HESI PN LEADERSHIP PROCTORED EXAM 4 (3)
1. A nurse receives a change-of-shift report at 0700 for an assigned caseload of clients.
Number the following clients in the order in which they should be seen.
A client who has been receiving a blood transfusion since 0400
A client who has every 4 hr. PRN analgesic prescription and who last received pain
medication at 0430
A client who is scheduled for a colonoscopy at 1130 and whose informed consent
needs to be verified
A client who needs rapid onset insulin before the breakfast trays arrive
A client who is being discharged today and needs reinforcement of teaching regarding
dressing changes - 13425
2. An older adult client who is on fall precautions is found lying on the floor of his
hospital room. Which
of the following actions is most appropriate for the nurse to take first?
A. Call the client's provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Ask the client why he got out of bed without assistance - c
3. A nurse is preparing to initiate IV therapy for a client who has a prescription for
morphine 10 mg IV
bolus. Using time management principles, which of the following actions should the
nurse take first?
A. Mentally envision the procedure when collecting supplies.
B. Enter the room and perform hand hygiene.
C. Eject excessive medication from the prefilled syringe
D. Explain the procedure to the client - a
4. An RN on a medical-surgical unit is making assignments at the beginning of the shift.
Which of the
following tasks should the nurse delegate to the LPN?
A. Obtaining vital signs for a client who is 2 hr. post procedure following a cardiac
catheterization
B. Administering a unit of packed red blood cells (RBCs)
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client - a
5. An LPN ending her shift reports to the RN that a newly hired assistive personnel has
not calculated the
intake and output for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the LPN.
C. Ask the AP if assistance is needed to complete the I&O records.
D. Notify the nurse manager. - c
, 6. A nurse manager is developing an orientation plan for newly licensed nurses. Which
of the following
should the manger include in the plan? (Select all that apply.)
A. Skill proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - abdef
7. A nurse manager is providing information about the audit process to members of the
nursing team.
Which of the following statements should the nurse manager include? (Select all that
apply.)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. - abce
8. A nurse is participating in a quality improvement study of a procedure frequently
performed on
the unit. Which of the following will provide the most relevant information regarding the
efficacy of
the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed - c
9. A nurse is hired to replace a staff member who has resigned. After working on the
unit for several
weeks, the nurse notices that the unit manager does not intervene when there is conflict
between
team members, even when it escalates. Which of the following conflict resolution
strategies is the unit
manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
D. Negotiating - a
10. A nurse has received a performance appraisal from the unit manager. Which of the
following actions
by the unit manager requires intervention?
1. A nurse receives a change-of-shift report at 0700 for an assigned caseload of clients.
Number the following clients in the order in which they should be seen.
A client who has been receiving a blood transfusion since 0400
A client who has every 4 hr. PRN analgesic prescription and who last received pain
medication at 0430
A client who is scheduled for a colonoscopy at 1130 and whose informed consent
needs to be verified
A client who needs rapid onset insulin before the breakfast trays arrive
A client who is being discharged today and needs reinforcement of teaching regarding
dressing changes - 13425
2. An older adult client who is on fall precautions is found lying on the floor of his
hospital room. Which
of the following actions is most appropriate for the nurse to take first?
A. Call the client's provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Ask the client why he got out of bed without assistance - c
3. A nurse is preparing to initiate IV therapy for a client who has a prescription for
morphine 10 mg IV
bolus. Using time management principles, which of the following actions should the
nurse take first?
A. Mentally envision the procedure when collecting supplies.
B. Enter the room and perform hand hygiene.
C. Eject excessive medication from the prefilled syringe
D. Explain the procedure to the client - a
4. An RN on a medical-surgical unit is making assignments at the beginning of the shift.
Which of the
following tasks should the nurse delegate to the LPN?
A. Obtaining vital signs for a client who is 2 hr. post procedure following a cardiac
catheterization
B. Administering a unit of packed red blood cells (RBCs)
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client - a
5. An LPN ending her shift reports to the RN that a newly hired assistive personnel has
not calculated the
intake and output for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the LPN.
C. Ask the AP if assistance is needed to complete the I&O records.
D. Notify the nurse manager. - c
, 6. A nurse manager is developing an orientation plan for newly licensed nurses. Which
of the following
should the manger include in the plan? (Select all that apply.)
A. Skill proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - abdef
7. A nurse manager is providing information about the audit process to members of the
nursing team.
Which of the following statements should the nurse manager include? (Select all that
apply.)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided.
C. A root cause analysis is indicated when a sentinel event occurs.
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. - abce
8. A nurse is participating in a quality improvement study of a procedure frequently
performed on
the unit. Which of the following will provide the most relevant information regarding the
efficacy of
the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed - c
9. A nurse is hired to replace a staff member who has resigned. After working on the
unit for several
weeks, the nurse notices that the unit manager does not intervene when there is conflict
between
team members, even when it escalates. Which of the following conflict resolution
strategies is the unit
manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
D. Negotiating - a
10. A nurse has received a performance appraisal from the unit manager. Which of the
following actions
by the unit manager requires intervention?
