HESI module 6
Study online at https://quizlet.com/_b7fern
1. Which event would require a nurse to complete and file When a visitor sudden-
an incident report? ly becomes weak and
dizzy, the nurse checks
A client has a seizure. the visitor's blood pres-
sure and takes the visitor
The nurse determines that a client would benefit from
to the emergency depart-
the use of a walker to ambulate.
ment for treatment.
The nurse, preparing an intravenous infusion, notes
that the battery of an intravenous infusion pump is not
working.
When a visitor suddenly becomes weak and dizzy, the
nurse checks the visitor's blood pressure and takes the
visitor to the emergency department for treatment.
2. A nurse, charting the administration of medications to Tell the primary health
an assigned client at 9 pm, notes that atenolol was care provider that the error
prescribed to be administered at 9 am instead of 9 warrants the completion of
pm. The nurse checks the client's vital signs, completes an incident report
an incident report, and calls the primary health care
provider to report the error. The primary health care
provider tells the nurse that an incident report is not
needed but instructs her to monitor the client dur-
ing the night for hypotension. What action should the
nurse take?
Notify the nursing supervisor
Tear up and discard the incident report
Tell the primary health care provider that the error
warrants the completion of an incident report
, HESI module 6
Study online at https://quizlet.com/_b7fern
Tell the nursing supervisor that the primary health care
provider did not want an incident report completed
and filed
3. Contact precautions are initiated for a client with me- To wear gloves and a gown
thicillin-resistant Staphylococcus aureus (MRSA) infec- when changing the client's
tion. What does the nurse, providing instructions to a bed linen.
nursing assistant about caring for the client, tell the
assistant?
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
To wear gloves and a gown when changing the client's
bed linen.
To wear a gown when caring for the client and remove
the gown immediately after leaving the client's room
4. The mother of a 3-year-old calls a neighbor who is a Call a poison control cen-
nurse and reports that her child just drank some win- ter
dow cleaner that had been stored in a cabinet. What
should the nurse instruct the mother to do immediate-
ly?
Call a poison control center
Administer an excessive amount of fluids to induce
vomiting
Call an ambulance to bring the child to the emergency
department
, HESI module 6
Study online at https://quizlet.com/_b7fern
Leave a message on the primary health care provider's
answering service about the incident
5. A hurricane is forecast to make landfall in 48 hours, Activate the agency disas-
and the staff of the emergency department of an area ter plan
hospital is advised to prepare for causalities. Which
action should the nurse manager who receives the
telephone call regarding this warning take first?
Activate the agency disaster plan
Supply the triage rooms with additional equipment
Increase the number of nursing staff for the day on
which the hurricane is expected
Call the hospital maintenance department to secure
the building against the storm
6. A home health nurse has instructed a client about safe- "I need to follow the oxy-
ty measures during the use of an oxygen concentrator gen prescription exactly."
in the home. Which statement by the client indicates to "I have to keep the oxygen
the nurse that the client understands the directions? concentrator out of direct
Select all that apply. sunlight."
"I have to tell everyone that
"I need to follow the oxygen prescription exactly." they can't smoke or have
an open flame within 10
"I can use my electric razor while I'm using oxygen."
feet (3 meters) of the oxy-
gen concentrator."
"I have to keep the oxygen concentrator out of direct
sunlight."
"I need to keep the oxygen concentrator as close to the
, HESI module 6
Study online at https://quizlet.com/_b7fern
wall as possible or put it in a corner."
"I have to tell everyone that they can't smoke or have
an open flame within 10 feet (3 meters) of the oxygen
concentrator."
7. A nurse is providing instructions to a nursing assistant q2hrs
who will be caring for a client in hand restraints. How
often does the nurse instruct the nursing assistant to
release the restraints to permit muscle exercises?
Every 2 hours
Every 3 hours
Every 4 hours
Every 30 minutes
8. A community health nurse working in a school setting Determining the appropri-
is concerned because parents are not participating ateness of the planned
in health activities designed to promote child safe- health activity
ty. What is the most appropriate initial action for the
nurse to take?
