HESI RN
HESI Leadership RN Samuel Merit Questions
Extract:
Question 1 of 5
The nurse obtains verbal prescriptions from the healthcare provider for an antianginal, telemetry, and STAT serum analysis for cardiac isoenzymes, after reading back the prescriptions to the healthcare provider of a client's upper gastric burning, left jaw pain, and nausea. Which intervention is most important for the nurse to implement?
Correct Answer: A
Rationale: Initiating telemetry addresses potential myocardial infarction, a priority given the client's symptoms.
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?
Correct Answer: B
Rationale: Client acuity determines the intensity of care needed, critical for staffing decisions.
Question 3 of 5
An adult male is transferred from post anesthesia care unit (PACU) to the postoperative unit following an internal fixation of a fractured tibia and fibula that occurred during a motor vehicle collision (MVC). The nurse reports that the client received morphine 2 mg intravenously 45 minutes ago and is currently experiencing pain relief of 7 from a previous report of 10. Postoperative prescriptions include, start patient-controlled analgesia (PCA) using hydromorphone 0.2 mg on demand and 0.2 mg/hour basal rate. Which client information should the nurse provide to complete this report?
Correct Answer: B
Rationale: Normal neurovascular assessments are critical to ensure no complications post-surgery.
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?
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 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?
Correct Answer: C
Rationale: Reporting the error ensures proper documentation and follow-up for client safety.