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 charg...
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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?
oThe admission assessment of a client diagnosed with bacterial pneumonia
oThe subclavian dressing change on a client diagnosed with inflammatory bowel disease
oTranscription 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?
oClose 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
oContact the healthcare provider to ensure that a prescription for restraints was written
oDetermine 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
oNurse case manager
oCardiology unit supervisor
oAdult nurse practitioner
4.A client is transferred to the surgical unit following a strangulated inguinal hernia repair. The 1 c
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?
oSoft abdomen, absent bowel sounds, no bleeding on dressing
o Peripheral pulses present with full range of motion of both legs
oHistory of vomiting at home for 3 days prior to surgery
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oRefuses to take ice chips for complaints of dry mouth
5.When assessing a client who is returned to the unit following a left nephrectomy, the nurse notes a small amount of bloody drainage at the drain site. Which intervention is most important for the nurse to include in this client’s plan of care?
oDocument temperature every four hours
oTurn, cough, deep breath
oProvide sips of water and ice chips
o Monitor urinary output hourly
6.The nurse assigns collection of a sputum specimen to an unlicensed assistive personnel (UAP). Before delegating this task to the UAP, which action is most important for the nurse to
implement?
oVerify the UAP has read the procedure for collection of sputum specimen.
oDetermine if the UAP received training to collect sputum specimen.
oAssess the client’s willingness to allow the UAP to collect the specimen.
o Review the institutional policy for delegation with the nursing supervisor.
7.A nurse is performing telephone triage at the clinic office. Which client has the most acute problem and should be scheduled for the first available appointment?
oA 2-year-old girl with a history of a “cold.” Today she is tugging on her ear and has a fever of 102 F (38.9 C).
o A 42-year-old male who hurt his back while lifting yesterday. Today he has non-radiating, low- pain rated at 10 on a scale of 1 to 10.
oA client at 38-weeks gestation who today noted a small amount of bright red blood on the toilet paper after passing stool.
oA 21-year-old with a history of a kidney transplant. Today the client reports “flu- like” symptoms with a fever of 100.4 F (38 C).
8.The nurse hears a newly employed unlicensed assistive personnel (UAP) who is working in a long-term care facility calling the adult residents “honey” and “dearie.” What is the best action for the nurse to take?
oRole model the correct approach for addressing the residents.
oAsk the long term care facility supervisor to rebuke the UAP.
o Meet with the UAP to discuss respectful client care strategies.
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