HESI RN Leadership Exam

HESI RN Leadership Exam

VERSION 19

• A nurse is caring for several clients. Which of the following actions should the nurse take to maintain client

confidentiality?

• Tell a client’s partner that the results of his wife’s lab tests cannot be disclosed without her permission

• Ask the assistive personnel to refer to clients by room number in public areas

• Explain to a student nurse that verbal permission must be obtained before using a client’s name in school

assignments

• Share info about a client with immediate family members after personal ID has been provided

• A nurse is caring for a client who asks for info about advance directives. Which of the following is an

appropriate response by the nurse? ***

• Your advance directives will take effect when you are unable to make health care decisions

• You will not be able to make changes to the advance directives once you sign it

• Your advance directives can specify which medical care you do not want but cannot specify which medical

treatments you can have

• You must have advance directives on record within 24hr of a hospital admission

• A nurse assumes care of a client following morning report and notes that the client’s morning lab results have not

been received. Which of the following actions should the nurse take?

• Administer the client’s insulin as prescribed

• Give the NPH and hold the regular insulin until the lab results are back

• Obtain a capillary blood glucose reading

• Hold the client’s breakfast until the lab results are back

• A nurse on a med-surg unit is caring for four clients. The nurse should recognize that which of the following

clients is the highest priority?

• A client scheduled for a tubal ligation in 2hr who is crying

• A client who has peripheral vascular disease and has an absent pulse in the right foot

• A client who has type 1 DM and needs the first dressing change for a stage II decubitus ulcer

• A client who has MRSA and has an axillary temp of 38C (100.4F) 1 / 2

• A nurse has four client assignments on a maternal newborn unit. Which of the following tasks can be delegated

to an AP?

• Verifying the mother’s fundal height

• Assisting the mother with cord care

• Showing the mother how to position the newborn for sleep

• Measuring output of the mother’s first voiding

• An AP tells the charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which

of the following responses by the charge nurse is appropriate?

• I delegate tasks to personnel based on their job descriptions

• Everyone working here has to care for clients who are incontinent

• Let’s talk about organizing the workflow so you care for fewer of these clients

• Why do you not want to care for clients who are incontinent?

• A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to

do. Which of the following is an appropriate response by the nurse?

• Provide information on alternate birth control methods

• Ask the client if she has her partner’s approval

• Emphasize the benefits of having the procedure

• Discuss with the client her feelings about the procedure

• A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should

instruct the staff to expect the stages of the conflict to occur in what order?

• Conflict aftermath 5

• Felt conflict 3

• Manifest conflict 4

• Latent conflict 1

• Perceived conflict 2

• A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of

the following client rights should the nurse address at the orientation? Select all that apply

• The right to be treated with respect and dignity
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