HESI RN Leadership Proctored Exam Practice Questions

Select one answer.

• Confront the nurse manager as a group and ask why nothing has been done to change the surgeon's behavior.
• Attend procedures performed by the surgeon and demand halting the procedure if the client becomes distressed.
• Document client reactions to invasive procedures performed by the physician in their medical record.
• Report the physician's lack of concern for clients' pain during invasive procedures to the Director of Nursing.

Select one answer.

• A client who had an abdominal-perineal resection 3 days ago has no drainage on the dressing and is reporting chills.
• A client who fell from a ladder and has a collapsed left lower lung with 100 mL drainage in a chest tube collection container.
• A client who was admitted 4 hours ago with a gunshot wound and has a dressing with 2 cm-sized dark red drainage.
• A client who is post-mastectomy 2 days ago and has 50 mL of serosanguineous fluid in a Jackson-Pratt drain.

Select one answer.

• Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia.
• Heparin in Normal Saline prescribed for deep vein thrombosis.
• Magnesium in Normal Saline prescribed for hypomagnesemia.
• Regular insulin in Normal Saline prescribed for ketoacidosis.

Select one answer.

• Demonstrate the proper use of personal protective equipment.
• Offer to assist the UAP with the collection of the specimen.
• Provide the UAP with the infection control policy.
• Determine the UAP's knowledge about HIV transmission.

Select one answer.

• Monitor for impending signs of shock.
• Initiate enteric precaution procedures.
• Reduce light, noise and temperature.
• Encourage electrolyte supplements.

Select one answer.

• Choose to send another nurse who is more receptive because the older nurse is not interested.
• Ask the nurse why she thinks there is no need for an in-service program about these emergencies.
• Inform the older nurse that in-service is not optional and her scheduled attendance is mandatory.
• Encourage the nurse to share her concerns and discuss ways to prepare for such emergencies.

Select one answer.

• The brain natriuretic peptide (BNP) assay for a client with shortness of breath after a myocardial infarction (MI) increases to 1000 pg/mL (1000 ng/L).
• The international normalized ratio (INR) for a client who is receiving warfarin therapy increases to 2.5.
• The serum glucose level for a client receiving corticosteroids increases to 150 mg/dL (8.3 mmol/L).
• The potassium level for a client scheduled for renal dialysis increases to 5 mEq/L(5 mmol/L).

Select one answer.

• demonstrate how to complete an adverse occurrence or variance report.
• discuss how to handle complaints from clients and/or their families.
• describe how to obtain legal services if needed.
• maintain personal malpractice insurance.

Select one answer.

• Listen for the presence of bowel sounds.
• Teach the client about foods high in fiber.
• Administer a prescribed dose of a laxative.
• Assist the client in drinking warm prune juice.

Select one answer.

• Can the equipment be updated each year?
• How many departments can use this equipment?
• Is the cost of equipment reasonable?
• Will the equipment require annual repair?