HESI RN LEADERSHIP AND MANAGEMENT ACTUAL
EXAM 2024-2025 APPROVED QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |ALREADY GRADED A+
When planning care for a client with polycystic kidney disease,
which collaborative problem has the highest priority?
Hypertension.
Calculi formation.
Acute renal failure.
Infection. - Answer-Hypertension.
Rationale
Blood pressure control has the highest priority, which is
necessary to reduce cardiovascular complications and slow the
progression of renal dysfunction.
,A 15-year-old sexually active girl diagnosed with pelvic
inflammatory disease (PID) is admitted to the hospital with a
temperature of 101.6 F and a purulent vaginal discharge. She
has no insurance and tells the nurse she enjoys small children.
Which room should the nurse assign this client?
A semi-private room with a 4-year-old girl who is currently
receiving chemotherapy.
A semi-private room with an older adolescent girl who had
surgery yesterday.
A room close to the nurse's station.
A private room. - Answer-A private room.
Rationale
A sixteen year old sexually active girl is admitted to the hospital
with a diagnosis of pelvic inflammatory disease, a temperature
of 101.6, and purulent vaginal drainage. She has no insurance.
Despite the fact that the client has no insurance and would be
comfortable in a room with another child, she is infected and
should be placed in a private room.
,During coronary artery bypass graft (CABG) surgery, a male
client with a history of chronic tobacco abuse experiences a
dramatic decrease in his oxygen saturation. Subsequently, the
client remains on a ventilator two days longer than anticipated.
Which factor should the nurse consider when evaluating the
client's progress?
Goal.
Variance.
Standard.
Outcome. - Answer-Variance.
Rationale
A variance is any event that may alter a client's progress
through the clinical pathway, such as remaining on a ventilator
for an additional two days.
, The nurse is preparing assignments for the day shift. It is most
important that the client with which diagnosis and description
is assigned to a registered nurse?
Menorrhagia: 24 hours post vaginal hysterectomy.
Myocardial Infarction: 4-days post infarction, transferred from
ICU yesterday.
Depression: Admitted during the night, following a suicide
attempt with an overdose of Tylenol.
Pneumonia: A 4-year-old who is receiving IV antibiotics. -
Answer-Depression: Admitted during the night, following a
suicide attempt with an overdose of Tylenol.
Rationale
The client with depression who was admitted during the night,
following a suicide attempt with an overdose of Tylenol
requires communication skills and assessment skills beyond the
educational level of a practical nurse or UAP. Establishing a
therapeutic, one-to-one relationship with a depressed client is
beyond the scope of practice for a practical nurse. Additionally,
EXAM 2024-2025 APPROVED QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |ALREADY GRADED A+
When planning care for a client with polycystic kidney disease,
which collaborative problem has the highest priority?
Hypertension.
Calculi formation.
Acute renal failure.
Infection. - Answer-Hypertension.
Rationale
Blood pressure control has the highest priority, which is
necessary to reduce cardiovascular complications and slow the
progression of renal dysfunction.
,A 15-year-old sexually active girl diagnosed with pelvic
inflammatory disease (PID) is admitted to the hospital with a
temperature of 101.6 F and a purulent vaginal discharge. She
has no insurance and tells the nurse she enjoys small children.
Which room should the nurse assign this client?
A semi-private room with a 4-year-old girl who is currently
receiving chemotherapy.
A semi-private room with an older adolescent girl who had
surgery yesterday.
A room close to the nurse's station.
A private room. - Answer-A private room.
Rationale
A sixteen year old sexually active girl is admitted to the hospital
with a diagnosis of pelvic inflammatory disease, a temperature
of 101.6, and purulent vaginal drainage. She has no insurance.
Despite the fact that the client has no insurance and would be
comfortable in a room with another child, she is infected and
should be placed in a private room.
,During coronary artery bypass graft (CABG) surgery, a male
client with a history of chronic tobacco abuse experiences a
dramatic decrease in his oxygen saturation. Subsequently, the
client remains on a ventilator two days longer than anticipated.
Which factor should the nurse consider when evaluating the
client's progress?
Goal.
Variance.
Standard.
Outcome. - Answer-Variance.
Rationale
A variance is any event that may alter a client's progress
through the clinical pathway, such as remaining on a ventilator
for an additional two days.
, The nurse is preparing assignments for the day shift. It is most
important that the client with which diagnosis and description
is assigned to a registered nurse?
Menorrhagia: 24 hours post vaginal hysterectomy.
Myocardial Infarction: 4-days post infarction, transferred from
ICU yesterday.
Depression: Admitted during the night, following a suicide
attempt with an overdose of Tylenol.
Pneumonia: A 4-year-old who is receiving IV antibiotics. -
Answer-Depression: Admitted during the night, following a
suicide attempt with an overdose of Tylenol.
Rationale
The client with depression who was admitted during the night,
following a suicide attempt with an overdose of Tylenol
requires communication skills and assessment skills beyond the
educational level of a practical nurse or UAP. Establishing a
therapeutic, one-to-one relationship with a depressed client is
beyond the scope of practice for a practical nurse. Additionally,
