Nur 204 Leadership And Management Hesi Final Exam
NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM NEWEST 2025
|ALREADY GRADED A+NEWEST 2025 COMPLETE 450+ VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS WITH WELL – ELABORATED RATIONALES
GUARANTEED PASS |ALREADY GRADED A+
A nurse has taught a female client about the modifiable risk factors for breast cancer. Which
statement made by the client indicates that more teaching is needed?
a. "I am fortunate that I breast-fed each of my three children for 12 months."
b. "It looks as though I need to start working out at the gym more often."
c. "I am glad that we can still have wine with every evening meal."
d. "When I have menopausal symptoms, I must avoid hormone replacement therapy." -
ANSWER-c. "I am glad that we can still have wine with every evening meal."
A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering
a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?
a. Discourage this surgery since the woman is still of childbearing age.
b. Reassure the client that reconstructive surgery is as easy as breast augmentation.
c. Inform the client that this surgery removes all mammary tissue and cancer risk.
d. Offer to include support people, such as the male partner, in the decision making. - ANSWER-
d. Offer to include support people, such as the male partner, in the decision making.
A client has just returned from a right radical mastectomy. Which action by the assistive
personnel (AP) would require the nurse consider to intervene? **
a. Checking the amount of urine in the catheter collection bag
b. Elevating the right arm on a pillow
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, Nur 204 Leadership And Management Hesi Final Exam
c. Taking the blood pressure on the right arm
d. Encouraging the client to squeeze a rolled washcloth - ANSWER-c. Taking the blood pressure
on the right arm
A client is discharged to home after a modified radical mastectomy with two drainage tubes.
Which statement by the client would indicate that further teaching is needed? **
a. "I am glad that these tubes will fall out at home when I finally shower."
b. "I should measure the drainage each day to make sure it is less than an ounce (30 mL)."
c. "I should be careful how I lie in bed so that I will not kink the tubing."
d. "If there is a foul odor from the drainage, I will contact my primary health care provider." -
ANSWER-a. "I am glad that these tubes will fall out at home when I finally shower."
During dressing changes, the nurse assesses a client who had breast reconstruction. Which
finding would cause the nurse to take immediate action?
a. Slightly reddened incisional area
b. Blood pressure of 128/75 mm Hg
c. Temperature of 99° F (37.2° C)
d. Dusky color of the breast flap - ANSWER-d. Dusky color of the breast flap
A client is starting hormonal therapy with tamoxifen to lower the risk for breast cancer. What
information needs to be explained by the nurse regarding the action of this drug? **
a. It blocks the release of luteinizing hormone.
b. It interferes with cancer cell division.
c. It selectively blocks estrogen in the breast.
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, Nur 204 Leadership And Management Hesi Final Exam
d. It inhibits DNA synthesis in rapidly dividing cells. - ANSWER-c. It selectively blocks estrogen in
the breast
A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide, and
fluorouracil for breast cancer. Which side effect seen in the client would the nurse report to the
primary health care provider immediately?
a. Shortness of breath
b. Nausea and vomiting
c. Hair loss
d. Mucositis - ANSWER-a. Shortness of breath
A client is concerned about the risk of lymphedema after a mastectomy. Which response by the
nurse is best? **
a. "You do not need to worry about lymphedema since you did not have radiation therapy."
b. "Be careful not to injure that arm or get any infection in that arm."
c. "Numbness, tingling, and swelling are common sensations after a mastectomy."
d. "The risk for lymphedema is a real threat and can be very self-limiting." - ANSWER-b. "Be
careful not to injure that arm or get any infection in that arm."
A woman diagnosed with breast cancer had these laboratory tests performed at an office visit:
Alkaline phosphatase 125 U/L (2.2 mckat/L)
Total calcium 12 mg/dL (3 mmol/L) Hematocrit 39% (0.39)
Hemoglobin 14 g/dL (140 mmol/L)
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, Nur 204 Leadership And Management Hesi Final Exam
Which test results indicate to the nurse that some further diagnostics are needed?
a. Elevated alkaline phosphatase and calcium suggests bone involvement.
b. Only alkaline phosphatase is decreased, suggesting liver metastasis.
c. Hematocrit and hemoglobin are decreased, indicating anemia.
d. The elevated hematocrit and hemoglobin indicate dehydration. - ANSWER-a. Elevated alkaline
phosphatase and calcium suggests bone involvement.
The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou
test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be interpreted immediately in the office."
d. "Results are best if you do not douche 24 hours before the test." - ANSWER-d. "Results are
best if you do not douche 24 hours before the test."
