2024 Leadership Hesi Exit Exam Actual Version (V1 – V2) Guaranteed A+ Actual Questions and Answers, Complete 100%
2024 Leadership Hesi Exit Exam Actual Version 1 (V1)
Guaranteed A+ Actual Questions and Answers, Complete 100%
- Telephone triage at clinic office. Which client is most acute and should be
scheduled for the first available appointment.:
Answer:
21 y/o with kidney transplant, fever of 102, flu-like symptoms - A nurses doing telephone triage at the clinic office. Which client is
most acute and should be scheduled for the first available appointment:
Answer:
A 21-year-old with a history of kidney transplant, today the client complains of
flu-like symptoms with a fever of 100.4°F - Nurse receives a prescription over the telephone:
Answer:
Administer a nebulizer breathing treatment. - Question about a client with bacterial meningitis, what to report or monitor?:
Answer:
Increasing pulse pressure - Question about a lady came in for surgery with cushing disease, has round
face and edema, what to do next?:
Answer:
Continue to prep her for surgery - A pt with leukemia and is exhibiting symptoms, what is priority to be
included in his plan of care?:
Answer:
I said maintain private isolation - After receiving morning report on an acute care unit, which client should
the nurse assess first?:
Answer:
A client sitting close to the nurses station who has been restrained for the past six
hours
- charge nurse assigned LPN to man with ulcer need dressing change,
she said she wasn’t comfortable, what is the best response?:
Answer:
Assistance is available but you will be responsible for this client’s care - PN observes that LPN performed a dressing change. But when the PN goes
the check the patient she notices that the dressing is 2 days old. What should
the PN do first?:
Answer:
consult the LPN about the discrepancy - Question about fire alarm is going off, what does the charge nurse to tell
the nurses to do ?:
Answer:
KEEP CLIENT’S IN ROOMS WITH DOORS CLOSED - The charge nurse agrees to cover another nurse’s assignments during
lunch break. Based on the status report provided by the nurse who is leaving
for lunch, which client should be checked first by the charge nurse? The
client::
Answer:
With a pneumothorax secondary to a gunshot wound with a current pulse oximeter
readingof 90% - Evaluate cardiac monitor system:
Answer:
Organize a committee of ICU nurses to identify potential problems of the new
monitoring system. - An infection control nurse is planning an education program for a group
of newly licensed nurses. Which of the following infections should the nurse
include when discussing illnesses requiring droplet precautions?
a. Mumps
b. Rubeola
c. Varicella
d. Rotavirus:
Answer:
A - client is brought to the emergency department (ED) following a motor-vehicle
crash. Drug use is suspected in
the crash, and a voided urine specimen is ordered. The client repeatedly
refuses to provide the specimen. Which of
the following is the appropriate action by the nurse?
a. Document the client’s refusal in the chart
b. Tell the client that a catheter will be inserted
c. Obtain a provider’s prescription for the blood alcohol level
d. Assess the client for urinary retention:
Answer:
A - A nurse is assessing a client who has meningitis. Which of the following
findings should the nurse report
to the provider immediately?
a. Decreased level of consciousness
b. Generalized rash over trunk
c. Increased temperature
d. Report of photophobia:
Answer:
A - A nurse is caring for an older adult client who has a stage III pressure
ulcer. The nurse requests a
consultation with the wound care specialist. Which of the following actions
by the nurse is appropriate when
working with a consultant?
a. Arrange the consultation for a time when the nurse caring for the client is
able to be present for the
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2024 Leadership Hesi Exit Exam Actual Version 2 (V2)
Guaranteed A+ Actual Questions and Answers, Complete 100%
- The charge nurse, along with one nurse, two practical nurses (PN), a unit
secretary, and two unlicensed assistive personal (UAP), is caring for 24
clients on a medical surgical unit. Which task is best for the charge nurse
to assign to the nurse?:
Answer:
The insertion of a foley catheter for a client diagnosed with septicemia - The nurse manager observes that the staff nurse has used wrist restraints
to help secure an elderly female in her wheelchair. The client is pleading
for the nurse to release her arms. The nurse explains to the nurse-manager
that the client needs to be retrained in the wheelchair so that the nurse can
change her bed linens. What is the priority action by the nurse-manager?: –
Answer:
Advise the staff nurse to remove the restraints from the client’s wrists - After having coronary artery bypass surgery, a client develops a deep
venous thrombosis in the left leg. Which nurse should be responsible for
coordinating the progression of the client’s care?:
Answer:
Risk management nurse - A client is transferred to the surgical unit following a strangulated inguinal
hernia repair. The post anesthesia care unit nurse reports the total intake and
output that occurred during surgery, the sedation reversal agent, and two
episodes of emesis post extubation. Which additional information should the
nurse provide to complete this report?:
Answer:
Peripheral pulses present with full range of motion of both legs - When assessing a client who is returned to the unit following a left
nephrectomy, the nurse notes a small amount of bloody drainage at the drain
site. Which intervention is most important for the nurse to include in this
client’s plan of care?:
Answer:
Monitor urinary output hourly
- The nurse assigns collection of a sputum specimen to an unlicensed
assistive personnel (UAP). Before delegating this task to the UAP, which
action is most important for the nurse to implement?:
Answer:
Review the institutional policy for delegation with the nursing supervisor. - 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 42-year-old male who hurt his back while lifting yesterday. Today he has
non-radiating, low- pain rated at 10 on a scale of 1 to 10. - The nurse hears a newly employed unlicensed assistive personnel (UAP)
who is working in a long-term care facility calling the adult residents “honey”
and “dearie.” What is the best action for the nurse to take?:
Answer:
Meet with the UAP to discuss respectful client care strategies. - The nurse is planning care for a client who is experiencing acute pain.
Which intervention can be implemented by the unlicensed assistive personnel
(UAP) in providing personal care for this client?:
Answer:
Distraction - The nurse calls a surgeon about a male client who is having abdominal
pain after a bowel resection. He received hydromorphone 2 hours ago and is
now requesting additional pain medication. Vital signs include temperature
97.8 F (36.6 C), heart rate 112 beats/minute, respirations 24 breaths/minute,
and blood pressure is 98/62 mmHg, which is lower from previous reading
one hour ago. The client has a history of chronic atrial fibrillation and takes
clopidogrel, which was continued until one day prior to surgery. The nurse
recommends that the surgeon see the client immediately to evaluate the
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