Nurs 310 HESI Review
A 35-year-old female client with Evaluate the client's mental status for competence to refuse treatment.
cancer refuses to allow the nurse to
insert an IV for a scheduled
chemotherapy treatment, and
states that she is ready to go home
to die. What intervention should the
nurse initiate?
Review the client's medical record
for an advance directive.
Determine if a do-not-resuscitate
prescription has been obtained.
Document that the client is being
discharged against medical advice.
Evaluate the client's mental status
for competence to refuse
treatment.
Page 1
, Nurs 310 HESI Review
A 75-year-old client who has a Determine who is legally empowered to make decisions.
history of end stage renal failure
and advanced lung cancer, recently
had a stroke. Two days ago the
healthcare provider discontinued
the client's dialysis treatments,
stating that death is inevitable, but
the client is disoriented and will not
sign a DNR directive. What is the
priority nursing intervention?
Review the client's most recent
laboratory reports.
Refer the client and family members
for hospice care.
Notify the hospital ethics
committee of the client situation.
Determine who is legally
empowered to make decisions.
Page 2
, Nurs 310 HESI Review
After a client has been Notify the surgeon that the consent form has not been signed
premedicated for surgery with an Once a client has been premedicated for surgery with any type of
opioid analgesic, the nurse sedative, legal informed consent is not possible, so the nurse must
discovers that the operative permit notify the surgeon (A). (B, C, and D) are not legally viable options for
has not been signed. What action ensuring informed consent.
should the nurse implement?
Notify the surgeon that the consent
form has not been signed.
Read the consent form to the client
before witnessing the client's
signature.
Determine if the client's spouse is
willing to sign the consent form.
Administer an opioid antagonist
prior to obtaining the client's
signature.
Page 3
, Nurs 310 HESI Review
Before administering a client's Document the events that occurred in the nurses' notes.
medication, the nurse assesses a
change in the client's condition and
decides to withhold the medication
until consulting with the healthcare
provider. After consultation with the
healthcare provider, the dose of
the medication is changed and the
nurse administers the newly
prescribed dose an hour later than
the originally scheduled time. What
action should the nurse implement
in response to this situation?
Notify the charge nurse that a
medication error occurred.
Submit a medication variance
report to the supervisor.
Document the events that occurred
in the nurses' notes.
Discard the original medication
administration record.
Page 4
A 35-year-old female client with Evaluate the client's mental status for competence to refuse treatment.
cancer refuses to allow the nurse to
insert an IV for a scheduled
chemotherapy treatment, and
states that she is ready to go home
to die. What intervention should the
nurse initiate?
Review the client's medical record
for an advance directive.
Determine if a do-not-resuscitate
prescription has been obtained.
Document that the client is being
discharged against medical advice.
Evaluate the client's mental status
for competence to refuse
treatment.
Page 1
, Nurs 310 HESI Review
A 75-year-old client who has a Determine who is legally empowered to make decisions.
history of end stage renal failure
and advanced lung cancer, recently
had a stroke. Two days ago the
healthcare provider discontinued
the client's dialysis treatments,
stating that death is inevitable, but
the client is disoriented and will not
sign a DNR directive. What is the
priority nursing intervention?
Review the client's most recent
laboratory reports.
Refer the client and family members
for hospice care.
Notify the hospital ethics
committee of the client situation.
Determine who is legally
empowered to make decisions.
Page 2
, Nurs 310 HESI Review
After a client has been Notify the surgeon that the consent form has not been signed
premedicated for surgery with an Once a client has been premedicated for surgery with any type of
opioid analgesic, the nurse sedative, legal informed consent is not possible, so the nurse must
discovers that the operative permit notify the surgeon (A). (B, C, and D) are not legally viable options for
has not been signed. What action ensuring informed consent.
should the nurse implement?
Notify the surgeon that the consent
form has not been signed.
Read the consent form to the client
before witnessing the client's
signature.
Determine if the client's spouse is
willing to sign the consent form.
Administer an opioid antagonist
prior to obtaining the client's
signature.
Page 3
, Nurs 310 HESI Review
Before administering a client's Document the events that occurred in the nurses' notes.
medication, the nurse assesses a
change in the client's condition and
decides to withhold the medication
until consulting with the healthcare
provider. After consultation with the
healthcare provider, the dose of
the medication is changed and the
nurse administers the newly
prescribed dose an hour later than
the originally scheduled time. What
action should the nurse implement
in response to this situation?
Notify the charge nurse that a
medication error occurred.
Submit a medication variance
report to the supervisor.
Document the events that occurred
in the nurses' notes.
Discard the original medication
administration record.
Page 4
