HESI:l NURl 204/l NUR204l (Latestl 2025/l
2026l Update)l Leadershipl andl
Managementl V2|l Questionsl &l Answers|l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Fortis
Q:l Thel nursel callsl al surgeonl aboutl al malel clientl whol isl havingl
abdominall painl afterl al bowell resection.l Hel receivedl hydromorphonel 2l
hoursl agol andl isl nowl requestingl additionall painl medication.l Vitall signsl
includel temperaturel 97.8l Fl (36.6l C),l heartl ratel 112l beats/minute,l
respirationsl 24l breaths/minute,l andl bloodl pressurel isl 98/62l mmHg,l whichl
isl lowerl froml previousl readingl onel hourl ago.l Thel clientl hasl al historyl ofl
chronicl atriall fibrillationl andl takesl clopidogrel,l whichl wasl continuedl untill
onel dayl priorl tol surgery.l Thel nursel recommendsl thatl thel surgeonl seel thel
clientl immediatelyl tol evaluatel thel situation.l Whatl informationl makesl thisl
reportl complete?
Answer:
ol Thel abdomenl isl rigid,l tenderl tol touch,l andl distended
Q:l Anl olderl femalel clientl whol wasl recentlyl widowedl hasl becomel
increasinglyl confusedl andl disoriented.l Herl familyl tellsl thel healthcarel
provider'sl officel nursel thatl itl isl imperativel forl theirl motherl tol bel admittedl
tol thel hospitall forl medicall evaluation.l Thel clientl isl al memberl ofl al
managedl healthcarel plan.l Whichl informationl isl bestl forl thel nursel tol
providel thisl family?
Answer:
,ol Thel clientl isl grievingl normallyl inl responsel tol herl husband'sl deathl andl
hospitalizationsl isl notl necessary
Q:l Thel chargel nursel onl al surgicall unitl isl assessingl thel morningl labl workl
onl fourl clients.l Whichl client'sl labl findingl shouldl bel reportedl tol thel
healthcarel providerl immediately?
Answer:
ol Anl elderlyl clientl inl end-stagel renall diseasel whol hasl al creatininel levell
ofl 2.4l mg/dLl (212l micromol/L)l andl al BUNl ofl 84l mg/dLl (30l mmol/L)
Q:l Thel chargel nursel needsl tol determinel isl anl additionall nursel shouldl bel
calledl tol helpl staffl unitl forl thel nextl shift.l Whichl informationl isl mostl
importantl forl thel chargel nursel tol considerl whenl makingl thisl decision
Answer:
ol Thel acuityl levell ofl thel clientsl onl thel unit
Q:l Thel firel alarml goesl offl whilel thel chargel nursel isl receivingl thel shiftl
report.l Whichl actionl shouldl thel chargel nursel implementl first?
Answer:
Telll thel staffl tol keepl alll clientsl andl visitorsl inl thel clientl roomsl withl thel
doorsl closed
, Q:l Itl isl mostl importantl forl thel chargel nursel tol schedulel al multi-
disciplinaryl teaml meetingl tol discussl whichl client?
Answer:
ol Anl elderlyl clientl admittedl throughl thel emergencyl departmentl withl al
brokenl hipl whosel bloodl glucosel isl 400l mg/dLl (22l mmol/Ll SI)
Q:l Thel healthcarel providerl prescribesl anl orall medicationl tol bel givenl
dailyl forl 3l days.l However,l thel medicationl wasl alsol givenl onl thel fourthl
day.l Whichl interventionl isl mostl importantl forl thel chargel nursel tol
implement?
Answer:
ol Reviewl thel medicationl transcriptionl withl thel nurse.
Q:l Thel nursel isl caringl forl al groupl ofl clientsl withl helpl ofl anl
experiencedl unlicensedl assistivel personnell (UAP).l Severall specimensl needl
tol bel collectedl andl sentl tol thel lab.l Whichl specimenl collectionl canl thel
nursel delegatel tol thel UAP?
