HESI Leadership | Nurselytic

Extract:

Question 1 of 5

The home health aide caring for a home bound hospice client calls to inform the nurse that the client has reported feeling constipated. Which task should the nurse instruct the home health aide to perform?

Correct Answer: D

Rationale: Assisting with drinking warm prune juice is within the aide's scope and promotes natural relief of constipation. Listening for bowel sounds, teaching about fiber, and administering laxatives require nursing skills and are beyond the aide's role.

Question 2 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. A graduate nurse is assigned to obtain a unit of packed red blood cells from the blood bank. D. An unlicensed assistive personnel (UAP) is assigned to check a client for fecal impaction.

Correct Answer: D

Rationale: Checking for fecal impaction is beyond the UAP's scope, risking client injury. The other assignments (transport, BP monitoring, blood retrieval) are within the respective staff's competencies.

Question 3 of 5

In assigning client care to a nurse and a practical nurse (PN), it is most important to assign which client to the nurse?

A. The client two days post-thyroidectomy and is unable to speak clearly due to laryngeal nerve damage. B. The client newly diagnosed with hypothyroidism and who is to receive the first dose of levothyroxine. C. The client with diabetes and has an elevated serum glycosylated Hgb (Hgb A1C). D. The client exhibiting signs of Addison's crisis after corticosteroids were discontinued.

Correct Answer: A

Rationale: Laryngeal nerve damage post-thyroidectomy risks airway obstruction, requiring RN monitoring. Hypothyroidism, diabetes, and Addison's crisis can be managed by a PN under supervision.

Question 4 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. Choose to send another nurse who is more receptive because the older nurse is not interested. B. Ask the nurse why she thinks there is no need for an in-service program about these emergencies. C. Inform the older nurse that in-service is not optional and her scheduled attendance is mandatory. D. Encourage the nurse to share her concerns and discuss ways to prepare for such emergencies.

Correct Answer: D

Rationale: Encouraging the nurse to share concerns fosters collaboration and addresses barriers to participation, enhancing engagement. Sending another nurse, questioning her views confrontationally, or mandating attendance may create resentment or fail to address her concerns effectively.

Question 5 of 5

When triaging emergency room clients, which client should the nurse assess first?

A. A male adolescent who has been vomiting for the past 12 hours and describes himself as very weak. B. A female client with severe right lower abdominal pain who is febrile and vomiting. C. An elderly client with peripheral vascular disease who is complaining of severe leg pain when ambulating. D. A child who has had a cold for two days and now is coughing up green sputum.

Correct Answer: B

Rationale: Severe right lower abdominal pain with fever and vomiting suggests appendicitis, a surgical emergency requiring immediate assessment. Vomiting, leg pain, and green sputum are less urgent conditions.