HESI Leadership V1&2 EXAM LATEST 110 QUESTIONS
AND 100% Verified ANSWERS JUST RELEASED
. The nurse is reviewing records of clients with diabetes in a long-term care facility, The nurse notes
that the pre-prandial blood glucose values, obtained during routine glucometer checks in the past 2
days, are consistently 50 to 60 mg/dL higher than those recorded in the previous 2 weeks. What action
should the nurse take first? - answer>>Evaluate calibration of glucometers in use per manufacturer
guidelines
The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse
(PN) and an unlicensed assistive personnel (UAP).
Which task should the nurse assign to the PN? - answer>>Collect client data based on plans of care
Several experienced registered nurses are serving on a screening committee to interview prospective
candidates for a nurse manager position on an acute care inpatient unit. The candidate with which
characteristics is probably best for this position? - answer>>Oldest child in family; Bachelor's Degree in
Nursing; played on the college volleyball team
The nurse is planning care for four postoperative clients each with a different drainage system. Which
information, received in report requires immediate follow up intervention by the nurse? - answer>>40
ml per hour of dark cloudy urine from urinary catheter in last 4 hours
A nurse who works in a long term care facility is delegating aspects of client care to UAP. which
assigments should the nurse delegate? - answer>>Perform foot care including toenail trimming and
heel care
-Empty the ostomy bag for a client with a temporary colostomy
. After implementation of new policies related to client identification prior to medication
administration, the frequency of medication errors remains unchanged, Which should be the nurse
manager's next action? - answer>>EXAMINE MEDICATION ADMINISTRATION DATA TO DETERMINE USE
OF NEW POLICY BY NURSING STAFF
,A staff nurse has been tardy for morning shift assignments for the past three days and provides no
explanation for arriving late. Which approach is best for the nurse manager to use when addressing
this staff members tardiness? - answer>>Stress the expectation that the nurse will arrive on time for all
scheduled shifts.
In assigning client care to a nurse and a practical nurse (PN), it is most important to assign which client
to the nurse? - answer>>The client who is exhibiting signs of Addison's crisis after corticosteroid were
discontinued
A client with a blunt trauma injury to the abdomen who underwent surgery for an emergency
splenectomy is now being transferred to the intensive care unit (ICU). The post anesthesia care unit
(PACU) nurse provides a bedside report to the receiving ICU nurse and reviews intravascular lines,
tubes, intake, and output. Which additional information should the nurse provide to complete the
report? - answer>>Peripheral pulses present with full range of motion of both legs
An adult woman with metastatic pancreatic cancer has requested that no heroic measures are
implemented to save her life. Instructions from the healthcare provider have been received to transfer
the client to a palliative care room. What action is most important for the nurse to take? -
answer>>GIVE DETAILED REPORT TO ACCEPTING NURSE
While admitting a client to the surgical unit who had a pneumonectomy 4 hours ago, the call system
alarm is initiated by a client in another room. Which action should the nurse implement? -
answer>>Investigate the reason for the call bell alarm then complete the admission assessment
After making rounds, the nurse informs the healthcare provider of a client's upper gastric burning, left
jaw pain, and nausea. The nurse obtains verbal prescriptions for an antiemetic, an antianginal,
telemetry, and STAT serum analysis for cardiac isoenzymes. After reading back the prescriptions to the
healthcare provider, which intervention is most important for the nurse to implement? -
answer>>Initiate telemetry and assess the clients cardiac rhythm
The charge nurse is making assignments for a 15 bed skilled nursing unit with the staff of one nurse,
two practical nurses (PN) and two unlicensed assistive
personnel (UAP) Which client should be assigned to the nurse? - answer>>The client who had bilateral
above knee amputations, now has a sacral decubitus skin flap, and is receiving vancomycin
intravenously.
, A male client who recently learned that he has Huntington's disease tells the nurse that he does not
want his daughter to know about the disease because she may someday want to have a child of her
own. Which intervention should the nurse implement? - answer>>Explain that his daughter has a right
to know of potential health problems.
. An adult male is transferred from postanesthesia care unit (PACU) to the postoperative unit following
an internal fixation of a fractured tibia and fibula that occurred during a motor vehicle collision (MVC).
The nurse reports that the client received morphine 2 mg intravenously 45 minutes ago and is
currently
experiencing pain relief of 7 from a previous report of 10. Postoperative prescriptions include, start
patient-controlled analgesia (PCA) using hydromorphone C2 mg on demand and 0.2 mg/hour basal
rate. Which client information should the nurse provide to complete this report? -
answer>>Neurovascular assessment below the fracture
. The nurse manager decides to report a staff nurse to the Peer Review Committee (PRC). Which
activity merits this action? - answer>>Documented data in the clinical record before assessing client's
condition.
. Which situation on an acute care inpatient surgical nursing unit requires intervention by the nurse-
manager? - answer>>A unit clerk receives a verbal telephone prescription from an attending
healthcare provider.
A newly hired unlicensed assistive personnel (UP) expresses fear to the charge nurse about collecting a
sputum specimen from a client who is HIV positive. Which action should the charge nurse take first? -
answer>>Determines UAP KNOWLEDGE ABOUT HIV TRANSMISSION.
