Leadership HESI Questions

When assessing an obese client, a nurse observes dehiscence of the abdominal surgical wound with evisceration. The nurse places the client in the low-fowler position with the knees slightly bent and encourages the client to lie still. What is the next nursing action?

- Cover the wound with a sterile towel moistened with normal saline

The nurse leader monitors the direct care nurse administering pain medication to a client. The leader tells the client "i will be back in 30 mins to assess your pain level". Which right of the client does the leader fulfill if the leader returns within 30 mins.

- Fidelity

Which task can be delegated to the LPN?

- administering oral hypoglycemic agents - administering IM medications

The nurse is caring for a client with severe menstrual cramps and bleeding. Which task is appropriate to be delegated to the LPN?

- administration of oral analgesics

Which interventions are in the scope of a UAP?

- ambulating the client - assisting with the client bathing - Recording vitals

Which delegation actions may be performed by the UAP while caring for a client?

- asking the client to wear footwear when walking - asking the client to wash hands before eating meals

Which component is the ability to preform duties in a specific role?

- authority

What type of delivery method is used when the nurse provides care to the same client for the entire work period?

- case method

The nurse is caring for four clients on a medical unit. Which client should the nurse see first?

- client with chest pain

Which clients would the nurse consider to require a high intensity of resources to provide effective care?

- client with respiratory distress (this is life threatening)

What is an expectation of a primary nurse?

- coordinate all aspects of a clients care

The nurse leader is teaching the staff that health care providers continuously strives to work effectively within the cultural context of a client. Which cultural principle is the nurse leader explaining?

- cultural competence

What are qualities of an effective leader?

- elicit a vision from people - bring out the best in people - inspire people to bring the vision into reality

What qualities does the professional nurse require to lead, manage, and follow in a team?

- exercising self-awareness - motivating self or others - managing emotions in self and others

Which action is specific to the role of a nurse leader or manager in the area of clinical research?

- facilitating the application of research findings in practice

Which activity indicates improper follow-through on the part of the delegatee?

- failure to report results

Which drawback indicates an improper follow-through on the part of the delegatee?

- failure to report results and findings

A nurse recieves a shift report on four adult clients who are between the ages of 25-55. Which client should the nurse assess first?

- female client on warfarin with an INR of 7.5 ( Normal INR is between 2-3)

Which skills would be essential for an effective nurse manager to develop and improve collaboration with others?

- flexibility - ability to listen to others - ability to share information and ideas

Which strategy of the nurse leader regarding the quality improvement (QI) process requires revising?

- focus is on correcting errors

Which nursing care delivery system works well in emergency situations that necessitate prioritization of care?

- functional nursing ( each care provider knows the expectations of the assigned role and completes the tasks quickly and efficiently )

Clients with which tag are referred to as "walking wounded" when managing a disaster?

- green

During an external disaster, which member of the hospital command system has the authority to rapidly expand hospital capacity and ensure the availability of medical supplies to the nurse as a function of an emergency response plan?

- hospital incident commander (this is a physician or administrator who assumes overall leadership for implementing the emergency response plan)

Which nursing process includes tasks that can be delegated?

- implementation

Which amount of time is appropriate for a nurse to spend triaging each client during a mass casualty incident?

- less than 15 seconds

What are major issues identified by the nurse leader as reasons for increased union activity?

- low wages - mandatory overtime requirement - absence of reporting unsafe work environments

Which personnel should the nurse state are responsible for deciding number, acuity and resources needed for clients during a disaster?

- medical command physician ( they have the authority to decide the number, acuity and resources needed for clients during a disaster)

Which actions can the mentor take to develop effective leadership qualities in the aspiring leader?

- modeling behavior - giving timely feedback - providing appropriate advice

Who is the designated delegator?

- nurse manager

Which responsibility of the nurse manager differs from the responsibilities of a nurse leader?

- planning the budgets

The geographic location of a community makes it vulnerable to storms. The community health nurse teaches the community about safety measures to be taken during the storm. Which phase of disaster management is this action?

- preparedness

A nurse leader is caring for a client during their entire stay in the hospital. Which nursing model is the nurse following?

- primary nursing model

The nurse is caring for a client with trauma in the emergency unit. Which action should the nurse preform as the highest priority?

- provide adequate oxygen supply (ABC)

What is the duty of the nurse as delegator if the delegatee has limited knowledge and ability to preform a task?

- provide guidance

A group of clients injured in a cyclone are admitted to the ER. The hospital management wants to caution people living in those areas through radio and news to notify other healthcare facilities. Which personnel would the nurse consider are appropriate in this situation?

- public information officer

Which task is achieved by the delegator when he or she engages in self-care to enhance his or her ability to care for the health care team?

- renewing

Which injuries would likely be given a green tag after a disaster?

- strains - sprains - abrasions

Which health care team member is familiar with all the needs of the individual clients?

- the charge RN (charge nurse is involved in the coordination and assignment of care to individual clients )

What does the nurse understand to be the role of EMTs in emergency nursing after a disaster?

- to monitor vital signs

Which action would the nurse think should be excluded to prevent staff from having PTSD during a mass casualty assessment?

- to work continuously without breaks (this can increase stress)

Which personnel can determine priorities for treatment in an emergency response plan?

- triage officer

Which internal factors affect the decision making process of a leader?

- values, interests, knowledge

An RN distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional?

- when the task is given to another RN (when the RN gives a task to another RN, the task can be assigned but not delegated )

Who would the RN state is accountable for establishing systems to communicate competency requirements related to delegation?

Chief nursing officer (CNO) (they are accountable for establishing systems to communicate competency related to delegation)

A unit is expecting a large volume of admissions after an incident. Who will prioritize care for the unit? a) Charge nurse b) nurse supervisor c) LPN d) UAP

a) Charge nurse

Which of the following is a TeamSTEPPS strategy to enhance information exchange at critical times? a) handoff b) CUS (concerned, uncomfortable, safety issue) c) outcomes d) research findings

a) Handoff

The nurse on the cardiac unit has received the shift report from the outgoing nurse. Which client should the nurse assess first? a) The client who has just been brought to the unit from the ED with no report of complaints b) The client who received pain meds 30 mins ago for chest pain that was a level 3 on a 1-10 scale c) The client who had a cardiac cath in the morning and has palpable pedal pulses bilaterally d) The client who has been turning on the call light frequently and stating her care has been neglected

a) The client who has just been brought to the unit from the ED with no reports of complaints The client may or may not be stable, they need to be assessed to see what brought the client into the ED to begin with

Which is essential for ensuring disaster readiness in a community? a) Trauma system b) state govt c) federal govt d) emergency response system

a) Trauma system

Which personnel can determine priorities for treatment in an emergency response? a) Triage officer b) Public information officer c) Medical command officer d) Hospital incident commander

a) Triage officer

A client with trauma is admitted to the ED. Which intervention takes priority? a) ensure patent airway b) monitor the clients cardiac rhythm c) release dressing in tension pneumo d) anticipate intubation for resp depression

a) ensure a patent airway

______ is being faithful and loyal to commitments and accountable for responsibilities? a) fidelity b) veracity c) autonomy d) values

a) fidelity (trustworthy)

A nurse finds a patient dizzy and drowsy. Which type of need would the nurse prioritize according the Maslows heirarchy of needs? a) safety b) belonging c) self-esteem d) self-actualization

a) safety

What should the nurse consider when obtaining an informed consent from a 17 year old male? a) whether the client is allowed to give consent b) That the client cannot make informed decisions about healthcare c) If the client is able to give consent without the parents there d) the inability to choose between alternatives when asked to consent

a) whether the client is allowed to give consent

The nurse has finished receiving the morning change of shift report. Which client should the nurse assess first? a) The client diagnosed with arterial occlusive disease who has intermittent claudication b) The client on strict bed rest who is complaining of calf pain and has a reddened calf c) The client who complains of low back pain when lying supine in bed d) The client who is upset because the food doesnt taste good and is cold all the time

b) The client on strict bed rest who is complaining of calf pain and has a reddened calf Could be a DVT

