The nurse is reviewing medical prescriptions for
newly admitted clients. It would be a priority for the
nurse to follow up with the physician if a
... [Show More] client with
A. A potassium of 4.5 mEq/L has Kayexalate
(sodium polystyrene) prescribed
B. Dilantin (phenytoin) level of 8 mcg/ml is
placed on seizure precautions
C. Sensitivity to Aspirin (acetylsalicylic acid) is
prescribed Tylenol (acetaminophen)
D. Sensitivity to Penicillin is prescribed
Zithromax (azithromycin)
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse should intervene if the
nurse notes a staf member
Obtaining a clients consent prior to their operative
procedure after receiving Ativan (lorazepam)
B. Placing a client on the affected side following surgical
repair of a retinal detachment
C. Handling a wet cast with the palms of the hands
D. Using a broad base of support while transferring a client
A.
17 years old, has type 1 Diabetes Mellitus, and a recent Hemoglobin A1c of 13%
ACADEMICMASTER HESI RN EXIT EXAM 2021
The community health nurse is caring for the
following clients. It would be a priority for the
nurse to initiate a multidisciplinary conference
for the client who is
A. 12 years old with Autism who is starting a new
school and recently had a URI (upper
respiratory tract infection)
B.
C. 52 years old, with Myasthenia Gravis, recently
prescribed Mestinon (pyridostigmine) and
employed as a mail carrier
D. 70 years old, has schizophrenia, lives
alone and reports hearing non
threatening voices.
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse from the postpartum unit has been
temporarily assigned to the medical surgical unit. It
would be most appropriate to assign this nurse to the
client who
A. has returned from right total hip replacement
surgery four hours ago
B. is being observed for increased intracranial
pressure
C. had surgery two hours ago to remove the appendix
D. is two weeks post partum being
maintained on a mechanical ventilator for
respiratory failure
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse in a well baby clinic has assessed several children today.
It would be a priority for the nurse to suggest follow up for the child
who is
A. 2 months old with a positive babinski reflex
B. 4 months old and does not hold their own bottle
C. 10 months old who cries around strangers
D. 18 months old who needs support while ambulating
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse is caring for a mechanically ventilated client
who was declared brain dead. An Advance Directive is not
documented on the medical record. It would be most
appropriate to obtain consent for organ donation from the
A. client’s primary care provider
B. client’s nurse manager
C. closest living family member
D. hospital’s ethics committee
Guillian Barre Syndrome and has begun plasmapheresis therapy
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse has received report on four clients. The
nurse should first assess the client who has:
A. Chronic Obstructive Pulmonary Disease (COPD)
with a pulse oximetry reading of 90%
B. Parkinson’s Disease and is demanding to
leave the hospital against medical advice
(AMA)
C.
D. Heart Failure (CHF) whose pitting edema has
increased to 2(+)
E. Retinal detachment and is complaining of dark
floating spots
One-on-one client observation for safety
ACADEMICMASTER HESI RN EXIT EXAM 2021
It would be appropriate to assign which of these
tasks to the CNA?
A. Feeding a client who is experiencing dysphagia
B.
C. Ambulating a post-op patient for the first-time
D. Performing a dressing change
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse should intervene if a staf member is
observed:
A. Discussing a client’s diagnosis with visiting
family members
B. Collaborating with another nurse to
review a prescription for blood
transfusion
C. Interrupting other staf members discussing a
client in the cafeteria
D. Reviewing a clients lab values with the nutritionist
ACADEMICMASTER HESI RN EXIT EXAM 2021
The nurse is preparing a staf presentation on
legal and ethical issues in nursing. The nurse
would be correct to include which of the following
examples?
A. Putting a client in a geriatric chair with the lap tray
in front of the client in the day room to watch
television is false imprisonment
B. Telling a client that you will put in a feeding tube if
the client does not eat is an example of battery
C. Telling a client with bipolar disorder who is suicidal
that they have a right to refuse to take their
medications is an example of malpractice
D. Placing hands on a client who says “do not touch
me” is an example of assault [Show Less]