HESI Comprehensive Exit Exam 2 Answered A+ Solution Guide

1. Which type of management style is a case management model for nursing care delivery? a. Patient focused and primary nursing. b. Clinically oriented and business oriented. c. Centralized and decentralized systems models. d. Clinical pathways and patient classifications ANS : A 2. 2. The nurse is assessing a client with multiple trauma from a motorcycle crash who is being ventilated due to multiple organ dysfunction syndrome (MODS). Which system assessment should the nurse monitor as an indicator of MODS progression? a. Cardiac function. b. Renal function. c. Hepatic function. d. Coagulation system. ANS : B 3. 3. A staff member tells the charge nurse that a float nurse assigned to work on the unit has made several medication errors in the past, but is currently working with the education department to improve this skill. What action is best for the charge nurse to take? a. Dismiss the staff nurse's report about the float nurse because it may be just gossip. b. Call the nursing supervisor and request a different employee be sent to the unit. c. Assign the float nurse to function as an unlicensed assistive personnel (UAP) for the day. Arrange for someone to be available to assess and assist the float nurse. ANS : D