HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

A staff nurse has been tardy for morning shift assignments for the past three days and provides no explanation for arriving late. Which approach is best for the nurse manager to use when addressing this staff member's tardiness?

Correct Answer: B

Rationale: Stressing the expectation of punctuality clearly communicates standards and promotes accountability.

Question 2 of 5

The charge nurse is assigning care to clients who are all receiving continuous intravenous medication infusions. The client receiving which medication infusion is best to assign to the licensed practical nurse (PN), rather than an RN?

A. Nitroprusside sodium, an antihypertensive. B. Methotrexate, an antimetabolite chemotherapeutic agent. C. Octreotide acetate, an antidiarrheal agent. D. Amiodarone hydrochloride, an antiarrhythmic agent.

Correct Answer: C

Rationale: Octreotide infusion is stable and within the PN's scope, unlike high-risk medications requiring RN oversight.

Question 3 of 5

Four clients are scheduled to receive IV infusions, but there are only three intravenous (IV) pumps available. Which prescribed infusion can most safely be administered without an IV infusion pump?

A. Heparin in Normal Saline prescribed for deep vein thrombosis. B. Regular Insulin in Normal Saline prescribed for ketoacidosis. C. Magnesium in Normal Saline prescribed for hypomagnesemia. D. Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia.

Correct Answer: D

Rationale: Ceftriaxone can be safely administered via gravity drip over 30 minutes, unlike high-alert medications like heparin, insulin, or magnesium.

Question 4 of 5

The charge nurse is making client assignments in the Intensive Care Department. The healthcare team consists of one nurse with 10 years experience, one nurse with 5 years experience, and a new graduate nurse who just completed a 12-week internship. Which client should the nurse assign to the new graduate nurse?

A. A client with chest tubes secondary to a stab wound to the chest. B. A client in end-stage liver failure who is experiencing esophageal bleeding. C. A client with multisystem failure secondary to a motor vehicle collision. D. A client with Adult Respiratory Distress Syndrome who is on a ventilator.

Correct Answer: A

Rationale: The client with chest tubes has a stable condition suitable for the new graduate's skills.

Question 5 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.