Evolve HESI Leadership/Management
Questions With 100% VERIFIED Solutions
When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care - ANSWER 2 When the client is pregnant, 5
When school children are receiving care
The delegation process becomes more challenging when vulnerable populations such
as pregnant women and school children are receiving care.
Delegation can be safely and successfully carried out in the stable client. Delegation
can be accomplished successfully when the geographical area is small and resources
are abundant.
A client reports severe pain 2 days after surgery. After assessing the characteristics of
the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response. - ANSWER 2 Obtain vital signs.
Immediately before administration of an analgesic, an assessment of vital signs is
necessary to determine whether any contraindications to the medication exist (e.g.,
hypotension, respirations ≤12 breaths/min).
Pain prevents both psychological and physiologic rest. Before administration of an
analgesic, the nurse must check the healthcare provider's prescription, the time of the
last administration, and the client's vital signs. A complete assessment, including vital
signs, should be done before documenting the client's pain response.
A nurse leader, along with the team, is caring for a client who is scheduled for
colonoscopy. Which delegated task requires the leader's supervision?
1 Assisting the client with an enema
,2 Assisting the client with bathing
3 Assisting the client with feeding
4 Assisting the client with ambulating - ANSWER 1 Assisting the client with an enema
A client who is scheduled for colonoscopy requires having the gastrointestinal tract
emptied, mainly the colon. Before undergoing this procedure the client is assisted with
an enema and other laxatives to expel all bowel contents present in the gastrointestinal
tract. A nurse leader should supervise this procedure, as an inadequately emptied colon
may cause complications.
Assisting the client with bathing, feeding, and ambulating are easy tasks and may not
require supervision.
Which comment by a team leader exemplifies team nursing the way it was intended?
1 "(Unlicensed assistive personnel), I need you to measure all vital signs." 2
"(Registered Nurse 1), check all of the intravenous (IV) sites and give the IV
medications."
3 "(Licensed Practical Nurse), you pass all of the oral medications to the clients today."
4 "(Registered Nurse 2), Mr. Jones has a foot wound, two IV meds, and needs morning
insulin." - ANSWER 2 "(Registered Nurse 1), check all of the intravenous (IV) sites and
give the IV medications."
The team leader must have excellent communication skills, delegation, and effective
decision-making abilities to provide a working "team" environment for members. When
the team leader is not prepared for this role, the team method becomes a miniature
version of the functional method. The assignment given to RN 1 takes the nurse's
experience and skills into consideration and exemplifies team nursing.
The statements made to the UAP, LPN, and RN 2 exemplify functional nursing.
The registered nurse finds that two nursing students are arguing with each other. Which
action by the registered nurse best represents a leadership quality?
1 Complaining to management and asking the students to go outside
2 Letting them continue arguing until they resolve the matter themselves 3
Assessing the condition and strategizing to resolve the matter by reducing the
difference
4 Asking the reason for their argument and reprimanding them for having the argument
in the hospital - ANSWER 3
Visioning is required by an efficient leader to engage others to assess the current
reality. This skill includes determining and specifying a desired end-point state and then
strategizing to reduce the differences.
,Letting them continue arguing and waiting until they resolve the matter may allow the
argument to escalate. Complaining to management would pass off responsibility for a
resolution and would not indicate leadership. Reprimanding the nurses may stop the
argument, but would not be a constructive approach.
Which point should the nurse exclude when developing strategies to project a powerful
image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation - ANSWER 1 Using
authoritative language
The nurse should treat people with courtesy and respect. The use of authoritative
language does not help in developing a powerful image. The nurse should also maintain
good body posture because it conveys self-confidence. Good eye contact helps in
developing trust. Appropriate dress and hair help convey a powerful image.
Which statement of the nurse leader reflects the actions suggested by the Joint
Commission for disruptive behavior by a direct care nurse?
1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented." - ANSWER 2 "You
are terminated, effective now."
According to the actions suggested by the Joint Commission, there is "zero" tolerance
for an intimidating and/or disruptive behavior. The action to be taken for this type of
behavior should be suspension, termination, loss of clinical privileges, and reporting to
professional licensure bodies.
The actions suggested by the Joint Commission do not include giving last a warning.
