Hesi Leadership Exit Exam version 1 2022\2023
1. The nurse is caring for an older adult who was admitted with a Urinary tract infection and is now
... [Show More] 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)
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?
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?
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?
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.)
POST OP VITAL SIGNS
HYGIENE CARE FOLLOWING TRAUMATIC FOOT AMPUTATION
When triaging emergency room clients, which client should the nurse assess first?
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?
The client's significant history includes atrial fibrillation and hypoglycemia. [Show Less]