LEADERSHIP HESI EXAM | ALL QUESTIONS
AND CORRECT ANSWERS | GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION |
JUST RELEASED
An experienced practical nurse (PN) and an unlicensed assistive personnel
(UAP) are working together to assist neurologically compromised clients at
mealtime. Which task is best for the PN to perform?
A. Feed a quadriplegic client who has difficulty chewing and swallowing
B. Assist a client with an ataxic gait transfer to a wheelchair before the
meal
C. Measure the allowed fluid amounts for a client on strict fluid restriction
D. Explain the food choices on the meal tray to a confused client ------
CORRECT ANSWER---------------A. Feed a quadriplegic client who has
difficulty chewing and swallowing
A client with severe bilateral crush injuries to the lower extremities is
informed by the HCP that amputation is the only option for the client to live.
The client requests no life saving measure to be taken. The HCP refuses to
write the DNR order. Which action should the nurse take?
A. Remind the client that new treatments are being developed daily.
B. Facilitate a palliative care meeting with the client and healthcare
provider.
C. Initiate a review of the situation by the hospital's ethics committee.
D. Provide the healthcare provider with a copy of the client's bill of rights. ---
---CORRECT ANSWER---------------C. Initiate a review of the situation by
the hospital's ethics committee.
One hour after the nurse administers an analgesic, the unlicensed assistive
personnel (UAP) reports to the nurse that the client refuses to turn in bed
,because of continued pain. Which action should the nurse take? (just like
#18, RN must assess if the medication is not working)
a. Assign the UP to monitor the client's pain until relief is obtained.
b. Administer an additional prescribed PRN dose of an analgesic.
c. Assess the client's current pain level and response to the analgesic.
d. Advise the UAP about the need for the client to turn frequently. ------
CORRECT ANSWER---------------c. Assess the client's current pain level
and response to the analgesic.
An older male client who lives alone has a history of heart failure and is
admitted to the hospital after passing out while walking to the mailbox. The
nurse notes multiple treatments with a cardiac glycoside, diuretic, and
restricted sodium diet. Which intervention is most important for the nurse to
include in the client's plan of care?
a. Provide low sodium diet meal choices.
b. Continuous telemetry monitoring.
c. Daily 12 lead electrocardiogram (ECG).
d. Weigh clients at the same time each day. ------CORRECT ANSWER------
---------b. Continuous telemetry monitoring.
The registered nurse (RN) is gathering supplies to assist a healthcare
provider with a bedside thoracentesis when the emergency department
(ED) use as to report on a client with unstable angina that must be admitted
immediately. A practical nurse (PN) and unlicensed assistive personnel
(UAP) as the RN. How should the RN assign the necessary nursing
actions? ------CORRECT ANSWER---------------Assign the PN to assist with
the thoracentesis while the RN nurse obtains report and the UAP prepares
the room for the new client
To facilitate the success of a new fall prevention program, which action
should the nurse manager implement?
,A. Involve the staff in developing interventions for the program
B. Provide statistics on the number of client injuries related to falls
C. Offer rewards to staff members who comply with the program.
D. Ask staff to report issues regarding the program to management. ------
CORRECT ANSWER---------------A. Involve the staff in developing
interventions for the program
CHECK
The charge nurse in an emergency center is planning client care
assignments for the staff. Which action may be safely delegated to the
practical nurse (PN)?
A. Evaluate client teaching through return demonstration.
B. Establish blood pressure parameters for client monitoring
C. Provide client with resources and discharge teaching.
D. Remove a peripheral intravenous (PIV) catheter ------CORRECT
ANSWER---------------D. Remove a peripheral intravenous (PIV) catheter
The nurse is inserting an indwelling urinary catheter for a client
experiencing urinary retention when a code blue is called for another client
on the unit who became unresponsive. Which action should the nurse
take?
A. Call for an assistant.
B. Respond to the code.
C. Close the room door.
D. Finish the procedure. ------CORRECT ANSWER---------------D. Finish the
procedure.
he nurse manager conducts regular audits of patient care medication
records and notices that the amount of narcotic pain medications
administered during the evening shift on a postsurgical unit is higher than
usual. Which action should the nurse manager take first?
, A. Hold a mandatory staff meeting to discuss the findings of documentation
audits from every shift.
B. Discuss with healthcare provider a plan to change client analgesia
C. Question clients about the effectiveness of pain medication.
D. Conduct a closer examination of staff nurse's distribution of pain
medication from the
evening shift. ------CORRECT ANSWER---------------D. Conduct a closer
examination of staff nurse's distribution of pain medication from the
evening shift.
CHECK??
The nurse is caring for a group of clients with the help of an experienced
unlicensed assistive personnel (UAP). Several specimens need to be
collected and sent to the lab. Which specimen collection can the nurse
delegate to the UAP?(Select all that apply).
A. Fecal drainage sample
B. Drainage from pressure ulcer.
C. Urine from indwelling catheter.
D. Incisional wound drainage.
E. Sample of chest tube drainage. ------CORRECT ANSWER---------------A.
Fecal drainage sample
C. Urine from indwelling catheter.
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-
management that the client needs to be restrained in the wheelchair so that
the nurse can change her bed linens. What is the priority action by the
nurse manager? ------CORRECT ANSWER---------------C. Advise the staff
nurse to remove the restraints from the client's wrists.
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