HESI RN EXIT EXAM COMPREHENSIVE V1- 2021 ACTUAL EXAM

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 of 4.5 mEq/L has Kayexalate (sodium polystyrene) prescribed B. 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) ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse should intervene if the nurse notes a staff member 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 A. ACADEMICMASTER HESI RN EXIT EXAM 2021 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) yeaBr.s old, hastype 1 Diabetes Mellitus, and a recent Hemoglobin A1c of 1 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. ACADEMICMASTER HESI RN EXIT EXAM 2021 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 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 reflex B. 4 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse has received report on four clients. The nurse should first 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. D. Heart Failure (CHF) whose pitting edema has increased to 2(+) E. Retinal detachment and is complaining of dark floating spots Guillian Barre Syndrome and has begun plasmapheresis therapy One-on-one client observation for safety ACADEMICMASTER HESI RN EXIT EXAM 2021 It would be appropriate to assign which of these tasks to the CNA? A. Feeding a client who is experiencing dysphagia B. C. Ambulating a post-op patient for the first-time D. Performing a dressing change ACADEMICMASTER HESI RN EXIT EXAM 2021 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 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 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 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 ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse is made aware of the following situations. The nurse should first 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 flexing and extending the feet C. Has Alzheimer’s disease (stage 1) and was returned to the room after being found wandering in the hallway hiD st . ory of partial seizures and is sitting in the bed picking at the clothing and smacking th “I can feed my child oatmeal and eggs for breakfast” ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse in a community health clinic is talking with the parent of a child with Celiac Disease. Which of the following statements would require follow-up by the nurse for additional teaching? A. “This weekend we are going to a seafood restaurant” B. C. “My child loves to eat rice and chicken for dinner” D. “Last night we ate