HESI Prep: QSEN Competencies

Which symptom in a pregnant client lying on her back indicates the need for emergency intervention? A. Pallor B. Eupnea C. Bradycardia D. Increased BP

A Supine hypotension in a pregnant client requires emergency intervention to decrease the chance of vena cava syndrome

Which component of delegation is retained while the delegator is delegating the client's care task to the UAP? A. Authority B. Supervision C. Responsibility D. Accountability

D Every individual on the healthcare team has authority for the delegated task. Supervision is not a right of delegation.

Back pain is most often associated with which fetal position? A. Breech B. Transverse C. Occiput anterior D. Occiput posterior

D A persistent occiput posterior position causes intense back pain because of fetal compression of the maternal sacral nerves.

Which component of a hospital service represents the process factor in the avedis donabedian model? A. Promotion of continuity of care B. Adequacy of client education C. Quality of personal relations D. Adequacy of equipment and supplies E. Provider's knowledge and supervision

A, B, C The Avedis Donabedian model contains three factors that affect the quality of healthcare. These include structure, process, and outcome.

Which finding would indicate infection in a pregnant client? A. Chills B. Fever C. Diarrhea D. Flank pain E. Burning on urination

A, B, C, D, E

A client with a history of a congenital heart defect is admitted to the birthing unit in early labor. Which position does the nurse encourage the client to assume? A) Supine B) Semi-Fowler C) Trendelenburg D) Left lateral recumbent

B

With which problem is a low maternal serum alpha-fetoprotein associated? A. Fetal Demise B. Down syndrome C. Neural tube defects D. Esophageal obstruction

B Chromosomal trisomies such as Down syndrome may be marked by a lower-than-typical level of alpha-fetoprotein. Increased levels of the protein usually cause the other symptoms.

Which postpartum complication would the nurse monitor for in a client with hydramnios? A. Infection B. Hemorrhage C. Hypertension D. Thromboembolism

B Hydramnios can lead to uterine atony, increasing the risk for postpartum hemorrhage.

The nurse recognizes that which advisory bodies aim to improve the quality, safety, efficiency, and effectiveness of health care? Select all that apply. One, some, or all responses may be correct A. The Joint Commission B. Institute of Medicine C. National Quality Forum D. Centers for Medicare and Medicaid Services E. Association for Healthcare Research and Quality

B, C, D, F

Which health care team member is familiar with all the needs of any individual client? A. Orderly B. Social Worker C. Charge Nurse D. UAP

C