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 Hesi Leadership and Management

1. Newly hired UAP expresses fear to collect a sputum from HIV patient

Determine the UAP’s knowledge about HIV transmission.

2. RN, PN, UAP are working as a team

The UAP obtains an oxygen saturation level while RN reports finding to the health care

provider.

3. The most immediate follow-up

An UAP is assigned to check a client for fecal impaction.

4. Nurse receives a prescription over the telephone

Administer a nebulizer breathing treatment.

5. Patient uses the call system alarm

Ask a coworker to respond to the client whose call bell is alarming.

6. Emergency room, who to take care first

A female client with severe right lower abdominal pain who is febrile and vomiting.

7. No heroic measures

Give detailed report to accepting nurse.

8. Evaluate cardiac monitor system

Organize a committee of ICU nurses to identify potential problems of the new

monitoring system.

9. Client has reported feeling of being constipated

Assist the client to drink warm prune juice.

10. Sequential compression devices

Report any change in color in the client’s feet or legs.

11. Respiratory therapist cross-trained avoiding HIV positive client

Provide the employee with feedback about the observed behavior.

12. Medication error remains unchanged

Examine medication administration data to determine use of new policy by nursing

staff.

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This study source was downloaded by 100000825073966 from qwivy.com on 05-19-2021 11:28:08 GMT -05:00

13. Increase of nurse-to-patient ratio by 25%

Disseminate factual information to all nursing staff to avoid misinformation and rumors.

14. Calculation: 10080FTEs / 72 hours= 17.5 round to the nearest tenth =18

15. Respiratory rate decreases 14/ min -> 6/ min -> 4/min

The decision regarding when to call the health care provider

16. Glucometer checks post 2 days consistently 50-60 mg/dl higher

Evaluate calibration of glucometer in use per manufacturer guidelines.

17. Receptionist is responsible for taking client calls. Who to call back first?

Casted right leg has a funny feeling tingling sensation.

18. Two clients in one room. One client has MRSA the other one neutropenia. What

intervention should the nurse implement?

Transfer client with neutropenia to a private room.

19. Signed witnessed DNR

Confirm current resuscitation wishes with client and family

20. Staffing formula based on what?

Skills of staff and client acuity.

Leadership/Management Exit HESI

Finding a client sitting on the floor, nurse calls for help from UAP

Get a BP cuff

Assigning a UAP to assist client with personal care

Prescribed activity level

The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse

must float to the ICU

Staff nurse who was cross-trained to work in the critical care dept

Charge nurse developing guidelines for a coronary care unit

The scope of standards of practice from the American nurses association

Which patient should be assigned to a nurse that is floated from maternity unit

Post op hysterectomy

There has been a major disaster. Triage nurse should give which patient priority

Cut over eye

Delegate to LPN

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