HESI RN Leadership Exam

HESI RN Leadership Exam

VERSION 4

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• 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?

• 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 2 / 3

• 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

• 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 directives

• A nurse is caring for a client who has increased intracranial pressure and is receiving IV

corticosteroids. Which of the following info is most important for the nurse to report at shift change?

• Gasglow Coma scale score
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