HESI Leadership RN Samuel Merit

Extract:

Question 1 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?

Correct Answer: C

Rationale: A UAP checking for fecal impaction is outside their scope, requiring immediate reassignment to a nurse.

Question 2 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.

Question 3 of 5

The charge nurse, working with one nurse, two practical nurses (PNs), a unit secretary, and two unlicensed assistive personnel (UAPs), is caring for 24 clients on a medical surgical unit. Which task is best for the charge nurse to assign to the PN?

A. Transcription of the healthcare provider's treatment plan for a client transferred from a critical care unit. B. The subclavian dressing change on a client diagnosed with inflammatory bowel disease. C. The admission assessment of a client diagnosed with bacterial pneumonia. D. The insertion of a Foley catheter for a client diagnosed with septicemia.

Correct Answer: D

Rationale: Foley catheter insertion is within the PN's scope, a task-based procedure suitable for their training.

Question 4 of 5

After implementation of new policies related to client identification prior to medication administration, the frequency of medication errors remains unchanged. Which should be the nurse manager's next action?

A. Provide revised procedural updates through additional nursing staff education programs. B. Examine medication administration data to determine use of new policy by nursing staff. C. Investigate identified procedural variances in medication administration with nursing staff. D. Determine changes in procedure needed to reduce the frequency of medication errors.

Correct Answer: B

Rationale: Examining data assesses policy compliance, identifying gaps to address persistent errors.

Question 5 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?

A. Listen for the presence of bowel sounds. B. Administer a prescribed dose of a laxative. C. Teach the client about foods high in fiber. D. Assist the client to drink warm prune juice.

Correct Answer: D

Rationale: Assisting with warm prune juice is a safe, simple task within the aide's scope to relieve constipation.