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HESI MANAGEMENT PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HESI MANAGEMENT PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HESI MANAGEMENT PRACTICEQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheWnurseWisWpreparingWassignmentsWforWtheWdayWshift.WItWisWmostWimportantWthatWtheWclientWwithWwhic
hWdiagnosisWandWdescriptionWisWassignedWtoWaWRN?
A.WMenorrhagia:W24WhrsWpostWvaginalWhysterectomy.
B.WMI:W4-daysWpostWinfarction,WtransferredWfromWICUWyesterday.
C.WDepression:WAdmittedWduringWtheWnightWfollowingWaWsuicideWattemptWwithWanWODWofWTylenol
D.WPneumonia:WAW4WyoWwhoWisWreceivingWIBWantibioticsW-
WANSWERWC.WDepression:WAdmittedWduringWtheWnightWfollowingWaWsuicideWattemptWwithWanWODWofWTyle
nol
Rationale:WRequiresWcommunicationWskillsWandWassessmentWskillsWbeyondWtheWeducationalWlevelWofWaWP
NWorWUAP.WEstablishingWaWtherapeutic,Wone-on-
oneWrelationshipWwithWaWdepressedWclientWisWbeyondWtheWscopeWofWpracticeWforWaWPN.WAdditionally,WTyl
enolWisWextemelyWhepatotoxicWandWcarefulWassessmentWisWessential.
DuringWreport,WtheWchargeWnurseWinformsWaWnurseWthatWsheWmustWworkWonWanotherWunit.WTheWnurseWb
eginsWtoWsighWdeeplyWandWtossesWaboutWherWbelongingsWasWsheWisWpreparingWtoWleave,WmakingWitWknow
nWthatWsheWisWveryWunhappyWaboutWhavingWtoW"float."WWhatWisWtheWbestWimmediateWactionWforWtheWcha
rgeWnurseWtoWtake?
A.WContinueWwithWreport,WandWtalkWtoWtheWnurseWaboutWtheWincidentWatWaWlaterWtime.
B.WAskWtheWnurseWtoWcallWtheWsupervisorWtoWseeWifWsheWcanWbeWreassigned.
C.WStopWreportWandWremindWtheWnurseWthatWallWstaffWmustW"float"WatWsomeWtime.
D.WInWtheWpresencesWofWotherWstaffWmembers,WinformWtheWnurseWthatWherWbehaviorWisWinappropriate.W-
WANSWERWA.WContinueWwithWreport,WandWtalkWtoWtheWnurseWaboutWtheWincidentWatWaWlaterWtime.
Rationale:WThisWisWtheWbestWimmediateWaction.WAtWaWlaterWtimeWtheWchargeWnurseWshouldWdiscussWwithW
theWnurseWinWprivateWherWinappropriateWconduct.
AW15yoWsexuallyWactiveWgirlWdiagnosedWwithWPIDWisWadmittedWtoWtheWhospitalWwithWaWtempWofW101.6WFW
andWpurulentWvaginalWdischarge.WSheWhasWnoWinsuranceWandWtellsWtheWnurseWsheWenjoysWsmallWchildren.
WWhichWroomWshouldWtheWnurseWassignWthisWclient?
A.WAWsemi-privateWroomWwithWaW4yoWgirlWwhoWisWcurrentlyWreceivingWchemotherapy.
B.WAWsemi-privateWroomWwithWanWolderWadolescentWgirlWwhoWhadWsurgeryWyesterday.
, C.WAWroomWcloseWtoWtheWnurse'sWstation.
D.WAWprivateWroom.W-WANSWERWD.WAWprivateWroom.
Rationale:WDespiteWtheWfactWthatWtheWclientWhasWnoWinsuranceWandWenjoysWsmallWchildren,WsheWinWinfect
edWandWshouldWbeWplacedWinWaWprivateWroom.WTheWclientWisWnotWacutelyWillWandWdoesWnotWneedWtoWbeW
assignedWnextWtoWtheWnurse'sWstation.
TheWRNWandWUAPWareWworkingWtogetherWtoWprovideWcareWforWaWbedfastWclientWneedingWtotalWcare,Wmed
ications,WandWFoleyWcatheterWirrigation.WHowWshouldWtheWRNWassignWtheWclient'sWcare?
A.WUAP:WPersonalWcare,WcatheterWirrigation,WI&O.WRN:WMedications.
B.WUAP:WPersonalWcare.WRN:WMedications,WcatheterWirrigation,WI&O.
C.WUAP:WCatheterWirrigation,WI&O.WRN:WMedications.WBothWprovideWpersonalWcare.
D.WUAP:WPersonalWcare,WI&O.WRN:WCatheterWirrigation,Wmedications.W-
WANSWERWD.WUAP:WPersonalWcare,WI&O.WRN:WCatheterWirrigation,Wmedications.
Rationale:WTheWRNWisWreponsibleWtoWmedWadministrationWandWsterileWproceduresWsuchWasWcatheterWirrig
ation.WTheWUAPWisWqualifiedWtoWprovideWpersonalWcareWandWmeasureWI&O.
TheWchargeWnurseWassignsWtheWcareWofWaWclientWwithWdiabetesWwhoWhasWhyperglycemiaWtoWaWPN.WInWsu
pervisingWtheWPN,WwhatWisWtheWchargeWnurse'sWmostWimportantWaction?
A.WDecideWwhichWslidingWscaleWinsulinWdoseWshouldWbeWadministered.
B.WObtainWtheWbloodWsugarWresultsWviaWskinWpunctureWandWglucometer.
C.WNotifyWtheWhealthcareWproviderWofWtheWdailyWserumWglucoseWresults.
D.WConferWwithWtheWPNWaboutWanyWmanifestationsWtheWclientWisWexhibiting.W-
WANSWERWD.WConferWwithWtheWPNWaboutWanyWmanifestationsWtheWclientWisWexhibiting.
Rationale:WTheWnurse'sWexpertiseWinWneededWtoWperformWaWcriticalWassessment,WsuchWasWassessingWtheW
clientWforWsignsWofWhyperglycemiaWandWtoWsuperviseWtheWongoingWmonitoringWofWtheWclientWbyWtheWPN.
AWRNWisWcaringWforWseveralWclientsWonWaWprogressiveWcareW"step-
down"Wunit.WAfterWassessingWtheWclients,WwhichWclericalWtaskWshouldWtheWnurseWassignWtoWaWUAP?
A.WChartWpulseWoxWreadingsWandWtypeWofWbreathWsoundsWauscultatedWinWtheWmedicalWrecord.
B.WRecordWtheWpresenceWofWblood-tingedWurineWandWtheWhourlyWFoleyWoutputWonWtheWflowWsheet.
C.WDocumentWtheWtypeWandWamountWofWdrainageWonWaWnewWsurgicalWdressingWinWtheWprogressWnote.
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