WGU D450 HEALTH HESI ACTUAL FINAL QUESTIONS
AND ANSWERS SET A+
✔✔Role of caregiver - ✔✔Nurse choosing to perform basic nursing skills, such as vital
signs, completing admission assessment history, and assisting the client to change into
a hospital gown.
✔✔Client's right refusal - ✔✔The client has the right to refuse medications or any other
aspect of therapy.
✔✔Actions to take when a diabetic patient reports feeling hungry, shaky, and weak -
✔✔1. check the client's blood glucose level.
2. Give the client 1/2 cup of fruit juice to drink.
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give the client a small snack of carbohydrates and protein.
6. Document the client's complaints, actions taken, and outcome.
✔✔Advance Directive - ✔✔Describes the specific medical treatment that a client wants
if he or she is unable to make decisions about care. A separate document from the final
will.
✔✔General Survey - ✔✔A review of the client's main health problems and includes
assessment of vital signs, height and weight, general behavior, and appearance. The
nurse can delegate some aspects, such as measuring height and weight and monitoring
intake and output, to assistive personnel, but the nurse is responsible for performing the
general survey, including assessment of general appearance, behavior, and skin.
✔✔Informed consent - ✔✔Must be obtained before surgery can be legally performed.
The nurse acts as an advocate to make sure that the client understands what the health
care provider has explained about the surgery. The client must receive information
about the purpose of the surgery, other options if surgery is not done, risks of surgery,
and benefits.
, ✔✔Telephone consent - ✔✔Every effort must be made to obtain permission from a
responsible family member to perform surgery if the client is unable to sign the consent
form. This must be witnessed by two clients who hear the family member's oral consent.
The two witnesses then sign the consent with the name of the family member, noting
that an oral consent was obtained. In emergencies, the client may be unable to sign and
family members may not be available. In this type of a situation, the health care provider
(HCP) is legally permitted to perform surgery without consent.
✔✔"Flat" organizations - ✔✔Authority and responsibility are delegated to the lowest
operational level possible.
✔✔"Vertical" organizations - ✔✔Traditionally this type of organization indicates decision
making at the upper levels of management. This indicates a formal line of authority and
communications.
✔✔"Circular" organizations - ✔✔The chart depicts the chief executive as being in the
center and successive layers of authority in a concentric chart.
✔✔"Horizontal" organizations - ✔✔Left-to-right, chart depicts the organization with the
chief executive at the left, with lower layers of the authority to the right.
✔✔Legitimate power - ✔✔Based upon a client's position within an organization or
society. The organizational leadership has mandated performance outcomes, and
management carries the responsibility to see that the mandate is met.
✔✔Informational power - ✔✔The manager uses data to drive compliance with the
mandate.
✔✔Coercive power - ✔✔The manager takes a "do this or else" type of approach.
✔✔Expert power - ✔✔The manager asks the staff nurses to comply with the mandate
because the manager possesses expert knowledge and skill levels.
✔✔American Red Cross (ARC) - ✔✔Provides support to individuals involved in a
disaster. Has been given authority by the federal government to identify and train
personnel for a disaster and provide disaster relief, including crisis counseling,
operating shelters, and handling inquiries from the family.
✔✔Federal Emergency Management Agency (FEMA) - ✔✔Deals with regional
responses to disasters, such as issuing presidential declarations, providing monetary
relief, and deploying National Guard troops.
AND ANSWERS SET A+
✔✔Role of caregiver - ✔✔Nurse choosing to perform basic nursing skills, such as vital
signs, completing admission assessment history, and assisting the client to change into
a hospital gown.
✔✔Client's right refusal - ✔✔The client has the right to refuse medications or any other
aspect of therapy.
✔✔Actions to take when a diabetic patient reports feeling hungry, shaky, and weak -
✔✔1. check the client's blood glucose level.
2. Give the client 1/2 cup of fruit juice to drink.
3. Take the client's vital signs.
4. Retest the blood glucose level.
5. Give the client a small snack of carbohydrates and protein.
6. Document the client's complaints, actions taken, and outcome.
✔✔Advance Directive - ✔✔Describes the specific medical treatment that a client wants
if he or she is unable to make decisions about care. A separate document from the final
will.
✔✔General Survey - ✔✔A review of the client's main health problems and includes
assessment of vital signs, height and weight, general behavior, and appearance. The
nurse can delegate some aspects, such as measuring height and weight and monitoring
intake and output, to assistive personnel, but the nurse is responsible for performing the
general survey, including assessment of general appearance, behavior, and skin.
✔✔Informed consent - ✔✔Must be obtained before surgery can be legally performed.
The nurse acts as an advocate to make sure that the client understands what the health
care provider has explained about the surgery. The client must receive information
about the purpose of the surgery, other options if surgery is not done, risks of surgery,
and benefits.
, ✔✔Telephone consent - ✔✔Every effort must be made to obtain permission from a
responsible family member to perform surgery if the client is unable to sign the consent
form. This must be witnessed by two clients who hear the family member's oral consent.
The two witnesses then sign the consent with the name of the family member, noting
that an oral consent was obtained. In emergencies, the client may be unable to sign and
family members may not be available. In this type of a situation, the health care provider
(HCP) is legally permitted to perform surgery without consent.
✔✔"Flat" organizations - ✔✔Authority and responsibility are delegated to the lowest
operational level possible.
✔✔"Vertical" organizations - ✔✔Traditionally this type of organization indicates decision
making at the upper levels of management. This indicates a formal line of authority and
communications.
✔✔"Circular" organizations - ✔✔The chart depicts the chief executive as being in the
center and successive layers of authority in a concentric chart.
✔✔"Horizontal" organizations - ✔✔Left-to-right, chart depicts the organization with the
chief executive at the left, with lower layers of the authority to the right.
✔✔Legitimate power - ✔✔Based upon a client's position within an organization or
society. The organizational leadership has mandated performance outcomes, and
management carries the responsibility to see that the mandate is met.
✔✔Informational power - ✔✔The manager uses data to drive compliance with the
mandate.
✔✔Coercive power - ✔✔The manager takes a "do this or else" type of approach.
✔✔Expert power - ✔✔The manager asks the staff nurses to comply with the mandate
because the manager possesses expert knowledge and skill levels.
✔✔American Red Cross (ARC) - ✔✔Provides support to individuals involved in a
disaster. Has been given authority by the federal government to identify and train
personnel for a disaster and provide disaster relief, including crisis counseling,
operating shelters, and handling inquiries from the family.
✔✔Federal Emergency Management Agency (FEMA) - ✔✔Deals with regional
responses to disasters, such as issuing presidential declarations, providing monetary
relief, and deploying National Guard troops.
