HESI EXIT EXAM
( LATEST ) ACTUAL QUESTIONS AND ANSWERS
100% CORRECT
• By what authority may RNs delegate nursing care to others?:
Answer:
State Nurse Practice Act
• A UAP may perform care that falls within which component of the nursing
process?:
Answer:
Implementation
• Which type of communication is necessary to implement a democratic
leadership style?:
Answer:
Assertive communication skills
• What are the 5 rights of delegation?:
Answer:
1. Right task- can it be delegated
2. Right Circumstance- Should it be delegated
3. Right person- can this person do the task
4. Right direction/ communication- is the task being conveyed in a clear manner
5. Right supervision- is the task being followed up on once complete.
• Which tasks can be delegated to a UAP?
A. Inserting a Foley catheter.
B. Measuring and recording the client's output through a Foley catheter.
C. Teaching a client how to care for a catheter after discharge.
D. Assessing for symptoms of a UTI:
Answer:
A. Is a sterile invasive procedure and should not be delegated to a UAP
B. Faills w/in the implementation phase of the nursing process and does not require
nursing judgment. Evaluation of the I&O must be done by the nurse
C. Client teaching requires the abilities of a nurse and should not be delegated.
, The UAP may be instructed to report anything unusual that is observed and any
symptoms reported by the pt. but this does not replace assessment by the nurse
D. Assessment must be performed by the nurse and should not be delegated.
The UAP may be instructed to report anything unusual that is observed or any
symptoms reported by the pt. but this does not replace the assessment by the
nurse.
• What are the essential steps of effective supervision?:
Answer:
Direction, evaluation and follow up
• Which of the following is an example of assertive communication?
A. You need to improve the way you spend your time so that all of your care
gets performed
B. I've noticed that many of your clients did not get their care today:
Answer:
A. This is an aggressive communication which causes anger, hostility and a
defensive attitude.
B. Assertive communication bgins with "I" rather than "you" and clearly states the
Problem
• Common signs of substance abuse:
Answer:
Complaining that pain meds do not relieve pain when admin by certain nurse,
frequent inaccuracies of controlled meds counts for specific nurse and client
reports not taking pain meds but several doses are signed out for that client
• Common characteristics of bullying:
Answer:
Refusing to work with others
Yelling or cursing at peers
Making degrading comments
Verbal abuse
• Who should explain and describe a surgical procedure to the client, including
both complications and the expected results of the procedure?:
Answer:
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