HESI RN
HESI Leadership Questions
Extract:
Question 1 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?
Correct Answer: A
Rationale: Ceftriaxone can be safely administered by gravity infusion with nurse monitoring, as its dosing is less sensitive to minor flow rate variations. Heparin, magnesium, and insulin require precise infusion rates due to risks of bleeding, toxicity, or glucose imbalances, necessitating an IV pump.
Question 2 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: B
Rationale: Evaluating for overdose symptoms ensures client safety, addressing potential harm from the error. Informing the pharmacist, reporting, and reviewing transcription are secondary actions.
Question 3 of 5
After an interdisciplinary team meeting regarding the client's request to die a natural death, the primary healthcare provider refuses to write the do-not-resuscitate instructions. Which action should the nurse take?
Correct Answer: D
Rationale: An ethics committee review mediates conflicts and protects client rights when the provider opposes the client's wishes. Palliative meetings, mentioning treatments, or providing rights are less effective in resolving the ethical dilemma.
Question 4 of 5
The unlicensed assistive personnel (UAP) reports to the nurse that a male client with fluid volume overload will not allow the UAP to obtain his daily weight. Which action should the nurse implement?
Correct Answer: B
Rationale: Using a bed scale accommodates the client's condition, ensuring accurate weight measurement without discomfort. Asking why, delaying, or documenting refusal do not address the need for timely data to monitor fluid status.
Question 5 of 5
The fire alarm goes off while the charge nurse is receiving the shift report. Which action should the charge nurse implement first?
Correct Answer: D
Rationale: Keeping clients and visitors in rooms with closed doors follows the RACE protocol, containing fire and smoke. Calling the operator, directing to the waiting area, or evacuating may delay safety measures.