(Detail Solutions and Resource for the test)
1. A jpolicy jrequiring jthe jremoval jof jacrylic jnails jby jall
jnursing jpersonnel jwas jimplemented j6 jmonths jago. jWhich
jassessment jmeasure jbest jdetermines jif jthe jintended joutcome jof
jthe jpolicy jis jbeing jachieved.
a. Number jof jstaff jinduced jinjury
b. Client jsatisfaction jsurvey
c. Health jcare-associated jinfection jrate.
d. Rate jof jneedle-stick jinjuries jby jnurse.
2. The jnurse jis jpreparing jto jassist ja jnewly jadmitted jclient
jwith jpersonal jhygiene j measures. jThe jclient...the jclient’s jgag
jreflex. jWhich jaction jshould jthe jnurse jinclude?
A. Offer
jsmalls jsips j of
jwater jthrough ja
jstraw jB. jPlace
jtongue jblade jon
jback jhalf jof
jtongue
C. Use ja jpenlight jto jobserve jback
jof joral jcavity jD. Auscultate jbreath jsounds jafter
jclient jswallows j3. jThe jfather jof jan j11-year-old
jboy…. jinform jthe jfather jthat jit jis jmost jimportant
jto jlet jthe json jthat jnocturnal jemissions jare jnormal
4. The jnurse jexplains jto jan jolder jadult jmale jthe jprocedure jfor
jcollecting ja j24-hour jurine jspecimen jfor jcreatinine
jclearance.
A. Assess jthe jclient jfor jconfusion jand jreteach
jthe jprocedure
B. Check jthe jurine jfor jcolor jand jtexture
C. Empty jthe jurinal jcontents jinto jthe j24-hour
jcollection jcontainer
D. Discard jthe jcontents jof jthe jurinal
5. A j54-year-old jmale jclient jand jhis jwife jwere jinformed jthis
jmorning jthat jhe jhas jterminal jcancer. jWhich jnursing
jintervention jis jlikely jto jbe jmost
A. Ask jher jhow jshe jwould jlike jto jparticipate jin
jthe jclient’s jcare
B. Provide jthe jwife jwith jinformation jabout jhospice
, C. Encourage jthe jwife jto jvisit jafter jpainful
jtreatments jare jcompleted
D. Refer jher jto jsupport jgroup jfor jfamily
jmembers jof jthose jdying jof jcancer
6. A jclient jwho jhas ja jbody jmass jindex j(BMI) jof j30 jis jrequesting
jinformation jon jthe jinitial japproach jto ja jweight jloss jplan.
jWhich jaction jshould jthe jnurse jrecommend?
A. Plan jlow jcarbohydrate jand jhigh jprotein
jmeals jEngage jin jstrenuous jactivity jfor jan
jhour jdaily
B. Keep ja jrecord jof jfood jand jdrinks
jconsumed jdaily
C. Participated jin ja jgroup jexercise jclass j3 jtimes
ja jweek
7. The jnurse jassesses ja jclient jwho jhas ja jnasal jcannula
jdelivering joxygen jat j2 jL/min. jTo jassess jfor jskin jdamage
jrelated jto jthe jcannula, jwhich jareas jshould jthe jnurse
jobserve?
A. Tops jof jthe jear
B. Bridge jof jthe jnose
C. Around jthe jnostrils
D. Over jthe jcheeks
E. Across jthe jforehead
8. The jnurse jobserves jan junlicensed jassistive jpersonnel j(UAP)
jwho jis jproviding ja jtotal jbed jbath jfor ja jconfused jand jlethargic
jclient. jThe jUAP jis jsoaking jthe jclient’s jfoot jin ja jbasin jof jwarm
jwater jplaced jon jthe jbed. jWhat jaction jshould jthe jnurse jtake?
a. Remove jthe jbasin jof jwater jfrom jthe jclient’s
jbed jimmediately
b. Remind jthe jUAP jto jdry jbetween jthe jclient’s
jtoes jcompletely
c. Advise jthe jUAP jthat jthis jprocedure jis
jdamaging jto jthe jskin
d. Add jskin jcream jto jthe jbasin jof jwater jwhile
jthe jfoot jis jsoaking
9. The jnurse jin jthe jemergency jdepartment jobserves ja jcolleague
jviewing jthe jelectronic jhealth jrecord j(EHR) jof ja jclient jwho
jholds jan jelected jposition jin jthe jcommunity. jThe jclient jis jnot ja
jpart jof jthe jcolleague’s jassignment. jWhich jaction jshould jthe
jnurse jimplement?
a. Communicate jthe jcolleague’s jactions jto jthe junit
jcharge jnurse
, b. Send jan jemail jto jfacility jadministration
jreporting jthe jaction
c. Write jan janonymous jcomplaint jto ja jprofessional
jwebsite
d. Post ja jcomment jabout jthe jaction jon ja
jstaff jdiscussion jboard
10. At j0100 jon ja jmale jclient’s jsecond jpostoperative jnight, jthe
jclient jstates jhe jis junstable jto jsleep jand jplans jto jread juntil
jfeeling jsleepy. jWhat jaction jshould jthe jnurse jimplement?
a. Leave jthe jroom jand jclose jthe jdoor jto jthe
jclient’s jroom
b. Assess jthe jappearance jof jthe jclient’s jsurgical
jdressing
c. Bring jthe jclient ja jprescribed jPRN
jsedative- jhypnotic
d. Discuss jsymptoms jof jsleep jdeprivation jwith
jthe jclient
11. The jnursing jstaff jin jthe jcardiovascular jintensive jcare junit
jare jcreating ja jcontinuous jquality jimprovement jproject jon jsocial
jmedia jthat jaddresses jcoronary jartery jdisease j(CAD). jWhich
jaction jshould jthe jnurse jimplement jto jprotect jclient jprivacy?
a. b. Remove identifying information
c. Share jmaterial jfrom of the clients who participated credible, jpeer
reviewed jsources Recall j that j authored
jonly j content jmay jbe jlegally Respect jall
d. j discoverable
copyright jlaws jwhen jadding jwebsite jcontent
12. A jmale jclient jwith junstable jangina jneeds ja jcardiac
jcatheterization, jso jthe jhealthcare jprovider jexplains jthe jrisks
jand jbenefits jof jthe jprocedure, jand jthen jleaves jto jset jup jfor jthe
jprocedure. jWhen jthe jnurse jpresents jthe jconsent jform jfor
jsignature, jthe jclient jhesitates jand jasks jhow jthe jwires jwill
jkeep jhis jheart jgoing. jWhich jaction jshould jthe jnurse jtake?
a. Answer jthe jclient’s jspecific jquestions jwith ja
jshort junderstandable jexplanation
b. c. Postpone the procedure until the client
understands the risks and benefits
Call jthe jclient’s jnext jof jkin jand jask
jthem jto jprovide jverbal jconsent
, c. Page jthe jhealthcare jprovider jto jreturn
PLEASE jCHECK jTHE jBELOW jLINK jFOR jOTHER jHESI jEXAM
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HESI jPN jMATERNAL jNEWBERN jOB jEXAM j(4
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jCORRECT)
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