Hesi Leadership Exit Exam
version 1 questions with
correct answers
1. The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response Syndrome
(SIRS). Which collaborative care goals should the nurse include in the plan of care?
(Select all that apply) - ANSWER-BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the greatest
risk for developing osteomyelitis? - ANSWER-OLDER ADULT W/OSTEOPOROSIS
WHO IS BEDFAST FOLLOWING COMPRESSION FRACTURE OF THE VERTABRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's potassium level is 2.5
mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which intervention is
most important for the nurse to include in this client's plan of care? - ANSWER-
Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and is
receiving palliative home care the day. Which intervention should the nurse ask
, the PN to ensure the family is providing the client? - ANSWER-MUCOUS
MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an experienced
and capable unlicensed assistive personnel (UAP). Which nursing actions can the
nurse delegate to the UP? (Select all that apply.) - ANSWER-POST OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
When triaging emergency room clients, which client should the nurse assess first?
- ANSWER-FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN FEBRILE AND
VOMITING *Confirm
While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background? -
ANSWER-The client's significant history includes atrial fibrillation and
hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits - ANSWER-BE AVAILABLE TO ALL SHIFTS TO
DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The unlicensed assistive one of the visitors is lying on the client's bed.
Which action should the nurse implement? - ANSWER-EXPLAIN THE CLIENT HAS
THE RIGHT TO HAVE VISITOR LIE ON THE BED
version 1 questions with
correct answers
1. The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response Syndrome
(SIRS). Which collaborative care goals should the nurse include in the plan of care?
(Select all that apply) - ANSWER-BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the greatest
risk for developing osteomyelitis? - ANSWER-OLDER ADULT W/OSTEOPOROSIS
WHO IS BEDFAST FOLLOWING COMPRESSION FRACTURE OF THE VERTABRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's potassium level is 2.5
mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which intervention is
most important for the nurse to include in this client's plan of care? - ANSWER-
Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and is
receiving palliative home care the day. Which intervention should the nurse ask
, the PN to ensure the family is providing the client? - ANSWER-MUCOUS
MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an experienced
and capable unlicensed assistive personnel (UAP). Which nursing actions can the
nurse delegate to the UP? (Select all that apply.) - ANSWER-POST OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
When triaging emergency room clients, which client should the nurse assess first?
- ANSWER-FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN FEBRILE AND
VOMITING *Confirm
While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background? -
ANSWER-The client's significant history includes atrial fibrillation and
hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits - ANSWER-BE AVAILABLE TO ALL SHIFTS TO
DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The unlicensed assistive one of the visitors is lying on the client's bed.
Which action should the nurse implement? - ANSWER-EXPLAIN THE CLIENT HAS
THE RIGHT TO HAVE VISITOR LIE ON THE BED
