39 exam setsrn hesi leadership management proctored exam new 2023
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HESI RN LEADERSHIP PROCTORED EXAM
2023-2024
39 Latest Versions
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HESI RN LEADERSHIP PROCTORED
EXAM
2023
, HESI RN LEADERSHIP PROCTORED EXAM
VERSION 1
1. A nurse manager is preparing to institute a new system for scheduling staff. Several
nurses haveverbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately
beforeit implementHESIon
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the following
situHESIons requires the nurse to complete a variance report with regard to the
carepathway?
, A. Antibiotic therapy was initiated 2 hr after implementHESIon of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternHESIve antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
5. Client sHESIsfactory surveys from a med-surg unit indicate the pain is not being
adequately relieved during the first 12 hr post-opt. The unit manager decides to identify
post-opt pain as a quality indicator. Which of the following data sources will be helpful in
determine the reason why clients are not receiving adequate pain management
aftersurgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. PostoperHESIve carepolicy
D. Pain assessmentpolicy
6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and
has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent
dislodging the IV catheter. Which of the following questions should the precepting nurseask?
A. “Did you secure the restraints to the side rails of thebed?”
, B. “Are you able to insert two fingers between the restraint and the client‟sskin?”
C. “Did you tie the restraints using doubleknot?”
D. “Are you removing the client‟s restraints every 4hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse
requesta consultHESIon with the wound care specialist. Which of the following actions by
the nurse is appropriate when working with aconsultant?
A. Arrange the consultHESIon for time when the nurse is caring for the client is able
to be present forconsultHESIon
B. Provide the consultant with subjective opinions and beliefs about the client‟s woundcare
C. Request the consultHESIon after several wound care treatmenttried
D. Arrange for the wound care nurse specialist to see the client daily to provide
the recommendedtreatment
8. A client is admitted wit TB and placed in a negHESIve pressure room. Which of
thefollowing actions isappropriate?
A. Notify the local health department of theadmission
B. Place a sign on the client‟s door with thediagnosis
C. Ensure that admitting staff undergo PPD skintests
D. Determine who had contact with the client in the last 48hr
9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The
partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The
providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto make
decisions regarding the client‟s care. “Which of the following responses by the nurse is
appropriate?
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