HESI MANAGEMENT OF CARE MODULE 5 QUESTIONS
Which of the following actions exemplifies the use of evidence-based practice in the
delivery of client care?
Donning sterile gloves to change an abdominal wound dressing
Advising a client to agree to the treatment recommended by her primary health care
provider
Taking a rectal temperature from a client for whom bleeding precautions have been
instituted
Encouraging a client to take an herbal substance to treat his insomnia - Answer -
Donning sterile gloves to change an abdominal wound dressing
The registered nurse has accepted a new position as case manager in a hospital.
Which of the following responsibilities are part of the nurse's new role? Select all that
apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client - Answer -Evaluating
and updating the plan of care as needed
Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold
necklace. What should the nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to sign a release to free the hospital of responsibility if the necklace is
damaged or lost during the procedure - Answer -Ask the client for permission to lock
the necklace in the hospital safe
A nurse is assisting a primary health care provider in assessing a hospitalized client.
During the assessment, the primary health care provider is paged to report to the
recovery room. The primary health care provider leaves the client's bedside after giving
the nurse a verbal prescription to change the solution and rate of the intravenous (IV)
fluid being administered. What is the appropriate nursing action in this situation?
, Calling the nursing supervisor to obtain permission to accept the verbal prescription
Changing the solution and rate of the IV fluid per the physician's verbal prescription
Telling the primary health care provider that the prescription will not be implemented
until it is documented in the client's record
Asking the primary health care provider to write the prescription in the client's record
before leaving the nursing unit - Answer -Asking the primary health care provider to
write the prescription in the client's record before leaving the nursing unit
** A client asks a nurse about the procedure for becoming an organ donor. The nurse
tells the client:
To speak with the chaplain about the psychosocial aspects of becoming a donor
To let the primary health care provider know about the request so that it may be
documented in the client's record
That this decision must be made by the next of kin at the time of the client's death
That anatomical gifts should be made in writing and signed by the client - Answer -That
anatomical gifts must be made in writing and signed by the client
A client with cancer is transported to the radiology department for a bone scan to
determine whether the cancer has metastasized to bone. While the client is in the
radiology department, the client's wife arrives for a visit and asks what test is being
performed on the client. What should the nurse tell the wife?
She will have to discuss the prescribed test with the client.
A bone scan is being performed.
The radiology department is not clear as to which test has been prescribed.
She can read the client's medical record to determine what the primary health care
provider prescribed. - Answer -She will have to discuss the prescribed test with the
client.
A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical
record. What does the nurse know that a DNR order means? Select all that apply.
That it must be legally and ethically implemented.
The DNR order may be changed once it is in effect
The client is the responsible person who may change the DNR order.
The DNR order requires frequent review as specified by state or agency policy
That CPR can be started but no medications can be administered.
The DNR order, as written on admission, must remain in effect for the duration of the
client's hospitalization - Answer -That it must be legally and ethically implemented.
The DNR order may be changed once it is in effect
The client is the responsible person who may change the DNR order.
Which of the following actions exemplifies the use of evidence-based practice in the
delivery of client care?
Donning sterile gloves to change an abdominal wound dressing
Advising a client to agree to the treatment recommended by her primary health care
provider
Taking a rectal temperature from a client for whom bleeding precautions have been
instituted
Encouraging a client to take an herbal substance to treat his insomnia - Answer -
Donning sterile gloves to change an abdominal wound dressing
The registered nurse has accepted a new position as case manager in a hospital.
Which of the following responsibilities are part of the nurse's new role? Select all that
apply.
Assessing the client's needs for home supplies and equipment
Prescribing treatments specific to the client's needs
Evaluating and updating the plan of care as needed
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client - Answer -Evaluating
and updating the plan of care as needed
Assessing the client's needs for home supplies and equipment
Coordinating consultations and referrals to facilitate discharge
Establishing a safe and cost-effective plan of care with the client
A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold
necklace. What should the nurse do to safeguard the client's necklace?
Ask the client whether the necklace is gold
Ask the client to remove the necklace and place it in the top drawer of the bedside table
Ask the client for permission to lock the necklace in the hospital safe
Ask the client to sign a release to free the hospital of responsibility if the necklace is
damaged or lost during the procedure - Answer -Ask the client for permission to lock
the necklace in the hospital safe
A nurse is assisting a primary health care provider in assessing a hospitalized client.
During the assessment, the primary health care provider is paged to report to the
recovery room. The primary health care provider leaves the client's bedside after giving
the nurse a verbal prescription to change the solution and rate of the intravenous (IV)
fluid being administered. What is the appropriate nursing action in this situation?
, Calling the nursing supervisor to obtain permission to accept the verbal prescription
Changing the solution and rate of the IV fluid per the physician's verbal prescription
Telling the primary health care provider that the prescription will not be implemented
until it is documented in the client's record
Asking the primary health care provider to write the prescription in the client's record
before leaving the nursing unit - Answer -Asking the primary health care provider to
write the prescription in the client's record before leaving the nursing unit
** A client asks a nurse about the procedure for becoming an organ donor. The nurse
tells the client:
To speak with the chaplain about the psychosocial aspects of becoming a donor
To let the primary health care provider know about the request so that it may be
documented in the client's record
That this decision must be made by the next of kin at the time of the client's death
That anatomical gifts should be made in writing and signed by the client - Answer -That
anatomical gifts must be made in writing and signed by the client
A client with cancer is transported to the radiology department for a bone scan to
determine whether the cancer has metastasized to bone. While the client is in the
radiology department, the client's wife arrives for a visit and asks what test is being
performed on the client. What should the nurse tell the wife?
She will have to discuss the prescribed test with the client.
A bone scan is being performed.
The radiology department is not clear as to which test has been prescribed.
She can read the client's medical record to determine what the primary health care
provider prescribed. - Answer -She will have to discuss the prescribed test with the
client.
A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical
record. What does the nurse know that a DNR order means? Select all that apply.
That it must be legally and ethically implemented.
The DNR order may be changed once it is in effect
The client is the responsible person who may change the DNR order.
The DNR order requires frequent review as specified by state or agency policy
That CPR can be started but no medications can be administered.
The DNR order, as written on admission, must remain in effect for the duration of the
client's hospitalization - Answer -That it must be legally and ethically implemented.
The DNR order may be changed once it is in effect
The client is the responsible person who may change the DNR order.
