2020 Hesi exit v 2 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the...
1. The nurse knows that which statement by the mother indicates that themother
understands safety precautions with her four month-old infant and her 4year-old
child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on ablanket to
play with my 4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocksstuck up in
the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old abottle in
the kitchen
while I make supper."
The correct answer is D: "I have the four year-old hold andhelp
feed the four month-old a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the87 year-old
client
does not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary
The correct answer is B: Give information about
advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within15
minutes after
the immunization was given, the client complains of itchy and wateryeyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action inthe
sequence of
care for this client will be to
,A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 asordered .
, 4. Which of these children at the site of a disaster at a child day carecenter would
the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel
betweencrying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with anupper
leg fracture
D) A school-age child with singed eyebrows and hair on the
armsThe correct answer is B: A toddler with severe deep
abrasions over 98% of the body .
5. When admitting a client to an acute care facility, an identificationbracelet
is sent up
with the admission form. In the event these do not match, the nurse’sbest action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement issupplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office andwait
to apply the bracelet
6. The nurse is having difficulty reading the health care provider's writtenorder that
was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
7. An adult client is found to be unresponsive on morning rounds. Afterchecking
for
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Courseprof. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
