Leadership & Management HESI
Questions
Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN and a nursing
assistant. which clients should the nurse assign to the LPN? Ans- 1. a client w/ a colostomy who requires
reinforcement regarding the procedure for irrigation
2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a sliding dosage scale
every 4 hrs
A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical
procedure but was never told about the risks of the surgery. The nurse serves as the client's advocate
by: Ans- calling surgeon and asking that the risks be explained to the client
A nurse is preparing the client assignments for the day. One of the nurses on the team has just learned
that she is pregnant. Which client does the nurse refrain from assigning to the pregnant team member?
Ans- a client w/ a solid sealed cervical radiation implant
A RN is supervising a nursing assistant ambulating a client with right-sided weakness. The RN would
conclude that the nursing assistant is performing the procedure incorrectly after observing that the
nursing assistant: Ans- stands behind the client
A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle. the RN determines
that the LPN is performing the procedure correctly if the LPN: Ans- administers the injection 2 in below
the acromion process
The nurse is preparing client assignments for the day. Which client should the nurse assign to a nursing
assistant? Ans- unconscious pt who requires oral care
A RN who has a LPN and a nursing assistant on the nursing team is planning client assignments for the
day. Which client should the RN assign to the LPN? Ans- a pt receiving oxygen who requires frequent
pulse oximetry monitoring and resp treatments
, A nurse has delegated several nursing tasks to staff members. The nurse's primary responsibility after
the delegation of the tasks is to: Ans- follow up with each staff member regarding the performance of
the task and the outcomes r/t implementation of the task
A nurse is planning the client assignments for the shift. Which of the following clients should the nurse
assign to the nursing assistant? Ans- a client who needs frequent ambulation with a walker
A nurse employed at a hospital is asked by a nurse manager to review the organizational chart. The
nurse reviews the chart so that he will: Ans- be familiar with the organizations line of authority
A nurse leader in a med-surg unit overhears the nursing staff openly discussing a client and stating that
the client is "uncooperative and a real pain to care for." the nurse leader would most appropriately
manage this issue by: Ans- discourage the judgemental comments
a nurse educator describes the standards of care formulated by the american nurse association to a
group of new nursing graduates hired by the hospital. which of the following are accurate descriptions
of these standards of care Ans- 1. define professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care or
performance
the nurse educator, discussing care maps, asks the graduate nurse whether she understands how a care
map is used. which response indicates understanding Ans- care map outlines the day-to day expected
outcomes of care and the outcomes anticipated at discharge
the unit secretary says to the nurse "i read in mr. gage's medical record that he has gonorrhea." how
should the nurse respond to the secretary Ans- we cant discuss a clients medical condition
during the program, a crew from a local television station arrives to film the proceedings because the
station is publicizing a series on hospital services. the nurse conducting the program should Ans- explain
to the television crew that videotaping is not allowed
a nurse manager discusses staff empowerment with the nursing team. the nurse manager explains that
staff empowerment Ans- fosters the growth of others so that they are less dependent on the leader
Questions
Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN and a nursing
assistant. which clients should the nurse assign to the LPN? Ans- 1. a client w/ a colostomy who requires
reinforcement regarding the procedure for irrigation
2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a sliding dosage scale
every 4 hrs
A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical
procedure but was never told about the risks of the surgery. The nurse serves as the client's advocate
by: Ans- calling surgeon and asking that the risks be explained to the client
A nurse is preparing the client assignments for the day. One of the nurses on the team has just learned
that she is pregnant. Which client does the nurse refrain from assigning to the pregnant team member?
Ans- a client w/ a solid sealed cervical radiation implant
A RN is supervising a nursing assistant ambulating a client with right-sided weakness. The RN would
conclude that the nursing assistant is performing the procedure incorrectly after observing that the
nursing assistant: Ans- stands behind the client
A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle. the RN determines
that the LPN is performing the procedure correctly if the LPN: Ans- administers the injection 2 in below
the acromion process
The nurse is preparing client assignments for the day. Which client should the nurse assign to a nursing
assistant? Ans- unconscious pt who requires oral care
A RN who has a LPN and a nursing assistant on the nursing team is planning client assignments for the
day. Which client should the RN assign to the LPN? Ans- a pt receiving oxygen who requires frequent
pulse oximetry monitoring and resp treatments
, A nurse has delegated several nursing tasks to staff members. The nurse's primary responsibility after
the delegation of the tasks is to: Ans- follow up with each staff member regarding the performance of
the task and the outcomes r/t implementation of the task
A nurse is planning the client assignments for the shift. Which of the following clients should the nurse
assign to the nursing assistant? Ans- a client who needs frequent ambulation with a walker
A nurse employed at a hospital is asked by a nurse manager to review the organizational chart. The
nurse reviews the chart so that he will: Ans- be familiar with the organizations line of authority
A nurse leader in a med-surg unit overhears the nursing staff openly discussing a client and stating that
the client is "uncooperative and a real pain to care for." the nurse leader would most appropriately
manage this issue by: Ans- discourage the judgemental comments
a nurse educator describes the standards of care formulated by the american nurse association to a
group of new nursing graduates hired by the hospital. which of the following are accurate descriptions
of these standards of care Ans- 1. define professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care or
performance
the nurse educator, discussing care maps, asks the graduate nurse whether she understands how a care
map is used. which response indicates understanding Ans- care map outlines the day-to day expected
outcomes of care and the outcomes anticipated at discharge
the unit secretary says to the nurse "i read in mr. gage's medical record that he has gonorrhea." how
should the nurse respond to the secretary Ans- we cant discuss a clients medical condition
during the program, a crew from a local television station arrives to film the proceedings because the
station is publicizing a series on hospital services. the nurse conducting the program should Ans- explain
to the television crew that videotaping is not allowed
a nurse manager discusses staff empowerment with the nursing team. the nurse manager explains that
staff empowerment Ans- fosters the growth of others so that they are less dependent on the leader
