HESI Comprehensive RN Exam
VERSION 11
The nurse explains the potential risks of treatment 11 A nurse is about to administer an injection to a client who states, “I don’t want that injection. 1 / 3
The last time I got that I was sore for a week.” The nurse goes ahead and administers the injection against the client’s wishes. The nurse committed which of the following?Battery 12 A home health nurse is assessing a client who is receiving from an acute myocardial infarction (MI). Which of the following assessment findings should the nurse report to the provider as a possible indication of left-sided heart failure?Bilateral lung crackles 14 A nurse is caring for a group of clients. The nurse should request a referral for a speech language pathologist for which of the following clients?A client who has difficulty swallowing 15 A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who has major depressive disorder. Which of the following should the nurse include in the teaching?A general anesthetic is administered prior to ECT treatments 16 A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should assess the newborn for which of the following manifestations of neonatal abstinence syndrome Tachypnea/irritability/tremors 17 A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing?Hyperemesis 18 A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse has selected. Which of the following actions is appropriate for nurse to take?Ask the charge nurse to assign an experienced nurse to act as a resource 19 A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The client’s sibling comes visit but has obvious manifestations of an upper respiratory infection. Which of the following nursing actions is appropriate at this time?Allow the sibling to wave at the client through the window or door 20 A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central venous catheter (CVC). The provider writes a prescription to initiate an IV infusion ringer’s lactate at 150 mL per hr. prior to starting the infusion, which of the following actions should the nurse take?Review the chest x-ray report 2 / 3
21 A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for pancrealipase. Which of the following should the nurse include in the teaching?Take with meals 22 A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen.The nurse should expect which of the following laboratory values indicative of organ damage from the overdose?Alanine aminotransferase (ALT) 23 A nurse on an orthopedic floor is completing morning assessments on several clients. Which of the following clients has the greatest risk for fat embolism syndrome (FES)?A 24-year-old male who has a casted femur fracture 24 A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about her father’s do-not-resuscitate request. Which of the following is a therapeutic response by the nurse?“Tell me your feelings about your father’s prognosis” 25 A nurse is providing teaching to the parent of preschooler who was newly diagnosed with a latex allergy. The nurse should discuss that a cross reaction may occur with which of the following foods?Bananas 26 A nurse is planning to admit a client who has hyperthyroidism. Which of the following rooms is appropriate for the nurse to assignment client to?A room with a temperature of 20 degrees (68f) 27 A nurse has just returned to the nursing unit following cardiac catheterization. In the immediate postprocedure period, which of the following is the priority nursing action?Monitoring the insertion site for infection 28 A nurse is caring for an infant who is being treated for dehydration. Which of the following findings indicate the treatment is effective?Flat anterior fontanel 29 A nurse is reviewing medical for four clients. Which of the following represents appropriate documentation?Carafate 1 g PO 1 hr ac 30 A nurse in the clinic is providing information to a client who has mastitis of the left breast. The client asks the nurse, “does this mean that I must stop nursing my baby?” which of the following is an appropriate statement by the nurse?“No, you can continue to nurse from both your breasts.”
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