HESI Management Practice Exam
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
- Menorrhagia: 24 hours post vaginal hysterectomy.
- Myocardial Infarction: 4-days post infarction, transferred from ICU yesterday.
- Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol.
- Pneumonia: A 4-year-old who is receiving IV antibiotics. - Answer-- Depression: Admitted during the
night, following a suicide attempt with an overdose of Tylenol.
(C) requires communication skills and assessment skills beyond the educational level of a practical nurse
or UAP. Establishing a therapeutic, one-to-one relationship with a depressed client is beyond the scope
of practice for a practical nurse. Additionally, Tylenol is extremely hepatotoxic and careful assessment is
essential. (A, B, and D) could all be cared for by a practical nurse under the supervision of the registered
nurse or, depending on additional data, by a UAP with the assistance of the practical nurse.
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
- Continue with report, and talk to the nurse about the incident at a later time.
- Ask the nurse to call the supervisor to see if she can be reassigned.
- Stop report and remind the nurse that all staff must "float" at some time.
- In the presence of other staff members, inform the nurse that her behavior is inappropriate. - Answer--
Continue with report, and talk to the nurse about the incident at a later time.
, (A) is the best immediate action. At a later time (after the nurse has "cooled off") the charge nurse
should discuss with the nurse in private her inappropriate conduct. (B) only reinforces inappropriate
behavior and dismisses the problem to the supervisor. (C and D) would incite conflict in that both
actions would likely encourage justification and argumentative behavior, and reprimanding the nurse in
front of colleagues is poor management (D). The first priority is to provide care for clients--hopefully,
traveling to the unit will provide a "cooling off" time for the nurse.
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6 F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
- A semi-private room with a 4-year-old girl who is currently receiving chemotherapy.
- A semi-private room with an older adolescent girl who had surgery yesterday.
- A room close to the nurse's station.
- A private room. - Answer-- A private room.
Despite the fact that the client has no insurance and enjoys small children, she is infected and should be
placed in a private room (D). This client is infected, which is a priority consideration, so (A and B) would
not be the best room assignment for this client because they would put the roommates at serious,
unnecessary risk. This client is not acutely ill and does not need to be assigned to a room next to the
nurse's station (C).
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
- UAP: Personal care, catheter irrigation, I&O. RN: Medications.
- UAP: Personal care. RN: Medications, catheter irrigation, I&O.
- UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
- UAP: Personal care, I&O. RN: Catheter irrigation, medications. - Answer-- UAP: Personal care, I&O. RN:
Catheter irrigation, medications.
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
- Menorrhagia: 24 hours post vaginal hysterectomy.
- Myocardial Infarction: 4-days post infarction, transferred from ICU yesterday.
- Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol.
- Pneumonia: A 4-year-old who is receiving IV antibiotics. - Answer-- Depression: Admitted during the
night, following a suicide attempt with an overdose of Tylenol.
(C) requires communication skills and assessment skills beyond the educational level of a practical nurse
or UAP. Establishing a therapeutic, one-to-one relationship with a depressed client is beyond the scope
of practice for a practical nurse. Additionally, Tylenol is extremely hepatotoxic and careful assessment is
essential. (A, B, and D) could all be cared for by a practical nurse under the supervision of the registered
nurse or, depending on additional data, by a UAP with the assistance of the practical nurse.
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
- Continue with report, and talk to the nurse about the incident at a later time.
- Ask the nurse to call the supervisor to see if she can be reassigned.
- Stop report and remind the nurse that all staff must "float" at some time.
- In the presence of other staff members, inform the nurse that her behavior is inappropriate. - Answer--
Continue with report, and talk to the nurse about the incident at a later time.
, (A) is the best immediate action. At a later time (after the nurse has "cooled off") the charge nurse
should discuss with the nurse in private her inappropriate conduct. (B) only reinforces inappropriate
behavior and dismisses the problem to the supervisor. (C and D) would incite conflict in that both
actions would likely encourage justification and argumentative behavior, and reprimanding the nurse in
front of colleagues is poor management (D). The first priority is to provide care for clients--hopefully,
traveling to the unit will provide a "cooling off" time for the nurse.
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6 F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
- A semi-private room with a 4-year-old girl who is currently receiving chemotherapy.
- A semi-private room with an older adolescent girl who had surgery yesterday.
- A room close to the nurse's station.
- A private room. - Answer-- A private room.
Despite the fact that the client has no insurance and enjoys small children, she is infected and should be
placed in a private room (D). This client is infected, which is a priority consideration, so (A and B) would
not be the best room assignment for this client because they would put the roommates at serious,
unnecessary risk. This client is not acutely ill and does not need to be assigned to a room next to the
nurse's station (C).
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
- UAP: Personal care, catheter irrigation, I&O. RN: Medications.
- UAP: Personal care. RN: Medications, catheter irrigation, I&O.
- UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
- UAP: Personal care, I&O. RN: Catheter irrigation, medications. - Answer-- UAP: Personal care, I&O. RN:
Catheter irrigation, medications.
