HESI RN
HESI Leadership RN Samuel Merit Questions
Extract:
Question 1 of 5
Which client requires the most immediate intervention by the nurse?
Correct Answer: A
Rationale: Somnolence in acute kidney injury suggests uremic encephalopathy, requiring immediate neurological assessment.
Question 2 of 5
The practical nurse reports that a client with a deep vein thrombosis (DVT) was mistakenly given heparin in addition to the prescribed warfarin. Which priority action should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical to address the high bleeding risk from the medication error.
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?
Correct Answer: A
Rationale: Addison's crisis is life-threatening, requiring the RN's advanced skills for monitoring and intervention.
Question 4 of 5
A client with life-threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Identifying a spokesperson streamlines communication, reducing confusion and repetitive questions.
Question 5 of 5
A male client is admitted with difficulty breathing related to a recent diagnosis of metastatic lung cancer. He tells the nurse that he does not want to be 'hooked up to any machines'. His vital signs are heart rate 120 beats/minute, blood pressure 98/50 mm Hg, respirations 30 breaths/minute, and oxygen saturation rate is 88%. Which action should the nurse take?
Correct Answer: B
Rationale: Consulting palliative care aligns with the client's wishes, focusing on symptom relief and quality of life.