HESI RN Leadership Exam
VERSION 11
- Charge nurse takes over for nurse on break, which client checked first
-40ml dark colored urine
- UAP stuck in palm by needle with Hep B
-wash hands with soap and water
- Assess first
-coronary syndrome with increasing SOB
- New clinical documentation
-Need to discuss new clinical documentation that helps save lifes and require one more document
- PCA to PO. BP increases 120/72 to 150/90. Additional questions/comments to HCP
-can PCA be reinitiated
- Most immed, intervention by nurse
-pneumothorax with 80 o2
- Intervention best to delegate to LPN
- Fentanyl (Duragesic) – narcotic med
- Morning lab, follow-up first
-BNP- Brain narcotic peptide test, MI with SOB 1000
- UAP to assemble nephrostomy tube
-change bag to leg bag
- Women health fair, PN helping RN
-assist with bone density prep
- Warrants immediate attention 1 / 2
-female with RLQ pain in abd, febrile and vomiting
- Delegated to UAP
-apply abd binder
- Multidisplinary team
-elderly man with BGL 400 Assess first -constipation
-weakness
-pressure ulcer with skin flap
-hep A
- Triaging ER client assess first
-elderly
-child
-female
-male
- 67 y/o female client recently widowed, increased confusion/disorientation.
-medical eval, managed healthcare plan
- Female resident who is mentally alert and lives in a long-term care facility reports that a staff
member slapped her
-does she know the name of the person
- Most important to assign which client to a RN rather than PN
-Pain scale of 9
- PN reports to RN, patient pulled out CVC, UAP is with him in room. Stat dose of oral antianxiety med.
RN assign care
-RN with CVC, PN stat med, UAP VS on new admission
- Charge nurse is making assignments for a 15 bed skilled nursing unit with staff of one RN, 2 LPNs, and
- UAPs which assigned to RN
- / 2