Leadership & Management HESI Practice
Exam With Verified Questions and Answers
Newly hired UAP expresses fear to collect a sputum from HIV patient - answer✔✔Determine
the UAP's knowledge about HIV transmission.
RN, PN, UAP are working as a team - answer✔✔The UAP obtains an oxygen saturation level
while RN reports finding to the health care provider.
The most immediate follow-up - answer✔✔An UAP is assigned to check a client for fecal
impaction.
Nurse receives a prescription over the telephone - answer✔✔Administer a nebulizer breathing
treatment.
Patient uses the call system alarm - answer✔✔Ask a coworker to respond to the client whose call
bell is alarming.
Emergency room, who to take care first - answer✔✔A female client with severe right lower
abdominal pain who is febrile and vomiting.
No heroic measures - answer✔✔Give detailed report to accepting nurse.
Evaluate cardiac monitor system - answer✔✔Organize a committee of ICU nurses to identify
potential problems of the new monitoring system.
Client has reported feeling of being constipated - answer✔✔Assist the client to drink warm
prune juice.
Sequential compression devices - answer✔✔Report any change in color in the client's feet or
legs.
Respiratory therapist cross-trained avoiding HIV positive client - answer✔✔Provide the
employee with feedback about the observed behavior.
Medication error remains unchanged - answer✔✔Examine medication administration data to
determine use of new policy by nursing staff.
Increase of nurse-to-patient ratio by 25% - answer✔✔Disseminate factual information to all
nursing staff to avoid misinformation and rumors.
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Respiratory rate decreases 14/ min -> 6/ min -> 4/min - answer✔✔The decision regarding when
to call the health care provider
Glucometer checks post 2 days consistently 50-60 mg/dl higher - answer✔✔Evaluate calibration
of glucometer in use per manufacturer guidelines.
Receptionist is responsible for taking client calls. Who to call back first? - answer✔✔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? - answer✔✔Transfer client with neutropenia to a private room.
Signed witnessed DNR - answer✔✔Confirm current resuscitation wishes with client and family
hospice nurse end of life care - answer✔✔MUCOUS MEMBRANE MOIST
old client to rn (going to give to most experienced nurse) - answer✔✔72 YEAR OLD WITH
DM 1
4 clients, iv infusing - answer✔✔CEFTATRIAXONE IN 5% DEXTROSE
uap, colostomy - answer✔✔record amount
charge nurse, rn, pn - answer✔✔cardiac cath, no pedal pulses
.Charge nurse takes over for nurse on break, which client checked first - answer✔✔40 ml dark
colored urine
UAP stuck in palm by needle with Hep - answer✔✔-wash hands with soap and water
Assess first - answer✔✔-coronary syndrome with increasing SOB
New clinical documentation - answer✔✔-Need to discuss new clinical documentation that helps
save lifes and require one more document
PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP -
answer✔✔-can PCA be reinitiated
Most immediate, intervention by nurse - answer✔✔Pneumothorax with 80 SpO2%
Intervention best to delegate to LPN - answer✔✔Duragesic
Morning lab, follow-up first - answer✔✔BNP assay, MI with SOB 1000
UAP to assemble nephrostomy tube - answer✔✔-change bag to leg bag
Women health fair, PN helping RN - answer✔✔-assist with bone density prep