HESI: NUR 204 / NUR204 Leadership & Management V1 (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A

HESI: NUR 204 / NUR204 Leadership & Management V1 (Latest 2026/2027 Update) | Fortis College | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: The nurse is assigned to care for four clients. After receiving the change of shift report, which client should the nurse assess first? Answer A client with diabetes and a history of coronary artery disease who is complaining of increased shortness of breath Q: The charge nurse observes a newly employed nurse begin to administer a liquid medication via a client's gastrostomy feeding tube system as seen in the picture. What action should the charge nurse take? Answer Direct the nurse to stop the medication administration. Q: A healthcare provider notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement? Answer Read all of the new prescriptions for the client written by the provider. Q: An older woman with a long history of hypertension is transferred from a long-term care facility to the hospital intensive care unit because of an exacerbation of heart failure. She has signed and witnessed "do not resuscitate" form in her record. Which action should the nurse take? Answer Confirm current resuscitation wishes with client and family Q: A nurse (RN), practical nurse (PN), and unlicensed assistive personnel (UAP) are working as a team to provide care for an acutely ill client requiring immediate bedside insertion of a chest tube. Which assignment is best use of each person's skills? Answer The UAP obtains an oxygen saturation level while the RN reports findings to the healthcare provider. Q: The nurse hears a newly employed unlicensed assistive personnel (UAP) who is working in a long term care facility calling the adult residents "honey" and "dearie". What is the best action to take? Answer Meet with the UAP to discuss respectful client care strategies. Q: The nurse assigns an unlicensed assistive personnel (UAP) to apply sequential compression devices to a client. Which instruction should the nurse include when assigning this task to the (UAP)? Answer Report any changes in color in the client's feet or legs Q: The nurse is observing the staff provide care to a client with acquired immune deficiency syndrome (AIDS) who was admitted yesterday with Pneumocystis carinii pneumonia. Which staff scenario requires intervention by the nurse? Answer Unlicensed assistive personnel wearing a mask to take client's blood pressure Q: The nurse who is working on a post-surgical intensive care unit receives report regarding the assigned clients for the upcoming shift. Which client should the nurse assess first? Answer An adult who has a collapsed lung related to a fall from ladder 8 hours ago and now has 100ml chest tube drainage Q: Four clients are scheduled to receive IV infusions, but there are only three IV pumps available. Which prescribed infusion can most safely be Answer administered without an IV infusion Ceftriaxone 5% Dextrose in Water prescribed for pneumonia. Q: It is most important to assign a client to a registered nurse rather than a practical nurse? Answer After ambulating a postoperative client grimaces and reports incisional pain at a 9 on a ten-point pain scale. Q: The nursing supervisor sends an unlicensed assistive personnel (UAP) to a medical unit to replace an absent UAP. When delegating the task of obtaining client's blood sugar levels using a glucometer, which action is most important for the nurse to implement? Answer Observe the UAP obtain a finger stick glucose level using the glucometer Q: The charge nurse observes that a client with a nasogastric tube applied to low intermittent suction is drinking a glass of water immediately after the unlicensed assistive personnel (UAP) left the room. What is the best action for the nurse to take? Answer Remove the glass of water and speak to the UAP Q: Which older client should the charge nurse assign to the most experienced nurse? Answer A 72-year-old client type 1 diabetes mellitus who is newly diagnosed and scheduled for discharge today. Q: An experienced practical nurse (PN) and an unlicensed assistive personnal are working together to assist neurologically compromised clients at mealtime. Whish task is best for the PN to perform? Answer Feed a quadriplegic client who has difficulty shewing and swallowing Q: The nurse manager observes that the staff nurse has used wrist restraints to help secure an elderly female in her wheelchair. The client is pleading for the nurse to release her arms. The nurse explains to the nurse-manager that the client needs to be retrained in the wheelchair so that the nurse can change her bed linens. What is the priority action by the nurse-manager? Answer Advise the staff nurse to remove the restraints from the client's wrists Q: A client is transferred to the surgical unit following a strangulated inguinal hernia repair. The post anesthesia care unit nurse reports the total intake and output that occurred during surgery, the sedation reversal agent, and two episodes of emesis post extubation. Which additional information should the nurse provide to complete this report? Answer Peripheral pulses present with full range of motion of both legs Q: A nurse is performing telephone triage at the clinic office. Which client has the most acute problem and should be scheduled for the first available appointment? Answer A 42-year-old male who hurt his back while lifting yesterday. Today he has non-radiating, low- pain rated at 10 on a scale of 1 to 10. Q: The nurse calls a surgeon about a male client who is having abdominal pain after a bowel resection. He received hydromorphone 2 hours ago and is now requesting additional pain medication. Vital signs include temperature 97.8 F (36.6 C), heart rate 112 beats/minute, respirations 24 breaths/minute, and blood pressure is 98/62 mmHg, which is lower from previous reading one hour ago. The client has a history of chronic atrial fibrillation and takes clopidogrel, which was continued until one day prior to surgery. The nurse recommends that the surgeon see the client immediately to evaluate the situation. What information makes this report complete? Answer The abdomen is rigid, tender to touch, and distended Q: The charge nurse on a surgical unit is assessing the morning lab work on four