HESI SPECIALTY MANAGEMENT

HESI SPECIALTY MANAGEMENT 1. The charge nurse needs to determine if an additional nurse should be called to help staff in the unit for the next shift. Which information is most important for the charge nurse to consider when making this decision? The acuity level of the clients on the unit 2. When triaging emergency-room clients, which client should the nurse assess first? A female client with severe right lower abdominal pain who is febrile and vomiting 3. During a woman's health fair, which assignment is best for the practical nurse that is working with a registered nurse? Prepare a woman for a bone density screening 4. A mental health nurse is admitting a female adolescent who is accompanied by her mother and father. The nurse received report from the emergency department that the client has a medical diagnosis of depression and has attempted to harm herself. Which task should the nurse assign to the mental health technician? Search all of the client’s belongings 5. The nurse assigns collection of the sputum specimen to the unlicensed assistive personnel (UAP). Before delegating this task to the UAP, which action is most important for the nurse to implement? Determine if the UAP has received training to collect sputum specimen 6. When meeting with the client and the family, which nursing interventions demonstrate the nurse’s role of collaborator of care? Coordinating and educating about multidisciplinary services 7. Based on the change of shift report, the client with which signs and symptoms should be assessed by the nurse first? Chest pressure, diaphoresis, nausea 8. The nurse working on a medical unit is assigned to care for four clients. Which client should the nurse assess first? A client who is quadriplegic and is complaining of severe headache 9. Which action by the nurse-manager demonstrates an effective leadership style? Fosters positive behavior changes in staff numbers 10. A female client complains to the charge nurse that the unlicensed assistive personnel did not close the window shades to a public sidewalk while giving him a bath earlier in the morning. Which action should the charge nurse take? Apologize to the client immediately 11. The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency admissions. Which client is stable enough to be discharged from the unit? A client scheduled for a femoral - popliteal bypass surgery tomorrow 12. The charge nurse of the intensive care unit is making assignments for the permanent staff and there is a registered nurse who has floated from a medical unit. The client with which condition is best to assign to the float nurse? Emphysema extubated three hours ago 13. The charge nurse agrees to cover another nurse’s assignments during lunch break. Based on the status report provided 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 wound with a current pulse oximeter reading of 90% 14. During a staff meeting, the nurse verbally attacks the nurse- manager conducting the meeting stating, you always let your favorites have holidays off and give them easier assignments. You are unfair and prejudice. How should the nurse-manager response?