HESI LEADERSHIP MANAGEMENT PROCTORED
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 d. Seek the assistance of a
English for surgery. Which of the following is the most nurse on the floor who is
appropriate nursing action in obtaining informed fluent in the client's
consent from this client? language.
Select one:
a. Do nothing as this is the provider's primary The nurse is responsible for
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 procedure.
the 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). increased several days before
Which statement by the client indicates a need for the procedure."
further 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 threshold must be decreased
for 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 a. "The living will documents
nurse to the side and says, "Although my mother's your mother's wishes and
living will states she is not to be resuscitated, the must be followed."
family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one: A living will is a document
a. "The living will documents your mother's wishes that expresses the client's
and must be followed." wishes regarding medical
b. "I will contact the provider to make him aware of treatment in the event the
your request." client becomes incapacitated
c. "If your mother has a cardiac arrest, we will begin and is facing end-of-life
resuscitation if you wish." issues. The client's wishes
d. "Since the living will is a legal document a lawyer should be followed by the
will have to make the changes." health care provider.
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,
Select one: the 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
c. Ask the provider for an order for a NG tube instead. typically multidisciplinary and
d. Consult the hospital's ethics committee. are 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 just need to find a new
the stress management technique of cognitive employer."
reframing. 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
Select one: technique for reducing stress
a. "I have excellent job skills; I just need to find a new by looking at things in a more
employer." positive light in order to
b. "When I do my daily yoga exercises, I feel so much experience them as less
better." stressful. Cognitive reframing
c. "Once I decided what was most important to me, for this client would involve
things got easier." building confidence in job
d. "I can visualize the perfect interview and being skills and searching for a new
offered a new job." job.
A nurse is preparing a client with terminal illness for a. Contact the client's case
discharge to a nursing home when he states: "I don't manager.
want to go to a nursing home to die. I would rather
die at home." What would be the most appropriate
action by the nurse? Contact the client's case
manager would be the most
Select one: appropriate action by the
a. Contact the client's case manager. nurse. The case manger
b. Continue to make the discharge arrangements. would be able to determine if
c. Assess the client's reasons for feeling this way. the client's wishes could be
d. Inform the provider of the client's decision. carried out.
A client is hospitalized for multiple rib fractures a. Assist the client to deep
following a motor vehicle accident (MVA). The results breathe, splinting with a
of an arterial blood gas (ABG's) are; pH 7.30, pCO2 pillow.
48, HCO3 26 and pO2 91 on 2 L/min of oxygen per
nasal cannula. Which of the following interventions
has the highest priority? The client is experiencing
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 d. Seek the assistance of a
English for surgery. Which of the following is the most nurse on the floor who is
appropriate nursing action in obtaining informed fluent in the client's
consent from this client? language.
Select one:
a. Do nothing as this is the provider's primary The nurse is responsible for
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 procedure.
the 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). increased several days before
Which statement by the client indicates a need for the procedure."
further 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 threshold must be decreased
for 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 a. "The living will documents
nurse to the side and says, "Although my mother's your mother's wishes and
living will states she is not to be resuscitated, the must be followed."
family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one: A living will is a document
a. "The living will documents your mother's wishes that expresses the client's
and must be followed." wishes regarding medical
b. "I will contact the provider to make him aware of treatment in the event the
your request." client becomes incapacitated
c. "If your mother has a cardiac arrest, we will begin and is facing end-of-life
resuscitation if you wish." issues. The client's wishes
d. "Since the living will is a legal document a lawyer should be followed by the
will have to make the changes." health care provider.
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,
Select one: the 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
c. Ask the provider for an order for a NG tube instead. typically multidisciplinary and
d. Consult the hospital's ethics committee. are 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 just need to find a new
the stress management technique of cognitive employer."
reframing. 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
Select one: technique for reducing stress
a. "I have excellent job skills; I just need to find a new by looking at things in a more
employer." positive light in order to
b. "When I do my daily yoga exercises, I feel so much experience them as less
better." stressful. Cognitive reframing
c. "Once I decided what was most important to me, for this client would involve
things got easier." building confidence in job
d. "I can visualize the perfect interview and being skills and searching for a new
offered a new job." job.
A nurse is preparing a client with terminal illness for a. Contact the client's case
discharge to a nursing home when he states: "I don't manager.
want to go to a nursing home to die. I would rather
die at home." What would be the most appropriate
action by the nurse? Contact the client's case
manager would be the most
Select one: appropriate action by the
a. Contact the client's case manager. nurse. The case manger
b. Continue to make the discharge arrangements. would be able to determine if
c. Assess the client's reasons for feeling this way. the client's wishes could be
d. Inform the provider of the client's decision. carried out.
A client is hospitalized for multiple rib fractures a. Assist the client to deep
following a motor vehicle accident (MVA). The results breathe, splinting with a
of an arterial blood gas (ABG's) are; pH 7.30, pCO2 pillow.
48, HCO3 26 and pO2 91 on 2 L/min of oxygen per
nasal cannula. Which of the following interventions
has the highest priority? The client is experiencing
