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Leadership Management Exit HESI Updated-2021

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HESI Leadership and Management Exam 2021 HESI Exit Leadership Management HESI Leadership Management Exit HESI HESI Leadership Exam 2021, Leadership HESI Exam 2021 Leadership/Management Exit HESI Finding a client sitting on the floor, nurse calls for help from UAP Assigning a UAP to assist client with personal care The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse must float to the ICU Charge nurse developing guidelines for a coronary care unit Which patient should be assigned to a nurse that is floated from maternity unit There has been a major disaster. Triage nurse should give which patient priority Delegate to LPN Move which patient to medical surgical unit One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do UAP giving complete bath-which patient is more concern Which one shows nurse manager being (means no team work) ER nurse getting moved to L&D, what patient should leader assign DNR Against medical Advice (AMA)with and IV Prescriptions-telephone Assign UAP Confidentiality-emergency department Malpractice Patient bill of rights Assign PN-scope of practice Assignments-new grad Unsafe nurse Brain death-organ donation Critical lab value Fibromyalgia assistance RN role-assess Med error- action MRSA room assigned Restraints Cultural Know rules for Immunization permission Priority care Ethical Consent to treat Know Lack of fidelity Know Role ambiguity Pt having sex in hospital room Clients rights to give Informed consent is based on which ethical principle Conflict resolution-nurses CPR Delegation-PN Pain management issue Know how to utilize time management NGT Irrigation-assignment UAP using a hand sanitzers that is alcohol for 2 minutes charge nurse developing the nursing guidelines for a coronary care unit nurse-manager is preparing an annual budget for the unit. Nursing salaries should be included in which component of the budget nurse has not finished administering routine oral medication because one pt experienced chest pain and another rectal bleeding. It is now dinner time and two clients must be fed. The unlicensed assistive personnel (UAP) is filling water pitchers and the practical nurse (PN) is charting vital signs. Which change in assignments is best reporting blood glucose results to the nurse the LPN says the glucometer was not calibrated prior to use because the report given by the night shift staff ran late Risk management: pt fell while using some equipment New RN to Unit Incorrect Delegation Client in labor, you call the provider and he has slurred words, loud noise in background, and seems intoxicated What source states the legal requirements nurses must follow to protect client confidentiality in a nurse- patient relationship nurse-manager of a perinatal units is notified that one client from the medical-surgical unit needs to be transferred to make room for new admissions female with fibromyalgia asks the nurse to arrange for hospice care to help her manage the severe, chonic pain- interdisciplinary team member What action should the nurse implement first when delegating nursing activities to an unlicensed assistive personnel (UAP) Nurse writes on the chart that another nurse did not take great care of a patient nurse behavior is a breach of clients confidentiality according to the Health Insurance Portable Accountability Act (HIPAA) regulations male with cancer admitted to the oncology unit tells the nurse that he is in the hospital for palliative care measures but ordered prescriptions include radiation therapy on a surgical unit nurse receives a personal phone call about a family emergency that requires the nurse to leave immediately If you see a nurse make a mistake-Chain of command LVN/LPN cant

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Leadership/Management Exit HESI
Finding a client sitting on the floor, nurse calls for help from UAP
Get a BP cuff

Assigning a UAP to assist client with personal care
Prescribed activity level

The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse
must float to the ICU
Staff nurse who was cross-trained to work in the critical care dept

Charge nurse developing guidelines for a coronary care unit
The scope of standards of practice from the American nurses association

Which patient should be assigned to a nurse that is floated from maternity unit
Post op hysterectomy

There has been a major disaster. Triage nurse should give which patient priority
Cut over eye

Delegate to LPN
Dressing change

Move which patient to medical surgical unit
Patient with ABNL liver levels

One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do
Take patient to ICU and arrange for respiratory patient to stay in PACU

UAP giving complete bath-which patient is more concern
Patient with dyspnea (SOB when lying flat)

Which one shows nurse manager being _____ (means no team work)
?

ER nurse getting moved to L&D, what patient should leader assign
Patient with episiotomy infection

DNR
Notify the family

Against medical Advice (AMA)with and IV
RN removes IV, sign the document AMA form

Prescriptions-telephone
repeat order back to doctor to make sure it is correct

Assign UAP
hygiene, feeding, ADLS, ROM, ambulation

, Confidentiality-emergency department
don’t give out information about patient, don’t talk about patients condition in front of people, keep
records safe

Malpractice
negligence by professional personnel
Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication

Patient bill of rights
show pt there bill of rights, they have the right to see their chart and anything regarding their care

Assign PN-scope of practice
No assessments, teaching (newly DX'd), IV's, blood transfusions, no suicide patients, no critical
patients

Assignments-new grad
graduate nurse supervised by RN, what pt to give? Infusing antibiotic or choosing catheter port

Unsafe nurse
after nurse goes through rehab she can do her job regularly

Brain death-organ donation
if person is organ donor and is brain dead, organs can be donated

Critical lab value
high levels or low levels (know levels) potassium is a priority lab value

Fibromyalgia assistance
provide uninterrupted sleep and refer to pain specialist

RN role-assess
RN’s assess not LPN or UAP

Med error- action
assess pt, incident report, notify doctor, document amt prescribed, and dosage given

MRSA room assigned
private room, contact isolation

Restraints
standards of care

Cultural
Native American POC

Know rules for Immunization permission
Priority care
Management

Ethical
Assign least care to UAP

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