clients. Which client's lab finding should be reported to the healthcare provider immediately? Answer An elderly client in end-stage renal disease who has a creatinine level of 2.4mg/dL (212 micromol/L) and a BUN of 84 mg/dL (30 mmol/L). Q: 22.The nurse is caring for a group of clients with help of an experienced unlicensed assistive personnel (UAP). Several specimens need to be collected and sent to the lab. Which specimen collection can the nurse delegate to the UAP Answer Fecal drainage sample o Urine from indwelling catheter Q: After receiving morning report on an acute care unit, which client should the nurse assess first? Answer A client sitting close to the nurse's station who has been restrained for the past six hours. Q: Because of budget cutbacks, a policy was established which mandates that when the census is low, nurses will be sent home. For the third time in two weeks, a nurse who has been employed at the hospital for three months is sent home immediately after arriving for work. The nurse is obviously upset and begins to cry when told to go home. Which action should the charge nurse take? Answer Take the nurse to a private place and listen to the nurse's description of concerns Q: A client with leukemia is hospitalized for weakness, fatigue, and anemia. The client is restless and tachycardic. Which intervention is most important for the nurse to include in the plan of care? Answer Maintain protective isolation Q: The nurse caring for a client with bacterial meningitis is preparing report for the oncoming nurse. It is most important to include which assessment finding in the report? Answer Increasing pulse pressure .Q: A healthcare provider notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement? Answer Observe the UAP obtain a fingerstick glucose level using the glucometer Q: A healthcare provider notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement? Answer Read all of the new prescriptions for the client written by the provider. The nursing staff expresses concern about new policy that increases the nurse-to-patient ratio by 25% on all shifts. Which action is best for the nurse-manager to take? Answer Disseminate factual information to all nursing staff to avoid misinformation and rumors. The nurse is assigned to care for four clients. After receiving the change of shift report, which client should the nurse assess first? Answer A client with diabetes and a history of coronary artery disease who is complaining of increased shortness of breath. After receiving the morning shift report, which client should the nurse assess first? Answer A 73-year-old diagnosed with chronic obstructive pulmonary disease who has a pulse oximeter reading of 84% A nationally known management consultant, whose consulting fee is very high, is scheduled to speak at a day-long hospital education conference. The head nurse wants the information presented at the educational program to be disseminated among the staff. Which plan will be most useful in achieving this goal? Ask two staff members to attend and report what they learned to the unit's staff In planning care for a group of clients, which task should the nurse delegate to the unlicensed assistive personnel (UAP)? Reinforce teaching provided by the nurse about using the call bell. A graduate nurse reports to the charge nurse that a postoperative client's blood pressure is 80/40 mmHg. Which question is most important for the charge nurse to ask? "Is the client feeling dizzy?" A client is admitted to the surgical intensive care unit following the removal of a large portion of the intestines due to a gunshot wound to the abdomen. The client begins to display signs of septic shock and a sepsis protocol is initiated. Which intervention is most important for the nurse to include in the plan of care? Assess warmth of extremities The wound care nurse is applying sterile fly larvae to the dead tissue of a client's large wound when a code blue is called for another client on the unit who is not spontaneously breathing.Which action should the nurse take? Finish the procedure. A charge nurse agrees to cover another nurse's assignment during a lunch break. Based on the status report by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The client With a pneumothorax secondary to a gunshot with a current pulse oximeter reading of 90% During a 24-hour chart review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which is the best immediate action for the nurse to take? Order the lab work as prescribed and follow procedures for completing an incident report An unlicensed assistive personnel (UAP) is stuck in the palm of the hand by a needle that is found un the bed linen of a client diagnosed with Hepatitis B. Which action should the charge nurse instruct the UAP to do first? Wash hands with soap and water An older adult woman with Cushing's syndrome is scheduled for cataract surgery in the day surgery unit. Nursing assessment reveals a rounded face and pitting edema in the lower extremities. Which intervention should the nurse implement? Initiate intake and output measurement The nurse who is working on a post-surgical intensive care unit reports regarding the assigned clients for the upcoming shift. Which client should the nurse assess first? An adult who has a collapsed lung related to a fall from ladder 8 hours ago and now has 100 mL chest tube drainage. .Several nurses are elected by their peers to serve on a negotiating committee to recommend new healthcare benefits. After the new benefits plan is developed and approved, which action is most important for the nurses working on this committee to implement? Be available to all shifts to discuss the charges in healthcare benefits. When making assignments on a psychiatric unit, it is most essential for the charge nurse to assign a nurse to a client with Depression, who was admitted during the night and denies any suicide ideations An older male client who lives alone has a history of heart failure and is admitted to the hospital after passing out while walking to the mailbox. The nurse notes multiple bruises at various stages of healing. The client is being treated with the cardiac glycoside, diuretic, and restricted sodium diet. Which intervention is most important for the nurse to include in the client's plan of care? Continuous electrocardiogram monitoring