NUR 204 HESI LEADERSHIP HESI AND MANAGEMENT QUESTIONS
AND ANSWERS 2024
- The nurse calls the surgeon to report that a male client who was transitioned from a
patient controlled analgesic pump (PCA) to a PO analgesic one hour ago, is now complaining in a loud voice and asking for the PCA pump. The nurse explains that the client’s behavior is disturbing his roommate. The client’s blood pressure has increased from 120/72 to 150/98. Which question is best to include in the recommendation component of the SBAR report to the surgeon? Can the PCA be initiated and prescribed for an additional 12 hours?
- The nurse is assigned to care for four clients. After receiving the change of shift report,
which client should the nurse assess first? A client with diabetes and a history of coronary artery disease who is complaining of increased shortness of breath.
- A healthcare provider notifies the nurse that new prescriptions have been written for a
client. Which is the first action the nurse should implement? Read all of the new prescriptions for the client written by the provider.
- A nurse (RN), practical nurse (PN), and unlicensed assistive personnel (UAP), are
working as a team to provide care for an acutely ill client requiring immediate bedside insertion of a chest tube. Which assignment is the best use of each person’s skills? The UAP obtains an oxygen saturation level while the RN reports findings to the healthcare provider.
- A older woman with a long history of hypertension is transferred from a long-term care
facility to the hospital intensive care unit because of an exacerbation of heart failure (HF). She has a signed and witnessed “do not resuscitate” form in her record. Which action should the nurse take? Confirm current resuscitation wishes with client and family.
- When caring for an older adult with septic shock, which intervention is most important
for the nurse to include in this client’s plan of care? Assess warmth of extremities.
- A client is admitted with exacerbation of chronic obstructive pulmonary disease (COPD)
and reports that it is difficult to eat due to shortness of breath (SOB). Which tasks should the nurse delegate to the UAP? Select all that apply. Assist the client with eating small frequent high calorie meals, Offer high caloric snacks such foods such as milk and ice cream, Maintain a clean and pleasant environment during meals, set up the food and drink containers within easy reach.
- The nurse watches an UAP bring soap, washcloths and towels, and a basin into the room
of a male client who had a suprapubic catheter inserted earlier that day. Which task will the nurse implement? Tell the UAP that the nurse will perform the client’s catheter care after the UAP assists the client with his personal care. 1 / 2
- The nurse observes a practical nurse (PN) placing a client on the right side with the left
leg bent in preparation for a lumbar puncture. Which action should the nurse take?Demonstrate to the PN how to position the client more effectively for the procedure.
- The charge nurse observes a newly employed nurse begin to administer a liquid
medication via a client’s gastrostomy feeding tube system as seen in the picture. Which action should the charge nurse take? Direct the nurse to stop the medication administration.
- The nurse hears a newly employed UAP who is working in a long-term care facility
calling the adult residents “honey and dearie.” What is the best action to take? Meet with the UAP to discuss respectful client care strategies.
- The nurse assigns an UAP to apply sequential compression devices to a client. Which
instruction should the nurse include when assigning this task to the UAP? Report any change in color in the client’s feet or legs.
- A nationally known management consultant, whose consulting fee is very high, is
scheduled to speak at a day-long hospital education conference. The head nurse wants the information presented at the conference to be disseminated among the staff. Which plan will be most useful in achieving this goal? Ask that the program be offered at three different times so that all shifts can attend or Ask two staff members to attend and report back
- Four clients are scheduled to receive IV infusions, but there are only three IV pumps
available. Which prescribed infusion can most safely be administered without an IV infusion? Ceftriaxone 5% Dextrose in Water prescribed for pneumonia.
- It is most important to assign which client to a registered nurse rather than a practical
nurse? After ambulating, a postoperative client grimaces and reports incisional pain at a “9” on a ten-point scale.
- The nursing supervisor sends an UAP to a medical unit to replace an absent UAP. When
delegating the task of obtaining client’s blood sugar levels using a glucometer, which action is most important for the nurse to implement? Observe the UAP obtain a fingerstick glucose level using the glucometer.
- Contact precautions are being implemented for a client with cellulitis of the right foot.
The nurse observes a UAP eating candy given to her by the client’s family in this client’s room. What action should the nurse take? Report the possibility of cross-contamination to Infection Control.
- A 5-year-old boy with mumps is being transferred to the pediatric unit. Which nursing
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intervention is most important for the nurse to implement? Place an isolation cart outside of the room to initiate droplet precautions.