HESI RN
HESI Leadership Questions
Extract:
Question 1 of 5
A male client is admitted with difficulty breathing related to a recent diagnosis of metastatic lung cancer. He tells the nurse that he does not want to be hooked up to any machines. His vital signs are heart rate 120 beats/minute, blood pressure 98/50 mm Hg, respirations 30 breaths/minute, and oxygen saturation 88%. Which action should the nurse take?
Correct Answer: D
Rationale: Consulting palliative care respects the client's wish to avoid machines and provides holistic end-of-life support. Power of attorney, analgesics, and IV discontinuation are secondary or inappropriate.
Question 2 of 5
The nurse determines that an IV vesicant chemotherapy infusion is infiltrated. In responding to this finding, which task can the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Disposing of IV tubing is a routine task within the UAP's scope. Recording pulse volume, reapplying compresses, and teaching require clinical judgment, which are RN responsibilities.
Question 3 of 5
A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organization's budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?
Correct Answer: B
Rationale: The number of departments using the equipment maximizes its benefit and cost-effectiveness across the organization. Updates, cost, and repairs are important but secondary to the equipment's overall utility.
Question 4 of 5
An older female client who was recently widowed has become increasingly confused and disoriented. Her family tells the healthcare provider's office nurse that it is imperative for their mother to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?
Correct Answer: D
Rationale: Informing about pre-certification requirements is factual and guides the family on necessary steps for hospitalization. Other options are inaccurate, insensitive, or dismissive of the client's medical needs.
Question 5 of 5
During an evening shift on a medical unit, the only nurse on the unit is busy with an unstable client. The unit clerk, who is also both a certified medication aide and an unlicensed assistive personnel (UAP), reports to the nurse that a healthcare provider is on the telephone and wishes to prescribe an as needed (PRN) dose of an oral over-the-counter laxative for a client who is constipated. Which instruction should the nurse provide the unit clerk?
Correct Answer: D
Rationale: The unit clerk cannot take verbal orders; instructing the provider to be called back ensures the nurse handles the prescription directly. Monitoring vitals, holding the call, or writing orders are inappropriate for the clerk's role.