HESI RN Leadership Exam

HESI RN Leadership Exam

VERSION 8

• 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. 


• A client throws a box of tissues at a nurse. 


• A nurse gives a medication 30 min late. 


Rationale:HESI Leadership Page 95

4. MISSING 


• Client satisfaction surveys from a surgical unit indicate that pain is not being adequately

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

• Prospective chart audit 


• Retrospective chart audit 


• Postoperative care policy 


• Pain assessment policy 


Rationale:HESI Leadership Page 19 1 / 3

• A nurse is precepting a newly licensed 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 of the rails of the bed?” 


• “Are you able to slip two fingers between the restraints and the client‟s skin?”

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


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


Rationale: HESI Leadership Page 81

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

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


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

present for the consultation.

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

care.

• Request the consultation after several wound care treatments are tried.


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

recommendation treatment.

Rationale: HESI Leadership Page 40 2 / 3

• A client is admitted with tuberculosis and placed in a negative pressure room. Which of

the 
following nursing 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. 


Rationale:HESI Leadership Page 62

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

proxy. The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The provider states to the nurse, “I will not discontinue this 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.” 


• “You have the right to make that decision, even if the partner is the client‟s health

care proxy.” 


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

directives.” 


• “We‟ll need to have the nursing supervisor review the client‟s advanced directives.”

Rationale: HESI Leadership Page 54

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