Leadership & Management HESI
Practice
Newly hired UAP expresses fear to collect a sputum from HIV patient Ans- Determine the UAP's
knowledge about HIV transmission.
RN, PN, UAP are working as a team Ans- The UAP obtains an oxygen saturation level while RN reports
finding to the health care provider.
The most immediate follow-up Ans- An UAP is assigned to check a client for fecal impaction.
Nurse receives a prescription over the telephone Ans- Administer a nebulizer breathing treatment.
Patient uses the call system alarm Ans- Ask a coworker to respond to the client whose call bell is
alarming.
Emergency room, who to take care first Ans- A female client with severe right lower abdominal pain who
is febrile and vomiting.
No heroic measures Ans- Give detailed report to accepting nurse.
Evaluate cardiac monitor system Ans- Organize a committee of ICU nurses to identify potential problems
of the new monitoring system.
Client has reported feeling of being constipated Ans- Assist the client to drink warm prune juice.
Sequential compression devices Ans- Report any change in color in the client's feet or legs.
Respiratory therapist cross-trained avoiding HIV positive client Ans- Provide the employee with feedback
about the observed behavior.
, Medication error remains unchanged Ans- Examine medication administration data to determine use of
new policy by nursing staff.
Increase of nurse-to-patient ratio by 25% Ans- Disseminate factual information to all nursing staff to
avoid misinformation and rumors.
Respiratory rate decreases 14/ min -> 6/ min -> 4/min Ans- The decision regarding when to call the
health care provider
Glucometer checks post 2 days consistently 50-60 mg/dl higher Ans- Evaluate calibration of glucometer
in use per manufacturer guidelines.
Receptionist is responsible for taking client calls. Who to call back first? Ans- Casted right leg has a funny
feeling tingling sensation.
Two clients in one room. One client has MRSA the other one neutropenia. What intervention should the
nurse implement? Ans- Transfer client with neutropenia to a private room.
Signed witnessed DNR Ans- Confirm current resuscitation wishes with client and family
hospice nurse end of life care Ans- MUCOUS MEMBRANE MOIST
old client to rn (going to give to most experienced nurse) Ans- 72 YEAR OLD WITH DM 1
4 clients, iv infusing Ans- CEFTATRIAXONE IN 5% DEXTROSE
uap, colostomy Ans- record amount
charge nurse, rn, pn Ans- cardiac cath, no pedal pulses
.Charge nurse takes over for nurse on break, which client checked first Ans- 40 ml dark colored urine
Practice
Newly hired UAP expresses fear to collect a sputum from HIV patient Ans- Determine the UAP's
knowledge about HIV transmission.
RN, PN, UAP are working as a team Ans- The UAP obtains an oxygen saturation level while RN reports
finding to the health care provider.
The most immediate follow-up Ans- An UAP is assigned to check a client for fecal impaction.
Nurse receives a prescription over the telephone Ans- Administer a nebulizer breathing treatment.
Patient uses the call system alarm Ans- Ask a coworker to respond to the client whose call bell is
alarming.
Emergency room, who to take care first Ans- A female client with severe right lower abdominal pain who
is febrile and vomiting.
No heroic measures Ans- Give detailed report to accepting nurse.
Evaluate cardiac monitor system Ans- Organize a committee of ICU nurses to identify potential problems
of the new monitoring system.
Client has reported feeling of being constipated Ans- Assist the client to drink warm prune juice.
Sequential compression devices Ans- Report any change in color in the client's feet or legs.
Respiratory therapist cross-trained avoiding HIV positive client Ans- Provide the employee with feedback
about the observed behavior.
, Medication error remains unchanged Ans- Examine medication administration data to determine use of
new policy by nursing staff.
Increase of nurse-to-patient ratio by 25% Ans- Disseminate factual information to all nursing staff to
avoid misinformation and rumors.
Respiratory rate decreases 14/ min -> 6/ min -> 4/min Ans- The decision regarding when to call the
health care provider
Glucometer checks post 2 days consistently 50-60 mg/dl higher Ans- Evaluate calibration of glucometer
in use per manufacturer guidelines.
Receptionist is responsible for taking client calls. Who to call back first? Ans- Casted right leg has a funny
feeling tingling sensation.
Two clients in one room. One client has MRSA the other one neutropenia. What intervention should the
nurse implement? Ans- Transfer client with neutropenia to a private room.
Signed witnessed DNR Ans- Confirm current resuscitation wishes with client and family
hospice nurse end of life care Ans- MUCOUS MEMBRANE MOIST
old client to rn (going to give to most experienced nurse) Ans- 72 YEAR OLD WITH DM 1
4 clients, iv infusing Ans- CEFTATRIAXONE IN 5% DEXTROSE
uap, colostomy Ans- record amount
charge nurse, rn, pn Ans- cardiac cath, no pedal pulses
.Charge nurse takes over for nurse on break, which client checked first Ans- 40 ml dark colored urine
