Hesi Leadership Exit exam Version 2
1.A nurse is performing telephone triage at the clinic office. Which client has the most acute
problem and should be scheduled for the first available appointment?
A 21 year old with a history of a kidney transplant. Today the client reports flu-like symptoms
with a fever of 100.4 F (38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula in her right arm that is
used for hemodialysis. She missed her last hemodialysis session and is experiencing shortness of
breath and an irregular heartbeat. Which action should the nurse assign to the UPA who is
working with the nurse?
Measure Vital Signs
3.The nurse should assess the client with which problem first?
Paresthesia secondary to an arterial occlusion
4.A young adult client with a brain tumor refuses further treatment and requests to be allowed
to die a natural death. The healthcare provides does not agree with the client's decision and
refuses to write do-not-resuscitate instructions. Which action should the nurse take?
Initiate a review of the situation by the hospital's ethics committee.
, 5.A healthcare provider notifies the nurse that new prescriptions have been written for a client.
Which is the 1st action the nurse should implement?
Read all of the new prescriptions for the client written by the provider
6.The nurse is observing the staff provide care to a client with acquired immune deficiency
syndrome
Unlicensed assistive personnel wearing a mask to take client's blood pressure.
7.The nurse caring for a client with bacterial meningitis is preparing report for the oncoming
nurse. It is most important to include which assessment finding in the report?
Increasing Pulse Pressure
8.The charge nurse notices that a respiratory therapist who has been cross-trained to work as a
phlebotomist and unlicensed assistive personnel (UAP) seems to be avoiding HIV positive clients
Provide the employee with feedback about observed behavior
9.The nursing supervisor sends an unlicensed assistant personnel ( UAP) to a medical unit to
replace an absent UAP. When delegating the task of obtaining client's blood sugar levels using a
glucometer, which action is most important for the nurse to implement?
1.A nurse is performing telephone triage at the clinic office. Which client has the most acute
problem and should be scheduled for the first available appointment?
A 21 year old with a history of a kidney transplant. Today the client reports flu-like symptoms
with a fever of 100.4 F (38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula in her right arm that is
used for hemodialysis. She missed her last hemodialysis session and is experiencing shortness of
breath and an irregular heartbeat. Which action should the nurse assign to the UPA who is
working with the nurse?
Measure Vital Signs
3.The nurse should assess the client with which problem first?
Paresthesia secondary to an arterial occlusion
4.A young adult client with a brain tumor refuses further treatment and requests to be allowed
to die a natural death. The healthcare provides does not agree with the client's decision and
refuses to write do-not-resuscitate instructions. Which action should the nurse take?
Initiate a review of the situation by the hospital's ethics committee.
, 5.A healthcare provider notifies the nurse that new prescriptions have been written for a client.
Which is the 1st action the nurse should implement?
Read all of the new prescriptions for the client written by the provider
6.The nurse is observing the staff provide care to a client with acquired immune deficiency
syndrome
Unlicensed assistive personnel wearing a mask to take client's blood pressure.
7.The nurse caring for a client with bacterial meningitis is preparing report for the oncoming
nurse. It is most important to include which assessment finding in the report?
Increasing Pulse Pressure
8.The charge nurse notices that a respiratory therapist who has been cross-trained to work as a
phlebotomist and unlicensed assistive personnel (UAP) seems to be avoiding HIV positive clients
Provide the employee with feedback about observed behavior
9.The nursing supervisor sends an unlicensed assistant personnel ( UAP) to a medical unit to
replace an absent UAP. When delegating the task of obtaining client's blood sugar levels using a
glucometer, which action is most important for the nurse to implement?
