HESI Exit Exam Practice Questions
Who should do sterile dressing changes? - ✔✔RN or LPN if signed off
sterile or invasive procedure should be assigned to....? - ✔✔an RN
(or RN must supervise)
unintentional tort - ✔✔negligence and malpractice; act of involving damage to another
resulting in civil liability
how can nurses avoid negligence? - ✔✔following their organizations policy
incident report - ✔✔A report documenting an incident and the response to the incident; also
known as an occurrence report or event report.
examples of negligence or malpractice: - ✔✔-buring a client with a heating pad
-leaving sponges/instruments in pts body after surgery
-incomptent assessments
-failure to see s/s of shock or MI
-ignoring s/s of bleeding
-forgetting to give a med or giving the wrong med
Assult - ✔✔Unlawful threat or attempt to do bodily injury to another (mental/physical)
Battery - ✔✔the intentional touching of a person without his or her consent
(ex- if a mentally competent person is forced to have tx its battery)
,involuntary admission for psych pts requires: - ✔✔certification by hcp that pt is a threat to self
and others
--persons have right to legal hearing
--limit commitment is 90 days, max 1 year
emergency admission for psych pts: - ✔✔medical approval is needed to detain anyone for over
24 hrs
legal and civil rights of hospitalized pts: - ✔✔-right to wear own clothes and keep personal
items with them and a reasonable amount of cash
-right to have individual storage space
-right to see visitors daily
-right to have reasonable access to a telephone and use it privately
-right to receive and send mail (unopened)
-right to refuse shock txs and lobotomy
patient identification - ✔✔Use at least TWO patient identifiers when providing care, treatment,
or services (their name and birth date)
**ROOM # IS NOT ACCEPTABLE
Surgical Permit - ✔✔Consent to operate obtained before ANY surgical procedure
Must be:
1. Written
2. Obtained voluntarily
,3. Explained to the client
informed consent - ✔✔procedure and tx or operation has been fully explained to the client,
including
1. possible outcomes, risks, and disfigurements
2. removal or any parts of the body
3. benefits and expected results
how to obtain surgical permits: - ✔✔1. must be witnessed by HCP or RN
2. adults and emancipated teens can sign their own operative permits if competent
3. permission to operate on a minor or incompetent person requires parent signature and
durable power of attorney/ advanced health directive
who should explain and describe a surgical procedure to the pt? - ✔✔HCP!
but nurse must be sure permit is signed and is put in clients records, and must document that
the client was given the info and agreed to it
if informed consent cannot be obtained because client is unconscious and immediate treatment
is needed is required to save a life or limb... - ✔✔emergency laws can be applied!
verbal consent is done by: - ✔✔a notation should be made.
1. It describes in detail how and why verbal consent was obtained.
2. It is placed in the client's record or chart.
3. It is witnessed and signed by two persons.
Verbal or written consent can by given by: - ✔✔a. Alert, coherent, or otherwise competent
adults.
b. A parent or legal guardian.
, c. A person in loco parentis (a person standing in for a parent with a parent's rights, duties, and
responsibilities) in cases of minors or incompetent adults.
Consent of minors - ✔✔1. Minors 14 years of age and older must agree to treatment along with
their parents or guardians.
2. Emancipated minors can consent to treatment themselves. Be aware that the definition of an
emancipated minor may change from state to state.
Good Samaritan Law - ✔✔protects a nurse when preforming emergency care (ex- CPR)
how to confirm a verbal order over the telephone - ✔✔**this is not advised!
write the verbal order on the chart or record it in the computer and then read it back to the
HCP!
