Module 5 HESI Management of Care
** 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 - 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. - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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
** 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 - 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. - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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
