HESI COMPREHENSIVE REVIEW FOR THE NCLEX-RN EXAMINATION QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

HESI COMPREHENSIVE REVIEW FOR
THE NCLEX-RN EXAMINATION
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
WhatYtypesYofYproceduresYshouldYbeYassignedYtoYprofessionalYnurses?Y-
YANSWERYSterileYorYinvasiveYprocedures.




NegligenceYisYmeasuredYbyYreasonableness.YWhatYquestionYmightYtheYnurseYaskYwhenYdeterminingYsuchYr
easonableness?Y-
YANSWERYWouldYaYreasonableYandYprudentYnurseYactYinYtheYsameYmannerYunderYtheYsameYcircumstances

?



ListYtheY4YelementsYthatYareYnecessaryYtoYproveYnegligence.Y-
YANSWERYDuty.YFailureYtoYprotectYclientYagainYunreasonableYrisk.YBreachYofYduty.YFailureYtoYperformYaccor

dingYtoYestablishedYstandards.YCausation.YAYconnectionYexistsYbetweenYconductYofYtheYnurseYandYtheYresul
tingYdamage.YDamages.YDamageYisYdoneYtoYtheYclient,YphysicalYorYmental.



DefineYanYintentionalYtortYandYfiveYoneYexample.Y-
YANSWERYConductYcausingYdamageYtoYanotherYpersonYinYaYwillfulYorYintentionalYwayYwithoutYjustYcause.YE

xampleYHittingYaYclientYoutYofYanger,YnotYinYaYmannerYofYselfYprotection.



VoluntaryYadmissionY-
YANSWERYClientYadmitsYselfYtoYanYinstitutionYforYtreatmentYandYrestrainsYhisYorYherYcivilYrights.YHeYorYsheY

mayYleaveYatYanyYtime.



InvoluntaryYadmissionY-
YANSWERYSomeoneYotherYthanYclientYappliesYforYtheYclient'sYadmissionYtoYanYinstitutionYrequiresYcertificat

ionYbyY1YorY2YhealthYcareYprovidersYthatYtheYpersonYisYaYdangerYtoYselfYorYothers.



ListY5YactivitiesYaYpersonYwhoYisYdeclaredYincompetentYcannotYperform.Y-
YANSWERYVote,YmakeYcontractsYorYwills,YdriveYaYcare,YsueYorYbeYsued,YholdYaYprofessionalYlicense.




NameY3YlegalYrequirementsYofYaYsurgicalYpermitY-YANSWERYVoluntary,Yinformed,YandYwritten.

,WhoYmayYgiveYconsentYforYmedicalYtreatment?Y-
YANSWERYAlert,Ycoherent,YorYotherwiseYcompetentYadults,YaYparentYorYlegalYguardian,YaYpersonYinYlocoYpar

entisYofYminorsYorYincompetentYadults.



WhatYlawYprotectsYtheYnurseYwhoYprovidesYcareYorYgivesYaidYinYanYemergencyYsituation?Y-
YANSWERYTheYGoodYSamaritanYAct.




WhatYactionYshouldYtheYnurseYtakeYifYheYorYsheYquestionsYaYhealthYcareYprovider'sYprescriptionYthatYtheyYb
elieveYisYwrong?Y-
YANSWERYInformYtheYhealthYcareYprovider.YRecordYthatYtheYhealthYcareYproviderYwasYinformedYandYtheYhe

althYcareYprovider'sYresponseYtoYsuchYinformation.YInformYtheYnursingYsupervisor.YRefuseYtoYcarryYoutYtheY
prescription.



DescribeYtheYnurse'sYlegalYresponsibilityYwhenYaskedYtoYperformYaYtaskYforYwhichYheYorYsheYisYunprepared.Y
-
YANSWERYInformYtheYhealthYcareYproviderYorYpersonYaskingYtheYnurseYtoYperformYtheYtaskYthatYheYorYsheYis

YunpreparedYtoYcarryYoutYtheYtask.YRefuseYtoYperformYtheYtask.




DescribeYnursingYcareYofYtheYrestrainedYclient.Y-
YANSWERYApplyYrestraintsYproperly.YCheckYrestraintsYfrequentlyYtoYseeYthatYtheyYareYnotYcausingYinjuryYan

dYrecordYsuchYmonitoring.YRemoveYrestraintsYasYsoonYasYpossible.YUseYrestraintsYasYaYlastYresort.



ByYwhatYauthorityYmayYRNsYdelegateYnursingYcareYtoYothers?Y-YANSWERYStateYNurseYPracticeYAct



AYUAPYmayYperformYcareYthatYfallsYwithinYwhichYcomponentsYofYtheYnursingYprocess?Y-
YANSWERYImplementation




WhichYtypeYofYcommunicationYisYnecessaryYtoYimplementYaYdemocraticYleadershipYstyle?Y-
YANSWERYAssertiveYcommunicationYskills




WhatYareYtheY4YrightsYofYcommunication?Y-
YANSWERYRightYtask,YrightYcircumstance,YrightYperson,YrightYdirectionYorYcommunication,YandYrightYsupervi

sion.

