HESI RN Leadership Exam

HESI RN Leadership Exam

VERSION 7

• A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the

following statements by a staff nurse indicate understanding of the teaching (SATA). “I will attend continuing education classes for professional growth.” 1 / 3

 “I can delegate the removal of an IV catheter to an LPN on the unit.”

 “I administer pain medication to my clients even if they have a history of narcotic addiction.”

• A nurse is discussing advance directives with a client. Which of the following statements by

the client indicates an understanding of advance directives? “I know I have the right to determine if I remain on a breathing machine.”

• A nurse is caring for a client who has a pressure ulcer on the coccyx. Which of the following

findings indicated the need for referral to a wound care specialist? Presence of slough in the wound bed

• A nurse on a medical-surgical unit delegating client care. Which of the following tasks should

the nurse delegate to an assistive personnel? Suctioning a client‟s long-term tracheostomy

• A nurse is providing teaching about infection control measures to a client who has an

indwelling urinary catheter. Which of the following instructions should the nurse include in the teaching? Use sterile technique to collect specimens from the drainage system

• A nurse manager is preparing an in-service for a group of staff nurses about organ donation.

Which of the following information should the manager include?

 Nurses may witness the signing of organ donation consents

• A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the

surgical suite. Which of the following nursing statements is an appropriate nursing response? “It‟s not too late to cancel the surgery if you want to.” [repeat] 2 / 3

• A charge nurse is observing a newly licensed nurse insert an NG tube and connect it to a

suction source. Which of the following actions by the newly licensed nurse demonstrates an understanding of the process? Clamps the air vent tubing

• A nurse working in an emergency department is performing triage. To which of the

following clients should the nurse assign priority? A client who has soot markings around each naris following a house fire

• A nurse receives change-of-shift report for the following four clients. Which of the following

clients should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness

• A charge nurse is making assignments for a medical surgical unit. Which of the following

clients is appropriate to assign to a licensed practical nurse? A client who has emphysema and has oxygen saturation of 92%

• A nurse is admitting a client who is scheduled for cholecystectomy. The client does not speak

English and is accompanied by her adult daughter. Which of the following actions should the nurse take? Access a language line to interpret what is being said

• A nurse is caring for a client who has an MI. The client‟s daughter ask the nurse to review

her father‟s medical with her. Which of the following responses should the nurse make? “Your father will have to give permission for you to review the record.”

• A nurse is teaching a client who requires protective isolation due to immune system

compromise. Which of the following instructions should the nurse include to protect the client?“Make sure your visitors wear a gown when they are in your room.”

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