HESI RN MANAGEMENT PRACTICE EXAM
The nurse is preparing assignments for the day shift. It is most important that the
client with which diagnosis and description is assigned to a registered nurse?
Menorrhagia: 24 hours post vaginal hysterectomy.
Myocardial Infarction: 4-days post infarction, transferred from ICU yesterday.
Depression: Admitted during the night, following a suicide attempt with an
overdose of Tylenol.
Pneumonia: A 4-year-old who is receiving IV antibiotics. - ANSWER-Depression:
Admitted during the night, following a suicide attempt with an overdose of
Tylenol.
Rationale
The client with depression who was admitted during the night, following a suicide
attempt with an overdose of Tylenol requires communication skills and assessment
skills beyond the educational level of a practical nurse or UAP. Establishing a
therapeutic, one-to-one relationship with a depressed client is beyond the scope of
practice for a practical nurse. Additionally, tylenol is extremely hepatotoxic and
careful assessment is essential.
,The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a large acute
care hospital is making assignments. Currently, there are 20 clients on the unit and
4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the
staff consists of two experienced practical nurses (PN) and one unlicensed assistive
personnel (UAP) who has worked on the unit for 10 years. Taking into
consideration the acuity of each client, which distribution of clients is the best
assignment for the nurse to make?
10 clients and 2 admissions to each of the PNs. Have the UAP take all vital signs
and collect all I&Os.
10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse
takes the 4 new admissions.
8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions to
the UAP.
8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity
clients to the - ANSWER-10 clients to each of the PNs. Have the UAP take vital
signs. The charge nurse takes the 4 new admissions.
Rationale
Considering acuity level, it is best for the nurse to assign 10 clients to each of the
PNs, have the UAP take vial signs and collect I&Os and the charge nurse care for
the new admissions since they will all require assessment by the RN. The charge
nurse should take the new admissions.
The nurse is designing a program to control nosocomial infections on a geriatric
unit of an acute care hospital. What strategy should be included in this plan?
, Do not allow those with influenza to be admitted to the unit.
Require that all clients receive a pneumonia vaccine prior to admission.
Ensure that sterile technique is followed when changing surgical dressings.
Encourage clients to drink water to prevent urinary tract infections. - ANSWER-
Ensure that sterile technique is followed when changing surgical dressings.
Rationale
A nosocomial infection is one that was not present or incubating at the time of
admission, and using appropriate sterile technique and medical asepsis helps to
prevent this type of infection from occurring. The other options are infection
preventive techniques, but are not specific to the prevention of nosocomial
infections.
A nurse who works in an acute minor illness clinic returns from lunch and finds
several clients who need attention. Which client should the nurse attend to first?
A 10-year-old with asthma who is responding well to nebulizer treatments.
A three-week-old infant who is nursing and was brought in because he had a fever.
A 4-year-old receiving intravenous fluid for dehydration whose IV fluid bag is
empty.
The nurse is preparing assignments for the day shift. It is most important that the
client with which diagnosis and description is assigned to a registered nurse?
Menorrhagia: 24 hours post vaginal hysterectomy.
Myocardial Infarction: 4-days post infarction, transferred from ICU yesterday.
Depression: Admitted during the night, following a suicide attempt with an
overdose of Tylenol.
Pneumonia: A 4-year-old who is receiving IV antibiotics. - ANSWER-Depression:
Admitted during the night, following a suicide attempt with an overdose of
Tylenol.
Rationale
The client with depression who was admitted during the night, following a suicide
attempt with an overdose of Tylenol requires communication skills and assessment
skills beyond the educational level of a practical nurse or UAP. Establishing a
therapeutic, one-to-one relationship with a depressed client is beyond the scope of
practice for a practical nurse. Additionally, tylenol is extremely hepatotoxic and
careful assessment is essential.
,The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a large acute
care hospital is making assignments. Currently, there are 20 clients on the unit and
4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the
staff consists of two experienced practical nurses (PN) and one unlicensed assistive
personnel (UAP) who has worked on the unit for 10 years. Taking into
consideration the acuity of each client, which distribution of clients is the best
assignment for the nurse to make?
10 clients and 2 admissions to each of the PNs. Have the UAP take all vital signs
and collect all I&Os.
10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse
takes the 4 new admissions.
8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions to
the UAP.
8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity
clients to the - ANSWER-10 clients to each of the PNs. Have the UAP take vital
signs. The charge nurse takes the 4 new admissions.
Rationale
Considering acuity level, it is best for the nurse to assign 10 clients to each of the
PNs, have the UAP take vial signs and collect I&Os and the charge nurse care for
the new admissions since they will all require assessment by the RN. The charge
nurse should take the new admissions.
The nurse is designing a program to control nosocomial infections on a geriatric
unit of an acute care hospital. What strategy should be included in this plan?
, Do not allow those with influenza to be admitted to the unit.
Require that all clients receive a pneumonia vaccine prior to admission.
Ensure that sterile technique is followed when changing surgical dressings.
Encourage clients to drink water to prevent urinary tract infections. - ANSWER-
Ensure that sterile technique is followed when changing surgical dressings.
Rationale
A nosocomial infection is one that was not present or incubating at the time of
admission, and using appropriate sterile technique and medical asepsis helps to
prevent this type of infection from occurring. The other options are infection
preventive techniques, but are not specific to the prevention of nosocomial
infections.
A nurse who works in an acute minor illness clinic returns from lunch and finds
several clients who need attention. Which client should the nurse attend to first?
A 10-year-old with asthma who is responding well to nebulizer treatments.
A three-week-old infant who is nursing and was brought in because he had a fever.
A 4-year-old receiving intravenous fluid for dehydration whose IV fluid bag is
empty.
