HESI Management Practice
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1. The nurse is preparing assignments for the day shift. It C. Depression: Admitted
is most important that the client with which diagnosis during the night following
and description is assigned to a RN? a suicide attempt with an
A. Menorrhagia: 24 hrs post vaginal hysterectomy. OD of Tylenol
B. MI: 4-days post infarction, transferred from ICU yes- Rationale: Requires com-
terday. munication skills and as-
C. Depression: Admitted during the night following a sessment skills beyond the
suicide attempt with an OD of Tylenol educational level of a PN or
D. Pneumonia: A 4 yo who is receiving IB antibiotics UAP. Establishing a ther-
apeutic, one-on-one rela-
tionship with a depressed
client is beyond the scope
of practice for a PN. Addi-
tionally, Tylenol is exteme-
ly hepatotoxic and careful
assessment is essential.
2. During report, the charge nurse informs a nurse that A. Continue with report,
she must work on another unit. The nurse begins to and talk to the nurse about
sigh deeply and tosses about her belongings as she is the incident at a later
preparing to leave, making it known that she is very time.
unhappy about having to "float." What is the best im- Rationale: This is the best
mediate action for the charge nurse to take? immediate action. At a lat-
A. Continue with report, and talk to the nurse about er time the charge nurse
the incident at a later time. should discuss with the
B. Ask the nurse to call the supervisor to see if she can nurse in private her inap-
be reassigned. propriate conduct.
C. Stop report and remind the nurse that all staff must
"float" at some time.
D. In the presences of other staff members, inform the
nurse that her behavior is inappropriate.
, HESI Management Practice
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3. A 15yo sexually active girl diagnosed with PID is admit- D. A private room.
ted to the hospital with a temp of 101.6 F and purulent Rationale: Despite the fact
vaginal discharge. She has no insurance and tells the that the client has no in-
nurse she enjoys small children. Which room should surance and enjoys small
the nurse assign this client? children, she in infected
A. A semi-private room with a 4yo girl who is currently and should be placed in a
receiving chemotherapy. private room. The client is
B. A semi-private room with an older adolescent girl not acutely ill and does not
who had surgery yesterday. need to be assigned next
C. A room close to the nurse's station. to the nurse's station.
D. A private room.
4. The RN and UAP are working together to provide care D. UAP: Personal care,
for a bedfast client needing total care, medications, I&O. RN: Catheter irriga-
and Foley catheter irrigation. How should the RN as- tion, medications.
sign the client's care? Rationale: The RN is re-
A. UAP: Personal care, catheter irrigation, I&O. RN: ponsible to med adminis-
Medications. tration and sterile proce-
B. UAP: Personal care. RN: Medications, catheter irriga- dures such as catheter ir-
tion, I&O. rigation. The UAP is qual-
C. UAP: Catheter irrigation, I&O. RN: Medications. Both ified to provide personal
provide personal care. care and measure I&O.
D. UAP: Personal care, I&O. RN: Catheter irrigation,
medications.
5. The charge nurse assigns the care of a client with dia- D. Confer with the PN
betes who has hyperglycemia to a PN. In supervising about any manifestations
the PN, what is the charge nurse's most important the client is exhibiting.
action? Rationale: The nurse's ex-
A. Decide which sliding scale insulin dose should be pertise in needed to per-
administered. form a critical assess-
B. Obtain the blood sugar results via skin puncture and ment, such as assessing
Study online at https://quizlet.com/_3t29fr
1. The nurse is preparing assignments for the day shift. It C. Depression: Admitted
is most important that the client with which diagnosis during the night following
and description is assigned to a RN? a suicide attempt with an
A. Menorrhagia: 24 hrs post vaginal hysterectomy. OD of Tylenol
B. MI: 4-days post infarction, transferred from ICU yes- Rationale: Requires com-
terday. munication skills and as-
C. Depression: Admitted during the night following a sessment skills beyond the
suicide attempt with an OD of Tylenol educational level of a PN or
D. Pneumonia: A 4 yo who is receiving IB antibiotics UAP. Establishing a ther-
apeutic, one-on-one rela-
tionship with a depressed
client is beyond the scope
of practice for a PN. Addi-
tionally, Tylenol is exteme-
ly hepatotoxic and careful
assessment is essential.
2. During report, the charge nurse informs a nurse that A. Continue with report,
she must work on another unit. The nurse begins to and talk to the nurse about
sigh deeply and tosses about her belongings as she is the incident at a later
preparing to leave, making it known that she is very time.
unhappy about having to "float." What is the best im- Rationale: This is the best
mediate action for the charge nurse to take? immediate action. At a lat-
A. Continue with report, and talk to the nurse about er time the charge nurse
the incident at a later time. should discuss with the
B. Ask the nurse to call the supervisor to see if she can nurse in private her inap-
be reassigned. propriate conduct.
C. Stop report and remind the nurse that all staff must
"float" at some time.
D. In the presences of other staff members, inform the
nurse that her behavior is inappropriate.
, HESI Management Practice
Study online at https://quizlet.com/_3t29fr
3. A 15yo sexually active girl diagnosed with PID is admit- D. A private room.
ted to the hospital with a temp of 101.6 F and purulent Rationale: Despite the fact
vaginal discharge. She has no insurance and tells the that the client has no in-
nurse she enjoys small children. Which room should surance and enjoys small
the nurse assign this client? children, she in infected
A. A semi-private room with a 4yo girl who is currently and should be placed in a
receiving chemotherapy. private room. The client is
B. A semi-private room with an older adolescent girl not acutely ill and does not
who had surgery yesterday. need to be assigned next
C. A room close to the nurse's station. to the nurse's station.
D. A private room.
4. The RN and UAP are working together to provide care D. UAP: Personal care,
for a bedfast client needing total care, medications, I&O. RN: Catheter irriga-
and Foley catheter irrigation. How should the RN as- tion, medications.
sign the client's care? Rationale: The RN is re-
A. UAP: Personal care, catheter irrigation, I&O. RN: ponsible to med adminis-
Medications. tration and sterile proce-
B. UAP: Personal care. RN: Medications, catheter irriga- dures such as catheter ir-
tion, I&O. rigation. The UAP is qual-
C. UAP: Catheter irrigation, I&O. RN: Medications. Both ified to provide personal
provide personal care. care and measure I&O.
D. UAP: Personal care, I&O. RN: Catheter irrigation,
medications.
5. The charge nurse assigns the care of a client with dia- D. Confer with the PN
betes who has hyperglycemia to a PN. In supervising about any manifestations
the PN, what is the charge nurse's most important the client is exhibiting.
action? Rationale: The nurse's ex-
A. Decide which sliding scale insulin dose should be pertise in needed to per-
administered. form a critical assess-
B. Obtain the blood sugar results via skin puncture and ment, such as assessing
