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HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
2023
,HESI LEADERSHIP MANAGEMENT PROCTORED EXAM
VERSION 1
1. A nurse manager is preparing to institute a new system for scheduling staff. Several
nurses have verbalized their concern over the possible changes that will occur.
Which of the following is an appropriate method to facilitate the adoption of the new
scheduling system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately before it
implementHESIon
C. Introduce the new scheduling system by describing how it will save the institution
money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the
following situHESIons requires the nurse to complete a variance report with regard to
the care pathway?
A. Antibiotic therapy was initiated 2 hr after implementHESIon of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
, C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternHESIve antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
B. A visitor pinches his finger in the client‟s bed frame
C. A client throws a box of tissues at a nurse
D. A nurse gives a med 30 min late
4- MISSING
5. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse
request a consultHESIon with the wound care specialist. Which of the following actions
by the nurse is appropriate when working with a consultant?
A. Arrange the consultHESIon for time when the nurse is caring for the client is able to
be present for consultHESIon
B. Provide the consultant with subjective opinions and beliefs about the client‟s
wound care
C. Request the consultHESIon after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommended treatment
, 6. A client is admitted wit TB and placed in a negHESIve pressure room. Which of
the following actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
7. A nurse is caring for a client who is unconscious and whose partner is health care
proxy. The partner has spoken with the provider and wishes to discontinue the client‟s
feeding tube. The provider states the nurse, “I will not discontinue the client‟s treatment.
His partner has no right to make decisions regarding the client‟s care. “Which of the
following responses by the nurse is appropriate?
A. You should consider speaking with the facility‟s ethics committee before making
your decision B. You have the right to make decision, even if the partner is the client‟s
health care proxy
C. The client has designated his partner as health care proxy in his
advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance
directives
8. Client sHESIsfactory surveys from a med-surg unit indicate the pain is not being
adequately relieved during the first 12 hr post-opt. The unit manager decides to identify
post-opt pain as a quality indicator. Which of the following data sources will be helpful in
determine the reason why clients are not receiving adequate pain management after
surgery?
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