HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

The charge nurse is making assignments for a 15-bed skilled nursing unit with the staff of one nurse, two practical nurses (PN), and two unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

Correct Answer: C

Rationale: The pneumonia client with oral medication is stable and within the PN's scope.

Question 2 of 5

A child is admitted to the pediatric unit after being diagnosed with pertussis. The nurse observes an unlicensed assistive personnel (UAP) donning a pair of gloves before entering the room to give the child a popsicle. Which action should the nurse take?

A. Assign the UAP to provide care for another client and assume full care of the client. B. Remind the UAP to apply a fitted respirator mask before entering the client's room. C. Review the need for the UAP to wear a face mask while in close contact with the client. D. Instruct the UAP to notify the nurse of any changes in the client's respiratory status.

Correct Answer: C

Rationale: Reviewing the need for a face mask educates the UAP on droplet precautions necessary for pertussis.

Question 3 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 4 of 5

Which staff assignment, made by the primary nurse, requires the most immediate follow-up action by the charge nurse on a medical unit?

A. A practical nurse is assigned to transport a postoperative client to the rehabilitation unit. B. A practical nurse (PN) is assigned to monitor the blood pressure of a client with hypertension. C. An unlicensed assistive personnel (UAP) is assigned to check a client for fecal impaction. D. A graduate nurse is assigned to obtain a unit of packed red blood cells from the blood bank.

Correct Answer: C

Rationale: A UAP checking for fecal impaction is outside their scope, requiring immediate reassignment to a nurse.

Question 5 of 5

The nurse observes a practical nurse (PN) placing a client on the right side with the left leg bent in preparation for a lumbar puncture. Which action should the nurse implement?

A. Assume care of the client and assign the PN to the care of a different client. B. Acknowledge that the PN has positioned the client safely and correctly. C. Arrange for an unlicensed assistive personnel to assist the PN during the procedure. D. Demonstrate to the PN how to position the client more effectively for the procedure.

Correct Answer: D

Rationale: Demonstrating proper positioning corrects the error, educates the PN, and ensures client safety during the procedure.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN