2022 RN HESI EXIT EXAM - Version 1 (V1) Q&A(Included) - Grade A+!!, Walden university

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 level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed (b) a 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) 2. The nurse should intervene if the nurse notes a staff member (a) 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 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 11. 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 12. 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 13. The nurse is made aware of the following situations. The nurse should fi rst 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 fl exing and extending the feet (c) has Alzheimer‘s disease (stage 1) and was returned to the room after being found wandering in the hallway (d) has a history of partial seizures and is sitting in the bed picking at the clothing and smacking the lips 43. The nurse is caring for a client with bipolar disorder who has Lithium (Lithotabs) prescribed. The nurse should suggest that the client have which of the following snacks? (a) A fresh fruit cup (b) Coffee and oatmeal cookies (c) Tuna fi sh salad on saltine crackers (d) Raw vegetables 44. The nurse has provided discharge instructions for a client who has been prescribed Digoxin (Lanoxin). It would require follow up by the nurse if the client says (a) ―I will consult my primary health care provider before taking medications that contain aspirin.‖ (b) ―I will not take any antacids within two hours of taking the digoxin.‖ (c) ―I will avoid fruits such as avocados, grapefruit and cantaloupe.‖