Leadership & Management HESI Practice Questions with Verified Solutions

Leadership & Management HESI Practice Questions with Verified Solutions Newly hired UAP expresses fear to collect a sputum from HIV patient Determine the UAP's knowledge about HIV transmission. RN, PN, UAP are working as a team The UAP obtains an oxygen saturation level while RN reports finding to the health care provider. The most immediate follow-up An UAP is assigned to check a client for fecal impaction. Nurse receives a prescription over the telephone Administer a nebulizer breathing treatment. Patient uses the call system alarm Ask a coworker to respond to the client whose call bell is alarming. Emergency room, who to take care first A female client with severe right lower abdominal pain who is febrile and vomiting. No heroic measures Give detailed report to accepting nurse. Evaluate cardiac monitor system Organize a committee of ICU nurses to identify potential problems of the new monitoring system. Client has reported feeling of being constipated Assist the client to drink warm prune juice. Sequential compression devices Report any change in color in the client's feet or legs. Respiratory therapist cross-trained avoiding HIV positive client Provide the employee with feedback about the observed behavior. Medication error remains unchanged Examine medication administration data to determine use of new policy by nursing staff. Increase of nurse-to-patient ratio by 25% Disseminate factual information to all nursing staff to avoid misinformation and rumors. Respiratory rate decreases 14/ min -> 6/ min -> 4/min The decision regarding when to call the health care provider Glucometer checks post 2 days consistently 50-60 mg/dl higher Evaluate calibration of glucometer in use per manufacturer guidelines. Receptionist is responsible for taking client calls. Who to call back first? Casted right leg has a funny feeling tingling sensation. Two clients in one room. One client has MRSA the other one neutropenia. What intervention should the nurse implement? Transfer client with neutropenia to a private room. Signed witnessed DNR Confirm current resuscitation wishes with client and family hospice nurse end of life care MUCOUS MEMBRANE MOIST old client to rn (going to give to most experienced nurse) 72 YEAR OLD WITH DM 1 4 clients, iv infusing CEFTATRIAXONE IN 5% DEXTROSE uap, colostomy record amount charge nurse, rn, pn cardiac cath, no pedal pulses .Charge nurse takes over for nurse on break, which client checked first 40 ml dark colored urine UAP stuck in palm by needle with Hep -wash hands with soap and water Assess first -coronary syndrome with increasing SOB New clinical documentation -Need to discuss new clinical documentation that helps save lifes and require one more document PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP -can PCA be reinitiated Most immediate, intervention by nurse Pneumothorax with 80 SpO2% Intervention best to delegate to LPN Duragesic Morning lab, follow-up first BNP assay, MI with SOB 1000 UAP to assemble nephrostomy tube -change bag to leg bag Women health fair, PN helping RN -assist with bone density prep Warrants immediate attention -female with RLQ pain in abd, febrile and vomiting Delegated to UAP` apply abdominal binder Multidisplinary team -elderly man with BGL 400 Assess first -constipation -weakness -pressure ulcer with skin flap -hep A Triaging ER client assess first -elderly -child -female -male 67 y/o female client recently widowed, increased confusion/disorientation. -medical eval, managed healthcare plan Female resident who is mentally alert and lives in a long-term care facility reports that a staff member slapped her -does she know the name of the person Most important to assign which client to a RN rather than PN -Pain scale of 9 PN reports to RN, patient pulled out CVC, UAP is with him in room. Stat dose of oral antianxiety med. RN assign care -RN with CVC, PN stat med, UAP VS on new admission RN assigned to care for four surgical clients. Which client should nurse see first. 3 postop, 1 preop The nurse is caring for a group of clients on a surgical unit. What action should the nurse implement first prepared for OR 0200 nurse phones HCP to request med for client who is unable to sleep four times the the dose. Nurse questions, HCP sleepy says "yea, ok" action first call HCP about dosage Telephone triage at clinic office. Which client is most acute and should be scheduled for the first available appointment. 21 y/o with kidney transplant, fever of 102, flu-like symptoms Nurse should assess the client with which problem first arterial occlusion RN gathering supplies to assist HCP with bedside thoracentesis when ED calls to report on a client with unstable angina PN assist with thoracentesis, RN gets report, UAP prepares room UAP give bath and change bed linen on Kaposi sarcoma (associated with HIV) -tell UAP to wear gloves and gown when handling linen Safely assess last drainage -Jackson-Pratt, no postop drainage after 8 hours Postop RR decrease from 14 to 6 after opioid. 30 minutes later decreases to 4. Narcan given -why wait so long to call HCP Nurse determines that an IV vesicant chemo infusion is infiltrated -apply cold compress 5 y/o boy with mumps is transferred to the peds unit. Nursing intervention most important to implement? PPE cart placed in front of the clients door Evening shift on med unit is busy, only nurse on the unit is busy with an unstable patient. HTC is on the phone with the unit secretary for an order for OTC laxative PRN. What is the best response? -the nurse will call you back as soon as possible to obtain the order Elderly male who is ketoacidotic becomes agitated when the nurse attempts to orient the client to time and place. What room is the best for this client? -the room next to nurses station Pt diagnosed with unstable angina is scheduled for cardiac cath. Select all. -assess chest pain or armpit pain, check pulses on both feet, assess groin access site, monitory VS per post op protocol. Nationally known management consultant is expensive and is here to give a presentation at a local hospital. What is the best way to make sure that the information is received and passed onto other staff members? -send 2 nurses to get information Making assignments for the day, which info provided during change of shift report is most important for the charge nurse to consider? -elderly female client who refuses to be cared for by a male nurse Patient being transferred from PACU, what would finish the report... cardiac patient -when was the last narcotic given PN observes that LPN performed a dressing change. But when the PN goes the check the patient she notices that the dressing is 2 days old. What should the PN do first? -consult the LPN about the discrepancy 45. Charge nurse is making assignments in an inpatient psych unit. Which task should be given to the LPN -admin of routine meds