Hesi Leadership Exit exam combined
Study online at https://quizlet.com/_dp9wyt
1.A nurse is performing telephone triage
A 21 year old with a history of a kid-
at the clinic office. Which client has
ney transplant. Today the client reports
the most acute problem and should be
flu-like symptoms with a fever of 100.4 F
scheduled for the first available appoint-
(38 C)
ment?
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 ses-
Measure Vital Signs
sion 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?
3.The nurse should assess the client Paresthesia secondary to an arterial oc-
with which problem first? clusion
4.A young adult client with a brain tumor
refuses further treatment and requests
to be allowed to die a natural death.
Initiate a review of the situation by the
The healthcare provides does not agree
hospital's ethics committee.
with the client's decision and refuses
to write do-not-resuscitate instructions.
Which action should the nurse take?
5.A healthcare provider notifies the
nurse that new prescriptions have been Read all of the new prescriptions for the
written for a client. Which is the 1st action client written by the provider
the nurse should implement?
6.The nurse is observing the staff pro-
Unlicensed assistive personnel wearing
vide care to a client with acquired im-
a mask to take client's blood pressure.
mune deficiency syndrome
7.The nurse caring for a client with bacte-
rial meningitis is preparing report for the
oncoming nurse. It is most important to Increasing Pulse Pressure
include which assessment finding in the
report?
8.The charge nurse notices that a
respiratory therapist who has been
, Hesi Leadership Exit exam combined
Study online at https://quizlet.com/_dp9wyt
cross-trained to work as a phlebotomist
and unlicensed assistive personnel Provide the employee with feedback
(UAP) seems to be avoiding HIV positive about observed behavior
clients
9.The nursing supervisor sends an unli-
censed assistant personnel ( UAP) to a
medical unit to replace an absent UAP.
Observe the UAP obtain a fingerstick glu-
When delegating the task of obtaining
cose level using the glucometer.
client's blood sugar levels using a glu-
cometer, which action is most important
for the nurse to implement?
10.The nurse manager conducts regular
audits of patient care medication records Conduct a closer examination of staff
and notices that the amount of narcot- nurse's distribution of pain medication
ic pain medications administered during from evening shift
the evening shift on a postsurgical unit
11.The smell of cigarette smoke is com-
Educate the client about the hospital
ing from a client's bathroom. Which ac-
smoking policy.
tion should the nurse
12.The practical nurse (PN) reports to
the charge nurse that the transparent
dressing covering a single lumen central Confirm the findings of the PN while se-
venous catheter inserted in the subcla- curing the transparent dressing and noti-
vian vein of a client has come loose and fy the healthcare provider.
the insertion site is inflamed. Which ac-
tion should the charge nurse implement?
13.At 0200 the nurse phones the health-
care provider to request a PRN med-
ication for a client who is unable to
Call the healthcare or back, and report
sleep. The healthcare provider is awak-
that the dosage prescribed is our times
ened and gives the nurse a prescription
the normal dosage.
for four times the normal dosage. When
questioned by the nurse, the healthcare
provider responds in a sleepy
14.The charge nurse notices that a fe-
male practical nurse (PN), who has a
long work history on the unit and is a
, Hesi Leadership Exit exam combined
Study online at https://quizlet.com/_dp9wyt
valued employee, seems tired and slow
to respond verbally during the change of
shift report. One hour later the charge
nurse overhears the PN telling an un- Send the PN to the employee health cen-
licensed assistive personnel (UAP) that ter for a urine drug Screen
she took a sleeping pill 4 hours ago and
she is still feeling its effects. Which action
should the charge nurse take?
15.It is most important to assign which After ambulating, a postoperative client
client to a registered nurse rather than a grimaces and reports incisional pain at a
practical nurse? "9" on a point scale.
16.After receiving a change of shift re-
port for clients on a medical surgical unit, Apply hydrocolloid dressings to venous
which task should the nurse
17.The charge nurse observes unli-
censed assistive personnel (UAP) and
Inform both individuals that their behav-
a nurse arguing at the nurse's station.
ior is inappropriate in a work setting
What action is best for the charge nurse
to implement?
18.A male client with metastatic lung
cancer has requested that "no heroic
Ensure the prescriptions or transfer in-
measures" are used to extend his life, so
clude the client's end-of-life choice.
the healthcare provider prescribes trans-
ferring the client to the palliative care
19.The charge nurse observes that a
client with a nasogastric tube applied
to low intermittent suction is drinking a
Remove the glass of water and speak to
glass of water immediately after the un-
the UAP.
licensed assistive personnel (UAP) left
the room. What is the best initial action
for the charge nurse to take.
20.The nurse hears a newly employed
unlicensed assistive personnel (UAP)
who is working in a long-term care facility Meet with the UAP to discuss respectful
calling the adult residents "honey" and client care strategies.
"dearie." What is the best action for the
nurse to take?