,WhichYtasksYcanYbeYdelegatedYtoYaYUAP?YA.YInsertingYaYFoleyYcatheter.YB.YMeasuringYandYrecordingYtheYclie
nt'sYoutputYthroughYaYFoleyYcatheter.YC.YTeachingYaYclientYhowYtoYcareYforYaYcatheterYafterYdischarge.YD.YAs
sessingYforYsymptomsYofYaYurinaryYtractYinfection.Y-
YANSWERYA.YisYaYsterileYinvasiveYprocedureYandYshouldYnotYbeYdelegatedYtoYaYUAP.YB.YFallsYwithinYtheYimple

mentationYphase,YdoesYnotYinvolveYnursingYjudgement.YEvaluationYofYtheYIY&YOYmustYbeYdoneYbyYtheYnurse
.YC.YClientYteachingYrequiresYtheYabilitiesYofYaYnurseYshouldYnotYbeYdelegated.YD.YAssessmentYmustYbeYperfo
rmedYbyYtheYnurseYandYshouldYnotYbeYdelegated.



WhatYareYtheYessentialYstepsYofYeffectiveYsupervision?Y-YANSWERYDirection,Yevaluation,YandYfollow-up.



WhichYofYtheYfollowingYisYanYexampleYofYassertiveYcommunication?YA.YYouYneedYtoYimproveYtheYwayYyouYs
pendYyourYtimeYsoYthatYallYofYyourYcareYgetsYperformed.YB.YI'veYnoticedYthatYmanyYofYyourYclientsYdidYnotYg
etYtheirYcareYtoday.Y-
YANSWERYA.YThisYisYanYaggressiveYcommunication,YwhichYcausesYanger,Yhostility,YandYaYdefensiveYattitude.Y

B.YAssertiveYcommunicationYbeginsYwithYIYratherYthanYyouYandYclearlyYstatesYtheYproblem.



ListYtheYthreeYlevelsYofYdisasterYmanagementY-
YANSWERYDisasterYpreparedness,YdisasterYresponse,YandYdisasterYrecovery.




ListYexamplesYofYtheYthreeYlevelsYofYpreventionYinYdisasterYmanagement.Y-
YANSWERYPrimary:YdevelopYplan,YtrainYandYeducateYpersonnelYandYpublic.YSecondary:Ytriage,YtreatmentYsh

elter,Ysupervision.YTertiary:Yfollow-up,YrecoveryYassistance,YpreventionYofYfutureYdisasters.



TriageY-YANSWERYToYsortYorYcategorize



IdentifyYthreeYbio-terrorismYagents.Y-
YANSWERYAnthrax,YpneumonicYplague,Ybotulism,Ysmallpox,YinhalationYtularemia,YviralYhemorrhage,Yfever,Y

ricin,Ysarin,Yradiation.



WhatYPo2YvalueYindicatesYrespiratoryYfailureYinYadults?Y-YANSWERYPo2YbelowY60YmmHg



WhatYbloodYvalueYindicatesYhypercapnia?Y-YANSWERYPco2YaboveY45YmmYHg

, IdentifyYtheYconditionYthatYexitsYwhenYtheYPo2YisYlessYthanY50YmmHgYandYFio2YisYgreaterYthanY60%.Y-
YANSWERYHypoxemia




ListYthreeYsymptomsYofYrespiratoryYfailureYinYadults.Y-
YANSWERYDyspneaYtachypnea,YintercostalYandYsternalYretractionsYcyanosis.




ListYfourYcommonYcausesYofYrespiratoryYfailureYinYchildren.Y-
YANSWERYCongenitalYheartYdisease,YinfectionYorYsepsis,YrespiratoryYdistressYsyndrome,Yaspiration,YfluidYov

erloadYorYdehydration.



WhatYpercentageYofYO2YshouldYaYchildYinYsevereYrespiratoryYdistressYreceive?Y-YANSWERY100%



AcuteYRespiratoryYDistressYSyndromeY-
YANSWERYIsYanYunexpected,YcatastrophicYpulmonaryYcomplicationYoccurringYaYpersonYwithYnoYpreviousYpu

lmonaryYproblem.YMortalityYrateY50%.



InterventionsYtoYpreventYcomplicationsYofYclientsYonYmechanicalYventilationYwithYARDSY-
YANSWERYElevateYheadYofYbedYatYleastY30Ydegrees.YAssistYwithYdailyYawakening.YImplementYaYcomprehensi

veYoralYhygieneYprogram.YImplementYaYcomprehensiveYmobilizationYprogram.



SuctionY-YANSWERYOnlyYwhenYsecretionsYareYpresent.



AllenYTestY-
YANSWERYPerformYpriorYtoYdrawingYABGs.YEnsuresYcollateralYcirculationYotYtheYhandYifYthrombosisYofYtheYr

adialYarteryYshouldYfollowYtheYpuncture.



PositiveYAllenYtestY-
YANSWERYMakeYtheYclientsYhandYblanchYbyYobliterationYbothYtheYradialYandYtheYulnarYpulses.YThenYrelease

YtheYpressureYoverYtheYulnarYarteryYonly.YIfYflowYthroughYtheYulnarYarteryYisYgood,YflushingYwillYbeYseeYimm

ediately.



NegativeYAllenYTestY-
YANSWERYRepeatYonYtheYotherYarm.YIfYthisYtestYisYalsoYnegative,YseekYanotherYsiteYforYarterialYpuncture.