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HESI Management of Care Module 5 Exam Questions And Answers
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HESI Management of Care Module 5 ExamQuestions And Answers 2024-2025
A nurse on duty for the 7 am-to-3 pm shift is conducting a review of the records for her
assigned clients. Which client should the nurse assess first?
A client who is scheduled for hydrotherapy for a burn injury at 10:30 am
A client who is scheduled for a nuclear scanning procedure at 10 am
A client who is scheduled for hemodialysis at 10 am
A client who is scheduled for contrast computed tomography (CT) at noon - ANSWER A
client who is scheduled for hemodialysis at 10 am
A nurse has delegated several nursing activities to nursing staff. The nurse's priority
concern since delegating the activities is:
Enable each staff to use judgment in performing an activity
Delegate any unfinished activity to the oncoming nursing shift
The follow-up for every staff concerning the performance of the task and outcomes
relating to the implementation of the task.
Documenting completion of each task - ANSWER Following up with each staff member
regarding the performance of the task and the outcomes related to implementation of
the task.
A case manager is reviewing progress notes in a client's medical record. Which notation
indicates the need for follow-up?
Client 1: Status post-mastectomy: 18 hrs.; 5 mL of bloody drainage was emptied from
the Jackson-Pratt drain.
,Client 2: Heart Failure; Bilateral crackles were heard in the lower lobe on auscultation.
Client 3: Status post-appendectomy: 24 hrs.; Surgical dressing is clean and dry.
Client 4: Diabetes mellitus; Blood glucose is 124 mg/dL (6.9 mmol/L). -ANSWER Client 2
Heart Failure
Bilateral crackles were heard in the lower lobe on auscultation.
The nurse reviewing a client's record notes that the following medications are
prescribed. Which medication should the nurse plan to administer first?
1. Atorvastatin 10 mg po
2. Zolpidem 5 mg po daily
3. Ferrous sulfate 1 tab po
4. Levothyroxine 137 mg po - ANSWER Levothyroxine (Synthroid) 137mg po
The nurse manager has announced a change to computerized documentation of nursing
care. One of the LPNs on the team resists the change and is not taking an active part in
facilitating implementation of the new procedure. Which of the following strategies
would be the best approach to dealing with the conflict?
Tell the LPN that his/her noncompliance will be documented in his personnel record
Confront the LPN and encouraging him/her to express his/her feelings regarding the
change
Ignore the resistance
Tell the LPN that a registered nurse will perform all of the computer documentation if
he/she will document all intake and output and vital signs - ANSWER Confronting the
LPN and encouraging him to express his feelings regarding the change.
The RN is planning client assignments for the day. To which clients should the nurse
assign care to the nursing assistant (unlicensed assistive personnel)? Select all that
apply.
,A client who needs to be transported to the radiology department in a wheelchair
A client who had surgery an hour ago and who also has a nasogastric tube and a Foley
catheter
A client with a permanent tracheostomy
A client who requires a gastrostomy tube dressing change
A client with a Foley catheter and collecting 24-hour urine-RESPONSE A client who
needs to be transported to the radiology department in a wheelchair
A client with a Foley catheter and collecting 24-hour urine
**A RN is planning assignments for five clients on the nursing unit. The team consists of
an LPN and a nursing assistant. To which clients should the nurse assign the LPN?
Select all that apply.
A client who requires transportation to physical therapy twice during the shift
A client with a colostomy who requires reinforcement about the irrigation procedure
A client who requires a bed bath and should ambulate frequently with the use of a cane
A client who has diabetes mellitus and should receive insulin on a sliding dosage scale
every 4 hours A client who is confused and requires assistance with a shower -
ANSWER A client who has a colostomy and needs reinforcement about the irrigation
procedure
A client who has diabetes mellitus and requires frequent insulin administered on a
sliding dosage scale every 4 hours
**An RN is assigned to care for clients on the day shift. Following initial rounds when the
RN has observed all of the assigned clients, the following clients would be priority to
, care for in order of first. Select the client the RN would plan to care for first.
A client who is scheduled to attend physical therapy at 11 am
A client in skeletal traction that has just been medicated for pain A client who is to go to
surgery at 1 pm A client who is able to independently provide activities of daily living -
ANSWER A client who is to go to surgery at 1 pm
A case manager is comparing the records of the clients in the nursing unit. Which
note(s) on a client's record would indicate that an unexpected outcome has occurred
and follow-up will be required? Choose all that apply.
A surgical client is receiving relief with the pain medication that was prescribed.
A surgical client is producing >30 mL/hr of urine.
A client with a new diagnosis of diabetes mellitus is self-administering insulin.
A client is performing his/her own colostomy irrigations.
A client with a central venous catheter has a temperature of 100.6° F (38.1°C). -
ANSWER A client with a central venous catheter has a temperature of 100.6° F.
(there really is only 1 answer so idk why it's a select all that apply)
A case manager is working on a community task force dealing with violence in schools.
The members of the task force are planning to create interventions that would help
prevent violence. Utilizing the nursing process, the first activity that the nurse would
recommend to the task force is:
A) Research what other communities are doing about school violence
B) Conduct a community survey to determine perceptions regarding school violence.
Posting fliers that list the causes of school violence for families in the community
Providing school children with information about the dangers of school violence -
ANSWER Questioning the community through a survey to assess community
perceptions about school violence
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