HESI VN Final Exam Prep (Questions with Answers) Latest Graded A+ 2023.

HESI VN Final Exam Prep (Questions with Answers) Latest Graded A+ 2023. The nurse is working with the registered nurse who has accepted a new position as case manager in a hospital. The nurse realizes which responsibilities are part of the registered nurse’s new role? Select all that apply. Coro rer ct! Evaluating and updating the plan of care as needed Prescribing treatments specific to the client s needs Question 6 1 / 1 pts Taking a rectal temperature from a client for whom bleeding precautions have been instituted Rationale: Evidence-based practice is an approach to client care in which the nurse integrates the client’s preferences, clinical expertise, and the best research evidence to deliver quality care. Donning sterile gloves to change an abdominal wound dressing reflects evidencebased practice because it prevents the entrance of harmful bacteria into the wound. The remaining options do not reflect evidence-based practice. Taking an herbal substance could be harmful to some clients. It is nontherapeutic for a nurse to advise a client to agree to a treatment. Because of the risk of injury to the rectal mucosa, rectal temperature-taking is avoided in the client for whom bleeding precautions have been instituted. Test-Taking Strategy: Read each option carefully, focusing on the subject, evidence-based practice. Recall the definition of evidence-based practice and note the words “sterile gloves” in the correct option. Review the situations that reflect evidence-based practice if you had difficulty with this question. Cognitive Ability: Understanding Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Leadership/Management Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 7/117 Question 7 1 / 1 pts Coro rer ct!t Assessing the client s needs for home supplies and equipment Coro rer ct! Coordinating consultations and referrals to facilitate discharge Coro rer ct!t Establishing a safe and cost-effective plan of care with the client Rationale: A case manager is a nurse who assumes responsibility for coordinating the client’s care from the point of admission through, and after, discharge. Specific responsibilities of the case manager include establishing a safe and cost-effective plan of care with the client, coordinating consultations and referrals, and facilitating discharge; initiating a plan of nursing care, care map, or clinical pathway as appropriate to guide care and evaluating and updating the plan of care as needed; ensuring that the plan of care is tailored to the client’s needs, taking into account the client’s diagnosis, self-care ability, and prescribed treatments; assessing the client’s need for equipment such as oxygen or wound care supplies and exploring available resources to provide the client with these supplies; providing resources that will assist the client in maintaining independence as much as possible; and providing the client with information on discharge procedures and the plan of care. The nurse does not prescribe treatments. Test-Taking Strategy: Focus on the subject, the responsibilities of the case manager. Note the word “prescribing” in the incorrect option. It is not within the role of the nurse to prescribe. Review the responsibilities of the case manager if you have difficulty with this question. Cognitive Ability: Understanding Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Leadership/Management Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 8/117 The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit? Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed Coro rer ct! Obtaining the assigned medical record from the hospital’s medical record room to review documentation made during a client’s hospital stay Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 9/117 A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client’s necklace? Ask the client whether the necklace is gold. Question 8 1 / 1 pts Rationale: Quality improvement, also known as performance improvement, is focused on processes or systems that significantly contribute to client safety and effective client care outcomes. Criteria are used to assess outcomes of care and determine the need for changes improve the quality of care. In a retrospective, or “lookingback,” audit, the medical record is inspected after the client’s discharge for documentation of compliance with standards. In a concurrent, or “at the same time,” audit, the nursing staff’s compliance with predetermined standards and criteria is assessed as the nurses are providing care during the client’s stay. In this type of audit, a peer review approach in which members of the nursing staff are involved in data collection may be implemented. Obtaining the a client’s medical record from the medical record room for the purpose of reviewing documentation made during the client’s hospital stay is an example of a retrospective audit. The incorrect options are examples of concurrent audits. Test-Taking Strategy: Focus on the subject, a retrospective audit. Note the relationship of the word “retrospective” in the question and the description in the correct option. Review the procedures for quality improvement and retrospective and concurrent audits if you have difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Planning Content Area: Leadership/Management Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 10/117 A nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes Question 9 1 / 1 pts Coro rer ct!t Ask the client for permission to lock the necklace in the hospital safe. Ask the client to remove the necklace and place it in the top drawer of the bedside table. Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or lost during the procedure. Rationale: When a client has valuables, the nurse should give them to a family member or secure them for safekeeping. Most health care institutions require that a client sign a release form that frees the institution of responsibility if a valuable item (e.g., jewelry, money) is lost, but this does not safeguard the client’s necklace. Valuables may be locked in a designated location such as the hospital’s safe. Removing the necklace and putting it in a drawer does not safeguard it. Asking the client whether the necklace is gold is inappropriate and unrelated to the subject. Test-Taking Strategy: Use the process of elimination and focus on the subject, safeguarding the client’s necklace. Focusing on the subject and noting the word “lock” in the correct option will help you answer correctly. Review the procedures for safeguarding a client’s valuables if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Ethical/Legal Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 11/117 that the client is wearing a wedding band on her left ring finger. The nurse should take which action? Tape the wedding band in place. Coro rer ct!t Explain to the client why the wedding band must be removed. Ask the client whether she would like to remove the wedding band or wear it to surgery. Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery. Rationale: In most situations a wedding band may be taped in place and worn during a surgical procedure. However, if the possibility exists that the client will experience swelling of the hand or fingers, the wedding band should be removed. On admission to a health care facility, the client is asked to sign a form that frees the agency from responsibility if a client’s valuable is lost. After mastectomy with axillary lymph node dissection, the client is at risk for lymphedema, which results in swelling of the arm and hand on the affected side. Therefore the appropriate nursing action is to ask the client to remove the wedding band and explain why. Test-Taking Strategy: Use the process of elimination and focus on the data in the question. Eliminate the comparable or alike options that indicate that the client may wear the wedding band during the surgical procedure. Next, recall the complications associated with mastectomy, which will direct you to the correct option. Review preoperative procedures for a client’s valuables if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Perioperative Care Module 5 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 12/117 Question 10 1 / 1 pts A nurse preparing a client to go to the radiology department for a neck x-ray notes that the client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a concern about removing the medal. What is the most appropriate action for the nurse to take? Asking the client to remove the medal until the x-ray has been completed Coro rer ct! Assisting the client in pinning the medal and chain to the waistband of the client’s pajama bottoms Asking the client to place the medal in the top drawer of the bedside stand just before leaving for the radiology department Telling the client that the medal and chain will be kept at the nurses’ station for safekeeping while the client is undergoing the x-ray