HESI,./Exit,./(366,./V2)
The,./nurse,./knows,./that,./which,./statement,./by,./the,./mother,./indicates,./that,./the
,./mother,./understands,./safety,./precautions,./with,./her,./four,./month-
old,./infant,./and,./her,./4,./year-old,./child?,./-,./correct,./answer,./✔ ✔
"I,./have,./the,./4,./year-old,./hold,./and,./help,./feed,./the,./four,./month-
old,./a,./bottle,./in,./the,./kitchen,./while,./I,./make,./supper."
Upon,./completing,./the,./admission,./documents,,./the,./nurse,./learns,./that,./the,./8
7,./year-
old,./client,./does,./not,./have,./an,./advance,./directive.,./What,./action,./should,./the,./
nurse,./take?,./-,./correct,./answer,./✔ ✔
Give,./information,./about,./advance,./directives
A,./nurse,./administers,./the,./influenza,./vaccine,./to,./a,./client,./in,./a,./clinic.,./Withi
n,./15,./minutes,./after,./the,./immunization,./was,./given,,./the,./client,./complains,./o
f,./itchy,./and,./watery,./eyes,,./increased,./anxiety,,./and,./difficulty,./breathing.,./Th
e,./nurse,./expects,./that,./the,./first,./action,./in,./the,./sequence,./of,./care,./for,./this,./cli
ent,./will,./be,./to,./-,./correct,./answer,./✔ ✔
Administer,./epinephrine,./1:1000,./as,./ordered
Which,./of,./these,./children,./at,./the,./site,./of,./a,./disaster,./at,./a,./child,./day,./care,./ce
nter,./would,./the,./triage,./nurse,./put,./in,./the,./"treat,./last",./category?,./-
,./correct,./answer,./✔ ✔
A,./toddler,./with,./severe,./deep,./abrasions,./over,./98%,./of,./the,./body
,When,./admitting,./a,./client,./to,./an,./acute,./care,./facility,,./an,./identification,./brac
elet,./is,./sent,./up,./with,./the,./admission,./form.,./In,./the,./event,./these,./do,./not,./matc
h,,./the,./nurse's,./best,./action,./is,./to,./-,./correct,./answer,./✔ ✔
Notify,./the,./admissions,./office,./and,./wait,./to,./apply,./the,./bracelet
The,./nurse,./is,./having,./difficulty,./reading,./the,./health,./care,./provider's,./writte
n,./order,./that,./was,./written,./right,./before,./the,./shift,./change.,./What,./action,./sho
uld,./be,./taken?,./-,./correct,./answer,./✔ ✔
Call,./the,./provider,./for,./clarification
An,./adult,./client,./is,./found,./to,./be,./unresponsive,./on,./morning,./rounds.,./After,./
checking,./for,./responsiveness,./and,./calling,./for,./help,,./the,./next,./action,./that,./s
hould,./be,./taken,./by,./the,./nurse,./is,./to:,./-,./correct,./answer,./✔ ✔
open,./the,./client's,./airway
A,./client,./has,./an,./order,./for,./1000,./ml,./of,./D5W,./over,./an,./8,./hour,./period.,./The,
./nurse,./discovers,./that,./800,./ml,./has,./been,./infused,./after,./4,./hours.,./What,./is,./th
e,./priority,./nursing,./action?,./-,./correct,./answer,./✔ ✔
Auscultate,./the,./lungs
Following,./change-of-
shift,./report,./on,./an,./orthopedic,./unit,,./which,./client,./should,./the,./nurse,./see,./fir
st?,./-,./correct,./answer,./✔ ✔ 72,./year-
old,./recovering,./from,./surgery,./after,./a,./hip,./replacement,./2,./hours,./ago
,A,./nurse,./observes,./a,./family,./member,./administer,./a,./rectal,./suppository,./by,./
having,./the,./client,./lie,./on,./the,./left,./side,./for,./the,./administration.,./The,./family,.
/member,./pushed,./the,./suppository,./until,./the,./finger,./went,./up,./to,./the,./second,.
/knuckle.,./After,./10,./minutes,./the,./client,./was,./told,./by,./the,./family,./ member,./t
o,./turn,./to,./the,./right,./side,./and,./the,./client,./did,./this.,./What,./is,./the,./appropriate,./
comment,./for,./the,./nurse,./to,./make?,./-,./correct,./answer,./✔ ✔
That,./was,./done,./correctly.,./Did,./you,./have,./any,./problems,./with,./the,./inserti
on?
A,./client,./with,./a,./diagnosis,./of,./Methicillin,./resistant,./Staphylococcus,./aureu
s,./(MRSA),./has,./died.,./Which,./type,./of,./precautions,./is,./the,./appropriate,./type,.
