Management Hesi Questions and Answers Rated A+

Management Hesi Questions and Answers Rated A+ A client receives a pre-operative Sedative before going to surgery one of the family members ask the practical nurse to explain the surgical procedure that the client is going to have today who should the pan direct the family member to further discuss their question? The healthcare provider who is performing the surgery The piano is assigning tasks at an assisted living community. Two on license assistive personnel are assigned to change the linens in by the clients that are in today's schedule while another UAP is assigned to pass meal trays the water pictures and document and take an output based on this assignment which type of nursing care is being implemented? Functional nursing The PN observes the UAP provide care at an assisted living community. What facets of supervision does the PN perform when supervising the UAP's? Reinforce monitor and guidance The piano observes the UAP for principles of body mechanics while moving in in Mobile client. Which I observed action indicates that the UAP is using proper body mechanics? Positioning the client as close as possible to the UAP's body The PN is evaluating a new clients risk for osteoporosis who has recently moved into an assisted living community. Which task should the PN assign to the UAP? Take weekly height and weight measurements During a monthly staff meeting at a long-term care facility the PN who is acting in the role of director of nursing present concerns and plans for the facility. The staff are invited to comment about the proposals and provide input throughout the meeting. Which leadership styles the P and using during the meeting? Participative The pen is asked to perform the task by other providers that is not with him being so for practice. Which action should the PN take? Advise the healthcare provider like a PN cannot perform a task outside of the scope of practice The primary care pianos working with a new employee p.m. to prioritize several unit procedures. When the primary PN evaluates the decision which selection indicates that the new employee PN has identified the priority task? Evaluating clients who are unstable or most critical The PN follows the goals of the nurse manager who establishes that management skills should consist of a combination of quality of service to the clients as well as concern for staff welfare. Which type of management style is being described? Team During an evaluation of an older female client for discharge from the hospital, the PN documents a stage 1 pressure ulcer on the client's sacrum. Which healthcare team member is best to monitor the client's care? Home health nurse The PN is documenting weekly nutritional status on all the clients In The assisted living community. Which activity can the PN assign to the UAP? Obtain an individual Height and weight for each client The PN is emptying the clients urinary bedside drainage unit. Which component of the nursing process is the PN using? Implementation The practical nurse is planning care for for assigned clients. After making initial rounds which clients should the PN evaluate first? A client who has a fever and is confused The practical nurse reports that the client had a severe reaction to a medication that was Recently prescribed. When the healthcare provider tells the p.m. to continue the medication as prescribed to P and refuses to give the medication. This nursing action represents which professional behavior by the pn? Ethical advocacy The practical nurse is assisting a UAP with bathing a client who is bedridden. The nurse suggest that the UAP wash the clients hair using a different method then using a washboard. The UAP argues that the client prefers the washboard instead of the dry product. After consideration new AP agrees to use the pans method. Which type of conflict management technique is being described? Accommodation The nurse working on the long-term care facility is orienting a new staff member in the facility who's gathering data for admission of our new resident. Which information by the new staff demonstrates understanding of the guidelines required for a new client? Admission assessment within 14 days of moving day reassessment within one year of the most recent comprehensive assessment change in status assessment within 14 days of occurrence of change in quarterly assessment including minimum data set every three months from date of initial comprehensive assessment The nurse who is managing the stuff for you in an assisted living community received a call from one of the nursing staff who is unable to come to work today. There are no other nursing staff available to cover the shift. Which action to the PN take first? Restrict new admissions to the assisted living community until the next day The primary care nurse is working with the newly employed nurse to prioritize several procedures. On the primary nurse evaluates the decision which the election indicates that the newly employed nurse has identified the priority task? Evaluating clients who are unstable or most critical The practical nurse is caring for a client who has cirrhosis with pruritus? Which task can the PN assign to the UAP? Rub warm lotion to soothe the skin The practical nurse receives report from older adult client who is transferred to the medical surgical floor from the post anesthesia care unit. Which intervention should the nurse assigned to that all my sons assistive personnel to help prevent respiratory complications after surgery? Select all that apply Ambulate as prescribed keep a full pitcher of water at the bedside encourage use of the incentive spirometer The nurse assigns the UAP to obtain the height measurement for a client who is seated. Which method is most accurate for the PN to direct the UAP to use? Use a sliding blade knee-height caliper The practical nurse is observing a UAP provide care for a client and assisted living community. Which action by the UAP sure the practical nurse determine is safe for the UAP to continue? Obtains vital signs for clients who take blood pressure medication The practical nurse observes another nurse take to ampoules of morphine out of the schedule drug dispensing system and put one empty wall in the pocket of a lab coat, but documents and ministration of the total drag those are both ampules. What action should the PN do next? Report to the charge nurse or nursing supervisor Practical nurse notified the nurse manager that a resident was found on the floor when the practical nurse enter the room to give medications. After a complete assessment of the client, the healthcare provider and the family are notified. The nurse manager remind the