11.The nurse from the pediatric unit has been temporarily assigned to the Emergency Department. It would be most appropriate to assign that nurse to the client who* (a) reports epigastric pain that “feels like indigestion” (b) has back pain and a pulsating abdominal mass (c) is HIV+ reporting v...
BS 1343 HESI exit exam rn – Houston
Community college ( A grade / School graded)
HESI EXIT
VERSION 3
1. The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client
with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol
(acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
3. The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client
who is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
1
, (b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
4. The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to
the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
5. The nurse in a well baby clinic has assessed several children today. It would be
a priority for the nurse to suggest follow up for the child who is (a) 2 months
old with a positive babinski refl ex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating
6. The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It would
be most appropriate to obtain consent for organ donation from the
(a) client’s primary care provider
(b) client’s nurse manager
(c) closest living family member
(d) hospital’s ethics committee
2
,7. The nurse has received report on four clients. The nurse should fi rst assess
the client who has*
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry
reading of 90%
(b) Parkinson’s Disease and is demanding to leave the hospital against medical
advice (AMA)
(c) been admitted with suspected Guillian-Barre´ Syndrome and has begun
plasmapheresis therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
8. It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change
9. The nurse should intervene if a staff member is observed
(a) discussing a client’s diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood
transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist
10. The nurse is preparing a staff presentation on legal and ethical issues in
nursing. The nurse would be correct to include which of the following
examples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in
the day room to watch television is false imprisonment
(b) Telling a client that you will put in a feeding tube if the client does not eat is
an example of battery
3
, (c) Telling a client with bipolar disorder who is suicidal that they have a right
to refuse to take their medications is an example of malpractice
(d) Placing hands on a client who says “do not touch me” is an example of
assault
11. The nurse from the pediatric unit has been temporarily assigned to the
Emergency Department. It would be most appropriate to assign that nurse
to the client who*
(a) reports epigastric pain that “feels like indigestion”
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant
12. Four clients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the clients
(a) reports blood tinged sputum following a bronchoscopy
(b) has decreased abdominal girth following paracentesis
(c) reports a headache following a lumbar puncture
(d) is observed flexing and extending the legs two hours after cardiac
catheterization
13. The nurse is made aware of the following situations. The nurse should fi rst
check the client who
(a) had a transurethral prostatectomy (TURP) and is reporting urinary
dribbling two hours after the indwelling catheter is removed
(b) has cervical traction and is moving the legs by fl exing and extending the
feet
(c) has Alzheimer’s disease (stage 1) and was returned to the room after being
found wandering in the hallway
(d) has a history of partial seizures and is sitting in the bed picking at the
clothing and smacking the lips
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