Module 5 HESI Management of Care
UPDATED ACTUAL Exam Questions and
CORRECT Answers
** A client with leukemia is being considered for a bone marrow transplant. The healthcare team
is discussing the risks and benefits of this treatment and other possible treatments with the goal
of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team
practicing?
Nonmaleficence
Autonomy
Justice
Fidelity - CORRECT ANSWER - Nonmaleficence
Which action by the nurse represents the ethical principle of beneficence?
The nurse upholds a client's decision to refuse chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain in a client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity. -
CORRECT ANSWER - The nurse administers an immunization to a child even though it
may cause discomfort.
The nursing instructor asks a student to name an example of false imprisonment. Which of the
following situations reflects a violation of this client right?
Observing the provision of care to the client without the client's permission
Telling the client that he or she may not leave the hospital
Performing a procedure without consent
,Threatening to give a client a medication against his or her will - CORRECT ANSWER -
Telling the client that he or she may not leave the hospital
A nurse and a nursing assistant enter a client's room to provide care and find the client lying on
the floor. The nurse should first:
Ask the nursing assistant to assist in getting the client back to bed
Ask the nursing assistant to complete an incident report
Contact the unit secretary on the intercom and ask that the client's primary health care provider
be called
Check the client's level of consciousness and vital signs - CORRECT ANSWER - Check
the client's level of consciousness and vital signs
Which of the following actions exemplifies the use of evidence-based practice in the delivery of
client care?
Donning sterile gloves to change an abdominal wound dressing
Advising a client to agree to the treatment recommended by her primary health care provider
Taking a rectal temperature from a client for whom bleeding precautions have been instituted
Encouraging a client to take an herbal substance to treat his insomnia - CORRECT
ANSWER - Donning sterile gloves to change an abdominal wound dressing
The registered nurse has accepted a new position as case manager in a hospital. Which of the
following responsibilities are part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client - CORRECT ANSWER -
Evaluating and updating the plan of care as needed
,Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
The nurse manager of a quality improvement program asks a nurse in the neurological unit to
conduct a retrospective audit. Which of the following actions should the auditing nurse plan to
perform in this type of audit?
Obtaining the assigned medical record from the hospital's medical record room to review
documentation made during a client's hospital stay
Checking the crash cart to ensure that all needed supplies are readily available should an
emergency arise
Checking the documentation written by a new nursing graduate on her assigned clients at the end
of the shift
Reviewing neurological assessment checklists for all clients on the unit to ensure that these
assessments are being conducted as prescribed - CORRECT ANSWER - Obtaining the
assigned medical record from the hospital's medical record room to review documentation made
during a client's hospital stay
A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace.
What should the nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or
lost during the procedure - CORRECT ANSWER - Ask the client for permission to lock
the necklace in the hospital safe
, A nurse providing preoperative care to a client who is scheduled for a left mastectomy and
axillary lymph node dissection notes that the client is wearing a wedding band on her left ring
finger. The nurse should:
Tape the wedding band in place
Explain to the client why the wedding band must be removed
Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost
during surgery
Ask the client whether she would like to remove the wedding band or wear it to surgery -
CORRECT ANSWER - Explain to the client why the wedding band must be removed
** A nurse preparing a client to go to the radiology department for a chest x-ray notes that the
client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a
concern about removing the medal. What is the most appropriate action for the nurse to take?
Asking the client to remove the medal until the x-ray has been completed
Asking the client to place the medal in the top drawer of the bedside stand just before leaving for
the radiology department
Assisting the client in pinning the medal and chain to the waistband of the client's pajama
bottoms
Telling the client that the medal and chain will be kept at the nurses' station for safekeeping
while the client is undergoing the x-ray - CORRECT ANSWER - Assisting the client in
pinning the medal and chain to the waistband of the client's pajama bottoms
** A physician writes a medication prescription in a client's record. While transcribing the
prescription, the nurse notes that the prescribed dose is three times higher than the recommended
dose. The nurse calls the physician, who states that this is the dose that the client takes at home
and that it is acceptable for this client's condition. What is the appropriate action for the nurse to
take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer the medication
Verify the prescribed dose with the client before administering the medication
UPDATED ACTUAL Exam Questions and
CORRECT Answers
** A client with leukemia is being considered for a bone marrow transplant. The healthcare team
is discussing the risks and benefits of this treatment and other possible treatments with the goal
of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team
practicing?
