HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

A child is admitted to the pediatric unit after being diagnosed with pertussis. The nurse observes an unlicensed assistive personnel (UAP) donning a pair of gloves before entering the room to give the child a popsicle. Which action should the nurse take?

Correct Answer: C

Rationale: Reviewing the need for a face mask educates the UAP on droplet precautions necessary for pertussis.

Question 2 of 5

The nurse observes a practical nurse (PN) placing a client on the right side with the left leg bent in preparation for a lumbar puncture. Which action should the nurse implement?

A. Assume care of the client and assign the PN to the care of a different client. B. Acknowledge that the PN has positioned the client safely and correctly. C. Arrange for an unlicensed assistive personnel to assist the PN during the procedure. D. Demonstrate to the PN how to position the client more effectively for the procedure.

Correct Answer: D

Rationale: Demonstrating proper positioning corrects the error, educates the PN, and ensures client safety during the procedure.

Question 3 of 5

A child is admitted to the pediatric unit after being diagnosed with pertussis. The nurse observes an unlicensed assistive personnel (UAP) donning a pair of gloves before entering the room to give the child a popsicle. Which action should the nurse take?

A. Assign the UAP to provide care for another client and assume full care of the client. B. Remind the UAP to apply a fitted respirator mask before entering the client's room. C. Review the need for the UAP to wear a face mask while in close contact with the client. D. Instruct the UAP to notify the nurse of any changes in the client's respiratory status.

Correct Answer: C

Rationale: Reviewing the need for a face mask educates the UAP on droplet precautions necessary for pertussis.

Question 4 of 5

When making assignments for residents of a long-term care facility who require assistance with feeding, which client should the charge nurse assign to the practical nurse (PN) rather than the unlicensed assistive personnel (UAP)?

A. An elderly woman who refuses to eat most meals served. B. A disabled client who is learning to use adaptive equipment. C. A client who drools but swallows solids after many attempts. D. An older, edentulous client who has loose fitting dentures.

Correct Answer: A

Rationale: The client refusing meals requires a PN's assessment to address potential psychological or physiological issues.

Question 5 of 5

The registered nurse (RN) is gathering supplies to assist a healthcare provider with a bedside thoracentesis when the emergency department (ED) nurse calls to report on a client with unstable angina who must be admitted immediately. A practical nurse (PN) and unlicensed assistive personnel (UAP) are available to the RN. How should the RN assign the necessary nursing actions?

A. Assign the UAP to prepare the room while the PN obtains report on the new admission and the RN assists with the thoracentesis. B. Assign the UAP to assist with the thoracentesis while the PN goes to the ED to transport the client to the unit and the RN obtains report from the ED nurse. C. Assign the PN to assist with the thoracentesis while the RN obtains report and the UAP prepares the room for the new admission. D. Assign the PN to go to the ED to obtain report and transport the client while the UAP prepares the room and the RN assists with the thoracentesis.

Correct Answer: D

Rationale: The PN can handle report and transport, the UAP can prepare the room, and the RN is needed for the thoracentesis.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN