HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

The healthcare provider discusses with a male client the need for a cardiac catheterization, describes the risks and benefits of the procedure, and asks the nurse to have the client sign the consent form. When the nurse presents the consent form for signature, the client hesitates and asks the nurse how the wires will keep his heart going. Which action should the nurse take?

Correct Answer: C

Rationale: Notifying the provider ensures the client's misunderstanding is addressed for valid informed consent.

Question 2 of 5

The nurse-manager overhears an older female nurse complaining to a co-worker about the time being used to attend an in-service session for bioterrorism preparedness. How should the nurse-manager respond?

A. Ask the nurse why she thinks there is no need for an in-service program about these emergencies. B. Encourage the nurse to share her concerns and discuss ways to prepare for such emergencies. C. Choose to send another nurse who is more receptive because the older nurse is not interested. D. Inform the older nurse that in-service is not optional and her scheduled attendance is mandatory.

Correct Answer: B

Rationale: Encouraging discussion fosters collaboration and addresses concerns constructively.

Question 3 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.

Question 4 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?

A. Tell the healthcare provider the nurse will return the phone call as soon as possible. B. Remain with this client and monitor the vital signs while the nurse takes the call. C. Ask the healthcare provider to remain on 'hold' until the nurse can confirm the prescription. D. Be sure to write down what is prescribed and then repeat it back to the healthcare provider.

Correct Answer: A

Rationale: The nurse must receive prescriptions directly, prioritizing the unstable client's care.

Question 5 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?

A. The client who had bilateral above-knee amputations, now has a sacral decubitus skin flap, and is receiving vancomycin intravenously. B. The client who is in end-stage Alzheimer's, who requires feeding, and is waiting for a long-term facility placement. C. The client who has pneumonia following a total knee replacement, and is receiving clarithromycin orally. D. The client who has right hemiplegia as the result of a cerebral vascular accident and receives continuous gastrostomy feedings per enteral pump.

Correct Answer: C

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

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN