HESI Leadership RN Samuel Merit

Extract:

Question 1 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: B

Rationale: Informing the family about pre-certification requirements explains the process for hospital admission under the managed care plan.

Question 2 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 3 of 5

Several family members are visiting a client who had a myocardial infarction 4 days ago. The unlicensed assistive personnel (UAP) informs the nurse that one of the visitors is lying on the client's bed. Which action should the nurse implement?

A. Discuss why visitors should not lie in the bed with the client. B. Notify the charge nurse that the visitor is lying on the client's bed. C. Explain that the client has the right to have a visitor lie on the bed. D. Instruct the UAP to ask the visitor to get off the client's bed.

Correct Answer: D

Rationale: Instructing the UAP to address the visitor maintains hygiene and safety efficiently.

Question 4 of 5

A charge nurse agrees to cover another nurse's assignment during a lunch break. Based on the status report provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse?

A. The client post triple coronary bypass four days ago who has serosanguinous drainage in one chest tube. B. The client admitted yesterday with diabetic ketoacidosis whose blood glucose level is now 195 mg/dL (10.8 mmol/L). C. The client with an ileal conduit created two days ago with a scant amount of blood in the drainage pouch. D. The client with a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90%.

Correct Answer: D

Rationale: The pneumothorax client with low oxygen saturation is at risk of respiratory failure, requiring immediate assessment.

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.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN