HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

The nurse-manager observes that the staff nurse has used wrist restraints to help secure an elderly female in her wheelchair. The client is pleading for the nurse to release her arms. The nurse explains to the nurse-manager that the client needs to be restrained in the wheelchair so that the nurse can change her bed linens. Which is the priority action by the nurse-manager?

Correct Answer: B

Rationale: Removing restraints prioritizes the client's autonomy and safety, avoiding harm from inappropriate use.

Question 2 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?

A. The number of clients leaving the unit for diagnostic tests. B. The acuity level of the clients on the unit. C. The physician's plans to perform procedures on the unit. D. The skill level of the personnel staffing the unit.

Correct Answer: B

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

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

An older female client who was recently widowed has become increasingly confused and disoriented. Her family tells the healthcare provider's office nurse that it is imperative for their mother to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?

A. The client is grieving normally in response to her husband's death and hospitalization is not necessary. B. Managed care providers have mandatory pre-certification requirements for hospitalization. C. Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital. D. Managed healthcare plans do not pay for any in-hospital medical evaluations.

Correct Answer: B

Rationale: Informing the family about pre-certification requirements explains the process for hospital admission under the managed care plan.

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.