Hesi Leadership Exam Questions With
New Update Solutions / Verified
The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response
Syndrome (SIRS). Which collaborative care goals should the nurse include in the
plan of care? (Select all that apply)
- BODY TEMP within normal limits.
- REDUCE WBC count.
- NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the
greatest risk for developing osteomyelitis?
OLDER ADULT WITH OSTEOPOROSIS WHO IS ON BEDREST FOLLOWING
COMPRESSION FRACTURE OF THE VERTEBRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's potassium level is 2.5
mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which intervention is
most important for the nurse to include in this client's plan of care?
Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and
is receiving palliative home care the day. Which intervention should the nurse ask
the PN to ensure the family is providing the client?
MUCOUS MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an
experienced and capable unlicensed assistive personnel (UAP). Which nursing
actions can the nurse delegate to the UP? (Select all that apply.)
- POST OP VITAL SIGNS
- HYGIENE CARE FOLLOWING TRAUMATIC - FOOT AMPUTATION
, While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background?
The client's significant history includes atrial fibrillation and hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits
BE AVAILABLE TO ALL SHIFTS TO DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The UAP found one of the visitors lying on the client's bed. Which
action should the nurse implement?
Explain to the UAP that the client has the right to have visitors lying on the bed
.The healthcare provider prescribes an oral medication to be given daily for 3
days. However, the medication was also given on the fourth day. Which
intervention is most important for the charge nurse to implement?
REVIEW MEDICATION TRANSCRIPTION WITH THE NURSE
.
Which client requires the most immediate intervention by the nurse?
A client with acute kidney injury (AKI) who is somnolent and does respond to verbal
commands.
. The nurse receives a telephone prescription from the healthcare provider for a
client's persistent cough and wheezing, The prescription includes a chest xray,
an antibiotic, and a nebulizer treatment now and PRN. Alter reading the
prescription back to the healthcare provider to ensure accuracy, which
intervention should the nurse implement first?
Nebulizer breathing treatment
An experienced, female practical nurse (PN) is hired to work on the surgical unit
of a tertiary hospital. The first day she is working on the unit, the PN tells the
charge nurse that she has excellent wound care skills. It is a busy day and a
postoperative client needs to have a sterile dressing change. Which action is best
for the charge nurse to take?
Watch the PN perform sterile wound care to validate her skill level
New Update Solutions / Verified
The nurse is caring for an older adult who was admitted with a Urinary tract
infection and is now exhibiting signs of Severe Inflammatory Response
Syndrome (SIRS). Which collaborative care goals should the nurse include in the
plan of care? (Select all that apply)
- BODY TEMP within normal limits.
- REDUCE WBC count.
- NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has the
greatest risk for developing osteomyelitis?
OLDER ADULT WITH OSTEOPOROSIS WHO IS ON BEDREST FOLLOWING
COMPRESSION FRACTURE OF THE VERTEBRAE
. A male college student is brought to an emergency clinic by his friends because
they report that he has been vomiting for the past 3 days as the result of food
poisoning. Laboratory findings indicate that the client's potassium level is 2.5
mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which intervention is
most important for the nurse to include in this client's plan of care?
Initiate cardiac monitoring for the clients.
The practical nurse (PN) is visiting a client who has stage four colon cancer and
is receiving palliative home care the day. Which intervention should the nurse ask
the PN to ensure the family is providing the client?
MUCOUS MEMBRANE MOIST
The nurse is caring for a group of five clients with the assistance of an
experienced and capable unlicensed assistive personnel (UAP). Which nursing
actions can the nurse delegate to the UP? (Select all that apply.)
- POST OP VITAL SIGNS
- HYGIENE CARE FOLLOWING TRAUMATIC - FOOT AMPUTATION
, While eating breakfast, a client admitted with syncope and a 2-month history of
vertigo complains of dizziness. Using the standard communication tool SBAR
(Situation, Background, Assessment, Recommendation), which statement is best
for the nurse to provide the healthcare provider about the client's background?
The client's significant history includes atrial fibrillation and hypoglycemia.
Several nurses are elected by their peers to serve on a negotiating committee to
recommend new healthcare benefits
BE AVAILABLE TO ALL SHIFTS TO DISCUSS CHANGES IN HEALTH BENEFITS
Several family members are visiting a client who had a myocardial infarction 4
days ago. The UAP found one of the visitors lying on the client's bed. Which
action should the nurse implement?
Explain to the UAP that the client has the right to have visitors lying on the bed
.The healthcare provider prescribes an oral medication to be given daily for 3
days. However, the medication was also given on the fourth day. Which
intervention is most important for the charge nurse to implement?
REVIEW MEDICATION TRANSCRIPTION WITH THE NURSE
.
Which client requires the most immediate intervention by the nurse?
A client with acute kidney injury (AKI) who is somnolent and does respond to verbal
commands.
. The nurse receives a telephone prescription from the healthcare provider for a
client's persistent cough and wheezing, The prescription includes a chest xray,
an antibiotic, and a nebulizer treatment now and PRN. Alter reading the
prescription back to the healthcare provider to ensure accuracy, which
intervention should the nurse implement first?
Nebulizer breathing treatment
An experienced, female practical nurse (PN) is hired to work on the surgical unit
of a tertiary hospital. The first day she is working on the unit, the PN tells the
charge nurse that she has excellent wound care skills. It is a busy day and a
postoperative client needs to have a sterile dressing change. Which action is best
for the charge nurse to take?
Watch the PN perform sterile wound care to validate her skill level
