Leadership HESI
Study online at https://quizlet.com/_cc5tu8
1. The nurse calls the surgeon to report that a male client A. Could the behavior be
who has transitioned from a PCA to PO analgesic one a manifestation of drug
hour ago is now complaining in a loud voice and asking seeking?
for the PCA pump. The nurse explains that the client's
behavior is disturbing his roommate. The client's BP
has increased from 120/72 to 150/98. Which question
is best to include in the recommendation component
of the SBAR report the the surgeon?
A. Could the behavior be a manifestation of drug seek-
ing?
B. Can the client be transferred to a private room?
C. Can the PCA be initiated and prescribed for an addi-
tional 12 hours?
2. The nurse is assigned to care for four clients. After re- A. A client with diabetes
ceiving the change of shift report, which client should and a history of coronary
the nurse assess first? artery disease who is com-
plaining of increased SOB
A. A client with diabetes and a history of coronary
artery disease who is complaining of increased SOB
B. A 10 year old with sickle cell disease who has a PCA
pump and is complaining of pain2-3/10
C. A 29 year old who has had CKD for the past year and
had an AV fistula placed yesterday
D. An older client with COPD who is experiencing SOB
and who O2 sat is 88% on RA
3. A HCP notifies the nurse that new prescriptions have D. Read all of the new
been written for a client. Which is the first action the prescriptions for the client
nurse should implement? written by the provider
, Leadership HESI
Study online at https://quizlet.com/_cc5tu8
A. Collect any needed form such as labs and radiology
requisitions
B. Clarify the prescriptions with the unit clerk to ensure
accurate transcrition
C. Document the time that the provider visited the
client in the nurses' notes
D. Read all of the new prescriptions for the client writ-
ten by the provider
4. A RN, PN and UAP are working as team to provide D. The UAP obtains an O2
care for a acutely ill client requiring immediate bedside sat level while the RN re-
insertion of a chest tube. Which assignment is the best ports the findings to the
use of each person's skills? HCP
A. RN inserts chest tub immediately after PN cleans the
skin at insertion site
B. The UAP listed to breath sounds while the RN wit-
nesses the informed consent
C. The PN instructs the family about he need for chest
tube insertion while the RN obtains VS
D. The UAP obtains an O2 sat level while the RN reports
the findings to the HCP
5. An older woman with a long history of HTN is trans- C. Confirm current resus-
ferred from a long term care unit because of HF. She citation wishes with client
has a signed and witnessed DNR in her record. What and family
action should the nurse take?
A. Transfer client to palliative care unit for further sup-
portive care
B. Consult with hospice case manager regarding plan
of care
Study online at https://quizlet.com/_cc5tu8
1. The nurse calls the surgeon to report that a male client A. Could the behavior be
who has transitioned from a PCA to PO analgesic one a manifestation of drug
hour ago is now complaining in a loud voice and asking seeking?
for the PCA pump. The nurse explains that the client's
behavior is disturbing his roommate. The client's BP
has increased from 120/72 to 150/98. Which question
is best to include in the recommendation component
of the SBAR report the the surgeon?
A. Could the behavior be a manifestation of drug seek-
ing?
B. Can the client be transferred to a private room?
C. Can the PCA be initiated and prescribed for an addi-
tional 12 hours?
2. The nurse is assigned to care for four clients. After re- A. A client with diabetes
ceiving the change of shift report, which client should and a history of coronary
the nurse assess first? artery disease who is com-
plaining of increased SOB
A. A client with diabetes and a history of coronary
artery disease who is complaining of increased SOB
B. A 10 year old with sickle cell disease who has a PCA
pump and is complaining of pain2-3/10
C. A 29 year old who has had CKD for the past year and
had an AV fistula placed yesterday
D. An older client with COPD who is experiencing SOB
and who O2 sat is 88% on RA
3. A HCP notifies the nurse that new prescriptions have D. Read all of the new
been written for a client. Which is the first action the prescriptions for the client
nurse should implement? written by the provider
, Leadership HESI
Study online at https://quizlet.com/_cc5tu8
A. Collect any needed form such as labs and radiology
requisitions
B. Clarify the prescriptions with the unit clerk to ensure
accurate transcrition
C. Document the time that the provider visited the
client in the nurses' notes
D. Read all of the new prescriptions for the client writ-
ten by the provider
4. A RN, PN and UAP are working as team to provide D. The UAP obtains an O2
care for a acutely ill client requiring immediate bedside sat level while the RN re-
insertion of a chest tube. Which assignment is the best ports the findings to the
use of each person's skills? HCP
A. RN inserts chest tub immediately after PN cleans the
skin at insertion site
B. The UAP listed to breath sounds while the RN wit-
nesses the informed consent
C. The PN instructs the family about he need for chest
tube insertion while the RN obtains VS
D. The UAP obtains an O2 sat level while the RN reports
the findings to the HCP
5. An older woman with a long history of HTN is trans- C. Confirm current resus-
ferred from a long term care unit because of HF. She citation wishes with client
has a signed and witnessed DNR in her record. What and family
action should the nurse take?
A. Transfer client to palliative care unit for further sup-
portive care
B. Consult with hospice case manager regarding plan
of care
