HESI RN Leadership Final Exam

1. A nurse is caring for several clients. Which of the following actions should the nurse take to maintain client confidentiality? A. Tell a client’s partner that the results of his wife’s lab tests cannot be disclosed without her permission B. Ask the assistive personnel to refer to clients by room number in public areas C. Explain to a student nurse that verbal permission must be obtained before using a client’s name in school assignments D. Share info about a client with immediate family members after personal ID has been provided 2. A nurse is caring for a client who asks for info about advance directives. Which of the following is an appropriate response by the nurse? *** A. Your advance directives will take effect when you are unable to make health care decisions B. You will not be able to make changes to the advance directives once you sign it C. Your advance directives can specify which medical care you do not want but cannot specify which medical treatments you can have D. You must have advance directives on record within 24hr of a hospital admission 3. A nurse assumes care of a client following morning report and notes that the client’s morning lab results have not been received. Which of the following actions should the nurse take? A. Administer the client’s insulin as prescribed B. Give the NPH and hold the regular insulin until the lab results are back C. Obtain a capillary blood glucose reading D. Hold the client’s breakfast until the lab results are back 4. A nurse on a med-surg unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority? A. A client scheduled for a tubal ligation in 2hr who is crying B. A client who has peripheral vascular disease and has an absent pulse in the right foot C. A client who has type 1 DM and needs the first dressing change for a stage II decubitus ulcer D. A client who has MRSA and has an axillary temp of 38C (100.4F) 5. A nurse has four client assignments on a maternal newborn unit. Which of the following tasks can be delegated to an AP? A. Verifying the mother’s fundal height B. Assisting the mother with cord care C. Showing the mother how to position the newborn for sleep D. Measuring output of the mother’s first voiding