EXAM
- (5 DIFFERENT VERSIONS)-
COMPLETE RESOURCES
FOR
HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
2021
100% SUCCESS GUARENTEED
, HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
VERSION 1
A nurse is preparing a client who speaks limited English d. Seek the assistance of a
for surgery. Which of the following is the most nurse on the floor who is fluent
appropriate nursing action in obtaining informed in the client's language.
consent from this client?
Select one: The nurse is responsible for
a. Do nothing as this is the provider's primary concern. ensuring that the client
b. The nurse should explain the procedures using understands the information
pictures and hand gestures. provided regarding the
c. Have the nurse respond to the client's concerns so the procedure.
provider can prepare for surgery.
d. Seek the assistance of a nurse on the floor who is
fluent in the client's language.
A nurse is performing initial teaching with a client who a. "My Dilantin dose will be
will be receiving electroconvulsive therapy (ECT). Which increased several days before
,statement by the client indicates a need for further the procedure."
teaching?
Because the therapeutic
Select one: action of ECT is to induce
a. "My Dilantin dose will be increased several days seizures, any medications that
before the procedure." affect the client's seizure
b. "Before the procedure, I will have an EKG to assess for threshold must be decreased
heart irregularities." or discontinued several days
c. "I will need to continue taking my regular blood before the procedure.
pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my
procedure."
Any cardiac conditions, such
as dysrhythmias, should be
monitored and treated before
the procedure
A daughter of a client with a terminal illness pulls a nurse a. "The living will documents
to the side and says, "Although my mother's living will your mother's wishes and must
states she is not to be resuscitated, the family wants be followed."
everything done to save her if she has a cardiac arrest."
How should the nurse respond?
Select one: A living will is a document that
a. "The living will documents your mother's wishes and expresses the client's wishes
must be followed." regarding medical treatment in
b. "I will contact the provider to make him aware of your the event the client becomes
request." incapacitated and is facing
c. "If your mother has a cardiac arrest, we will begin end-of-life issues. The client's
resuscitation if you wish." wishes should be followed by
d. "Since the living will is a legal document a lawyer will the health care provider.
have to make the changes."
A provider informs the wife of a comatose client with d. Consult the hospital's ethics
terminal cancer that she will need to sign the consent committee.
for insertion of a gastrostomy feeding tube. The nurse
knows this is against the client's wishes. What is the If the nurse believes the
, appropriate action by the nurse? provider's actions are directly
against the client's wishes, the
Select one: nurse should contact the
a. Inform the wife she cannot sign the consent hospital's ethics committee.
b. Prepare the consent for the wife to sign. These committees are typically
c. Ask the provider for an order for a NG tube instead. multidisciplinary and are
d. Consult the hospital's ethics committee. organized to consciously and
reflectively consider significant
and often difficult issues related
to client care. Any nurse can
consult the hospital's ethics
committee when deemed
necessary.
Unless the client has designed
another person as his health
care power of attorney, the
wife, as immediate next of kin,
can legally sign the consent for
the procedure if she wishes.
A client is seeking treatment for stress related to a. "I have excellent job skills; I
unexpected loss of employment and is engaging in the just need to find a new
stress management technique of cognitive reframing. employer."
Which of the following statements would indicate to the
nurse that the client understands this stress management
technique? Cognitive reframing is a simple
and effective technique for
Select one: reducing stress by looking at
a. "I have excellent job skills; I just need to find a new things in a more positive light in
employer." order to experience them as
b. "When I do my daily yoga exercises, I feel so much less stressful. Cognitive
better." reframing for this client would
c. "Once I decided what was most important to me, involve building confidence in
things got easier." job skills and searching for a
d. "I can visualize the perfect interview and being new job.
offered a new job."