HESI Leadership & Management Practice Questions & Answers

Newly hired UAP expresses fear to collect a sputum from HIV patient - ANSWER Determine the UAP's knowledge about HIV transmission. RN, PN, UAP are working as a team - ANSWER The UAP obtains an oxygen saturation level while RN reports finding to the health care provider. The most immediate follow-up - ANSWER An UAP is assigned to check a client for fecal impaction. Nurse receives a prescription over the telephone - ANSWER Administer a nebulizer breathing treatment. Patient uses the call system alarm - ANSWER Ask a coworker to respond to the client whose call bell is alarming. Emergency room, who to take care first - ANSWER A female client with severe right lower abdominal pain who is febrile and vomiting. No heroic measures - ANSWER Give detailed report to accepting nurse. Evaluate cardiac monitor system - ANSWER Organize a committee of ICU nurses to identify potential problems of the new monitoring system. Client has reported feeling of being constipated - ANSWER Assist the client to drink warm prune juice. Sequential compression devices - ANSWER Report any change in color in the client's feet or legs. Respiratory therapist cross-trained avoiding HIV positive client - ANSWER Provide the employee with feedback about the observed behavior. Medication error remains unchanged - ANSWER Examine medication administration data to determine use of new policy by nursing staff. Increase of nurse-to-patient ratio by 25% - ANSWER Disseminate factual information to all nursing staff to avoid misinformation and rumors. Respiratory rate decreases 14/ min - 6/ min - 4/min - ANSWER The decision regarding when to call the health care provider Glucometer checks post 2 days consistently 50-60 mg/dl higher - ANSWER Evaluate calibration of glucometer in use per manufacturer guidelines. Receptionist is responsible for taking client calls. Who to call back first? - ANSWER Casted right leg has a funny feeling tingling sensation. Two clients in one room. One client has MRSA the other one neutropenia. What intervention should the nurse implement? - ANSWER Transfer client with neutropenia to a private room. Signed witnessed DNR - ANSWER Confirm current resuscitation wishes with client and family hospice nurse end of life care - ANSWER MUCOUS MEMBRANE MOIST old client to rn (going to give to most experienced nurse) - ANSWER 72 YEAR OLD WITH DM 1 4 clients, iv infusing - ANSWER CEFTATRIAXONE IN 5% DEXTROSE uap, colostomy - ANSWER record amount charge nurse, rn, pn - ANSWER cardiac cath, no pedal pulses .Charge nurse takes over for nurse on break, which client checked first - ANSWER 40 ml dark colored urine UAP stuck in palm by needle with Hep - ANSWER -wash hands with soap and water Assess first - ANSWER -coronary syndrome with increasing SOB New clinical documentation - ANSWER -Need to discuss new clinical documentation that helps save lifes and require one more document PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP - ANSWER -can PC