practical nurse to complete an incident report. What information should the PN provide in the incident report? The client was found lying on the floor next to the bed The practical nurse identifies that a newly prescribed medication is listed on the client list of allergies. Which action should the PN take? Notify the healthcare provider immediately about the clients allergies The practical nurse is contributing to a plan for a change in the documentation system at a local healthcare facility. Which component in the plan should the p.m. provide input for a change in the documentation system? Identifying issues that need correction An older male client refuses to take medication, stating that it burns his stomach. Which action should the practical nurse implement? Document the reason for refusal and report to the charge nurse And assisted living community post a position online for a director of nursing. The qualifications list that the person should be a licensed nurse with a passion for serving their staff and prefers to teach first and lead second. Which type of leader is this company looking for? Servant The practical nurse is caring for a frail elderly client who is recovering on the skilled nursing facility unit for dehydration and confusion. Which tasks should the PN assign to the UAP? Assist client to urinal or a bed pan while in bed The practical nurse is checking work email account and notices that she has received an email with an attachment from another employee. When the emails open the attachment displays of a sexually explicit picture. How should the PN proceed with this email? Report the email to the nursing supervisor The practical nurse is caring for a client and assisted living community and notices that the client is having difficulty swallowing fluids. When reporting to the nurse manager which type of consultation to the practical nurse recommend for this client? Speech pathology A practical nurse is assisting the nurse manager and developing a clients plan of care which method to the PN consider as the best source in determining the clients needs? The clients participation in developing the plan of care The practical nurse follows the goals of the nurse manager who establishes that management skills should consist of a combination of quality of service to the clients as well as concern for staff welfare which type of management styles being described? Team The practical nurse needs to leave the unit for a break. One of the assigned clients conditions has recently become unstable over the past six hours. What action should the PN complete? Inform the charge nurse about the client and ask for nursing coverage before break The practical nurse overhears a conversation between two UAP's in the break room who are talking about a coworker that dislike the nurse manager. One UAP states that they heard a rumor that the nurse manager is having an affair with one of the healthcare providers. Which legal tort has been violated by the UAP's and needs intervention by the practical nurse? Slander The practical nurses taking vital signs for a group of client in the labor and delivery unit. Which client finding should the practical nurse report to the nurse immediately? A multi Perez client who is receiving oxytocin for induction and having contractions every 1 to 2 minutes The practical nurse is completing an unusual occurrence report after client is found in the floor of the restroom in assisted-living facility. Which statement best describes the purpose of this report? Alerts quality control nurse a possible breeches in safety The practical nurse is eating in the cafeteria and overhears to staff members disgusting care needs of a new client on your unit. Which action should the PN take? Remind coworkers that discussing the client publicly is violation of clients privacy After an older client refuses to take bupropion, the practical nurse crushes the tablet to disguise it in chocolate pudding cup. Practical nurse directs the UAP to feed the client the putting. Which action should the pn report as a medication error? Select all that apply Assignment of medication administration to the UAP Violation of clients right to refuse medication Prior authorization not obtained before crushing extended release medication Alteration of medication form without notifying the healthcare provider The practical nurse working in an assisted living community review the guidelines for completing new resident paperwork. What amount of time is required to complete the initial comprehensive plan of care by the inter-disciplinary team? 7 days The practical nurse observes an unlicensed assistive personnel preparing to enter the room of a client who has TB. What instruction is most important for the PN to give to the UAP regarding personal protective equipment? Where fitted mask or personal respirator The practical nurse supervises UAP's during the implementation of standards of practice for isolation precautions. Which organizations publications of the piano reference to identify the standards and guidelines? Center for disease control (CDC) The practical nurse and continuing care retirement community as planning assignments for his next shift. The nursing team consist of one practical nurse and three UAPs. Which client should be assigned to the PN? A client who needs an a valuation using the Braden scale During a meeting the practical nurse shows possible strategies to solve the unit problem. I vote on the best strategy is taken to determine which approach to implement. Which decision strategy is being used during this meeting? Majority rule A client visiting from Vietnam has been admitted for chest pain. The client only speaks Vietnamese. The practical nurse decides to utilize the interpreter to complete the admission focused assessment. What information is most important for the PN to ask the interpreter to communicate? Validate sentences to ensure that the client has a clear understanding of the situation A resident in an assisted living community has experienced an unusual incident that did not result in injury. Will notify the family, what action should the practical nurse implement to provide the best information to the family? Call family as soon as possible after the incident to communicate current and accurate information Particle nurse administers digoxin to a client before reviewing the clients recent vital signs taken by the UAP. 20 minutes after administration of the medication the client passes out while eating breakfast. A review of the most recent vital signs show that the clients apical pulse was 50 bpm in an unusual incident report was made. What ethical legal concept does this nursing action represent? Nonmaleficence