HESI EXIT RN EXAM V1
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, Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the
circulating nurse if a 3-minute surgical hand scrub is adequate preparation for this client. Which
response should the circulating nurse provide?
a- Ask a more experience nurse to perform that scrub since it is the first time of the day
b- Validate the nurse is implementing the OR policy for surgical hand scrub
c- Inform the nurse that hand scrubs should be 3 minutes between cases.
d- Direct the nurse to continue the surgical hand scrub for a 5-minute duration.
Which breakfast selection indicates that the client understands the nurse’s instructions about
the dietary management of osteoporosis?
a- Egg whites, toast and coffee.
b- Bran muffin, mixed fruits, and orange juice.
c- Granola and grapefruit juice
d- Bagel with jelly and skim milk.
The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse (RN)?
a- A 34-year -old admitted today after an emergency appendendectomy who has a peripheral
intravenous catheter and a Foley catheter.
b- A 48-year-old marathon runner with a central venous catheter who is experiencing nausea and
vomiting due to electrolyte disturbance following a race.
c- A 63-year-old chain smoker admitted with chronic bronchitis who receiving oxygen via nasal
cannula and has a saline-locked peripheral intravenous catheter.
d- An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley
catheter and soft wrist restrains applied
, Z
a- Cleanse the foot with soap and water and apply an antibiotic ointment
b- Provide teaching about the need for a tetanus booster within the next 72 hours.
c- have the mother check the child's temperature q4h for the next 24 hours
d- transfer the child to the emergency department to receive a gamma globulin injection