LEADERSHIP/MGMT 2016 HESI EXAM

LEADERSHIP/MGMT 2016 HESI EXAM 1. Charge nurse takes over for nurse on break, which client checked first 2. UAP stuck in palm by needle with Hep B 3. Assess first 4. New clinical documentation 5. PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP - 6. Most immed, intervention by nurse 7. Intervention best to delegate to LPN 8. Morning lab, follow-up first 9. UAP to assemble nephrostomy tube 10. Women health fair, PN helping RN 11. Warrants immediate attention 12. Delegated to UAP 13. Multidisplinary team 14. Triaging ER client assess first - 15. 67 y/o female client recently widowed, increased confusion/disorientation. 16. Female resident who is mentally alert and lives in a long-term care facility reports that a staff member slapped her - 17. Most important to assign which client to a RN rather than PN 18. PN reports to RN, patient pulled out CVC, UAP is with him in room. Stat dose of oral antianxiety med. RN assign care 19. Charge nurse is making assignments for a 15 bed skilled nursing unit with staff of one RN, 2 LPNs, and 20. Order women with history of HTN transferred from long-term to ICU b/c of HF, has DNR (SATA) 21. RN assigned to care for four surgical clients. Which client should nurse see first. 22. The nurse is caring for a group of clients on a surgical unit. What action should the nurse implement first 23.0200 nurse phones HCP to request med for client who is unable to sleep four times the the dose. Nurse questions, HCP sleepy says “yea, ok” action first 24. Watches UAP bring soap, washcloths, and towels and a basin into room with male client who has suprapubic catheter inserted earlier today. 25. Telephone triage at clinic office. Which client is most acute and should be scheduled for the first available appointment. -21 y/o with kidney transplant, fever of 102, flu-like symptoms ......................................CONTINUED....................................................;