NURSING > HESI > HESI PN LEADERSHIP PROCTORED EXAM 4 (3) (All)

HESI PN LEADERSHIP PROCTORED EXAM 4 (3)

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1. A nurse receives a change-of-shift report at 0700 for an assigned caseload of clients. Number the following clients in the order in which they should be seen. A client who has been receiving a blood transfusion since 0400 A client who has every 4 hr. PRN analgesic prescription and who last received pain medication at 0430 A client who is scheduled for a colonoscopy at 1130 and whose informed consent needs to be verified A client who needs rapid onset insulin before the breakfast trays arrive A client who is being discharged today and needs reinforcement of teaching regarding dressing changes - 13425 2. An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first? A. Call the client's provider. B. Ask a staff member for assistance getting the client back in bed. C. Inspect the client for injuries. D. Ask the client why he got out of bed without assistance - c 3. A nurse is preparing to initiate IV therapy for a client who has a prescription for morphine 10 mg IV bolus. Using time management principles, which of the following actions should the nurse take first? A. Mentally envision the procedure when collecting supplies. B. Enter the room and perform hand hygiene. C. Eject excessive medication from the prefilled syringe D. Explain the procedure to the client - a 4. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? A. Obtaining vital signs for a client who is 2 hr. post procedure following a cardiac catheterization B. Administering a unit of packed red blood cells (RBCs) C. Instructing a client in the performance of wound care D. Developing a plan of care for a newly admitted client - a 5. An LPN ending her shift reports to the RN that a newly hired assistive personnel has not calculated the intake and output for several clients. Which of the following actions should the RN take? A. Complete an incident report. B. Delegate this task to the LPN. C. Ask the AP if assistance is needed to complete the I&O records. D. Notify the nurse manager. - c6. A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following should the manger include in the plan? (Select all that apply.) A. Skill proficiency B. Assignment to a preceptor C. Budgetary principles D. Computerized charting E. Socialization into unit culture F. Facility policies and procedures - abdef 7. A nurse manager is providing information about the audit process to members of the nursing team. Which of the following statements should the nurse manager include? (Select all that apply.) A. A structure audit evaluates the setting and resources available to provide care. B. An outcome audit evaluates the results of the nursing care provided. C. A root cause analysis is indicated when a sentinel event occurs. D. Retrospective audits are conducted while the client is receiving care. E. After data collection is completed, it is compared to a benchmark. - abce

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