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
AND 100% Verified ANSWERS JUST RELEASED
. The nurse is reviewing records of clients with diabetes in a long-term care facility, The nurse notes
that the pre-prandial blood glucose values, obtained during routine glucometer checks in the past 2
days, are consistently 50 to 60 mg/dL higher than those recorded in the previous 2 weeks. What action
should the nurse take first? - answer>>Evaluate calibration of glucometers in use per manufacturer
guidelines
The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse
(PN) and an unlicensed assistive personnel (UAP).
Which task should the nurse assign to the PN? - answer>>Collect client data based on plans of care
Several experienced registered nurses are serving on a screening committee to interview prospective
candidates for a nurse manager position on an acute care inpatient unit. The candidate with which
characteristics is probably best for this position? - answer>>Oldest child in family; Bachelor's Degree in
Nursing; played on the college volleyball team
The nurse is planning care for four postoperative clients each with a different drainage system. Which
information, received in report requires immediate follow up intervention by the nurse? - answer>>40
ml per hour of dark cloudy urine from urinary catheter in last 4 hours
A nurse who works in a long term care facility is delegating aspects of client care to UAP. which
assigments should the nurse delegate? - answer>>Perform foot care including toenail trimming and
heel care
-Empty the ostomy bag for a client with a temporary colostomy
. After implementation of new policies related to client identification prior to medication
administration, the frequency of medication errors remains unchanged, Which should be the nurse
manager's next action? - answer>>EXAMINE MEDICATION ADMINISTRATION DATA TO DETERMINE USE
OF NEW POLICY BY NURSING STAFF
,A staff nurse has been tardy for morning shift assignments for the past three days and provides no
explanation for arriving late. Which approach is best for the nurse manager to use when addressing
this staff members tardiness? - answer>>Stress the expectation that the nurse will arrive on time for all
scheduled shifts.
In assigning client care to a nurse and a practical nurse (PN), it is most important to assign which client
to the nurse? - answer>>The client who is exhibiting signs of Addison's crisis after corticosteroid were
discontinued
A client with a blunt trauma injury to the abdomen who underwent surgery for an emergency
splenectomy is now being transferred to the intensive care unit (ICU). The post anesthesia care unit
(PACU) nurse provides a bedside report to the receiving ICU nurse and reviews intravascular lines,
tubes, intake, and output. Which additional information should the nurse provide to complete the
report? - answer>>Peripheral pulses present with full range of motion of both legs
An adult woman with metastatic pancreatic cancer has requested that no heroic measures are
implemented to save her life. Instructions from the healthcare provider have been received to transfer
the client to a palliative care room. What action is most important for the nurse to take? -
answer>>GIVE DETAILED REPORT TO ACCEPTING NURSE
While admitting a client to the surgical unit who had a pneumonectomy 4 hours ago, the call system
alarm is initiated by a client in another room. Which action should the nurse implement? -
answer>>Investigate the reason for the call bell alarm then complete the admission assessment
After making rounds, the nurse informs the healthcare provider of a client's upper gastric burning, left
jaw pain, and nausea. The nurse obtains verbal prescriptions for an antiemetic, an antianginal,
telemetry, and STAT serum analysis for cardiac isoenzymes. After reading back the prescriptions to the
healthcare provider, which intervention is most important for the nurse to implement? -
answer>>Initiate telemetry and assess the clients cardiac rhythm
The charge nurse is making assignments for a 15 bed skilled nursing unit with the staff of one nurse,
two practical nurses (PN) and two unlicensed assistive
personnel (UAP) Which client should be assigned to the nurse? - answer>>The client who had bilateral
above knee amputations, now has a sacral decubitus skin flap, and is receiving vancomycin
intravenously.
, A male client who recently learned that he has Huntington's disease tells the nurse that he does not
want his daughter to know about the disease because she may someday want to have a child of her
own. Which intervention should the nurse implement? - answer>>Explain that his daughter has a right
to know of potential health problems.
. An adult male is transferred from postanesthesia care unit (PACU) to the postoperative unit following
an internal fixation of a fractured tibia and fibula that occurred during a motor vehicle collision (MVC).
The nurse reports that the client received morphine 2 mg intravenously 45 minutes ago and is
currently
experiencing pain relief of 7 from a previous report of 10. Postoperative prescriptions include, start
patient-controlled analgesia (PCA) using hydromorphone C2 mg on demand and 0.2 mg/hour basal
rate. Which client information should the nurse provide to complete this report? -
answer>>Neurovascular assessment below the fracture
. The nurse manager decides to report a staff nurse to the Peer Review Committee (PRC). Which
activity merits this action? - answer>>Documented data in the clinical record before assessing client's
condition.
. Which situation on an acute care inpatient surgical nursing unit requires intervention by the nurse-
manager? - answer>>A unit clerk receives a verbal telephone prescription from an attending
healthcare provider.
A newly hired unlicensed assistive personnel (UP) expresses fear to the charge nurse about collecting a
sputum specimen from a client who is HIV positive. Which action should the charge nurse take first? -
answer>>Determines UAP KNOWLEDGE ABOUT HIV TRANSMISSION.
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
