38 exam sets leadership hesi proctored exam new 2023
38 exam sets leadership proctored hesi exam new 2023
38 exam sets 100 correct amp v
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HESI LEADERSHIP PROCTORED EXAM
2023-2024
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HESI LEADERSHIP PROCTORED EXAM
2023
, VERSION 1
1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the
steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box
on the right, placing them in the selected order of performance. Use all the steps.)
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
2.A nurse is caring for a client who is dying of metastHESIc breast cancer. She has a prescription for an opioid pain
medicHESIon PRN. The nurse is concerned that administering a dose of pain medicHESIon might hasten the client's
death. Which of the following ethical principles should the nurse use to support the decision not to administer the
medicHESIon?
A. Utilitarianism
RHESIonale:Utilitarianism refers to actions that are right when they contribute to the greatest good.
B. Nonmaleficence
RHESIonale:Nonmaleficence is the duty to do no harm. The ethical mandate of nonmaleficence is that health care
workers refrain from intentionally inflicting harm to clients.
C. Fidelity
RHESIonale:Fidelity is the duty to keep one's promises or word. It refers to the obligHESIon to be faithful to the
agreements, commitments, and responsibilities that one has made to oneself and others.
D. Veracity
RHESIonale:Veracity is the duty to tell the truth. It means that one does not intentionally deceive or mislead clients.
3.A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the
nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements
should the charge nurse make to resolve this conflict?
A. "I need to talk to you about unit expectHESIons regarding delegHESIng and completing tasks."
, RHESIonale:This statement opens the conversHESIon in a nonthreatening way. The focus is on the issue of the equity
of the assignment rather than on any personal characteristic of the individual.
B. "Several staff members have commented that you don't do your fair share of the work."
RHESIonale:This statement is accusatory.
C. "If you don't do your share of the work, I will have to inform the nurse manager." RHESIonale:This
statement is punitive.
D. "You have been very inconsiderate of others by not completing your share of the work."
RHESIonale:This statement is punitive.
4.A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about
the surgeon’s medical diagnosis. The nurse responds that he is unable to provide the informHESIon requested. The
nurse is displaying which of the following ethical principles?
A. Utility
RHESIonale:Utility is the ethical principle that the good of many people outweighs the good of one person.
B. Paternalism
RHESIonale:Paternalism is the belief that one individual has the right to make decisions for another. It negates
the client’s right to autonomy. C. Justice
RHESIonale:Justice is the ethical principled based on the belief that everyone should be treated fairly.
D. Nonmaleficence
RHESIonale:The nurse is obligated to protect the client’s confidential informHESIon. A breach of confidentiality can
place the client at risk of harm. Nonmaleficence is the ethical duty to prevent harm to the client.
5.When planning delegHESIon of tasks to assistive personnel (AP), a nurse considers the five rights of delegHESIon.
Which of the following should the nurse consider when using one of the five rights of delegHESIon?
A. The AP's ability to prioritize
RHESIonale:Although the nurse could determine the AP’s ability to prioritize, this is not one of the rights of
delegHESIon.
B. The AP has the knowledge and skill to perform the task
RHESIonale:The right person is one of the five rights of delegHESIon. The nurse should seek informHESIon from the
AP about his individual skill level before delegHESIng the task.
C. The AP's rapport with clients
, RHESIonale:Although a positive rapport with clients is important, this is not one of the five rights of delegHESIon.
D. The AP’s ability to complete the task without assistance
RHESIonale:
The nurse does not relinquish accountability for supervising the AP; therefore, this is not one of the five rights of
delegHESIon.
6.While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse
take first?
A. Complete an incident report.
RHESIonale:The nurse should complete an incident report; however, there is another action the nurse should take first.
B. Request the risk manager obtain consent for HIV testing from the client.
RHESIonale:Although it is important that the client’s HIV status is determined, there is another action the nurse should
take first.
C. Wash the site of injury with soap and water.
RHESIonale:The greatest risk to the nurse is infection transmission; therefore, the nurse should first wash the area
with soap and water to reduce the risk of transmission. D. Consent to postexposure treatment with antiretroviral
medicHESIons.
RHESIonale:Although treatment with antiretroviral medicHESIons should be started within 1 to 2 hr after a needle stick
injury and be continued for 28 days if the client’s HIV status is positive, there is another action the nurse should take
first.
7.A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs
clarificHESIon about this type of advance directives. Which of the following statements by the client indicates a need for
clarificHESIon?
A. "I can change who I designate as my health care proxy at any time."
RHESIonale:This is a correct statement regarding a health care proxy.
B. "If I become incapacitated, end-of-life choices will be made by my proxy."
RHESIonale:This is a correct statement regarding a health care proxy.
C. "I have to choose a family member as my health proxy."
RHESIonale:The client should choose someone he trusts and knows about his wishes for day-to-day and end-of-life
care. It can be a family member, but it does not have to be a family member.
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