The nurse who has behaved disruptively is not eligible for any assessment. By saying,
"You should not behave this way because as you are very talented," the actions
suggested by Joint Commission are not being carried out.
According to the three-tiered triage system, which client requires urgent treatment?
Select all that apply.
1 A client with renal colic
, 2 A client with strains and sprains
3 A client with respiratory distress
4 A client with severe abdominal pain
5 A client with multiple displaced fractures - ANSWER 1, 4, 5
According to the three-tiered triage system, renal colic, severe abdominal pain, and
multiple displaced fractures require urgent treatment. Strains and sprains require
nonurgent treatment and respiratory distress requires emergent treatment.
The nurse finds the respiratory rate is 8 breaths per minute in a client who is on
intravenous morphine sulfate. What should the nurse do immediately in this situation?
1 Measure other vital signs.
2 Stop administering the medication.
3 Elevate the head of the client's bed.
4 Report to the primary healthcare provider - ANSWER 2 Stop administering the
medication.
Morphine sulfate is an opioid analgesic and can depress the central nervous system,
which results in respiratory depression. A respiratory rate of 8 breaths per minute
indicates respiratory depression, and the nurse should stop the medication immediately.
The nurse can measure the other vital signs after discontinuing the medication
administration. Elevating the head of the client's bed ensures proper breathing.
Therefore the nurse should elevate the client's bed after discontinuing the medication.
The nurse should report to the primary healthcare provider for an appropriate antidote
after stopping the medication administration.
A client is admitted to the emergency department following a motor vehicle accident.
The client's wounds are extensive. Which healthcare team member is best suited to
care for this client in the emergency ward?
1 Charge nurse
2 Registered nurse
3 Licensed practical nurse
4 Unlicensed nursing personnel - ANSWER 2 Registered nurse
A registered nurse should be the healthcare team member to care for the client in the
emergency department. The charge nurse's role includes making client assignments,
scheduling breaks for staff members, and serving as a staff resource person. The
licensed practical nurse is involved in fast-track emergency care. Unlicensed nursing
personnel perform all hygienic tasks and are not required in the emergency care unit.
Questions With 100% VERIFIED Solutions
When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care - ANSWER 2 When the client is pregnant, 5
When school children are receiving care
The delegation process becomes more challenging when vulnerable populations such
as pregnant women and school children are receiving care.
Delegation can be safely and successfully carried out in the stable client. Delegation
can be accomplished successfully when the geographical area is small and resources
are abundant.
A client reports severe pain 2 days after surgery. After assessing the characteristics of
the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response. - ANSWER 2 Obtain vital signs.
Immediately before administration of an analgesic, an assessment of vital signs is
necessary to determine whether any contraindications to the medication exist (e.g.,
hypotension, respirations ≤12 breaths/min).
Pain prevents both psychological and physiologic rest. Before administration of an
analgesic, the nurse must check the healthcare provider's prescription, the time of the
last administration, and the client's vital signs. A complete assessment, including vital
signs, should be done before documenting the client's pain response.
A nurse leader, along with the team, is caring for a client who is scheduled for
colonoscopy. Which delegated task requires the leader's supervision?
1 Assisting the client with an enema
,2 Assisting the client with bathing
3 Assisting the client with feeding
4 Assisting the client with ambulating - ANSWER 1 Assisting the client with an enema
A client who is scheduled for colonoscopy requires having the gastrointestinal tract
emptied, mainly the colon. Before undergoing this procedure the client is assisted with
an enema and other laxatives to expel all bowel contents present in the gastrointestinal
tract. A nurse leader should supervise this procedure, as an inadequately emptied colon
may cause complications.
Assisting the client with bathing, feeding, and ambulating are easy tasks and may not
require supervision.
Which comment by a team leader exemplifies team nursing the way it was intended?
1 "(Unlicensed assistive personnel), I need you to measure all vital signs." 2
"(Registered Nurse 1), check all of the intravenous (IV) sites and give the IV
medications."
3 "(Licensed Practical Nurse), you pass all of the oral medications to the clients today."
4 "(Registered Nurse 2), Mr. Jones has a foot wound, two IV meds, and needs morning
insulin." - ANSWER 2 "(Registered Nurse 1), check all of the intravenous (IV) sites and
give the IV medications."
