HESI Management Practice Exam 2022

HESI Management Practice Exam 2022 The nurse is preparing assignments for the day shift. It is most important that the client with which diagnosis and description is assigned to a RN? A. Menorrhagia: 24 hrs post vaginal hysterectomy. B. MI: 4-days post infarction, transferred from ICU yesterday. C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol D. Pneumonia: A 4 yo who is receiving IB antibiotics Correct Answer- C. Depression: Admitted during the night following a suicide attempt with an OD of Tylenol Rationale: Requires communication skills and assessment skills beyond the educational level of a PN or UAP. Establishing a therapeutic, one-on-one relationship with a depressed client is beyond the scope of practice for a PN. Additionally, Tylenol is extemely hepatotoxic and careful assessment is essential. During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is very unhappy about having to "float." What is the best immediate action for the charge nurse to take? A. Continue with report, and talk to the nurse about the incident at a later time. B. Ask the nurse to call the supervisor to see if she can be reassigned. C. Stop report and remind the nurse that all staff must "float" at some time. D. In the presences of other staff members, inform the nurse that her behavior is inappropriate. Correct Answer- A. Continue with report, and talk to the nurse about the incident at a later time. Rationale: This is the best immediate action. At a later time the charge nurse should discuss with the nurse in private her inappropriate conduct. A 15yo sexually active girl diagnosed with PID is admitted to the hospital with a temp of 101.6 F and purulent vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which room should the nurse assign this client? A. A semi-private room with a 4yo girl who is currently receiving chemotherapy. B. A semi-private room with an older adolescent girl who had surgery yesterday. C. A room close to the nurse's station. D. A private room. Correct Answer- D. A private room. Rationale: Despite the fact that the client has no insurance and enjoys small children, she in infected and should be placed in a private room. The client is not acutely ill and does not need to be assigned next to the nurse's station. The RN and UAP are working together to provide care for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN assign the client's care? A. UAP: Personal care, catheter irrigation, I&O. RN: Medications. B. UAP: Personal care. RN: Medications, catheter irrigation, I&O. C. UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care. D. UAP: Personal care, I&O. RN: Catheter irrigation, medications. Correct Answer- D. UAP: Personal care, I&O. RN: Catheter irrigation, medications.