Study online at https://quizlet.com/_dp9wyt
1.A nurse is performing telephone triage
A 21 year old with a history of a kid-
at the clinic office. Which client has
ney transplant. Today the client reports
the most acute problem and should be
flu-like symptoms with a fever of 100.4 F
scheduled for the first available appoint-
(38 C)
ment?
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 ses-
Measure Vital Signs
sion 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?
3.The nurse should assess the client Paresthesia secondary to an arterial oc-
with which problem first? clusion
4.A young adult client with a brain tumor
refuses further treatment and requests
to be allowed to die a natural death.
Initiate a review of the situation by the
The healthcare provides does not agree
hospital's ethics committee.
with the client's decision and refuses
to write do-not-resuscitate instructions.
Which action should the nurse take?
5.A healthcare provider notifies the
nurse that new prescriptions have been Read all of the new prescriptions for the
written for a client. Which is the 1st action client written by the provider
the nurse should implement?
6.The nurse is observing the staff pro-
Unlicensed assistive personnel wearing
vide care to a client with acquired im-
a mask to take client's blood pressure.
mune deficiency syndrome
7.The nurse caring for a client with bacte-
rial meningitis is preparing report for the
oncoming nurse. It is most important to Increasing Pulse Pressure
include which assessment finding in the
report?
8.The charge nurse notices that a
respiratory therapist who has been
, Hesi Leadership Exit exam combined
Study online at https://quizlet.com/_dp9wyt
cross-trained to work as a phlebotomist
and unlicensed assistive personnel Provide the employee with feedback
(UAP) seems to be avoiding HIV positive about observed behavior
clients
9.The nursing supervisor sends an unli-
censed assistant personnel ( UAP) to a
medical unit to replace an absent UAP.
Observe the UAP obtain a fingerstick glu-
When delegating the task of obtaining
cose level using the glucometer.
client's blood sugar levels using a glu-
cometer, which action is most important
for the nurse to implement?
10.The nurse manager conducts regular
audits of patient care medication records Conduct a closer examination of staff
and notices that the amount of narcot- nurse's distribution of pain medication
ic pain medications administered during from evening shift
the evening shift on a postsurgical unit
11.The smell of cigarette smoke is com-
Educate the client about the hospital
ing from a client's bathroom. Which ac-
smoking policy.
tion should the nurse
12.The practical nurse (PN) reports to
the charge nurse that the transparent
dressing covering a single lumen central Confirm the findings of the PN while se-
venous catheter inserted in the subcla- curing the transparent dressing and noti-
vian vein of a client has come loose and fy the healthcare provider.
the insertion site is inflamed. Which ac-
tion should the charge nurse implement?
13.At 0200 the nurse phones the health-
care provider to request a PRN med-
ication for a client who is unable to
Call the healthcare or back, and report
sleep. The healthcare provider is awak-
that the dosage prescribed is our times
ened and gives the nurse a prescription
the normal dosage.
for four times the normal dosage. When
questioned by the nurse, the healthcare
provider responds in a sleepy
14.The charge nurse notices that a fe-
male practical nurse (PN), who has a
long work history on the unit and is a
, Hesi Leadership Exit exam combined
Study online at https://quizlet.com/_dp9wyt
valued employee, seems tired and slow
to respond verbally during the change of
shift report. One hour later the charge
nurse overhears the PN telling an un- Send the PN to the employee health cen-
licensed assistive personnel (UAP) that ter for a urine drug Screen
she took a sleeping pill 4 hours ago and
she is still feeling its effects. Which action
should the charge nurse take?
15.It is most important to assign which After ambulating, a postoperative client
client to a registered nurse rather than a grimaces and reports incisional pain at a
practical nurse? "9" on a point scale.
16.After receiving a change of shift re-
port for clients on a medical surgical unit, Apply hydrocolloid dressings to venous
which task should the nurse
17.The charge nurse observes unli-
censed assistive personnel (UAP) and
Inform both individuals that their behav-
a nurse arguing at the nurse's station.
ior is inappropriate in a work setting
What action is best for the charge nurse
to implement?
18.A male client with metastatic lung
cancer has requested that "no heroic
Ensure the prescriptions or transfer in-
measures" are used to extend his life, so
clude the client's end-of-life choice.
the healthcare provider prescribes trans-
ferring the client to the palliative care
19.The charge nurse observes that a
client with a nasogastric tube applied
to low intermittent suction is drinking a
Remove the glass of water and speak to
glass of water immediately after the un-
the UAP.
licensed assistive personnel (UAP) left
the room. What is the best initial action
for the charge nurse to take.
20.The nurse hears a newly employed
unlicensed assistive personnel (UAP)
who is working in a long-term care facility Meet with the UAP to discuss respectful
calling the adult residents "honey" and client care strategies.
"dearie." What is the best action for the
nurse to take?
