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Hesi Leadership Exit Exam version 1
questions with correct answers
1. The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response
Syndrome (SIRS). Which collaborative care goals should the nurse include in the
plan of care? (Select all that apply) - answer-BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the
greatest risk for developing osteomyelitis? - answer-OLDER ADULT
W/OSTEOPOROSIS WHO IS BEDFAST FOLLOWING COMPRESSION
FRACTURE OF THE VERTABRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been 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? -
answer-Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and
is receiving palliative home care the day. Which intervention should the nurse ask
the PN to ensure the family is providing the client? - answer-MUCOUS
MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an
experienced and capable unlicensed assistive personnel (UAP). Which nursing
actions can the nurse delegate to the UP? (Select all that apply.) - answer-POST
OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
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When triaging emergency room clients, which client should the nurse assess
first? - answer-FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN
FEBRILE AND VOMITING *Confirm
While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background? -
answer-The client's significant history includes atrial fibrillation and
hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits - answer-BE AVAILABLE TO ALL SHIFTS
TO DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The unlicensed assistive one of the visitors is lying on the client's bed.
Which action should the nurse implement? - answer-EXPLAIN THE CLIENT HAS
THE RIGHT TO HAVE VISITOR LIE ON THE BED
. The healthcare provider prescribes an oral medication to be given daily for 3
days. However, the medication was also given on the fourth day. -
answer-REVIEW MEDICATION TRANSCRIPTION WITH THE NURSE.
. The nurse initiates the procedure to remove a client's peripherally inserted
central catheter (PICC) when a code blue is called for another collapsed in the
hallway while ambulating with the unlicensed assistive personnel (UAP). Which
action should the nurse take - answer-Respond to the code. OR Finish the
procedure Not sure
Which client requires the most immediate intervention by the nurse? -
answer-CLIENT WITH ACUTE KIDNEY INJURY who is somnolent and does
respond to verbal commands.
. The nurse receives a telephone prescription from the healthcare provider for a
client's persistent cough and wheezing, The prescription includes a chest xray,
an antibiotic, and a nebulizer treatment now and PRN. Alter reading the
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prescription back to the healthcare provider to ensure accuracy, which
intervention should the nurse implement first? - answer-NEBULIZER
BREATHING TREATMENT
An experienced, female practical nurse (PN) is hired to work on the surgical unit
of a tertiary hospital. The first day she is working on the unit, the PN tells the
charge nurse that she has excellent wound care skills. It is a busy day and a
postoperative client needs to have a sterile dressing change. Which action is
best for the charge nurse to take? - answer-Watch the PN perform sterile wound
care to validate her skill level
A male client is admitted with difficulty breathing related to a recent diagnosis 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 mm, respirations 30 breaths/minute, and oxygen saturation rate is 88%.
Which action should the nurse take? - answer-Discontinue the intravenous
infusion
A child is admitted to the pediatric unit after being diagnosed with pertussis. The
nurse observes an unlicensed assistive personnel (UP) donning on a pair of
gloves before entering the room to give the child a popsicle. Which action should
the nurse take? - answer-REVIEW THE NEED TO WEAR A FACE MASK WHILE
IN CLOSE CONTACT.
The healthcare provider discusses with a male client the need for a cardiac
catheterization, describes the risks and benefits of the procedure, and asks the
nurse to have the client sign the consent form. When the nurse presents the
consent form for signature, the client hesitates and asks the nurse how the wires
will keep his heart going. Which action should the nurse take? - answer-NOTIFY
THE HEALTHCARE PROVIDER OF THE CLIENTS LACK OF
UNDERSTANDING
A client with leukemia is hospitalized for weakness, fatique, and anemia. The
client is restless and tachycardic. Which intervention is most important nurse to
include in the plan of care? - answer-MAINTAIN PROTECTIVE ISOLATION
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An adult client is admitted via the Emergency Department with a head injury that
will initially require intensive care. Which nurse should be responsible in
coordinating the progression or this client's care through rehabilitation and
discharge? - answer-NURSE CASE MANAGER
When making assignments for residents of a long-term care facility who require
assistance with FEEDING which client give to PRACTICAL NURSE and which
client to licensed assistive personnel (UAP) - answer-Client who drools, but
swallows solids after many
Which staff assignment, made by the primary nurse, requires the most immediate
follow-up action by the charge nurse on a medical unit? - answer-UAP IS
ASSIGNED TO CHECK A CLIENT FOR FECAL IMPACTION
A client is admitted with shortness of breath and hemoptysis. After several tests,
the healthcare provider informs the client that the medical diagnosis is stage 4
breast cancer. The client tells the nurse about the decision not to inform the
family about the diagnosis. Which intervention should the nurse implement? -
answer-Advise to weigh all possible outcomes prior to the decision
. After an interdisciplinary team meeting regarding the client's request to die a
natural death, the primary healthcare provider refuses to write the do-not-
resuscitate instructions. Which action should the nurse take? - answer-Provide
the healthcare provider with a copy of the client's bill of rights
The unlicensed assistive personnel (UP) reports to the nurse that a male client
with fluid volume overload will not allow the UAP to blain his dally weight Which
action should the nurse implement? - answer-Ask the client why he does not
want to be weighed
. A fire is reported in the kitchen on the first floor of a three-floor community
hospital, and the operator notifies the charge nurse on the third floor to start
evacuation procedures. Which intervention should the charge nurse implement? -
answer-Shut all doors to client rooms and tell everyone to stay in their rooms
until the fire dept arrives
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Hesi Leadership Exit Exam version 1
questions with correct answers
1. The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response
Syndrome (SIRS). Which collaborative care goals should the nurse include in the
plan of care? (Select all that apply) - answer-BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the
greatest risk for developing osteomyelitis? - answer-OLDER ADULT
W/OSTEOPOROSIS WHO IS BEDFAST FOLLOWING COMPRESSION
FRACTURE OF THE VERTABRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been 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? -
answer-Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and
is receiving palliative home care the day. Which intervention should the nurse ask
the PN to ensure the family is providing the client? - answer-MUCOUS
MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an
experienced and capable unlicensed assistive personnel (UAP). Which nursing
actions can the nurse delegate to the UP? (Select all that apply.) - answer-POST
OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
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,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
When triaging emergency room clients, which client should the nurse assess
first? - answer-FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN
FEBRILE AND VOMITING *Confirm
While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background? -
answer-The client's significant history includes atrial fibrillation and
hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits - answer-BE AVAILABLE TO ALL SHIFTS
TO DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The unlicensed assistive one of the visitors is lying on the client's bed.
