Hesi Leadership Exit Exam version 1
1. 1. The nurse is caring for an older adult who was ad- BODY TEMP with in normal
mitted with a Urinary tract infection and is now exhibit- limits.
ing signs of Severe Inflammatory Response Syndrome REDUCE WBC count. (SIRS).
Which collaborative care goals should the nurse NEGATIVE URINE CULTURE include in
the plan of care? (Select all that apply)
2. The nurse is caring for clients on an orthopedic unit. OLDER ADULT W/OSTEO-
Which client has the greatest risk for developing os- POROSIS WHO IS BED-
teomyelitis? FAST FOLLOWING COM-
PRESSION FRACTURE OF
THE VERTABRAE
3. . A male college student is brought to an emergency clinic Initiate cardiac monitoring for
by his friends because they report that he has been the clients.
vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's
potassium level is 2.5 mEq/L (2.5 mmol/L), so he is
admitted to a local hospital, Which intervention is most
important for the nurse to include in this client's plan of
care?
4. The practical nurse (PN) is visiting a client who has stage MUCOUS MEMBRANE
four colon cancer and is receiving palliative home care MOIST
the day. Which intervention should the nurse ask the PN
to ensure the family is providing the client?
5. The nurse is caring for a group of five clients with the
assistance of an experienced and capable unlicensed POST OP VITAL SIGNS
assistive personnel (UAP). Which nursing actions can the HYGIENE CARE FOLLOW-
nurse delegate to the UP? (Select all that apply.) ING TRAUMATIC FOOT
AMPUTATION
6.
, Hesi Leadership Exit Exam version 1
When triaging emergency room clients, which client FEMALE WITH SEVERE
should the nurse assess first? RIGHT LOWER ABDOMI-
NAL PAIN FEBRILE AND
VOMITING *Confirm
7. While eating breakfast, a client admitted with syncope The client's significant his-
and a 2-month history of vertigo complains of dizzi- ness. tory includes atrial fibrilla-
Using the standard communication tool SBAR (Situation, tion and hypoglycemia.
Background, Assessment, Recommenda- tion), which
statement is best for the nurse to provide the healthcare
provider about the client's background?
8. Several nurses are elected by their peers to serve on a BE AVAILABLE TO ALL
negotiating committee to recommend new healthcare SHIFTS TO DISCUSS
benefits CHANGES IN HEALTH
BEN- EFITS
9. Several family members are visiting a client who had a EXPLAIN THE CLIENT
myocardial infarction 4 days ago. The unlicensed HAS THE RIGHT TO HAVE
VISI-
assistive one of the visitors is lying on the client's bed. TOR LIE ON THE BED
Which action should the nurse implement?
10. . The healthcare provider prescribes an oral medica- REVIEW MEDICATION
tion to be given daily for 3 days. However, the medica- TRANSCRIPTION WITH THE
tion was also given on the fourth day. NURSE.
11. . The nurse initiates the procedure to remove a client's Respond to the code. OR
peripherally inserted central catheter (PICC) when a Finish the procedure Not
code blue is called for another collapsed in the hallway sure while
ambulating with the unlicensed assistive person- nel (UAP).
Which action should the nurse take
12.
1. 1. The nurse is caring for an older adult who was ad- BODY TEMP with in normal
mitted with a Urinary tract infection and is now exhibit- limits.
ing signs of Severe Inflammatory Response Syndrome REDUCE WBC count. (SIRS).
Which collaborative care goals should the nurse NEGATIVE URINE CULTURE include in
the plan of care? (Select all that apply)
2. The nurse is caring for clients on an orthopedic unit. OLDER ADULT W/OSTEO-
Which client has the greatest risk for developing os- POROSIS WHO IS BED-
teomyelitis? FAST FOLLOWING COM-
PRESSION FRACTURE OF
THE VERTABRAE
3. . A male college student is brought to an emergency clinic Initiate cardiac monitoring for
by his friends because they report that he has been the clients.
vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's
potassium level is 2.5 mEq/L (2.5 mmol/L), so he is
admitted to a local hospital, Which intervention is most
important for the nurse to include in this client's plan of
care?
4. The practical nurse (PN) is visiting a client who has stage MUCOUS MEMBRANE
four colon cancer and is receiving palliative home care MOIST
the day. Which intervention should the nurse ask the PN
to ensure the family is providing the client?
5. The nurse is caring for a group of five clients with the
assistance of an experienced and capable unlicensed POST OP VITAL SIGNS
assistive personnel (UAP). Which nursing actions can the HYGIENE CARE FOLLOW-
nurse delegate to the UP? (Select all that apply.) ING TRAUMATIC FOOT
AMPUTATION
6.
, Hesi Leadership Exit Exam version 1
When triaging emergency room clients, which client FEMALE WITH SEVERE
should the nurse assess first? RIGHT LOWER ABDOMI-
NAL PAIN FEBRILE AND
VOMITING *Confirm
7. While eating breakfast, a client admitted with syncope The client's significant his-
and a 2-month history of vertigo complains of dizzi- ness. tory includes atrial fibrilla-
Using the standard communication tool SBAR (Situation, tion and hypoglycemia.
Background, Assessment, Recommenda- tion), which
statement is best for the nurse to provide the healthcare
provider about the client's background?
8. Several nurses are elected by their peers to serve on a BE AVAILABLE TO ALL
negotiating committee to recommend new healthcare SHIFTS TO DISCUSS
benefits CHANGES IN HEALTH
BEN- EFITS
9. Several family members are visiting a client who had a EXPLAIN THE CLIENT
myocardial infarction 4 days ago. The unlicensed HAS THE RIGHT TO HAVE
VISI-
assistive one of the visitors is lying on the client's bed. TOR LIE ON THE BED
Which action should the nurse implement?
10. . The healthcare provider prescribes an oral medica- REVIEW MEDICATION
tion to be given daily for 3 days. However, the medica- TRANSCRIPTION WITH THE
tion was also given on the fourth day. NURSE.
11. . The nurse initiates the procedure to remove a client's Respond to the code. OR
peripherally inserted central catheter (PICC) when a Finish the procedure Not
code blue is called for another collapsed in the hallway sure while
ambulating with the unlicensed assistive person- nel (UAP).
Which action should the nurse take
12.
