HESI Case Studies–Management-Management of an Oncology Unit (Chen Lo)

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1. How should Ms. Lo respond?
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“I need you to find the reports as quickly as possible.”
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2. Which action should the charge nurse implement in response to this information?
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Contact the HCP immediately to report the lab test results verbally
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3. What is the best response by the charge nurse?
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“You may obtain data from the charts untili the staff nurse assigned to your client has time to give report.”
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4. A PN may be assigned to care for a client with which nursing diagnosis?
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Impaired physical mobility related to arthritis
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5. Which of the clients experiencing pain management problem is the most appropriate assignment for the PN?
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Complaining of constipation after using opioid analgesics for 1 week.
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6. What actions should Ms. Lo implement first?
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Observe the suspected abuser’s behavior to confirm the nurse’s suspicions
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7. How should Ms. Lo respond?
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“Random drug testing protects all of the staff and clients from unsafe practice.”
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8. Which client care assignment makes use of this RN’s expertise?
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Monitor a client with thrombocytopenia who is receiving platelets.
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9. Which client should be assigned to the RN rather than the PN?
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Unwilling to observe his new ileostomy stoma and pouch.
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10. Which client care activity should be assigned to the PN from the float pool?
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Provide postmortem care
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11. What action should the charge nurse implement?
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Review the tasks assigned to the UAp to help determine priorities
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12. How should Ms. Lo respond?
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Allow the student to assist the PN with postmortem care, but remind him that the UAP may not delegate client care
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13. Which task can be delegated to the UAP who is assisting the nurse in the performance of tracheostomy care?
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Apply the oxygen mask over the tracheostomy
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14. What action should Ms. Lo implement?
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Return to the client’s room with the student and explain the meaning of the DNR status to the client
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15. After speaking with the client about the change in DNR status, what action should the charge nurse initiate first?
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Notify the HCP of the client’s wishes
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16. What action should the charge nurse implement first?
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Page the emergency response team
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17. Which instruction is most important to emphasize with the primary RN caring for the client?
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“Perform circulation checks every 15 minutes and report any changes.”
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18. What management error has just occurred? (Select all)
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-The RN delegated care to the UAP that should have been performed by the RN -The RN delegated assessment of the client’s IV site to a UAP
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19. Which action should Ms. Lo take first?
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Assign an RN to assess a newly admitted client diagnosed with brain cancer
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20. What action by the charge nurse has the greatest priority?
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Advise the primary RN that a new admission will be arriving shortly
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21. With whom should Ms. Lo collaborate to revise the nursing plan of care for this man’s mother? (Select all)
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-The primary nurse caring for this client -The hospital chaplain
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22. Which action should the charge nurse implement?
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Provide a list of hospices that are in the area

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