Which action should the nurse implement? - answer-EXPLAIN THE CLIENT HAS
THE RIGHT TO HAVE VISITOR LIE ON THE BED
. The healthcare provider prescribes an oral medication to be given daily for 3
days. However, the medication was also given on the fourth day. -
answer-REVIEW MEDICATION TRANSCRIPTION WITH THE NURSE.
. The nurse initiates the procedure to remove a client's peripherally inserted
central catheter (PICC) when a code blue is called for another collapsed in the
hallway while ambulating with the unlicensed assistive personnel (UAP). Which
action should the nurse take - answer-Respond to the code. OR Finish the
procedure Not sure
Which client requires the most immediate intervention by the nurse? -
answer-CLIENT WITH ACUTE KIDNEY INJURY who is somnolent and does
respond to verbal commands.
. The nurse receives a telephone prescription from the healthcare provider for a
client's persistent cough and wheezing, The prescription includes a chest xray,
an antibiotic, and a nebulizer treatment now and PRN. Alter reading the
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
prescription back to the healthcare provider to ensure accuracy, which
intervention should the nurse implement first? - answer-NEBULIZER
BREATHING TREATMENT
An experienced, female practical nurse (PN) is hired to work on the surgical unit
of a tertiary hospital. The first day she is working on the unit, the PN tells the
charge nurse that she has excellent wound care skills. It is a busy day and a
postoperative client needs to have a sterile dressing change. Which action is
best for the charge nurse to take? - answer-Watch the PN perform sterile wound
care to validate her skill level
A male client is admitted with difficulty breathing related to a recent diagnosis 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 mm, respirations 30 breaths/minute, and oxygen saturation rate is 88%.
Which action should the nurse take? - answer-Discontinue the intravenous
infusion
A child is admitted to the pediatric unit after being diagnosed with pertussis. The
nurse observes an unlicensed assistive personnel (UP) donning on a pair of
gloves before entering the room to give the child a popsicle. Which action should
the nurse take? - answer-REVIEW THE NEED TO WEAR A FACE MASK WHILE
IN CLOSE CONTACT.
The healthcare provider discusses with a male client the need for a cardiac
catheterization, describes the risks and benefits of the procedure, and asks the
nurse to have the client sign the consent form. When the nurse presents the
consent form for signature, the client hesitates and asks the nurse how the wires
will keep his heart going. Which action should the nurse take? - answer-NOTIFY
THE HEALTHCARE PROVIDER OF THE CLIENTS LACK OF
UNDERSTANDING
A client with leukemia is hospitalized for weakness, fatique, and anemia. The
client is restless and tachycardic. Which intervention is most important nurse to
include in the plan of care? - answer-MAINTAIN PROTECTIVE ISOLATION
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
, https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
An adult client is admitted via the Emergency Department with a head injury that
will initially require intensive care. Which nurse should be responsible in
coordinating the progression or this client's care through rehabilitation and
discharge? - answer-NURSE CASE MANAGER
When making assignments for residents of a long-term care facility who require
assistance with FEEDING which client give to PRACTICAL NURSE and which
client to licensed assistive personnel (UAP) - answer-Client who drools, but
swallows solids after many
Which staff assignment, made by the primary nurse, requires the most immediate
follow-up action by the charge nurse on a medical unit? - answer-UAP IS
ASSIGNED TO CHECK A CLIENT FOR FECAL IMPACTION
A client is admitted with shortness of breath and hemoptysis. After several tests,
the healthcare provider informs the client that the medical diagnosis is stage 4
breast cancer. The client tells the nurse about the decision not to inform the
family about the diagnosis. Which intervention should the nurse implement? -
answer-Advise to weigh all possible outcomes prior to the decision
. After an interdisciplinary team meeting regarding the client's request to die a
natural death, the primary healthcare provider refuses to write the do-not-
resuscitate instructions. Which action should the nurse take? - answer-Provide
the healthcare provider with a copy of the client's bill of rights
The unlicensed assistive personnel (UP) reports to the nurse that a male client
with fluid volume overload will not allow the UAP to blain his dally weight Which
action should the nurse implement? - answer-Ask the client why he does not
want to be weighed
. A fire is reported in the kitchen on the first floor of a three-floor community
hospital, and the operator notifies the charge nurse on the third floor to start
evacuation procedures. Which intervention should the charge nurse implement? -
answer-Shut all doors to client rooms and tell everyone to stay in their rooms
until the fire dept arrives
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