HESI RN
HESI Leadership Questions
Extract:
Question 1 of 5
A client with influenza is admitted to the medical unit. The nurse observes an unlicensed assistive personnel (UAP) preparing to enter the client's room to take vital signs and assist with personal care. The UAP has applied gloves and a gown. Which action should the nurse take?
Correct Answer: A
Rationale: Reviewing the need for a face mask ensures proper droplet precautions for influenza, completing the UAP's PPE. A respirator is unnecessary, reassigning the UAP is impractical, and monitoring respiratory changes is secondary to infection control.
Question 2 of 5
A nurse who works in a long-term care facility is delegating aspects of client care to unlicensed assistive personnel (UAP). Which assignment(s) should the nurse delegate? (Select all that apply.)
Correct Answer: B,C
Rationale: Emptying an ostomy bag and providing a bed bath are routine tasks within the UAP's scope. Identifying lesions, performing foot care, and giving tracheostomy mouth care require clinical judgment and are RN tasks.
Question 3 of 5
After reviewing the morning laboratory findings for four clients, which client should the nurse follow up with first? Reference Range: International Normalized Ratio [0.8 to 1.1], Blood Glucose 74 to 106 mg/dL (4.1 to 5.9 mmol/L)], Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)], Brain Natriuretic Peptide (BNP) [less than 100 pg/mL (less than 100 ng/L)]
Correct Answer: A
Rationale: A BNP of 1000 pg/mL indicates severe heart failure, requiring urgent interventions like oxygen and diuretics. The INR is therapeutic, glucose is mildly elevated, and potassium is normal, making these less urgent.
Question 4 of 5
The healthcare provider prescribes an oral medication to be given daily for 3 days. However, the medication was also given on the fourth day. Which intervention is most important for the charge nurse to implement?
Correct Answer: B
Rationale: Evaluating for overdose symptoms ensures client safety, addressing potential harm from the error. Informing the pharmacist, reporting, and reviewing transcription are secondary actions.
Question 5 of 5
Which staff assignment, made by the primary nurse, requires the most immediate follow-up action by the charge nurse on a medical unit?
Correct Answer: D
Rationale: Checking for fecal impaction is beyond the UAP's scope, risking client injury. The other assignments (transport, BP monitoring, blood retrieval) are within the respective staff's competencies.