HESI Management Practice test Already Passed!!

The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a large acute care hospital is making assignments. Currently, there are 20 clients on the unit and 4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the staff consists of two experienced practical nurses (PN) and one unlicensed assistive personnel (UAP) who has worked on the unit for 10 years. Taking into consideration the acuity of each client, which distribution of clients is the best assignment for the n urse to make? A. 10 clients and 2 admissions to each of the PNs. Have the UAP take all vital signs and collect all I&Os. B. 10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse takes the 4 new admissions. C. 8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions to the UAP. D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity clients to the UAP. - B During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to sign 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 the staff must "float" at some time. D. In the presence of other staff members, inform the nurse that her behavior is inappropriate. - A The nurse is giving change-of-shift report for four clients in the emergency center and reports the client with the terminal disease has a living will and a "Do not resuscitate" (DNR) order on file. Which client fits the criteria for a terminal illness? A. 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube. B. 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go home". C. 52-year-old male client who had a partial lobectomy and on a ventilator on the 2 postoperative day. D. 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration. - DThe charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse (PN). In supervising the PN, what is the charge nurse's most important action? A. Decide which sliding scale insulin dose should be administered. B. Obtain the blood sugar results via skin puncture and glucometer. C. Notify the healthcare provider of the daily serum glucose results. D. Confer with the PN about any manifestations the client is exhibiting. - D