The nurse forgets to administer lasix, the client later experiences pulmonary edema. This constitutes negligence how? a) purposeful failure to preform a healthcare procedure b) Unintentional failure to preform a healthcare procedure c) act of substituting a medication for the one prescribed d) failure to follow a healthcare provider prescription

b) Unintentional failure to preform a healthcare procedure

An example of a cyber-disaster is a catastrophic event caused by: a) an exposure to toxic materials b) an attack initiated from one computer from another c) outbreak of a pathogen d) military weaponry

b) an attack from one computer to another

After a nurse assigns a task to an LPN, which of the following should the nurse do? a) assume the task was done b) follow up with the LPN c) ask the charge nurse to check up on her d) document that the task was done

b) follow up with the LPN

The nurse is caring for clients on a medical unit. Which tasks should the nurse implement first? a) change the abdominal surgical dressing for a client who has ambulated in the hall b) discuss the correct method of placing montgomery straps on the client with the UAP c) Assess the male client who called the desk to say he is nauseated and just vomited d) Place a call to the extended care facility to give the report on a discharged patient

c) Assess the client who called the desk to say he is nauseated and just vomited

The nurse is working with an LPN and a UAP to care for a group of clients. Which nursing task should not be delegated or assigned? a) the routine oral meds for a client b) the bed baths and oral care c) Evaluating a clients progress d) transporting the client to dialysis

c) Evaluating the client care

Grandparents stop by the nursery and offer to take the newborn to the mothers room. What is the best response by the nurse? a) "I'll get your grandchild. You must be very excited" b) "Show me your ID. I need to see it before I can give you the baby" c) "Please go on to see your daughter. Ill bring the child" d) "Only the mother can ask to see the child. Have her call us to bring the child"

c) Please go on to see your daughter, Ill bring the child

The nurse on the cardiac unit is preparing to administer medications after receiving the morning change of shift report. Which medication should the nurse administer first? a) The cardiac glycoside to the client who has an apical pulse of 58 b) The loop diuretic to a client with a serum K+ level of 3.2 mEq/L c) antidysrhythmic to the client in v-fib d) the calcium channel blocker who has a blood pressure of 110/68

c) The antidysrhythmic to the client in v-fib this is life threatening

What is the appropriate statement that describes the focus of Managers and leaders? a) the process and strategies look similar with different goals b) The manager focuses on people and the leader focuses on systems and structures c) The leader focuses on people and the manager focuses on systems and structures d) management and leadership are different

c) The leader focuses on people and the manager focuses on systems and structures

A patient with a history of chronic heart failure is admitted with severe SOB and cough. Which action should the nurse preform first? a) auscultate the abdomen b) check the capillary refill c) auscultate the lungs d) assess LOC

c) auscultate the lungs

A 16 year old with end stage cancer wants to donate his kidneys after death. The nurse understands that? a) get the organ donor form signed by the patient when he is still oriented b) notify the physician of the patients wishes c) instruct the patient to talk to his parents about his wishes d) contact the United nation organ donation right away

c) instruct the patient to talk to his parents about his wishes

A client with difficulty breathing secondary to ascites. Which is the priority intervention? a) encourage deep breathing every 2 hours b) reposition the client every 2 hours c) auscultate the lung sounds every 4 hours d) position the clients HOB at a 45 degree angle

d) position the clients HOB at a 45 degree angle

The legal definition of nursing for any particular state can be found in the? a) state legistature official newsletter b) state board of nursing bylaws c) governonrs official papers d) state nursing practice act

d) state nursing practice act

Which action by the nurse leader is indicative of transactional leadership?

motivating the self-interest of the employees by offering external rewards (Transactional leadership relies on the power of organizational position and formal authority to reward and punish performances)

A client reports smoke coming from a utility room on the nursing unit. What is the initial action the nurse should take?

remove anyone who is in immediate danger *RACE: Remove any clients from danger, activate fire alarm, contain fire by closing windows and doors, extinguish the fire