/to,./use,./when,./performing,./postmortem,./care? ,./-,./correct,./answer,./✔ ✔
contact,./precautions
The,./nurse,./is,./reviewing,./with,./a,./client,./how,./to,./collect,./a,./clean,./catch,./urine,
./specimen.,./Which,./sequence,./is,./appropriate,./teaching?,./-,./correct,./answer,./
✔ ✔ clean,./the,./meatus,,./begin,./voiding,,./then,./catch,./urine,./stream
The,./provider,./orders,./Lanoxin,./(digoxin),./0.125,./mg,./PO,./and,./furosomide,./4
0,./mg,./every,./day.,./Which,./of,./these,./foods,./would,./the,./nurse,./reinforce,./for,./t
he,./client,./to,./eat,./at,./least,./daily?,./-,./correct,./answer,./✔ ✔ watermelon
, A,./nurse,./is,./stuck,./in,./the,./hand,./by,./an,./exposed,./needle.,./What,./immediate,./a
ction,./should,./the,./nurse,./take?,./-,./correct,./answer,./✔ ✔
Immediately,./wash,./the,./hands,./with,./vigor
As,./the,./nurse,./observes,./the,./student,./nurse,./during,./the,./administration,./of,./a,./
narcotic,./analgesic,./IM,./injection,,./the,./nurse,./notes,./that,./the,./student,./begins,
./to,./give,./the,./medication,./without,./first,./aspirating.,./What,./should,./the,./nurse,./
do?,./-,./correct,./answer,./✔ ✔
Walk,./up,./and,./whisper,./in,./the,./student's,./ear,./"Stop.,./Aspirate.,./Then,./injec
t."
A,./client,./with,./Guillain,./Barre,./is,./in,./a,./non,./responsive,./state,,./yet,./vital,./sign
s,./are,./stable,./and,./breathing,./is,./independent.,./What,./should,./the,./nurse,./docu
ment,./to,./most,./accurately,./describe,./the,./client's,./condition?,./-
,./correct,./answer,./✔ ✔ Glascow,./Coma,./Scale,./8,,./respirations,./regular
A,./client,./enters,./the,./emergency,./department,./unconscious,./via,./ambulance,./
from,./the,./client's,./work,./place.,./What,./document,./should,./be,./given,./priority,./
to,./guide,./the,./direction,./of,./care,./for,./this,./client?,./-,./correct,./answer,./✔ ✔
A,./notarized,./original,./of,./advance,./directives,./brought,./in,./by,./the,./partner
The,./charge,./nurse,./has,./a,./health,./care,./team,./that,./consists,./of,./1,./PN,,./1,./unlic
ensed,./assistive,./personnel,./(UAP),./and,./1,./PN,./nursing,./student.,./Which,./assi
gnment,./should,./be,./questioned,./by,./the,./nurse,./manager?,./-,./correct,./answer,./
✔ ✔
The,./nurse,./knows,./that,./which,./statement,./by,./the,./mother,./indicates,./that,./the
,./mother,./understands,./safety,./precautions,./with,./her,./four,./month-
old,./infant,./and,./her,./4,./year-old,./child?,./-,./correct,./answer,./✔ ✔
"I,./have,./the,./4,./year-old,./hold,./and,./help,./feed,./the,./four,./month-
old,./a,./bottle,./in,./the,./kitchen,./while,./I,./make,./supper."
Upon,./completing,./the,./admission,./documents,,./the,./nurse,./learns,./that,./the,./8
7,./year-
old,./client,./does,./not,./have,./an,./advance,./directive.,./What,./action,./should,./the,./
nurse,./take?,./-,./correct,./answer,./✔ ✔
Give,./information,./about,./advance,./directives
A,./nurse,./administers,./the,./influenza,./vaccine,./to,./a,./client,./in,./a,./clinic.,./Withi
n,./15,./minutes,./after,./the,./immunization,./was,./given,,./the,./client,./complains,./o
f,./itchy,./and,./watery,./eyes,,./increased,./anxiety,,./and,./difficulty,./breathing.,./Th
e,./nurse,./expects,./that,./the,./first,./action,./in,./the,./sequence,./of,./care,./for,./this,./cli
ent,./will,./be,./to,./-,./correct,./answer,./✔ ✔
Administer,./epinephrine,./1:1000,./as,./ordered
Which,./of,./these,./children,./at,./the,./site,./of,./a,./disaster,./at,./a,./child,./day,./care,./ce
nter,./would,./the,./triage,./nurse,./put,./in,./the,./"treat,./last",./category?,./-
,./correct,./answer,./✔ ✔
A,./toddler,./with,./severe,./deep,./abrasions,./over,./98%,./of,./the,./body
,When,./admitting,./a,./client,./to,./an,./acute,./care,./facility,,./an,./identification,./brac
elet,./is,./sent,./up,./with,./the,./admission,./form.,./In,./the,./event,./these,./do,./not,./matc
h,,./the,./nurse's,./best,./action,./is,./to,./-,./correct,./answer,./✔ ✔
Notify,./the,./admissions,./office,./and,./wait,./to,./apply,./the,./bracelet
The,./nurse,./is,./having,./difficulty,./reading,./the,./health,./care,./provider's,./writte
n,./order,./that,./was,./written,./right,./before,./the,./shift,./change.,./What,./action,./sho
uld,./be,./taken?,./-,./correct,./answer,./✔ ✔
Call,./the,./provider,./for,./clarification
An,./adult,./client,./is,./found,./to,./be,./unresponsive,./on,./morning,./rounds.,./After,./
checking,./for,./responsiveness,./and,./calling,./for,./help,,./the,./next,./action,./that,./s
hould,./be,./taken,./by,./the,./nurse,./is,./to:,./-,./correct,./answer,./✔ ✔
open,./the,./client's,./airway
A,./client,./has,./an,./order,./for,./1000,./ml,./of,./D5W,./over,./an,./8,./hour,./period.,./The,
./nurse,./discovers,./that,./800,./ml,./has,./been,./infused,./after,./4,./hours.,./What,./is,./th
e,./priority,./nursing,./action?,./-,./correct,./answer,./✔ ✔
Auscultate,./the,./lungs
Following,./change-of-
shift,./report,./on,./an,./orthopedic,./unit,,./which,./client,./should,./the,./nurse,./see,./fir
st?,./-,./correct,./answer,./✔ ✔ 72,./year-
old,./recovering,./from,./surgery,./after,./a,./hip,./replacement,./2,./hours,./ago
,A,./nurse,./observes,./a,./family,./member,./administer,./a,./rectal,./suppository,./by,./
having,./the,./client,./lie,./on,./the,./left,./side,./for,./the,./administration.,./The,./family,.
