HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

A client with life-threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Identifying a spokesperson streamlines communication, reducing confusion and repetitive questions.

Question 2 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.

Question 3 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?

A. A practical nurse is assigned to transport a postoperative client to the rehabilitation unit. B. A practical nurse (PN) is assigned to monitor the blood pressure of a client with hypertension. C. An unlicensed assistive personnel (UAP) is assigned to check a client for fecal impaction. D. A graduate nurse is assigned to obtain a unit of packed red blood cells from the blood bank.

Correct Answer: C

Rationale: A UAP checking for fecal impaction is outside their scope, requiring immediate reassignment to a nurse.

Question 4 of 5

An unlicensed assistive personnel (UAP) who is working on a skilled nursing unit is diagnosed with hepatitis A (HVA). Two weeks later, a nurse complains of headache, nausea, anorexia, arthralgia, and low-grade fever. Which action should the nurse-manager take next?

A. Observe the nurse for jaundice and icterus sclera. B. Review the immunization status of all unit employees. C. Refer the nurse to employee health for serological testing. D. Post an employee notice of the outbreak of HVA on the unit.

Correct Answer: C

Rationale: Serological testing confirms HVA, enabling prompt diagnosis and treatment.

Question 5 of 5

An adult woman with metastatic pancreatic cancer has requested that no heroic measures are implemented to save her life. Instructions from the healthcare provider have been received to transfer the client to a palliative care room. Which action is most important for the nurse to take?

A. Ensure transfer of the client's electronic chart code. B. Give a detailed report to accepting nurse. C. Give client written information about end-of-life care. D. Take the family to the client's new room.

Correct Answer: B

Rationale: A detailed report ensures continuity of care, critical for the client's palliative needs.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN