HESI Managment B Exam. Questions & Answers

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Management B 1. 1.ID: 310946694 A single-parent mother brings her 3-year-old daughter to the emergency department after the child fell off a playground swing at school and hit her head. Which findin... g should prompt the nurse to advocate for continued hospital observation of the child instead of discharging the child to care at home? o The mother states they do not have the money to pay for transportation home. o The child had a 10 second loss of consciousness immediately after the fall. o The mother is slurring her words and is not attentive to discharge instructions. Correct o The child indicates that she is tired and wants to take a nap. Having a responsible adult to make on-going observations is the most important criteria for discharging anyone to their home after a head injury. The child (who needs observation) should not go home with an impaired adult (C). Alternative arrangements can be made regarding the follow-up care (A). The events of the head injury do not necessarily indicate the need for hospitalized observation (B). It is normal to be drowsy after a concussion (D); immediate intervention is needed if the child cannot be aroused from sleep. Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: 310957441 A hospital received a bomb threat. While the fire department personnel are evacuating the clients, what action should the charge nurse perform? o Obtain a current roster of clients assigned to the unit. Correct o Ensure that the narcotics are secured and locked up. o Move clients' medical records to a safe location. o Notify the operator when the unit is evacuated. Obtaining a current roster of clients assigned to the unit (A) will help the fire department ensure that all clients are evacuated. In this possibly life-threatening situation, evacuation of personnel and clients is a high priority action, while (B and C) are low priority tasks. The hospital operator should also be evacuated (D). Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: 310959819 The nurse-manager observes that a staff nurse consistently fails to complete assigned care for clients who are obese. When counseling this employee, what issue is the priority concern? o Violation of ethical principles. Correct o Poor time management skills. o Dissatisfaction of co-workers. o Reduction of client complaints. The priority concern is the lack of fair and equal treatment of obese clients assigned to this staff nurse for care. This reflects a violation of the ethical principle of justice (A). Counseling the nurse about (B) is important because using time effectively allows the nurse to ensure that all clients receive fair and equal treatment, but this is of less concern than (A). (C and D) may also be important concerns, but they are secondary to ensuring justice. Awarded 1.0 points out of 1.0 possible points. [Show More]

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