Answer:
ol Fecall drainagel samplel
ol Urinel froml indwellingl catheter
Q:l Afterl receivingl morningl reportl onl anl acutel carel unit,l whichl clientl
shouldl thel nursel assessl first
2026l Update)l Leadershipl andl
Managementl V2|l Questionsl &l Answers|l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Fortis
Q:l Thel nursel callsl al surgeonl aboutl al malel clientl whol isl havingl
abdominall painl afterl al bowell resection.l Hel receivedl hydromorphonel 2l
hoursl agol andl isl nowl requestingl additionall painl medication.l Vitall signsl
includel temperaturel 97.8l Fl (36.6l C),l heartl ratel 112l beats/minute,l
respirationsl 24l breaths/minute,l andl bloodl pressurel isl 98/62l mmHg,l whichl
isl lowerl froml previousl readingl onel hourl ago.l Thel clientl hasl al historyl ofl
chronicl atriall fibrillationl andl takesl clopidogrel,l whichl wasl continuedl untill
onel dayl priorl tol surgery.l Thel nursel recommendsl thatl thel surgeonl seel thel
clientl immediatelyl tol evaluatel thel situation.l Whatl informationl makesl thisl
reportl complete?
Answer:
ol Thel abdomenl isl rigid,l tenderl tol touch,l andl distended
Q:l Anl olderl femalel clientl whol wasl recentlyl widowedl hasl becomel
increasinglyl confusedl andl disoriented.l Herl familyl tellsl thel healthcarel
provider'sl officel nursel thatl itl isl imperativel forl theirl motherl tol bel admittedl
tol thel hospitall forl medicall evaluation.l Thel clientl isl al memberl ofl al
managedl healthcarel plan.l Whichl informationl isl bestl forl thel nursel tol
providel thisl family?
Answer:
,ol Thel clientl isl grievingl normallyl inl responsel tol herl husband'sl deathl andl
hospitalizationsl isl notl necessary
Q:l Thel chargel nursel onl al surgicall unitl isl assessingl thel morningl labl workl
onl fourl clients.l Whichl client'sl labl findingl shouldl bel reportedl tol thel
healthcarel providerl immediately?
Answer:
ol Anl elderlyl clientl inl end-stagel renall diseasel whol hasl al creatininel levell
ofl 2.4l mg/dLl (212l micromol/L)l andl al BUNl ofl 84l mg/dLl (30l mmol/L)
Q:l Thel chargel nursel needsl tol determinel isl anl additionall nursel shouldl bel
calledl tol helpl staffl unitl forl thel nextl shift.l Whichl informationl isl mostl
importantl forl thel chargel nursel tol considerl whenl makingl thisl decision
Answer:
ol Thel acuityl levell ofl thel clientsl onl thel unit
Q:l Thel firel alarml goesl offl whilel thel chargel nursel isl receivingl thel shiftl
report.l Whichl actionl shouldl thel chargel nursel implementl first?
Answer:
Telll thel staffl tol keepl alll clientsl andl visitorsl inl thel clientl roomsl withl thel
doorsl closed
, Q:l Itl isl mostl importantl forl thel chargel nursel tol schedulel al multi-
disciplinaryl teaml meetingl tol discussl whichl client?
Answer:
ol Anl elderlyl clientl admittedl throughl thel emergencyl departmentl withl al
brokenl hipl whosel bloodl glucosel isl 400l mg/dLl (22l mmol/Ll SI)
Q:l Thel healthcarel providerl prescribesl anl orall medicationl tol bel givenl
dailyl forl 3l days.l However,l thel medicationl wasl alsol givenl onl thel fourthl
day.l Whichl interventionl isl mostl importantl forl thel chargel nursel tol
implement?
Answer:
ol Reviewl thel medicationl transcriptionl withl thel nurse.
Q:l Thel nursel isl caringl forl al groupl ofl clientsl withl helpl ofl anl
experiencedl unlicensedl assistivel personnell (UAP).l Severall specimensl needl
tol bel collectedl andl sentl tol thel lab.l Whichl specimenl collectionl canl thel
nursel delegatel tol thel UAP?
Answer:
ol Fecall drainagel samplel
ol Urinel froml indwellingl catheter
Q:l Afterl receivingl morningl reportl onl anl acutel carel unit,l whichl clientl
shouldl thel nursel assessl first
