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HESI NUR 204 /NUR 204 LEADERSHIP AND MANAGEMENT
HESI FINAL EXAM NEWEST EXAM 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
During an evening shift on a medical unit, the only nurse on the
unit is busy with an unstable client. The unit clerk, who is also
both a certified medication aide and unlicensed assistive
personnel (UAP), reports to the nurse that a healthcare provider is
on the telephone and wishes to prescribe a PRN dose of an oral
over-the-counter laxative for a client who is constipated. What
instruction should the nurse provide the unit clerk? - ANSWER-
Tell the healthcare provider the nurse will return the phone call as
soon as possible
An older woman with a long history of hypertension is transferred
from a long-term care facility to the hospital intensive care unit
because of an exacerbation of heart failure (HF). She has a
signed and witnessed "do not resuscitate" form in her record.
Which action should the nurse take? - ANSWER-Confirm the
current resuscitation wishes with the client and family
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The nursing staff expresses concern about a new policy that
increases the nurse-to-patient ratio by 25% on all shifts. Which
action is best for the nurse-manager to take? - ANSWER-
Disseminate factual information to all nursing staff to avoid
misinformation and rumors.
The nurse is assigned to care for four clients. After receiving the
change of shift report, which client should the nurse assess first? -
ANSWER-A client with DM and a HX of coronary artery disease
who is complaining of increased SOB
After receiving the morning shift report, which client should the
nurse assess first? - ANSWER-A 73y/o diagnosed with COPD
who has a pox reading of 84%
A male client is admitted with difficulty breathing related to
diagnoses of metastatic lung cancer. He tells the nurse that he
does not want to be "hooked up to any machines." His vital signs
are heart rate 120 beats/minute, blood pressure 98/50 mmHg,
respiratory rate 30 breaths/minute, and oxygen saturation rate is
88%. Which action should the nurse take? - ANSWER-Give
analgesic medications PRN
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An older adult woman with end stage heart disease is alert and
oriented and states that she does not want any heroic measures
taken in the event she stops breathing. The client's children tell
the nurse that they accept their mother's wishes and do not want
to watch her suffer. Which action should the nurse take first? -
ANSWER-Obtain an DNR prescription
Contact precautions are being implemented for a client with
cellulitis of the right foot. The nurse observes an unlicensed
assistive personnel (UAP) applying lipstick in this client's room.
Which action should the nurse take? - ANSWER-Instruct the UAP
to refrain from placing anything in her mouth
The nurse calls the surgeon to report that a male client
transitioned from a patient-controlled analgesic (PCA) pump to a
PO analgesic one hour ago is now complaining in a loud voice
and asking for a PCA pump. The nurse explains that the client's
behavior is disturbing his roommate. The clients blood pressure
has increased fro 120/72 to 150/98. Which question is best to
include in the recommended component of the SBAR report to the
HESI NUR 204 /NUR 204 LEADERSHIP AND MANAGEMENT
HESI FINAL EXAM NEWEST EXAM 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
During an evening shift on a medical unit, the only nurse on the
unit is busy with an unstable client. The unit clerk, who is also
both a certified medication aide and unlicensed assistive
personnel (UAP), reports to the nurse that a healthcare provider is
on the telephone and wishes to prescribe a PRN dose of an oral
over-the-counter laxative for a client who is constipated. What
instruction should the nurse provide the unit clerk? - ANSWER-
Tell the healthcare provider the nurse will return the phone call as
soon as possible
An older woman with a long history of hypertension is transferred
from a long-term care facility to the hospital intensive care unit
because of an exacerbation of heart failure (HF). She has a
signed and witnessed "do not resuscitate" form in her record.
Which action should the nurse take? - ANSWER-Confirm the
current resuscitation wishes with the client and family
, Page |2
The nursing staff expresses concern about a new policy that
increases the nurse-to-patient ratio by 25% on all shifts. Which
action is best for the nurse-manager to take? - ANSWER-
Disseminate factual information to all nursing staff to avoid
misinformation and rumors.
The nurse is assigned to care for four clients. After receiving the
change of shift report, which client should the nurse assess first? -
ANSWER-A client with DM and a HX of coronary artery disease
who is complaining of increased SOB
After receiving the morning shift report, which client should the
nurse assess first? - ANSWER-A 73y/o diagnosed with COPD
who has a pox reading of 84%
A male client is admitted with difficulty breathing related to
diagnoses of metastatic lung cancer. He tells the nurse that he
does not want to be "hooked up to any machines." His vital signs
are heart rate 120 beats/minute, blood pressure 98/50 mmHg,
respiratory rate 30 breaths/minute, and oxygen saturation rate is
88%. Which action should the nurse take? - ANSWER-Give
analgesic medications PRN
, Page |3
An older adult woman with end stage heart disease is alert and
oriented and states that she does not want any heroic measures
taken in the event she stops breathing. The client's children tell
the nurse that they accept their mother's wishes and do not want
to watch her suffer. Which action should the nurse take first? -
ANSWER-Obtain an DNR prescription
Contact precautions are being implemented for a client with
cellulitis of the right foot. The nurse observes an unlicensed
assistive personnel (UAP) applying lipstick in this client's room.
Which action should the nurse take? - ANSWER-Instruct the UAP
to refrain from placing anything in her mouth
The nurse calls the surgeon to report that a male client
transitioned from a patient-controlled analgesic (PCA) pump to a
PO analgesic one hour ago is now complaining in a loud voice
and asking for a PCA pump. The nurse explains that the client's
behavior is disturbing his roommate. The clients blood pressure
has increased fro 120/72 to 150/98. Which question is best to
include in the recommended component of the SBAR report to the
