HESI Management practice quiz
The nurse is giving change-of-shift report for four clients in the emergency center and reports the client
with a terminal disease has a living will and a "Do not resuscitate" (DNR) order on file. Which client fits
the criteria for a terminal illness?
A) 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube.
B) 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go home."
C) 52-year-old male client who had a partial lobectomy and on a ventilator on the 2 postoperative day.
D) 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration. -
Answer-D) 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or
hydration.
Rationale:
"Terminal illness" describes the client's life expectancy as less than six months without life-sustaining
measures therefore, a 43-year old male with ALS who is refusing artificial nutrition or hydration
describes the client with a terminal disease who may not survive more than a few days after the refusal
of food and hydration.The other options do not describe a client with a terminal illness and require
further information to clarify the DNR order.
When the charge nurse is making assignments, which tasks can be assigned to an unlicensed assistive
personnel (UAP)?
, A) Perform a dressing change, oral suctioning, and admission of a client to the unit.
B) Time contractions, determine fetal heart rate, and administer an enema to a client in early labor.
C) Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
D) Irrigate a nasogastric tube, collect a stool specimen, and measure intake and output. - Answer-C)
Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
Rationale:
After the nurse has validated an individual's competency, the UAP can be assigned tasks such as
measuring vital signs, giving a cleansing enema, and applying soft restraints. Tasks that involve
assessment should be assigned to licensed personnel--practical nurses (PNs) or registered nurses (RNs).
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
A) UAP: Personal care, catheter irrigation, I&O. RN: Medications.
B) UAP: Personal care. RN: Medications, catheter irrigation, I&O.
C) UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
D) UAP: Personal care, I&O. RN: Catheter irrigation, medications. - Answer-D) UAP: Personal care, I&O.
RN: Catheter irrigation, medications.
Rationale:
The nurse is giving change-of-shift report for four clients in the emergency center and reports the client
with a terminal disease has a living will and a "Do not resuscitate" (DNR) order on file. Which client fits
the criteria for a terminal illness?
A) 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube.
B) 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go home."
C) 52-year-old male client who had a partial lobectomy and on a ventilator on the 2 postoperative day.
D) 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or hydration. -
Answer-D) 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or
hydration.
Rationale:
"Terminal illness" describes the client's life expectancy as less than six months without life-sustaining
measures therefore, a 43-year old male with ALS who is refusing artificial nutrition or hydration
describes the client with a terminal disease who may not survive more than a few days after the refusal
of food and hydration.The other options do not describe a client with a terminal illness and require
further information to clarify the DNR order.
When the charge nurse is making assignments, which tasks can be assigned to an unlicensed assistive
personnel (UAP)?
, A) Perform a dressing change, oral suctioning, and admission of a client to the unit.
B) Time contractions, determine fetal heart rate, and administer an enema to a client in early labor.
C) Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
D) Irrigate a nasogastric tube, collect a stool specimen, and measure intake and output. - Answer-C)
Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
Rationale:
After the nurse has validated an individual's competency, the UAP can be assigned tasks such as
measuring vital signs, giving a cleansing enema, and applying soft restraints. Tasks that involve
assessment should be assigned to licensed personnel--practical nurses (PNs) or registered nurses (RNs).
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
A) UAP: Personal care, catheter irrigation, I&O. RN: Medications.
B) UAP: Personal care. RN: Medications, catheter irrigation, I&O.
C) UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
D) UAP: Personal care, I&O. RN: Catheter irrigation, medications. - Answer-D) UAP: Personal care, I&O.
RN: Catheter irrigation, medications.
Rationale:
