HESI RN
HESI Leadership RN Samuel Merit Questions
Extract:
Question 1 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: A
Rationale: The nurse must receive prescriptions directly, prioritizing the unstable client's care.
Question 2 of 5
The practical nurse (PN) is visiting a client who has stage four colon cancer and is receiving palliative home care. The client refuses to eat and sleeps most of the day. Which intervention should the nurse ask the PN to ensure the family is providing the client?
Correct Answer: C
Rationale: Keeping mucous membranes moist prevents discomfort and complications, a priority in palliative care.
Question 3 of 5
The healthcare provider prescribes an oral medication to be given daily for 3 days. However, the medication was also given on the fourth day. Which intervention is most important for the charge nurse to implement?
Correct Answer: C
Rationale: Reporting the error ensures proper documentation and follow-up for client safety.
Question 4 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 5 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.