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HESI Module 5 Management of Care EXAM Revised 2026/2027 Real Elaborative Questions With Correct Accurate Answers (NEW!!) Already Graded A+

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HESI Management of Care 2026: NCLEX-RN Practice Questions & Answers (Latest Edition) This comprehensive study guide, "Module 5 HESI Management of Care 2026," is an essential resource for nursing students preparing for the HESI exit exam or the NCLEX-RN. The document contains 97 realistic, exam-style questions focusing on critical management and leadership concepts, including delegation, ethical principles (beneficence, nonmaleficence, fidelity), legal issues (informed consent, DNR orders, assault, battery), client advocacy, incident reporting, and evidence-based practice. Each question is followed by the correct answer, providing immediate feedback for self-assessment. Key topics covered include preoperative care, chest tube management, medication administration protocols, handling impaired colleagues, floating assignments, and prioritizing client care based on acuity. This guide is ideal for mastering the "Management of Care" category, which is a core component of the NCLEX test plan HESI Module 5 Management of Care EXAM Revised 2026/2027 Real Elaborative Questions With Correct Accurate Answers (NEW!!) Already Graded A+ 1. A nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. The nurse should: Tape the wedding band in place Explain to the client why the wedding band must be removed Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery Ask the client whether she would like to remove the wedding band or wear it to surgery - ANSWER️-Explain to the client why the wedding band must be removed 2. A nurse preparing a client to go to the radiology department for a chest x-ray notes that the client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a concern about removing the medal. What is the most appropriate action for the nurse to take? Asking the client to remove the medal until the x-ray has been completed Asking the client to place the medal in the top drawer of the bedside stand just before leaving for the radiology department Assisting the client in pinning the medal and chain to the waistband of the client's pajama bottoms Telling the client that the medal and chain will be kept at the nurses' station for safekeeping while the client is undergoing the x-ray - ANSWER️-Assisting the client in pinning the medal and chain to the waistband of the client's pajama bottoms 3. A physician writes a medication prescription in a client's record. While transcribing the prescription, the nurse notes that the prescribed dose is three times higher than the recommended dose. The nurse calls the physician, who states that this is the dose that the client takes at home and that it is acceptable for this client's condition. What is the appropriate action for the nurse to take? Contact the nursing supervisor Ask the nurse assigned to care for the client to administer the medication Verify the prescribed dose with the client before administering the medication Continue to transcribe the prescription - ANSWER️-Contacting the nursing supervisor 4. A nurse monitoring a client with a chest tube notes that there is no tidaling of fluid in the water seal chamber. After further assessment, the nurse suspects that the client's lung has re-expanded and notifies the physician. The physician verifies with the use of a chest x-ray that the lung has re-expanded, then calls the nurse to asks that the chest tube be removed. The nurse should first: Explain the procedure to the client, then remove the chest tube Obtain petrolatum-impregnated gauze and ask another nurse to assist in removing the chest tube Call the nursing supervisor Inform the primary health care provider that removal of a chest tube is not a nursing procedure - ANSWER️-Inform the physician that removal of a chest tube is not a nursing procedure 5. A nurse calls a physician to report that a client with congestive heart failure (CHF) is exhibiting dyspnea and worsening of wheezing. The physician, who is in a hurry because of a situation in the emergency department, gives the nurse a telephone prescription for furosemide (Lasix) but does not specify the route of administration. What is the appropriate action on the part of the nurse? The nurse calls a primary health care provider to report that a client with congestive heart failure (CHF) is exhibiting dyspnea and worsening of wheezing. The primary health care provider, who is in a hurry because of a situation in the emergency department, gives the nurse a telephone prescription for furosemide but does not specify the route of administration. What is the appropriate action on the part of the nurse? Call the nursing supervisor for assistance in determining the route of administration Administer the medication ora - ANSWER️-Calling the primary health care provider who gave the telephone prescription to clarify the prescription 6. A nurse is assisting a primary health care provider in assessing a hospitalized client. During the assessment, the primary health care provider is paged to report to the recovery room. The primary health care provider leaves the client's bedside after giving the nurse a verbal prescription to change the solution and rate of the intravenous (IV) fluid being administered. What is the appropriate nursing action in this situation? Calling the nursing supervisor to obtain permission to accept the verbal prescription Changing the solution and rate of the IV fluid per the physician's verbal prescription Telling the primary health care provider that the prescription will not be implemented until it is documented in the client's record Asking the primary health care provider to write the prescription in the client's record before leaving the nursing unit - ANSWER️-Asking the primary health care provider to write the prescription in the client's record before leaving the nursing unit 7. A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical procedure but was never told about the risks of the surgery. The nurse serves as the client's advocate by: Calling the surgeon and asking that the risks be explained to the client Writing a note on the front of the client's record so that the surgeon will see it when the client arrives in the operating room Reassuring the client that the risks are minimal Noting in the client's record that the client was not told about the risks of the surgery - ANSWER️-Calling the surgeon and asking that the risks be explained to the client

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HESI Module 5 Management of Care
EXAM Revised 2026/2027
Real Elaborative Questions With
Correct Accurate Answers (NEW!!)
Already Graded A+
1. A nurse providing preoperative care to a client who is scheduled for a left
mastectomy and axillary lymph node dissection notes that the client is
wearing a wedding band on her left ring finger. The nurse should:
Tape the wedding band in place
Explain to the client why the wedding band must be removed
Ask the client to sign a release to free the hospital of responsibility if the
wedding band is lost during surgery
Ask the client whether she would like to remove the wedding band or wear it
to surgery - ANSWER✔️-Explain to the client why the wedding band must
be removed

2. A nurse preparing a client to go to the radiology department for a chest x-ray
notes that the client is wearing a religious medal on a chain around the neck.
The client, a Catholic, expresses a concern about removing the medal. What
is the most appropriate action for the nurse to take?
Asking the client to remove the medal until the x-ray has been completed
Asking the client to place the medal in the top drawer of the bedside stand
just before leaving for the radiology department
Assisting the client in pinning the medal and chain to the waistband of the
client's pajama bottoms
Telling the client that the medal and chain will be kept at the nurses' station
for safekeeping while the client is undergoing the x-ray - ANSWER✔️-
Assisting the client in pinning the medal and chain to the waistband of the
client's pajama bottoms

3. A physician writes a medication prescription in a client's record. While
transcribing the prescription, the nurse notes that the prescribed dose is three
times higher than the recommended dose. The nurse calls the physician, who
states that this is the dose that the client takes at home and that it is

, acceptable for this client's condition. What is the appropriate action for the
nurse to take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer the medication
Verify the prescribed dose with the client before administering the
medication
Continue to transcribe the prescription - ANSWER✔️-Contacting the
nursing supervisor

4. A nurse monitoring a client with a chest tube notes that there is no tidaling of
fluid in the water seal chamber. After further assessment, the nurse suspects
that the client's lung has re-expanded and notifies the physician. The
physician verifies with the use of a chest x-ray that the lung has re-
expanded, then calls the nurse to asks that the chest tube be removed. The
nurse should first:
Explain the procedure to the client, then remove the chest tube
Obtain petrolatum-impregnated gauze and ask another nurse to assist in
removing the chest tube
Call the nursing supervisor
Inform the primary health care provider that removal of a chest tube is not a
nursing procedure - ANSWER✔️-Inform the physician that removal of a
chest tube is not a nursing procedure

5. A nurse calls a physician to report that a client with congestive heart failure
(CHF) is exhibiting dyspnea and worsening of wheezing. The physician,
who is in a hurry because of a situation in the emergency department, gives
the nurse a telephone prescription for furosemide (Lasix) but does not
specify the route of administration. What is the appropriate action on the part
of the nurse?
The nurse calls a primary health care provider to report that a client with
congestive heart failure (CHF) is exhibiting dyspnea and worsening of
wheezing. The primary health care provider, who is in a hurry because of a
situation in the emergency department, gives the nurse a telephone
prescription for furosemide but does not specify the route of administration.
What is the appropriate action on the part of the nurse?
Call the nursing supervisor for assistance in determining the route of
administration
Administer the medication ora - ANSWER✔️-Calling the primary health
care provider who gave the telephone prescription to clarify the prescription

, 6. A nurse is assisting a primary health care provider in assessing a hospitalized
client. During the assessment, the primary health care provider is paged to
report to the recovery room. The primary health care provider leaves the
client's bedside after giving the nurse a verbal prescription to change the
solution and rate of the intravenous (IV) fluid being administered. What is
the appropriate nursing action in this situation?
Calling the nursing supervisor to obtain permission to accept the verbal
prescription
Changing the solution and rate of the IV fluid per the physician's verbal
prescription
Telling the primary health care provider that the prescription will not be
implemented until it is documented in the client's record
Asking the primary health care provider to write the prescription in the
client's record before leaving the nursing unit - ANSWER✔️-Asking the
primary health care provider to write the prescription in the client's record
before leaving the nursing unit

7. A client scheduled for surgery tells the nurse that he signed an informed
consent for the surgical procedure but was never told about the risks of the
surgery. The nurse serves as the client's advocate by:
Calling the surgeon and asking that the risks be explained to the client
Writing a note on the front of the client's record so that the surgeon will see
it when the client arrives in the operating room
Reassuring the client that the risks are minimal
Noting in the client's record that the client was not told about the risks of the
surgery - ANSWER✔️-Calling the surgeon and asking that the risks be
explained to the client

8. *A nurse is planning to administer an oral antibiotic to a client with a
communicable disease. The client refuses the medication and tells the nurse
that the medication causes abdominal cramping. The nurse responds, "The
medication is needed to prevent the spread of infection, and if you don't take
it orally I will have to give it to you in an intramuscular injection." Which of
the following statements accurately describes the nurse's response to the
client?
The nurse could be charged with assault.
The nurse could be charged with battery.

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