2022 HESI LEADERSHIP AND MANAGEMENT REVIEW 2023

2022 HESI LEADERSHIP AND MANAGEMENT REVIEW 2023 Leadership Hesi Review 1. The charge nurse, along with one nurse, two practical nurses (PN), a unit secretary, and two unlicensed assistive personal (UAP), is caring for 24 clients on a medical surgical unit. Which task is best for the charge nurse to assign to the nurse? o The admission assessment of a client diagnosed with bacterial pneumonia o The subclavian dressing change on a client diagnosed with inflammatory bowel disease o Transcription of the healthcare provider’s treatment plan for a client transferred from a critical care unit o The insertion of a foley catheter for a client diagnosed with septicemia 2. The nurse manager observes that the staff nurse has used wrist restraints to help secure an elderly female in her wheelchair. The client is pleading for the nurse to release her arms. The nurse explains to the nurse-manager that the client needs to be retrained in the wheelchair so that the nurse can change her bed linens. What is the priority action by the nurse-manager? o Close the door to the room to avoid disturbing other clients in nearby rooms. o Advise the staff nurse to remove the restraints from the client’s wrists o Contact the healthcare provider to ensure that a prescription for restraints was written o Determine if the client has a PRN prescription for an antianxiety agent 3. After having coronary artery bypass surgery, a client develops a deep venous thrombosis in the left leg. Which nurse should be responsible for coordinating the progression of the client’s care? o Risk management nurse o Nurse case manager o Cardiology unit supervisor o Adult nurse practitioner 4. A client is transferred to the surgical unit following a strangulated inguinal hernia repair. The post anesthesia care unit nurse reports the total intake and output that occurred during surgery, the sedation reversal agent, and two episodes of emesis post extubation. Which additional information should the nurse provide to complete this report? o Soft abdomen, absent bowel sounds, no bleeding on dressing o Peripheral pulses present with full range of motion of both legs o History of vomiting at home for 3 days prior to surgery o Refuses to take ice chips for complaints of dry mouth