Leadership HESI test questions and
answers
The nurse calls the surgeon to report that a male client who has transitioned from
a PCA to PO analgesic one hour ago is now complaining in a loud voice and
asking for the PCA pump. The nurse explains that the client's behavior is
disturbing his roommate. The client's BP has increased from 120/72 to 150/98.
Which question is best to include in the recommendation component of the
SBAR report the the surgeon?
A. Could the behavior be a manifestation of drug seeking?
B. Can the client be transferred to a private room?
C. Can the PCA be initiated and prescribed for an additional 12 hours?
A. Could the behavior be a manifestation of drug seeking?
The nurse is assigned to care for four clients. After receiving the change of shift
report, which client should the nurse assess first?
A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
B. A 10 year old with sickle cell disease who has a PCA pump and is complaining
of pain2-3/10
C. A 29 year old who has had CKD for the past year and had an AV fistula placed
yesterday
D. An older client with COPD who is experiencing SOB and who O2 sat is 88%
on RA
, A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
A HCP notifies the nurse that new prescriptions have been written for a client.
Which is the first action the nurse should implement?
A. Collect any needed form such as labs and radiology requisitions
B. Clarify the prescriptions with the unit clerk to ensure accurate transcrition
C. Document the time that the provider visited the client in the nurses' notes
D. Read all of the new prescriptions for the client written by the provider
D. Read all of the new prescriptions for the client written by the provider
A RN, PN and UAP are working as team to provide care for a acutely ill client
requiring immediate bedside insertion of a chest tube. Which assignment is the
best use of each person's skills?
A. RN inserts chest tub immediately after PN cleans the skin at insertion site
B. The UAP listed to breath sounds while the RN witnesses the informed consent
C. The PN instructs the family about he need for chest tube insertion while the
RN obtains VS
D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP
D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP
An older woman with a long history of HTN is transferred from a long term care
unit because of HF. She has a signed and witnessed DNR in her record. What
action should the nurse take?
A. Transfer client to palliative care unit for further supportive care
B. Consult with hospice case manager regarding plan of care
answers
The nurse calls the surgeon to report that a male client who has transitioned from
a PCA to PO analgesic one hour ago is now complaining in a loud voice and
asking for the PCA pump. The nurse explains that the client's behavior is
disturbing his roommate. The client's BP has increased from 120/72 to 150/98.
Which question is best to include in the recommendation component of the
SBAR report the the surgeon?
A. Could the behavior be a manifestation of drug seeking?
B. Can the client be transferred to a private room?
C. Can the PCA be initiated and prescribed for an additional 12 hours?
A. Could the behavior be a manifestation of drug seeking?
The nurse is assigned to care for four clients. After receiving the change of shift
report, which client should the nurse assess first?
A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
B. A 10 year old with sickle cell disease who has a PCA pump and is complaining
of pain2-3/10
C. A 29 year old who has had CKD for the past year and had an AV fistula placed
yesterday
D. An older client with COPD who is experiencing SOB and who O2 sat is 88%
on RA
, A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
A HCP notifies the nurse that new prescriptions have been written for a client.
Which is the first action the nurse should implement?
A. Collect any needed form such as labs and radiology requisitions
B. Clarify the prescriptions with the unit clerk to ensure accurate transcrition
C. Document the time that the provider visited the client in the nurses' notes
D. Read all of the new prescriptions for the client written by the provider
D. Read all of the new prescriptions for the client written by the provider
A RN, PN and UAP are working as team to provide care for a acutely ill client
requiring immediate bedside insertion of a chest tube. Which assignment is the
best use of each person's skills?
A. RN inserts chest tub immediately after PN cleans the skin at insertion site
B. The UAP listed to breath sounds while the RN witnesses the informed consent
C. The PN instructs the family about he need for chest tube insertion while the
RN obtains VS
D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP
D. The UAP obtains an O2 sat level while the RN reports the findings to the HCP
An older woman with a long history of HTN is transferred from a long term care
unit because of HF. She has a signed and witnessed DNR in her record. What
action should the nurse take?
A. Transfer client to palliative care unit for further supportive care
B. Consult with hospice case manager regarding plan of care
