HESI PN LEADERSHIP MANAGEMENT PROCTORED EXAM

HESI PN LEADERSHIP MANAGEMENT PROCTORED EXAM

VERSION 3

• A nurse manager is preparing to institute a new system for scheduling staff. Several

nurses have verbalized their concern over the possible changes that will occur.Which of the following is an appropriate method to facilitate the adoption of the new scheduling system?

• Identify nurses who accept the change to help influence other staff nurses
• Provide a brief overview of the new scheduling system immediately before it

implementation

• Introduce the new scheduling system by describing how it will save the institution

money

• Offer to reassign staff who do not support the change to another unit

• A client who is febrile is admitted to the hospital for treatment of pneumonia. In

accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway?

• Antibiotic therapy was initiated 2 hr after implementation of the care pathway

• A blood culture was obtained after antibiotic therapy has been initiated

• The route of antibiotic therapy on the care pathway was changed from IV to PO

• An allergy to penicillin required an alternative antibiotic to be prescribed.

• A nurse should recognize that an incident report is required when

• A client refuses to attend physical therapy

• A visitor pinches his finger in the client‟s bed frame
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• A client throws a box of tissues at a nurse

• A nurse gives a med 30 min late

• Client satisfactory surveys from a med-surg unit indicate the pain is not being

adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management after surgery?

• Prospective chart audit

• Retrospective chart audit

• Postoperative care policy

• Pain assessment policy
• A nurse precepting a newly licenced nurse who is caring for a client who is confused

and has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurse ask?

• “Did you secure the restraints to the side rails of the bed?”

• “Are you able to insert two fingers between the restraint and the

client‟s skin?”

• “Did you tie the restraints using double knot?”

• “Are you removing the client‟s restraints every 4 hr?”

• A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse

request a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant? 2 / 3

• Arrange the consultation for time when the nurse is caring for the client is able to be

present for consultation

• Provide the consultant with subjective opinions and beliefs about the client‟s

wound care

• Request the consultation after several wound care treatment tried

• Arrange for the wound care nurse specialist to see the client daily to provide the

recommended treatment

• A client is admitted wit TB and placed in a negative pressure room. Which of the

following actions is appropriate?

• Notify the local health department of the admission

• Place a sign on the client‟s door with the diagnosis

• Ensure that admitting staff undergo PPD skin tests

• Determine who had contact with the client in the last 48 hr

• A nurse is caring for a client who is unconscious and whose partner is health care

proxy. The partner has spoken with the provider and wishes to discontinue the client‟s

feeding tube. The provider states the nurse, “I will not discontinue the client‟s treatment.His partner has no right to make decisions regarding the client‟s care. “Which of the following responses by the nurse is appropriate?

• You should consider speaking with the facility‟s ethics committee before making

your decision B. You have the right to make decision, even if the partner is the client‟s health care proxy

• The client has designated his partner as health care proxy in his

advance directives

• We‟ll need to have the nursing supervisor review the client‟s advance
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