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Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final
Exam Newest 2026/2027 Complete 100 Questions And Correct
Answers (Verified Answers) |Already Graded A+||Just Out!!!
. 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.
After having coronary artery bypass surgery, a client develops a
deep venous thrombosis in the left leg. Which nurse should be
responsible for coordinating the progression of the client's
care? - ANSWER-Risk Management Nurse
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A client is transferred to the surgical unit following a
strangulated inguinal hernia repair. The post anesthesia care
unit nurse reports the total intake and output that occurred
during surgery, the sedation reversal agent, and two episodes of
emesis post extubating. Which additional information should
the nurse provide to complete this report? - ANSWER-
Peripheral pulses present with full range of motion in both legs
When assessing a client who is returned to the unit following a
left nephrectomy, the nurse notes a small amount of bloody
drainage at the drain site. Which intervention is most important
for the nurse to include in this client's plan of care? - ANSWER-
Monitor urinary output daily
The nurse assigns collection of a sputum specimen to an
unlicensed assistive personnel (UAP). Before delegating this task
to the UAP, which action is most important for the nurse to
implement? - ANSWER-Review the institutional policy for the
delegation with the nursing supervisor
A nurse is performing telephone triage at the clinic office.
Which client has the most acute problem and should be
scheduled for the first available appointment? - ANSWER-A 42
year-old male who hurts his back while lifting yesterday. Today
he has non-radiating, low-back pain at 10/10 on a 1-10 scale.
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The nurse is planning care for a client who is experiencing acute
pain. Which intervention can be implemented by the unlicensed
assistive personnel (UAP) in providing personal care for this
client? - ANSWER-Distraction
The nurse calls a surgeon about a male client who is having
abdominal pain after a bowel resection. He received
hydromorphone 2 hours ago and is now requesting additional
pain medication. Vital signs include temperature 97.8 F (36.6 C),
heart rate 112 beats/minute, respirations 24 breaths/minute,
and blood pressure is 98/62 mmhg, which is lower from
previous reading one hour ago. The client has a history of
chronic atrial fibrillation and takes clopidogrel, which was
continued until one day prior to surgery. The nurse
recommends that the surgeon see the client immediately to
evaluate the situation. What information makes this report
complete? - ANSWER-The abdomen is rigid, tender to touch,
and distended
An older female client who was recently widowed has become
increasingly confused and disoriented. Her family tells the
healthcare provider's office nurse that it is imperative for their
mother to be admitted to the hospital for medical evaluation.
The client is a member of a managed healthcare plan. Which
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information is best for the nurse to provide this family? -
ANSWER-The client is grieving normally in response to her
husband's death and hospitalization is not necessary
The charge nurse on a surgical unit is assessing the morning lab
work on four clients. Which client's lab finding should be
reported to the healthcare provider immediately? - ANSWER-An
elderly client in end-stage renal disease who has a creatinine
level of 2.4mg/ml and a BUN of 84/dl
The charge nurse needs to determine is an additional nurse
should be called to help staff unit for the next shift. Which
information is most important for the charge nurse to consider
when making this decision? - ANSWER-The acuity level of the
clients on the unit
The fire alarm goes off while the charge nurse is receiving the
shift report. Which action should the charge nurse implement
first? - ANSWER-Tell the staff to keep clients and visitors in the
client's room with the door closed
The healthcare provider prescribes an oral medication to be
given daily for 3 days. However, the medication was also given
on the fourth day. Which intervention is most important for the
Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final
Exam Newest 2026/2027 Complete 100 Questions And Correct
Answers (Verified Answers) |Already Graded A+||Just Out!!!
. 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.
After having coronary artery bypass surgery, a client develops a
deep venous thrombosis in the left leg. Which nurse should be
responsible for coordinating the progression of the client's
care? - ANSWER-Risk Management Nurse
,2|Page
A client is transferred to the surgical unit following a
strangulated inguinal hernia repair. The post anesthesia care
unit nurse reports the total intake and output that occurred
during surgery, the sedation reversal agent, and two episodes of
emesis post extubating. Which additional information should
the nurse provide to complete this report? - ANSWER-
Peripheral pulses present with full range of motion in both legs
When assessing a client who is returned to the unit following a
left nephrectomy, the nurse notes a small amount of bloody
drainage at the drain site. Which intervention is most important
for the nurse to include in this client's plan of care? - ANSWER-
Monitor urinary output daily
The nurse assigns collection of a sputum specimen to an
unlicensed assistive personnel (UAP). Before delegating this task
to the UAP, which action is most important for the nurse to
implement? - ANSWER-Review the institutional policy for the
delegation with the nursing supervisor
A nurse is performing telephone triage at the clinic office.
Which client has the most acute problem and should be
scheduled for the first available appointment? - ANSWER-A 42
year-old male who hurts his back while lifting yesterday. Today
he has non-radiating, low-back pain at 10/10 on a 1-10 scale.
,3|Page
The nurse is planning care for a client who is experiencing acute
pain. Which intervention can be implemented by the unlicensed
assistive personnel (UAP) in providing personal care for this
client? - ANSWER-Distraction
The nurse calls a surgeon about a male client who is having
abdominal pain after a bowel resection. He received
hydromorphone 2 hours ago and is now requesting additional
pain medication. Vital signs include temperature 97.8 F (36.6 C),
heart rate 112 beats/minute, respirations 24 breaths/minute,
and blood pressure is 98/62 mmhg, which is lower from
previous reading one hour ago. The client has a history of
chronic atrial fibrillation and takes clopidogrel, which was
continued until one day prior to surgery. The nurse
recommends that the surgeon see the client immediately to
evaluate the situation. What information makes this report
complete? - ANSWER-The abdomen is rigid, tender to touch,
and distended
An older female client who was recently widowed has become
increasingly confused and disoriented. Her family tells the
healthcare provider's office nurse that it is imperative for their
mother to be admitted to the hospital for medical evaluation.
The client is a member of a managed healthcare plan. Which
, 4|Page
information is best for the nurse to provide this family? -
ANSWER-The client is grieving normally in response to her
husband's death and hospitalization is not necessary
The charge nurse on a surgical unit is assessing the morning lab
work on four clients. Which client's lab finding should be
reported to the healthcare provider immediately? - ANSWER-An
elderly client in end-stage renal disease who has a creatinine
level of 2.4mg/ml and a BUN of 84/dl
The charge nurse needs to determine is an additional nurse
should be called to help staff unit for the next shift. Which
information is most important for the charge nurse to consider
when making this decision? - ANSWER-The acuity level of the
clients on the unit
The fire alarm goes off while the charge nurse is receiving the
shift report. Which action should the charge nurse implement
first? - ANSWER-Tell the staff to keep clients and visitors in the
client's room with the door closed
The healthcare provider prescribes an oral medication to be
given daily for 3 days. However, the medication was also given
on the fourth day. Which intervention is most important for the