The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which
finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine - ANSWER-.c. Bleeding from the vagina
The nurse is reviewing discharge instructions with a client who has just experienced an
endometrial biopsy. Which finding would be reported to the primary health care provider
immediately? **
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NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM NEWEST 2025
|ALREADY GRADED A+NEWEST 2025 COMPLETE 450+ VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS WITH WELL – ELABORATED RATIONALES
GUARANTEED PASS |ALREADY GRADED A+
A nurse has taught a female client about the modifiable risk factors for breast cancer. Which
statement made by the client indicates that more teaching is needed?
a. "I am fortunate that I breast-fed each of my three children for 12 months."
b. "It looks as though I need to start working out at the gym more often."
c. "I am glad that we can still have wine with every evening meal."
d. "When I have menopausal symptoms, I must avoid hormone replacement therapy." -
ANSWER-c. "I am glad that we can still have wine with every evening meal."
A younger woman from an unfamiliar culture is at high risk for breast cancer and is considering
a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?
a. Discourage this surgery since the woman is still of childbearing age.
b. Reassure the client that reconstructive surgery is as easy as breast augmentation.
c. Inform the client that this surgery removes all mammary tissue and cancer risk.
d. Offer to include support people, such as the male partner, in the decision making. - ANSWER-
d. Offer to include support people, such as the male partner, in the decision making.
A client has just returned from a right radical mastectomy. Which action by the assistive
personnel (AP) would require the nurse consider to intervene? **
a. Checking the amount of urine in the catheter collection bag
b. Elevating the right arm on a pillow
1|Page
, Nur 204 Leadership And Management Hesi Final Exam
c. Taking the blood pressure on the right arm
d. Encouraging the client to squeeze a rolled washcloth - ANSWER-c. Taking the blood pressure
on the right arm
A client is discharged to home after a modified radical mastectomy with two drainage tubes.
Which statement by the client would indicate that further teaching is needed? **
a. "I am glad that these tubes will fall out at home when I finally shower."
b. "I should measure the drainage each day to make sure it is less than an ounce (30 mL)."
c. "I should be careful how I lie in bed so that I will not kink the tubing."
d. "If there is a foul odor from the drainage, I will contact my primary health care provider." -
ANSWER-a. "I am glad that these tubes will fall out at home when I finally shower."
During dressing changes, the nurse assesses a client who had breast reconstruction. Which
finding would cause the nurse to take immediate action?
a. Slightly reddened incisional area
b. Blood pressure of 128/75 mm Hg
c. Temperature of 99° F (37.2° C)
d. Dusky color of the breast flap - ANSWER-d. Dusky color of the breast flap
A client is starting hormonal therapy with tamoxifen to lower the risk for breast cancer. What
information needs to be explained by the nurse regarding the action of this drug? **
a. It blocks the release of luteinizing hormone.
b. It interferes with cancer cell division.
c. It selectively blocks estrogen in the breast.
2|Page
, Nur 204 Leadership And Management Hesi Final Exam
d. It inhibits DNA synthesis in rapidly dividing cells. - ANSWER-c. It selectively blocks estrogen in
the breast
A client is placed on a medical regimen of doxorubicin (Adriamycin), cyclophosphamide, and
fluorouracil for breast cancer. Which side effect seen in the client would the nurse report to the
primary health care provider immediately?
a. Shortness of breath
b. Nausea and vomiting
c. Hair loss
d. Mucositis - ANSWER-a. Shortness of breath
A client is concerned about the risk of lymphedema after a mastectomy. Which response by the
nurse is best? **
a. "You do not need to worry about lymphedema since you did not have radiation therapy."
b. "Be careful not to injure that arm or get any infection in that arm."
c. "Numbness, tingling, and swelling are common sensations after a mastectomy."
d. "The risk for lymphedema is a real threat and can be very self-limiting." - ANSWER-b. "Be
careful not to injure that arm or get any infection in that arm."
A woman diagnosed with breast cancer had these laboratory tests performed at an office visit:
Alkaline phosphatase 125 U/L (2.2 mckat/L)
Total calcium 12 mg/dL (3 mmol/L) Hematocrit 39% (0.39)
Hemoglobin 14 g/dL (140 mmol/L)
3|Page
, Nur 204 Leadership And Management Hesi Final Exam
Which test results indicate to the nurse that some further diagnostics are needed?
a. Elevated alkaline phosphatase and calcium suggests bone involvement.
b. Only alkaline phosphatase is decreased, suggesting liver metastasis.
c. Hematocrit and hemoglobin are decreased, indicating anemia.
d. The elevated hematocrit and hemoglobin indicate dehydration. - ANSWER-a. Elevated alkaline
phosphatase and calcium suggests bone involvement.
The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou
test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be interpreted immediately in the office."
d. "Results are best if you do not douche 24 hours before the test." - ANSWER-d. "Results are
best if you do not douche 24 hours before the test."
The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which
finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine - ANSWER-.c. Bleeding from the vagina
The nurse is reviewing discharge instructions with a client who has just experienced an
endometrial biopsy. Which finding would be reported to the primary health care provider
immediately? **
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