The team leader must have excellent communication skills, delegation, and effective
decision-making abilities to provide a working "team" environment for members. When
the team leader is not prepared for this role, the team method becomes a miniature
version of the functional method. The assignment given to RN 1 takes the nurse's
experience and skills into consideration and exemplifies team nursing.
The statements made to the UAP, LPN, and RN 2 exemplify functional nursing.
The registered nurse finds that two nursing students are arguing with each other. Which
action by the registered nurse best represents a leadership quality?
1 Complaining to management and asking the students to go outside
2 Letting them continue arguing until they resolve the matter themselves 3
Assessing the condition and strategizing to resolve the matter by reducing the
difference
4 Asking the reason for their argument and reprimanding them for having the argument
in the hospital - ANSWER 3
Visioning is required by an efficient leader to engage others to assess the current
reality. This skill includes determining and specifying a desired end-point state and then
strategizing to reduce the differences.
,Letting them continue arguing and waiting until they resolve the matter may allow the
argument to escalate. Complaining to management would pass off responsibility for a
resolution and would not indicate leadership. Reprimanding the nurses may stop the
argument, but would not be a constructive approach.
Which point should the nurse exclude when developing strategies to project a powerful
image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation - ANSWER 1 Using
authoritative language
The nurse should treat people with courtesy and respect. The use of authoritative
language does not help in developing a powerful image. The nurse should also maintain
good body posture because it conveys self-confidence. Good eye contact helps in
developing trust. Appropriate dress and hair help convey a powerful image.
Which statement of the nurse leader reflects the actions suggested by the Joint
Commission for disruptive behavior by a direct care nurse?
1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented." - ANSWER 2 "You
are terminated, effective now."
According to the actions suggested by the Joint Commission, there is "zero" tolerance
for an intimidating and/or disruptive behavior. The action to be taken for this type of
behavior should be suspension, termination, loss of clinical privileges, and reporting to
professional licensure bodies.
The actions suggested by the Joint Commission do not include giving last a warning.
The nurse who has behaved disruptively is not eligible for any assessment. By saying,
"You should not behave this way because as you are very talented," the actions
suggested by Joint Commission are not being carried out.
According to the three-tiered triage system, which client requires urgent treatment?
Select all that apply.
1 A client with renal colic
, 2 A client with strains and sprains
3 A client with respiratory distress
4 A client with severe abdominal pain
5 A client with multiple displaced fractures - ANSWER 1, 4, 5
According to the three-tiered triage system, renal colic, severe abdominal pain, and
multiple displaced fractures require urgent treatment. Strains and sprains require
nonurgent treatment and respiratory distress requires emergent treatment.
The nurse finds the respiratory rate is 8 breaths per minute in a client who is on
intravenous morphine sulfate. What should the nurse do immediately in this situation?
1 Measure other vital signs.
2 Stop administering the medication.
3 Elevate the head of the client's bed.
4 Report to the primary healthcare provider - ANSWER 2 Stop administering the
medication.
Morphine sulfate is an opioid analgesic and can depress the central nervous system,
which results in respiratory depression. A respiratory rate of 8 breaths per minute
indicates respiratory depression, and the nurse should stop the medication immediately.
The nurse can measure the other vital signs after discontinuing the medication
administration. Elevating the head of the client's bed ensures proper breathing.
Therefore the nurse should elevate the client's bed after discontinuing the medication.
The nurse should report to the primary healthcare provider for an appropriate antidote
after stopping the medication administration.
A client is admitted to the emergency department following a motor vehicle accident.
The client's wounds are extensive. Which healthcare team member is best suited to
care for this client in the emergency ward?
1 Charge nurse
2 Registered nurse
3 Licensed practical nurse
4 Unlicensed nursing personnel - ANSWER 2 Registered nurse
A registered nurse should be the healthcare team member to care for the client in the
emergency department. The charge nurse's role includes making client assignments,
scheduling breaks for staff members, and serving as a staff resource person. The
licensed practical nurse is involved in fast-track emergency care. Unlicensed nursing
personnel perform all hygienic tasks and are not required in the emergency care unit.
