HESI EXIT EXAM VERIFIED

HESI EXIT EXAM VERIFIED 1. A nurse performs a Tinetti assessment on an 82-year-old client an ……12 and a gait score of 8. a. Expected results for an elderly adult. b. Likely onset of Parkinson’s disease c. Increased risk for falling d. Need for a walker to aid in ambulation 2. The daughter of an older woman, who has Parkinson’s disease, calls the clinic her mother has been confused for the past week. What actions should the nurse take? (Select all that apply.) a. Encourage increased intake of high protein foods. b. Determine if the mother has recently experience a fall c. Ask if the mother is experiencing any pain with urination d. Instruct the daughter to check her mother’s temperature. e. Review the client’s current food and medication allergies 3. The healthcare provider prescribes a STAT computerized tomography (CT) scan without contrast for a client who is exhibiting signs of an acute change in level of consciousness. The nurse is caring for two additional intensive care clients and has an unlicensed assistive personnel (UAP) assigned to assist with the delivery of care. a. instructs the UAP to transport the client to CT scan with a cardiac monitor. b. Administer scheduled medications prior to transporting the client to CT scan c. Hand-off care of additional clients then transport client to CT scan without delay. d. Call the client’s healthcare pow