HESI NCLEX PN Exam Answer Key for 2024 Graded A

50) A client is brought to the ED by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? 1. obtain a court order for the surgical procedure 2. ask the EMS team to sign the informed consent 3. transport the victim to the operating room for surgery 4. call the police to identify the client and notify the family 51) A nurse has just assisted a client back to bed after a fall. The nurse and primary healthcare provider have assessed the client and have determined that the client is not injured. After completing the occurrence report, the nurse should implement which action next? 1. reassess the client 2. conduct a staff meeting to describe the fall 3. contact the nursing supervisor to update info regarding the fall 4. document in the nurse's notes that an occurrence report was completed 52) A nurse arrives at work and is told to float to the ICU for the day because they're understaffed and need additional nurses to care for clients. The nurse has never worked in the ICU. The nurse should take which best action? 1. refuse to float to the ICU because of lack of unit orientation 2. clarify the ICU client assignment with the team leader to ensure it's a safe assignment 3. ask the nursing supervisor to review the hospital policy on floating 4. submit a written protest to nursing administration, and then call the hospital lawyer 53) As a nurse is providing care, the client suddenly experiences a tonic-clonic seizure. The nurse would immediately: A) Call the physician B) Turn the client to the side C) Restrain the client's limbs D) Insert an airway in the client's mouth 54)