HESI Management Assignment Exam Latest Update with Certified Solutions

HESI Management Assignment Exam Latest Update with Certified Solutions A single parent mother brings her 3 year old daughter to the ED after the child fell of a playground swing at school and hit her head. Which finding should prompt the nurse to advocate for continued hospital observation of the child instead of discharging the child to care at home? The mother is slurring her words and is not attentive to discharge instructions A nurse sitting in the hospital cafeteria sees a man place a small box in the corner and then look around as though he is trying to determine if everyone is looking at him. He then walks quickly to cafeteria exit. Which action should the nurse implement first? Use nearest phone to notify hospital security A nurse receives an emphatic complaint from a client in a semi private room that the night shift nurse did not come into the room the entire night. Which action should the nurse implement first Review the night shift nurse's documentation with the charge nurse A hospital received a bomb threat. While the fire department personnel are evacuating the clients, what action should the charge nurse perform? Obtain a current roster of clients assigned to the unit. The nurse-manager observes that a staff nurse consistently fails to complete assigned care for clients who are obese. When counseling this employee, what issue is the priority concern? Violation of ethical principles The home health nurse is planning care for a client with diabetes. Which task can the nurse delegate to the unlicensed assistive personnel (UAP)? Assist with bathing and other activities of daily living A nurse who is caring for a group of clients in the medical department has one unlicensed assistive personnel (UAP) assigned to the same group of clients. Which task should the nurse assign to the UAP? Accompany a discharged client with chronic renal failure to a private car. The labor and delivery nurse calls the healthcare provider to report the onset of late decelerations of the fetal heart rate in a laboring client. The healthcare provider tells the nurse to continue monitoring the client and to call back in one hour. What initial action should the nurse take? Call the nursing supervisor to report the current situation Which statement best describes managed care that is implemented by a specific healthcare delivery agency? Each member of the healthcare team performs specific tasks for client care to ensure implementation of a client's critical pathway A client is brought to the hospital in cardiac arrest by emergency personnel who are performing resuscitation. The spouse arrives as the client is taken into a treatment room and asks to stay with the client. What action should the nurse implement Allow the spouse to be present and ensure that a member of the team explains the care given and answers questions What is the most effective time management strategy for a nurse who needs to review 10 client records in 2 weeks? Schedule specific times on a written calendar to review 2 charts per day. Which task should the nurse delegate to an unlicensed assistive personnel (UAP)? Bathe an unconscious client with decubitus ulcers. Based on the scope of practice of the practical nurse (PN), which task should the nurse assign to the PN? Assist with a lumbar puncture The nurse-manager wants to assign an agency nurse to a client who has a new tracheostomy. What action should the nurse-manager implement? Ask the nurse about her competency to care for the client with the tracheostomy. A nurse is complaining about the way medications are being administered on the nursing unit. What action should this nurse implement? Propose an alternative method to administer the medications To implement change in the work environment, which action is most important for the nurse-manager to take? Solicit input from coworkers at the beginning of the process Which task should the nurse delegate to the an experienced unlicensed assistive personnel (UAP)? Obtain a sterile urine specimen from an indwelling catheter with a closed drainage system A new graduate nurse places a folder on the food cart so intake can easily be recorded, but at the hospital where the nurse is employed, intakes are often estimated because no recordings are made as the trays are picked up. At a staff meeting, the nurse suggests that the recordings be made as trays are picked up. What factor related to entry into practice is the nurse-manager using when the suggestion moves to the implementation of a policy Biculturalism A nurse who is working the 11 p.m. to 7 a.m. shift enters a client's room when the pulse oximeter alarms and reads 82%. The client appears to be sleeping. Which action should the nurse take first? Rouse the client and obtain vital signs The practical nurse (PN) is working with the registered nurse (RN) to provide care for several clients. Which task should the RN, rather than the PN, perform? Irrigate and pack the stage IV coccygeal pressure ulcer for a client with paraplegia A Spanish-speaking client is scheduled for surgery in the morning and preoperative teaching needs to be completed. Since the primary care nurse speaks very little Spanish, which person is best to translate the instructions to the client? A practical nurse working on another unit who speaks fluent Spanish The director of nursing of a long term care facility is developing a quality improvement project for the facility's units and establishes that a goal of the project should be consistent documentation of pain for all residents. Which statement is the best indicator of this goal's achievement? After one month, an audit shows a 20% improvement in documentation The nurse is caring for a client with rhabdomyolysis after sustaining multiple crushing injuries. Which intervention should the nurse include in the plan of care to prevent acute renal failure? Central venous catheter insertion for hydration Four clients arrive on the mental health unit for admission at the same time. Which client should the nurse assess first? A middle-aged adult with acute mania who is pacing the hallway The primary nurse receives the 0700 shift report for 4 clients on a medical unit. When prioritizing care, which action should the nurse implement first? Administer insulin per sliding scale to a client with a capillary glucose of 285 The nurse is planning a diabetes education course for a group of clients newly diagnosed with diabetes mellitus. Which collaborative approach is the best use of interdisciplinary team members? Invite the dietician to discuss the timing of meals and snacks The charge nurse is assessing clients who are currently in labor. It is most important for the pediatric healthcare provider to be present for which delivery 40-week primigravida with hypertension who is receiving magnesium sulfate 2 grams/hour An older female client signed a living will document two years ago that requested no heroic measures be taken on her behalf. Today she is admitted 6 hours after the onset of left hemiplegia, left-sided neglect, and hemianopsia. When the neurologist asks the client if she wants to be ventilated, she responds, "If it will help." The daughter asks the nurse what the family should do because the ventilator places her frail mother at risk for other complications and is contrary to her mother's original request, which was executed when she was healthy. What information is best for the nurse to provide? The family should be guided to support the client's current decision about the ventilator. On the second postoperative day, a client is pulseless, apneic, and unresponsive. In what order should the nurse implement these nursing actions? (Arrange from first on top to last on the bottom.) Call for assistance. Initiate chest compressions Ventilate the client Delegate emergency responsibilities