HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

The home health aide caring for a homebound 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 warm prune juice is a safe, simple task within the aide's scope to relieve constipation.

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?

A. Review the medication transcription with the nurse. B. Evaluate the client for symptoms of a drug interaction. C. Report the medication error to the nursing supervisor. D. Inform the pharmacist who dispensed the medication.

Correct Answer: C

Rationale: Reporting the error ensures proper documentation and follow-up for client safety.

Question 3 of 5

It is most important for the charge nurse to schedule a multi-disciplinary team meeting to discuss which client?

A. A business executive admitted with Guillain-Barre syndrome who has residual bilateral numbness in the lower extremities. B. A woman who is pregnant with twins and whose due date is one week away. C. An elderly client admitted through the emergency department with a broken hip whose blood glucose is 400 mg/dL (22 mmol/L). D. A 2-year-old who contracted Hepatitis A while at a local daycare center.

Correct Answer: C

Rationale: The elderly client with a broken hip and uncontrolled diabetes requires urgent, coordinated care to manage multiple acute conditions.

Question 4 of 5

Several family members are visiting a client who had a myocardial infarction 4 days ago. The unlicensed assistive personnel (UAP) informs the nurse that one of the visitors is lying on the client's bed. Which action should the nurse implement?

A. Discuss why visitors should not lie in the bed with the client. B. Notify the charge nurse that the visitor is lying on the client's bed. C. Explain that the client has the right to have a visitor lie on the bed. D. Instruct the UAP to ask the visitor to get off the client's bed.

Correct Answer: D

Rationale: Instructing the UAP to address the visitor maintains hygiene and safety efficiently.

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