,10/27/24, 12:31 PM HESI LEADERSHIP & MANAGEMENT EXAM (5 LATEST VERSIONS) 2024-2025 REAL EXAM QUESTIONS AND CORRECT A…
3
This client with advanced chronic obstructive
pulmonary disease is approaching the end of life. The
client has expressed the desire to avoid further tests,
treatments, and hospitalizations. The goals of care
should be consistent with the client's wishes and
emphasize comfort and quality of life.
Palliative care is appropriate for clients who wish to
An 84-year-old client with
focus on quality of life and symptom management
oxygen-dependent
rather than life-prolonging treatments (Option 3).
chronic obstructive
Palliative care may eventually include hospice care,
pulmonary disease is
after it is determined that the client has a life
admitted with an
expectancy of less than 6 months. The nurse should
exacerbation and steady
advocate for the client and collaborate with members
weight loss. The client has
of the health care team to explore care options based
been in the hospital 4
on the client's wishes.
times over the last several
months and is "tired of
(Option 1) This client has not clearly demonstrated a
being poked and
need for skilled nursing; additional assessment is
prodded." Which topic
needed to determine the most appropriate discharge
would be most important
setting.
for the nurse to discuss
with this client's health
(Option 2) A high-calorie diet is appropriate for a
care team?
client with weight loss, but many clients may have
difficulty maintaining weight due to factors such as
1. Need for discharge to a
advanced disease and poor appetite. It is not the
skilled nursing facility
highest priority in this client, who is nearing the end of
2. Nutritional consult with
life and has expressed an interest in avoiding further
instructions on a high-
testing and hospitalization.
calorie diet
3. Option of palliative care
(Option 4) Physical therapy may be appropriate to
4. Physical therapy
help this client maintain current abilities. However, a
prescription to promote
client with disease this advanced is not likely to
activity
tolerate more activity or gain much additional
functional capacity. Therefore, physical therapy is not
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,10/27/24, 12:31 PM HESI LEADERSHIP & MANAGEMENT EXAM (5 LATEST VERSIONS) 2024-2025 REAL EXAM QUESTIONS AND CORRECT A…
the highest priority at this point.
Educational objective: The client with an advanced,
terminal disease (eg, chronic obstructive pulmonary
disease) is often an appropriate candidate for
palliative care. Palliative care emphasizes quality of
life and symptom control and may eventually include
hospice care based on the client's lif
According to the three- 1, 4, 5
tiered triage system, which According to the three-tiered triage system, renal
client requires urgent colic, severe abdominal pain, and multiple displaced
treatment? Select all that fractures require urgent treatment. Strains and sprains
apply. require nonurgent treatment and respiratory distress
requires emergent treatment.
1 A client with renal colic
2 A client with strains and
sprains
3 A client with respiratory
distress
4 A client with severe
abdominal pain
5 A client with multiple
displaced fractures
, 10/27/24, 12:31 PM HESI LEADERSHIP & MANAGEMENT EXAM (5 LATEST VERSIONS) 2024-2025 REAL EXAM QUESTIONS AND CORRECT A…
After caring for a client 1
who underwent a
cesarean section, the Unclear directions to the delegatee by the delegator
delegatee failed to report may result in failure to report results and findings of
results and findings of vital vitals by the delegatee. As per the rights of
signs to the delegator due delegation, the delegator may not assign the task to
to improper an inappropriate delegatee. Inappropriate feedback
understanding. Which related to the task may be due to an information delay
action of the delegator is that may cause adverse effects in the client.
the reason for the Inappropriate supervision by the delegator may lead
delegatee's failure? to unexpected outcomes.
1 Unclear directions to the
delegatee
2 Inappropriate selection
of delegatee
3 Inappropriate feedback
related to task
4 Inappropriate
supervision by the
delegator
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