HESI RN
HESI Leadership RN Samuel Merit Questions
Extract:
Question 1 of 5
A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?
Correct Answer: A
Rationale: Evacuating ambulatory clients to fire exits prioritizes their safety, following standard fire evacuation protocols.
Question 2 of 5
A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse about collecting a sputum specimen from a client who is HIV positive. Which action should the charge nurse take first?
Correct Answer: C
Rationale: Determining the UAP's knowledge about HIV transmission is the first action to address their fear, identify misconceptions, and provide targeted education.
Question 3 of 5
The practical nurse reports that a client with a deep vein thrombosis (DVT) was mistakenly given heparin in addition to the prescribed warfarin. Which priority action should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical to address the high bleeding risk from the medication error.
Question 4 of 5
The healthcare provider discusses with a male client the need for a cardiac catheterization, describes the risks and benefits of the procedure, and asks the nurse to have the client sign the consent form. When the nurse presents the consent form for signature, the client hesitates and asks the nurse how the wires will keep his heart going. Which action should the nurse take?
Correct Answer: C
Rationale: Notifying the provider ensures the client's misunderstanding is addressed for valid informed consent.
Question 5 of 5
Which client requires the most immediate intervention by the nurse?
Correct Answer: A
Rationale: Somnolence in acute kidney injury suggests uremic encephalopathy, requiring immediate neurological assessment.