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Hesi Leadership Exit Exam Version 2 /Questions And Answers Graded (A+)
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Hesi Leadership Exit Exam Version 2 /Questions And Answers Graded (A+)
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Hesi Leadership Exit Exam Version 2 /Questions AndAnswers Graded (A+)
Quiz :1.A nurse is performing telephone triage at the clinic office. Which client
has the most acute problem and should be scheduled for the first available
appointment? - Answer :A 21 year old with a history of a kidney transplant.
Today the client reports flu-like symptoms with a fever of 100.4 F (38 C)
Quiz :2.The nurse is admitting a woman who has an arteriovenous (AV) fistula
in her right arm that is used for hemodialysis. She missed her last hemodialysis
session and is experiencing shortness of breath and an irregular heartbeat.
Which action should the nurse assign to the UPA who is working with the
nurse? - Answer :Measure Vital Signs
Quiz :3.The nurse should assess the client with which problem first? -
Answer :Paresthesia secondary to an arterial occlusion
Quiz :4.A young adult client with a brain tumor refuses further treatment and
requests to be allowed to die a natural death. The healthcare provides does
not agree with the client's decision and refuses to write do-not-resuscitate
instructions. Which action should the nurse take? - Answer :Initiate a review
of the situation by the hospital's ethics committee.
Quiz :5.A healthcare provider notifies the nurse that new prescriptions have
been written for a client. Which is the 1st action the nurse should implement? -
Answer :Read all of the new prescriptions for the client written by the provider
Quiz :6.The nurse is observing the staff provide care to a client with acquired
immune deficiency syndrome - Answer :Unlicensed assistive personnel
wearing a mask to take client's blood pressure.
Quiz :7.The nurse caring for a client with bacterial meningitis is preparing
report for the oncoming nurse. It is most important to include which
assessment finding in the report? - Answer :Increasing Pulse Pressure
Quiz :8.The charge nurse notices that a respiratory therapist who has been
cross-trained to work as a phlebotomist and unlicensed assistive personnel
(UAP) seems to be avoiding HIV positive clients - Answer :Provide the
employee with feedback about observed behavior
, Quiz :9.The nursing supervisor sends an unlicensed assistant personnel ( 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? - Answer :Observe the UAP obtain a
fingerstick glucose level using the glucometer.
Quiz :10.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain medications
administered during the evening shift on a postsurgical unit - Answer :Conduct
a closer examination of staff nurse's distribution of pain medication from
evening shift
Quiz :11.The smell of cigarette smoke is coming from a client's bathroom.
Which action should the nurse - Answer :Educate the client about the hospital
smoking policy.
Quiz :12.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous catheter inserted
in the subclavian vein of a client has come loose and the insertion site is
inflamed. Which action should the charge nurse implement? -
Answer :Confirm the findings of the PN while securing the transparent dressing
and notify the healthcare provider.
Quiz :13.At 0200 the nurse phones the healthcare provider to request a PRN
medication for a client who is unable to sleep. The healthcare provider is
awakened and gives the nurse a prescription for four times the normal dosage.
When questioned by the nurse, the healthcare provider responds in a sleepy -
Answer :Call the healthcare or back, and report that the dosage prescribed is
our times the normal dosage.
Quiz :14.The charge nurse notices that a female practical nurse (PN), who has
a long work history on the unit and is a valued employee, seems tired and slow
to respond verbally during the change of shift report. One hour later the
charge nurse overhears the PN telling an unlicensed assistive personnel (UAP)
that she took a sleeping pill 4 hours ago and she is still feeling its effects. Which
action should the charge nurse take? - Answer :Send the PN to the employee
health center for a urine drug Screen
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