/member,./pushed,./the,./suppository,./until,./the,./finger,./went,./up,./to,./the,./second,.
/knuckle.,./After,./10,./minutes,./the,./client,./was,./told,./by,./the,./family,./ member,./t
o,./turn,./to,./the,./right,./side,./and,./the,./client,./did,./this.,./What,./is,./the,./appropriate,./
comment,./for,./the,./nurse,./to,./make?,./-,./correct,./answer,./✔ ✔
That,./was,./done,./correctly.,./Did,./you,./have,./any,./problems,./with,./the,./inserti
on?
A,./client,./with,./a,./diagnosis,./of,./Methicillin,./resistant,./Staphylococcus,./aureu
s,./(MRSA),./has,./died.,./Which,./type,./of,./precautions,./is,./the,./appropriate,./type,.
/to,./use,./when,./performing,./postmortem,./care? ,./-,./correct,./answer,./✔ ✔
contact,./precautions
The,./nurse,./is,./reviewing,./with,./a,./client,./how,./to,./collect,./a,./clean,./catch,./urine,
./specimen.,./Which,./sequence,./is,./appropriate,./teaching?,./-,./correct,./answer,./
✔ ✔ clean,./the,./meatus,,./begin,./voiding,,./then,./catch,./urine,./stream
The,./provider,./orders,./Lanoxin,./(digoxin),./0.125,./mg,./PO,./and,./furosomide,./4
0,./mg,./every,./day.,./Which,./of,./these,./foods,./would,./the,./nurse,./reinforce,./for,./t
he,./client,./to,./eat,./at,./least,./daily?,./-,./correct,./answer,./✔ ✔ watermelon
, A,./nurse,./is,./stuck,./in,./the,./hand,./by,./an,./exposed,./needle.,./What,./immediate,./a
ction,./should,./the,./nurse,./take?,./-,./correct,./answer,./✔ ✔
Immediately,./wash,./the,./hands,./with,./vigor
As,./the,./nurse,./observes,./the,./student,./nurse,./during,./the,./administration,./of,./a,./
narcotic,./analgesic,./IM,./injection,,./the,./nurse,./notes,./that,./the,./student,./begins,
./to,./give,./the,./medication,./without,./first,./aspirating.,./What,./should,./the,./nurse,./
do?,./-,./correct,./answer,./✔ ✔
Walk,./up,./and,./whisper,./in,./the,./student's,./ear,./"Stop.,./Aspirate.,./Then,./injec
t."
A,./client,./with,./Guillain,./Barre,./is,./in,./a,./non,./responsive,./state,,./yet,./vital,./sign
s,./are,./stable,./and,./breathing,./is,./independent.,./What,./should,./the,./nurse,./docu
ment,./to,./most,./accurately,./describe,./the,./client's,./condition?,./-
,./correct,./answer,./✔ ✔ Glascow,./Coma,./Scale,./8,,./respirations,./regular
A,./client,./enters,./the,./emergency,./department,./unconscious,./via,./ambulance,./
from,./the,./client's,./work,./place.,./What,./document,./should,./be,./given,./priority,./
to,./guide,./the,./direction,./of,./care,./for,./this,./client?,./-,./correct,./answer,./✔ ✔
A,./notarized,./original,./of,./advance,./directives,./brought,./in,./by,./the,./partner
The,./charge,./nurse,./has,./a,./health,./care,./team,./that,./consists,./of,./1,./PN,,./1,./unlic
ensed,./assistive,./personnel,./(UAP),./and,./1,./PN,./nursing,./student.,./Which,./assi
gnment,./should,./be,./questioned,./by,./the,./nurse,./manager?,./-,./correct,./answer,./
✔ ✔
