LEADERSHIP MANAGEMENT HESI EXIT EXAM NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
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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?
The insertion of a foley catheter for a client diagnosed with septicemia
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?
Advise the staff nurse to remove the restraints from the client’s wrists
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?
Risk management nurse
,A client is transferred to the surgical unit following a strangulated inguinal
hernia repair. The 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?
Peripheral pulses present with full range of motion of both legs
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?
Monitor urinary output hourly
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?
Review the institutional policy for delegation with the nursing supervisor.
,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?
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.
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?
Meet with the UAP to discuss respectful client care strategies.
The nurse is planning care for a client who is experiencing acute pain. Which
intervention can be implemented by the unlicensed assistive personnel (UAP)
in providing personal care for this client?
Distraction
The nurse calls a surgeon about a male client who is having abdominal pain
after a bowel resection. He received hydromorphone 2 hours ago and is now
requesting additional pain medication. Vital signs include temperature 97.8 F
(36.6 C), heart rate 112 beats/minute, respirations 24 breaths/minute, and
, blood pressure is 98/62 mmHg, which is lower from previous reading one hour
ago. The client has a history of chronic atrial fibrillation and takes clopidogrel,
which was continued until one day prior to surgery. The nurse recommends
that the surgeon see the client immediately to evaluate the situation. What
information makes this report complete?
The abdomen is rigid, tender to touch, and distended
An older female client who was recently widowed has become increasingly
confused and disoriented. Her family tells the healthcare provider’s office
nurse that it is imperative for their mother to be admitted to the hospital for
medical evaluation. The client is a member of a managed healthcare plan.
Which information is best for the nurse to provide this family?
Managed care providers have mandatory pre-certification requirements for
hospitalization.
The charge nurse on a surgical unit is assessing the morning lab work on four
clients. Which client’s lab finding should be reported to the healthcare provider
immediately?
An elderly client in end-stage renal disease who has a creatinine level of 2.4
mg/dL (212 micromol/L) and a BUN of 84 mg/dL (30 mmol/L)
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