Nonmaleficence
Autonomy
Justice
Fidelity - CORRECT ANSWER - Nonmaleficence
Which action by the nurse represents the ethical principle of beneficence?
The nurse upholds a client's decision to refuse chemotherapy for lung cancer.
The nurse follows a plan of care designed to relieve pain in a client with cancer.
The nurse administers an immunization to a child even though it may cause discomfort.
The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity. -
CORRECT ANSWER - The nurse administers an immunization to a child even though it
may cause discomfort.
The nursing instructor asks a student to name an example of false imprisonment. Which of the
following situations reflects a violation of this client right?
Observing the provision of care to the client without the client's permission
Telling the client that he or she may not leave the hospital
Performing a procedure without consent
,Threatening to give a client a medication against his or her will - CORRECT ANSWER -
Telling the client that he or she may not leave the hospital
A nurse and a nursing assistant enter a client's room to provide care and find the client lying on
the floor. The nurse should first:
Ask the nursing assistant to assist in getting the client back to bed
Ask the nursing assistant to complete an incident report
Contact the unit secretary on the intercom and ask that the client's primary health care provider
be called
Check the client's level of consciousness and vital signs - CORRECT ANSWER - Check
the client's level of consciousness and vital signs
Which of the following actions exemplifies the use of evidence-based practice in the delivery of
client care?
Donning sterile gloves to change an abdominal wound dressing
Advising a client to agree to the treatment recommended by her primary health care provider
Taking a rectal temperature from a client for whom bleeding precautions have been instituted
Encouraging a client to take an herbal substance to treat his insomnia - CORRECT
ANSWER - Donning sterile gloves to change an abdominal wound dressing
The registered nurse has accepted a new position as case manager in a hospital. Which of the
following responsibilities are part of the nurse's new role? Select all that apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client - CORRECT ANSWER -
Evaluating and updating the plan of care as needed
,Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
The nurse manager of a quality improvement program asks a nurse in the neurological unit to
conduct a retrospective audit. Which of the following actions should the auditing nurse plan to
perform in this type of audit?
Obtaining the assigned medical record from the hospital's medical record room to review
documentation made during a client's hospital stay
Checking the crash cart to ensure that all needed supplies are readily available should an
emergency arise
Checking the documentation written by a new nursing graduate on her assigned clients at the end
of the shift
Reviewing neurological assessment checklists for all clients on the unit to ensure that these
assessments are being conducted as prescribed - CORRECT ANSWER - Obtaining the
assigned medical record from the hospital's medical record room to review documentation made
during a client's hospital stay
A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace.
What should the nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or
lost during the procedure - CORRECT ANSWER - Ask the client for permission to lock
the necklace in the hospital safe
, A nurse providing preoperative care to a client who is scheduled for a left mastectomy and
axillary lymph node dissection notes that the client is wearing a wedding band on her left ring
finger. The nurse should:
Tape the wedding band in place
Explain to the client why the wedding band must be removed
Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost
during surgery
Ask the client whether she would like to remove the wedding band or wear it to surgery -
CORRECT ANSWER - Explain to the client why the wedding band must be removed
** A nurse preparing a client to go to the radiology department for a chest x-ray notes that the
client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a
concern about removing the medal. What is the most appropriate action for the nurse to take?
Asking the client to remove the medal until the x-ray has been completed
Asking the client to place the medal in the top drawer of the bedside stand just before leaving for
the radiology department
Assisting the client in pinning the medal and chain to the waistband of the client's pajama
bottoms
Telling the client that the medal and chain will be kept at the nurses' station for safekeeping
while the client is undergoing the x-ray - CORRECT ANSWER - Assisting the client in
pinning the medal and chain to the waistband of the client's pajama bottoms
** A physician writes a medication prescription in a client's record. While transcribing the
prescription, the nurse notes that the prescribed dose is three times higher than the recommended
dose. The nurse calls the physician, who states that this is the dose that the client takes at home
and that it is acceptable for this client's condition. What is the appropriate action for the nurse to
take?
Contact the nursing supervisor
Ask the nurse assigned to care for the client to administer the medication
Verify the prescribed dose with the client before administering the medication
