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HESI PN LEADERSHIP EXIT EXAM NEWEST VERSION
2025 WITH COMPLETE 100 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE
Emergency surgery is scheduled for a client with a bowel
obstruction. The licensed practical nurse (LPN) tells the
registered nurse (RN) that she is unable to obtain informed
consent from the client because the client has received opioid
analgesics and is sedated. The LPN understands that which
action should be implemented? - ANSWER-Obtaining a
telephone consent from the family member and ensuring that the
oral consent is witnessed by two persons
The nurse is told in intershift report that a client has been
appointed a legal guardian. The nurse looks for what evidence
that supports this information? - ANSWER-A judicial decision
in a court of law
A client with a perforated gastric ulcer is scheduled for
emergency surgery. The client cannot sign the operative consent
form because he has been sedated with opioid analgesics. The
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nurse should take which action in the care of this client? -
ANSWER-Obtain telephone consent from the family member
witnessed by two persons.
The nurse suspects that a co-worker is substance impaired and is
self-administering opioid medications rather than administering
them to clients as prescribed. Which action should the nurse
take? - ANSWER-Report the information to a supervisor.
The licensed practical nurse (LPN) enters a client's room and
finds the client sitting on the floor. The LPN calls the registered
nurse, who checks the client thoroughly and then assists the
client back into bed. The LPN completes an incident report, and
the nursing supervisor and health care provider (HCP) are
notified of the incident. Which is the next nursing action
regarding the incident? - ANSWER-Document a complete entry
in the client's record concerning the incident.
A client is brought to the emergency department by the
ambulance team after collapse at home. Cardiopulmonary
resuscitation is attempted but is unsuccessful. The wife of the
client tells the nurse that the client is an organ donor and that his
eyes are to be donated. Which action should the nurse take next?
- ANSWER-Close the eyes, elevate the head of the bed, and
place a small ice pack on the eyes.
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A resident in a long-term care facility refuses a medication that
has been prescribed. The nurse takes appropriate action after
considering which fact? - ANSWER-The client cannot be forced
to take the medication.
A pediatric nurse arrives at work and is told to report (float) to
the emergency department (ED) for the day because the ED is
expecting numerous victims to arrive following a train crash.
The nurse has never worked in the ED and is anxious about
floating to this area. Which is the appropriate nursing action? -
ANSWER-Discuss her anxieties and concerns with the nursing
supervisor about floating
The nurse who works in a cardiac unit reports to work and is
told that she needs to float to the neurological nursing unit
because of a short-staffing problem on that unit. The nurse
reports to the unit and receives a client assignment for the day
from the nurse manager. The nurse is angry with the assignment
because of a belief that the assignment is more difficult than the
assignment delegated to other nurses on the unit. The nurse
should carry out which action? - ANSWER-Ask the nurse
manager of the neurological unit to discuss the assignment.
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When caring for clients, the nurse knows that which ethical
philosophies focus on understanding relationships and the use of
personal narratives? Select all that apply. - ANSWER-Ethics of
care
Feminist ethics
The nurse has just been licensed and has begun to practice in an
acute health care facility. The nurse knows that which nursing
specialties will require more specific defined standards of care
and skills? Select all that apply. - ANSWER-Nurse-midwives
Nurse-anesthetists
Intensive care unit (ICU) nurses
A hospitalized client tells the nurse that a living will is being
prepared and that the lawyer will be bringing the will to the
hospital today for witness signatures. The client asks the nurse
for assistance in obtaining a witness to the will. Which response
to the client is appropriate? - ANSWER-"I will call the nursing
supervisor to seek assistance regarding your request."
HESI PN LEADERSHIP EXIT EXAM NEWEST VERSION
2025 WITH COMPLETE 100 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE
Emergency surgery is scheduled for a client with a bowel
obstruction. The licensed practical nurse (LPN) tells the
registered nurse (RN) that she is unable to obtain informed
consent from the client because the client has received opioid
analgesics and is sedated. The LPN understands that which
action should be implemented? - ANSWER-Obtaining a
telephone consent from the family member and ensuring that the
oral consent is witnessed by two persons
The nurse is told in intershift report that a client has been
appointed a legal guardian. The nurse looks for what evidence
that supports this information? - ANSWER-A judicial decision
in a court of law
A client with a perforated gastric ulcer is scheduled for
emergency surgery. The client cannot sign the operative consent
form because he has been sedated with opioid analgesics. The
,2|Page
nurse should take which action in the care of this client? -
ANSWER-Obtain telephone consent from the family member
witnessed by two persons.
The nurse suspects that a co-worker is substance impaired and is
self-administering opioid medications rather than administering
them to clients as prescribed. Which action should the nurse
take? - ANSWER-Report the information to a supervisor.
The licensed practical nurse (LPN) enters a client's room and
finds the client sitting on the floor. The LPN calls the registered
nurse, who checks the client thoroughly and then assists the
client back into bed. The LPN completes an incident report, and
the nursing supervisor and health care provider (HCP) are
notified of the incident. Which is the next nursing action
regarding the incident? - ANSWER-Document a complete entry
in the client's record concerning the incident.
A client is brought to the emergency department by the
ambulance team after collapse at home. Cardiopulmonary
resuscitation is attempted but is unsuccessful. The wife of the
client tells the nurse that the client is an organ donor and that his
eyes are to be donated. Which action should the nurse take next?
- ANSWER-Close the eyes, elevate the head of the bed, and
place a small ice pack on the eyes.
,3|Page
A resident in a long-term care facility refuses a medication that
has been prescribed. The nurse takes appropriate action after
considering which fact? - ANSWER-The client cannot be forced
to take the medication.
A pediatric nurse arrives at work and is told to report (float) to
the emergency department (ED) for the day because the ED is
expecting numerous victims to arrive following a train crash.
The nurse has never worked in the ED and is anxious about
floating to this area. Which is the appropriate nursing action? -
ANSWER-Discuss her anxieties and concerns with the nursing
supervisor about floating
The nurse who works in a cardiac unit reports to work and is
told that she needs to float to the neurological nursing unit
because of a short-staffing problem on that unit. The nurse
reports to the unit and receives a client assignment for the day
from the nurse manager. The nurse is angry with the assignment
because of a belief that the assignment is more difficult than the
assignment delegated to other nurses on the unit. The nurse
should carry out which action? - ANSWER-Ask the nurse
manager of the neurological unit to discuss the assignment.
, 4|Page
When caring for clients, the nurse knows that which ethical
philosophies focus on understanding relationships and the use of
personal narratives? Select all that apply. - ANSWER-Ethics of
care
Feminist ethics
The nurse has just been licensed and has begun to practice in an
acute health care facility. The nurse knows that which nursing
specialties will require more specific defined standards of care
and skills? Select all that apply. - ANSWER-Nurse-midwives
Nurse-anesthetists
Intensive care unit (ICU) nurses
A hospitalized client tells the nurse that a living will is being
prepared and that the lawyer will be bringing the will to the
hospital today for witness signatures. The client asks the nurse
for assistance in obtaining a witness to the will. Which response
to the client is appropriate? - ANSWER-"I will call the nursing
supervisor to seek assistance regarding your request."
