HESI LEADERSHIP AND MANAGEMENT
EXAM CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ Mr. Grandion was admitted to a rehabilitation center after discharge
from a hospital. He has not walked in the 5 days while he was
hospitalized and is provided a wheelchair. Dining with other residents is
expected, and staffing is limited on a holiday weekend. What is the best
strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his
room because the staff can't get him to the dining room in time for
dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2
hours he must be in the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of
help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the
wheelchair.
Answer: c
⩥ When entering the postoperative care unit, the nurse manager notices
that the temporary agency nurse has incorrectly entered the rate of
,infusion for the patient's vasopressor medication, and the arterial line
blood pressure has a reading of 76/40 mmHg. After discontinuing the
intravenous medication infusion, what is the nurse manager's next
intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the
temporary nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit.
Answer: C
⩥ An incident report of the incident described in the previous question
needs to be completed. What is the appropriate wording to be included
in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and
the vasopressor medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than
ordered and the medication was discontinued when the patient's blood
pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient
subsequently was noted to have a blood pressure reading of 76/40, the
medication was discontinued, and the physician was also notified."
, d)"Patient receiving vasopressor medication intravenously, blood
pressure noted to be 76/40, and intravenous infusion discontinued.
Physician notified and orders received for 500 mL normal saline
administered for hypotension."
Answer: D
⩥ The nurse is needing to provide information for Foley catheter
insertion to a patient in the patient's primary language. Which action
would the nurse follow for the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when
a treatment is ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the
translation to the patient about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list
for the nursing unit to use with patient.
D. Request a healthcare professional translator to translate verbally the
source language to the target language with the patient regarding the
procedure.
Answer: D
⩥ A new nurse works on a busy medical-surgical unit. While the charge
nurse keeps the unit organized and running smoothly, the nurse notices
that another experienced nurse is the nurse to whom most of the other
nurses ask questions and seek information. How does the new nurse
view this experienced nurse?
EXAM CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ Mr. Grandion was admitted to a rehabilitation center after discharge
from a hospital. He has not walked in the 5 days while he was
hospitalized and is provided a wheelchair. Dining with other residents is
expected, and staffing is limited on a holiday weekend. What is the best
strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his
room because the staff can't get him to the dining room in time for
dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2
hours he must be in the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of
help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the
wheelchair.
Answer: c
⩥ When entering the postoperative care unit, the nurse manager notices
that the temporary agency nurse has incorrectly entered the rate of
,infusion for the patient's vasopressor medication, and the arterial line
blood pressure has a reading of 76/40 mmHg. After discontinuing the
intravenous medication infusion, what is the nurse manager's next
intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the
temporary nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit.
Answer: C
⩥ An incident report of the incident described in the previous question
needs to be completed. What is the appropriate wording to be included
in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and
the vasopressor medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than
ordered and the medication was discontinued when the patient's blood
pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient
subsequently was noted to have a blood pressure reading of 76/40, the
medication was discontinued, and the physician was also notified."
, d)"Patient receiving vasopressor medication intravenously, blood
pressure noted to be 76/40, and intravenous infusion discontinued.
Physician notified and orders received for 500 mL normal saline
administered for hypotension."
Answer: D
⩥ The nurse is needing to provide information for Foley catheter
insertion to a patient in the patient's primary language. Which action
would the nurse follow for the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when
a treatment is ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the
translation to the patient about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list
for the nursing unit to use with patient.
D. Request a healthcare professional translator to translate verbally the
source language to the target language with the patient regarding the
procedure.
Answer: D
⩥ A new nurse works on a busy medical-surgical unit. While the charge
nurse keeps the unit organized and running smoothly, the nurse notices
that another experienced nurse is the nurse to whom most of the other
nurses ask questions and seek information. How does the new nurse
view this experienced nurse?
