HESI EXIT Exam(Resources of detail solutions and Complete Exam QuestionsAnswers)
1.The nurse is reviewing medical prescriptions for newly admitted
... [Show More] clients.It wouldbe apriorityfor the nurse to follow up with the physician if a client with(a)a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed(b)a 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)
2.The nurse shouldinterveneif the nurse notes a staff member(a)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 retinaldetachment(c)handling a wet cast with the palms of the hands(d)using a broad base of support while transferring a client
3.The community health nurse is caring for the following clients.It would be apriorityfor 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 aURI (upper respiratory tract infection)(b)16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recentHemoglobin A1c of 13%(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 threateningvoices.
4.The nurse from the postpartum unit has been temporarily assigned to the medicalsurgical unit.It would bemost appropriateto 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 forrespiratory failure
5.The nurse in a well baby clinic has assessed several children today. It would be apriorityfor the nurse to suggest follow up for the child who is (a) 2 months old with apositive babinski refl ex(b)5 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
6.The nurse is caring for a mechanically ventilated client who was declared braindead. An Advance Directive is not documented on the medical record.It would bemost appropriateto 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 [Show Less]