Implementing a child safety program
Planning a focused child safety program
Performing an analysis of health problems related to
child safety
Determining the appropriateness of the planned
health activity
Study online at https://quizlet.com/_b7fern
1. Which event would require a nurse to complete and file When a visitor sudden-
an incident report? ly becomes weak and
dizzy, the nurse checks
A client has a seizure. the visitor's blood pres-
sure and takes the visitor
The nurse determines that a client would benefit from
to the emergency depart-
the use of a walker to ambulate.
ment for treatment.
The nurse, preparing an intravenous infusion, notes
that the battery of an intravenous infusion pump is not
working.
When a visitor suddenly becomes weak and dizzy, the
nurse checks the visitor's blood pressure and takes the
visitor to the emergency department for treatment.
2. A nurse, charting the administration of medications to Tell the primary health
an assigned client at 9 pm, notes that atenolol was care provider that the error
prescribed to be administered at 9 am instead of 9 warrants the completion of
pm. The nurse checks the client's vital signs, completes an incident report
an incident report, and calls the primary health care
provider to report the error. The primary health care
provider tells the nurse that an incident report is not
needed but instructs her to monitor the client dur-
ing the night for hypotension. What action should the
nurse take?
Notify the nursing supervisor
Tear up and discard the incident report
Tell the primary health care provider that the error
warrants the completion of an incident report
, HESI module 6
Study online at https://quizlet.com/_b7fern
Tell the nursing supervisor that the primary health care
provider did not want an incident report completed
and filed
3. Contact precautions are initiated for a client with me- To wear gloves and a gown
thicillin-resistant Staphylococcus aureus (MRSA) infec- when changing the client's
tion. What does the nurse, providing instructions to a bed linen.
nursing assistant about caring for the client, tell the
assistant?
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
To wear gloves and a gown when changing the client's
bed linen.
To wear a gown when caring for the client and remove
the gown immediately after leaving the client's room
4. The mother of a 3-year-old calls a neighbor who is a Call a poison control cen-
nurse and reports that her child just drank some win- ter
dow cleaner that had been stored in a cabinet. What
should the nurse instruct the mother to do immediate-
ly?
Call a poison control center
Administer an excessive amount of fluids to induce
vomiting
Call an ambulance to bring the child to the emergency
department
, HESI module 6
Study online at https://quizlet.com/_b7fern
Leave a message on the primary health care provider's
answering service about the incident
5. A hurricane is forecast to make landfall in 48 hours, Activate the agency disas-
and the staff of the emergency department of an area ter plan
hospital is advised to prepare for causalities. Which
action should the nurse manager who receives the
telephone call regarding this warning take first?
Activate the agency disaster plan
Supply the triage rooms with additional equipment
Increase the number of nursing staff for the day on
which the hurricane is expected
Call the hospital maintenance department to secure
the building against the storm
6. A home health nurse has instructed a client about safe- "I need to follow the oxy-
ty measures during the use of an oxygen concentrator gen prescription exactly."
in the home. Which statement by the client indicates to "I have to keep the oxygen
the nurse that the client understands the directions? concentrator out of direct
Select all that apply. sunlight."
"I have to tell everyone that
"I need to follow the oxygen prescription exactly." they can't smoke or have
an open flame within 10
"I can use my electric razor while I'm using oxygen."
feet (3 meters) of the oxy-
gen concentrator."
"I have to keep the oxygen concentrator out of direct
sunlight."
"I need to keep the oxygen concentrator as close to the
, HESI module 6
Study online at https://quizlet.com/_b7fern
wall as possible or put it in a corner."
"I have to tell everyone that they can't smoke or have
an open flame within 10 feet (3 meters) of the oxygen
concentrator."
7. A nurse is providing instructions to a nursing assistant q2hrs
who will be caring for a client in hand restraints. How
often does the nurse instruct the nursing assistant to
release the restraints to permit muscle exercises?
Every 2 hours
Every 3 hours
Every 4 hours
Every 30 minutes
8. A community health nurse working in a school setting Determining the appropri-
is concerned because parents are not participating ateness of the planned
in health activities designed to promote child safe- health activity
ty. What is the most appropriate initial action for the
nurse to take?
Implementing a child safety program
Planning a focused child safety program
Performing an analysis of health problems related to
child safety
Determining the appropriateness of the planned
health activity
