2024 Hesi Leadership Exit Exam (Actual Version ) V1 – V2 Guaranteed A+ Actual Questions and Answers, Complete 100%
2024 Hesi Leadership Exit Exam (Actual Version 1) V1
Guaranteed A+ Actual Questions and Answers, Complete 100%
- 1.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 21 year old with a history of a kidney transplant. Today the client
reports flu-like symptoms with a fever of 100.4 F (38 C) - 2.The nurse is admitting a woman who has an arteriovenous (AV)
fistula in her right arm that is used for hemodialysis. She missed her last
hemodialysis session and is experiencing shortness of breath and an
irregular heartbeat. Which action should the nurse assign to the UPA
who is working with the nurse?:
Answer:
Measure Vital Signs - 3. The nurse should assess the client with which problem first?:
Answer:
Paresthesia
secondary to an arterial occlusion - 4.A young adult client with a brain tumor refuses further treatment
and requests to be allowed to die a natural death. The healthcare
provides does not agree with the client’s decision and refuses to write
do-not-resuscitate instructions. Which action should the nurse take?:
Answer:
Initiate a review of the situation
by the hospital’s ethics committee. - 5.A healthcare provider notifies the nurse that new prescriptions have
been written for a client. Which is the 1st action the nurse should
implement?:
Answer:
Read all of the new prescriptions for the client written by the provider - 6. The nurse is observing the staff provide care to a client with
acquired immune deficiency syndrome:
Answer:
Unlicensed assistive personnel wearing a mask to take client’s blood
pressure. - 7.The nurse caring for a client with bacterial meningitis is preparing
report for the oncoming nurse. It is most important to include which
assessment finding in the report?:
Answer:
Increasing Pulse Pressure - 8. The charge nurse notices that a respiratory therapist who has been
cross-trained to work as a phlebotomist and unlicensed assistive
personnel (UAP) seems to be avoiding HIV positive clients:
Answer:
Provide the employee with feedback about observed behavior - 9.The nursing supervisor sends an unlicensed assistant personnel (
UAP) to a medical unit to replace an absent UAP. When delegating the
task of obtaining client’s blood sugar levels using a glucometer, which
action is most important for the nurse to implement?:
Answer:
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2024 Hesi Leadership Exit Exam (Actual Version 2) V2
Guaranteed A+ Actual Questions and Answers, Complete 100%
- The nurse is caring for an older adult who was admitted with a Urinary
tract infection and is now exhibiting signs of Severe Inflammatory Response
Syndrome (SIRS). Which collaborative care goals should the nurse include in
the plan of care? (Select all that apply):
Answer:
BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE - The nurse is caring for clients on an orthopedic unit. Which client has
the greatest risk for developing osteomyelitis?:
Answer:
OLDER ADULT W/OSTEOPOROSIS WHO IS BEDFAST FOLLOWING
COMPRESSION FRACTURE OF THE VERTABRAE - . A male college student is brought to an emergency clinic by his friends
because they report that he has been vomiting for the past 3 days as the result
of food poisoning. Laboratory findings indicate that the client’s potassium
level is 2.5 mEq/L (2.5 mmol/L), so he is admitted to a local hospital, Which
intervention is most important for the nurse to include in this client’s plan of
care?:
Answer:
Initiate cardiac monitoring for the clients. - The practical nurse (PN) is visiting a client who has stage four colon cancer
and is receiving palliative home care the day. Which intervention should the
nurse ask the PN to ensure the family is providing the client?:
Answer:
MUCOUS MEMBRANE MOIST - The nurse is caring for a group of five clients with the assistance of an
experienced
and capable unlicensed assistive personnel (UAP). Which nursing
actions can the nurse delegate to the UP? (Select all that apply.):
Answer:
POST OP VITAL SIGNS HYGIENE CARE FOLLOWING TRAUMATIC FOOT
AMPUTATION
- When triaging emergency room clients, which client should the nurse assess
first?:
Answer:
FEMALE WITH SEVERE RIGHT LOWER ABDOMINAL PAIN FEBRILE
AND VOMITING *Confirm - While eating breakfast, a client admitted with syncope and a 2-month history
of vertigo complains of dizziness. Using the standard communication
tool SBAR (Situation, Background, Assessment, Recommendation), which
statement is best for the nurse to provide the healthcare provider about the
client’s background?:
Answer:
The client’s significant history includes atrial fibrillation and hypoglycemia. - Several nurses are elected by their peers to serve on a negotiating committee
to recommend new healthcare benefits:
Answer:
BE AVAILABLE TO ALL SHIFTS TO DISCUSS CHANGES IN HEALTH
BENEFITS - Several family members are visiting a client who had a myocardial infarction
4 days ago. The unlicensed assistive one of the visitors is lying on the client’s
bed. Which action should the nurse implement?:
Answer:
EXPLAIN THE CLIENT HAS THE RIGHT TO HAVE VISITOR LIE ON THE
BED - . The healthcare provider prescribes an oral medication to be given daily
for 3 days. However, the medication was also given on the fourth day.:
Answer:
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