If a nurse questions a HCP's prescription because he or she believes that it is wrong: - ✔✔1.
inform HCP
2. record that HCP was informed and HCP response
3. inform nursing supervisor
4. refuse to carry out prescription
If the nurse believes that a HCP's prescription was made with poor judgment: - ✔✔1. record
HCP was notified and prescription was questioned
2. carry out prescription
If a nurse is asked to perform a task for which he or she has not been prepared educationally or
does not have the necessary experience: - ✔✔1. inform HCP you don't have the education or
experience
2. refuse to do it
Who should do sterile dressing changes? - ✔✔RN or LPN if signed off
sterile or invasive procedure should be assigned to....? - ✔✔an RN
(or RN must supervise)
unintentional tort - ✔✔negligence and malpractice; act of involving damage to another
resulting in civil liability
how can nurses avoid negligence? - ✔✔following their organizations policy
incident report - ✔✔A report documenting an incident and the response to the incident; also
known as an occurrence report or event report.
examples of negligence or malpractice: - ✔✔-buring a client with a heating pad
-leaving sponges/instruments in pts body after surgery
-incomptent assessments
-failure to see s/s of shock or MI
-ignoring s/s of bleeding
-forgetting to give a med or giving the wrong med
Assult - ✔✔Unlawful threat or attempt to do bodily injury to another (mental/physical)
Battery - ✔✔the intentional touching of a person without his or her consent
(ex- if a mentally competent person is forced to have tx its battery)
,involuntary admission for psych pts requires: - ✔✔certification by hcp that pt is a threat to self
and others
--persons have right to legal hearing
--limit commitment is 90 days, max 1 year
emergency admission for psych pts: - ✔✔medical approval is needed to detain anyone for over
24 hrs
legal and civil rights of hospitalized pts: - ✔✔-right to wear own clothes and keep personal
items with them and a reasonable amount of cash
-right to have individual storage space
-right to see visitors daily
-right to have reasonable access to a telephone and use it privately
-right to receive and send mail (unopened)
-right to refuse shock txs and lobotomy
patient identification - ✔✔Use at least TWO patient identifiers when providing care, treatment,
or services (their name and birth date)
**ROOM # IS NOT ACCEPTABLE
Surgical Permit - ✔✔Consent to operate obtained before ANY surgical procedure
Must be:
1. Written
2. Obtained voluntarily
,3. Explained to the client
informed consent - ✔✔procedure and tx or operation has been fully explained to the client,
including
1. possible outcomes, risks, and disfigurements
2. removal or any parts of the body
3. benefits and expected results
how to obtain surgical permits: - ✔✔1. must be witnessed by HCP or RN
2. adults and emancipated teens can sign their own operative permits if competent
3. permission to operate on a minor or incompetent person requires parent signature and
durable power of attorney/ advanced health directive
who should explain and describe a surgical procedure to the pt? - ✔✔HCP!
but nurse must be sure permit is signed and is put in clients records, and must document that
the client was given the info and agreed to it
if informed consent cannot be obtained because client is unconscious and immediate treatment
is needed is required to save a life or limb... - ✔✔emergency laws can be applied!
verbal consent is done by: - ✔✔a notation should be made.
1. It describes in detail how and why verbal consent was obtained.
2. It is placed in the client's record or chart.
3. It is witnessed and signed by two persons.
Verbal or written consent can by given by: - ✔✔a. Alert, coherent, or otherwise competent
adults.
b. A parent or legal guardian.
, c. A person in loco parentis (a person standing in for a parent with a parent's rights, duties, and
responsibilities) in cases of minors or incompetent adults.
Consent of minors - ✔✔1. Minors 14 years of age and older must agree to treatment along with
their parents or guardians.
2. Emancipated minors can consent to treatment themselves. Be aware that the definition of an
emancipated minor may change from state to state.
Good Samaritan Law - ✔✔protects a nurse when preforming emergency care (ex- CPR)
how to confirm a verbal order over the telephone - ✔✔**this is not advised!
write the verbal order on the chart or record it in the computer and then read it back to the
HCP!
If a nurse questions a HCP's prescription because he or she believes that it is wrong: - ✔✔1.
inform HCP
2. record that HCP was informed and HCP response
3. inform nursing supervisor
4. refuse to carry out prescription
If the nurse believes that a HCP's prescription was made with poor judgment: - ✔✔1. record
HCP was notified and prescription was questioned
2. carry out prescription
If a nurse is asked to perform a task for which he or she has not been prepared educationally or
does not have the necessary experience: - ✔✔1. inform HCP you don't have the education or
experience
2. refuse to do it
