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Exam (elaborations)

HESI Specialty Questions with Correct Answers 2023/2024 (Latest Graded A+)

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HESI Specialty Questions with Correct Answers 2023/2024 (Latest Graded A+). The charge nurse of the intensive care unit is making assignments for the permanent staff and there is a registered nurse who has floated from a medical unit. The client with which condition is best to assign to the float nurse? Emphysema extubated three hours ago 13. The charge nurse agrees to cover another nurse’s assignments during lunch break. Based on the status report provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The client: With a pneumothorax secondary to a gunshot wound with a current pulse oximeter reading of 90% 14. During a staff meeting, the nurse verbally attacks the nursemanager conducting the meeting stating, you always let your favorites have holidays off and give them easier assignments. You are unfair and prejudice. How should the nurse-manager response? I would prefer to discuss this with you privately 15. Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years is assigned to the medical unit for orientation. After the first week of orientation the charge nurse notes that the she is overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the assignments are incomplete at the end of each day. The following week, which action is best for the charge nurse to take? Assign the orientee to work with a practical nurse who is a longtime, efficient employee 16. A client was admitted during the night for a postoperative wound infection and was assigned to a semi-private room with a client who has lung cancer and is neutropenic. At morning report the nurse learns that the wound infection is positive for methicillin-resistant Staphylococcus aureus MRSA. Which intervention should the nurse implement? Transfer the client with neutropenia to a private room 17. The charge nurse of a 24-bit medical unit is making shift assignments to 2 experienced RN's, 1 graduate RN, 1 LPN, and 2 UAP's. Which client should the nurse assigned to the most experienced RN? A 36-year-old admitted with angina that has a history of coronary artery disease 18. A nurse is doing telephone triage at the clinic office. Which client is most acute and should be scheduled for the first available appointment? A 21-year-old with a history of kidney transplant. Today the client complains of flu-like symptoms with a fever of 100.4°F 19. Aspirin ASA 81 mg 9 AM daily is prescribed for a client. At 8:00 AM the client and ask for something for low back pain, but does not have any PRN analgesics prescribed. What action is best for the nurse to take? Obtain a prescription for a PRN analgesic 20. While the registered nurse is appearing to take the vital signs of a newly admitted client who has a medical diagnosis of congestive heart failure. A practical nurse enters the client’s room and reports to the RN that another client just pulled out his central venous catheter and the unlicensed assistive personnel is in the room with the client. The RN knows that the newly admitted client is to receive a stat dose of oral anti-anxiety medications. How should the RN assign the needed care? The RN should provide care for the client who removed the central venous catheter while the PN administers a stat medication and the UAP obtains the newly admitted client's vital signs 21. When entering a client's room to administer a 09:00 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement?

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