HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

The charge nurse needs to determine if an additional nurse should be called to help staff the unit for the next shift. Which information is most important for the charge nurse to consider when making this decision?

Correct Answer: B

Rationale: Client acuity determines the intensity of care needed, critical for staffing decisions.

Question 2 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?

A. Provide revised procedural updates through additional nursing staff education programs. B. Examine medication administration data to determine use of new policy by nursing staff. C. Investigate identified procedural variances in medication administration with nursing staff. D. Determine changes in procedure needed to reduce the frequency of medication errors.

Correct Answer: B

Rationale: Examining data assesses policy compliance, identifying gaps to address persistent errors.

Question 3 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.

Question 4 of 5

A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?

A. Instruct the nursing staff to evacuate ambulatory clients to the nearest fire exits. B. Instruct unlicensed assistive personnel (UAPs) to transfer all non-ambulatory clients via wheelchairs. C. Announce in a calm voice that all visitors should proceed immediately to the first floor via the service elevators. D. Shut all doors to client rooms and tell everyone to stay in their rooms until the fire department arrives.

Correct Answer: A

Rationale: Evacuating ambulatory clients to fire exits prioritizes their safety, following standard fire evacuation protocols.

Question 5 of 5

The registered nurse (RN) is gathering supplies to assist a healthcare provider with a bedside thoracentesis when the emergency department (ED) nurse calls to report on a client with unstable angina who must be admitted immediately. A practical nurse (PN) and unlicensed assistive personnel (UAP) are available to the RN. How should the RN assign the necessary nursing actions?

A. Assign the UAP to prepare the room while the PN obtains report on the new admission and the RN assists with the thoracentesis. B. Assign the UAP to assist with the thoracentesis while the PN goes to the ED to transport the client to the unit and the RN obtains report from the ED nurse. C. Assign the PN to assist with the thoracentesis while the RN obtains report and the UAP prepares the room for the new admission. D. Assign the PN to go to the ED to obtain report and transport the client while the UAP prepares the room and the RN assists with the thoracentesis.

Correct Answer: D

Rationale: The PN can handle report and transport, the UAP can prepare the room, and the RN is needed for the thoracentesis.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN