms Nurse should assess the client with which problem first - ANSWER arterial occlusion RN gathering supplies to assist HCP with bedside thoracentesis when ED calls to report on a client with unstable angina - ANSWER PN assist with thoracentesis, RN gets report, UAP prepares room UAP give bath and change bed linen on Kaposi sarcoma (associated with HIV) - ANSWER -tell UAP to wear gloves and gown when handling linen Safely assess last drainage - ANSWER -Jackson-Pratt, no postop drainage after 8 hours Postop RR decrease from 14 to 6 after opioid. 30 minutes later decreases to 4. Narcan given - ANSWER -why wait so long to call HCP Nurse determines that an IV vesicant chemo infusion is infiltrated - ANSWER -apply cold compress 5 y/o boy with mumps is transferred to the peds unit. Nursing intervention most important to implement? - ANSWER PPE cart placed in front of the clients door Evening shift on med unit is busy, only nurse on the unit is busy with an unstable patient. HTC is on the phone with the unit secretary for an order for OTC laxative PRN. What is the best response? - ANSWER -the nurse will call you back as soon as possible to obtain the order Elderly male who is ketoacidotic becomes agitated when the nurse attempts to orient the client to time and place. What room is the best for this client? - ANSWER -the room next to nurses station Pt diagnosed with unstable angina is scheduled for cardiac cath. Select all. - ANSWER -assess chest pain or armpit pain, check pulses on both feet, assess groin access site, monitory VS per post op protocol.