HESI RN
HESI Leadership RN Samuel Merit Questions
Extract:
Question 1 of 5
An older adult woman with end stage heart disease is alert and oriented and states that she does not want any heroic measures taken in the event she stops breathing. The client's children tell the nurse that they accept their mother's wishes and do not want to watch her suffer. Which action should the nurse take first?
Correct Answer: B
Rationale: Obtaining a DNR prescription legally documents the client's wishes, a priority action.
Question 2 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 3 of 5
When triaging emergency room clients, which client should the nurse assess first?
Correct Answer: C
Rationale: Severe abdominal pain with fever and vomiting suggests a potentially life-threatening condition like appendicitis, requiring immediate assessment.
Question 4 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 5 of 5
After implementation of new policies related to client identification prior to medication administration, the frequency of medication errors remains unchanged. Which should be the nurse manager's next action?
Correct Answer: B
Rationale: Examining data assesses policy compliance, identifying gaps to address persistent errors.