HESI Extra Credit Module 5 Exam.

Extra Credit HESI Module 5 1. Questions 1. 1.ID: 9477027534 A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and othe ...

Extra Credit HESI Module 5 1. Questions 1. 1.ID: 9477027534 A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? A. Justice B. Fidelity C. Autonomy D. Nonmaleficence Correct 2. 2.ID: 9477024200 Which action by the nurse represents the ethical principle of beneficence? A. The nurse upholds a client’s decision to refuse chemotherapy for lung cancer. B. The nurse follows a plan of care designed to relieve pain in a client with cancer. C. The nurse administers an immunization to a child even though it may cause discomfort. Correct Extra Credit HESI Module 5 D. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity. 3. 3.ID: 9477029451 The nursing instructor asks a student to name an example of false imprisonment. Which situation reflects a violation of this client right? A. Performing a procedure without consent B. Telling the client that he or she may not leave the hospital Correct C. Threatening to give a client a medication against his or her will D. Observing the provision of care to the client without the client’s permission 4. 4.ID: 9477017756 The nurse and an unlicensed assistive personnel (UAP)enter a client’s room to provide care and find the client lying on the floor. Which action should the nurse take first? A. Ask the nursing assistant to complete an incident report B. Check the client’s level of consciousness and vital signs Correct C. Ask the nursing assistant to assist in getting the client back to bed D. Contact the unit secretary on the intercom and ask that the client’s health care provider be called 5. 5.ID: 9477020809 Which action exemplifies the use of evidence-based practice in the delivery of client care? A. Donning sterile gloves to change an abdominal wound dressing Correct B. Encouraging a client to take an herbal substance to treat his insomnia C. Advising a client to agree to the treatment recommended by her health care provider D. Taking a rectal temperature from a client for whom bleeding precautions have been instituted. 6. 6.ID: 9477020817 The registered nurse has accepted a new position as case manager in a hospital. Which responsibilities are part of the nurse’s new role? Select all that apply. Extra Credit HESI Module 5 A. Evaluating and updating the plan of care as needed Correct B. Prescribing treatments specific to the client’s needs C. Assessing the client’s needs for home supplies and equipment Correct D. Coordinating consultations and referrals to facilitate discharge Correct E. Establishing a safe and cost-effective plan of care with the client Correct The nurse manager of a quality improvement program asks a nurse in the neurological unit to conduct a retrospective audit. Which action should the auditing nurse plan to perform in this type of audit? Extra Credit HESI Module 5 A. Checking the documentation written by a new nursing graduate on her assigned clients at the end of the shift B. Checking the crash cart to ensure that all needed supplies are readily available should an emergency arise C. Reviewing neurological assessment checklists for all clients on the unit to ensure that these assessments are being conducted as prescribed D. Obtaining the assigned medical record from the hospital’s medical record room to review documentation made during a client’s hospital stay Correct The nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client’s necklace? Extra Credit HESI Module 5 A. Ask the client whether the necklace is gold B. Ask the client for permission to lock the necklace in the hospital safe Correct C. Ask the client to remove the necklace and place it in the top drawer of the bedside table D. Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or lost during the procedure The nurse providing preoperative care to a client who is scheduled for a left mastectomy and axillary lymph node dissection notes that the client is wearing a wedding band on her left ring finger. Which action should the nurse take? A. Tape the wedding band in place B. Explain to the client why the wedding band must be removed Correct C. Ask the client whether she would like to remove the wedding band or wear it to surgery D. Ask the client to sign a release to free the hospital of responsibility if the wedding band is lost during surgery Extra Credit HESI Module 5 10. 10.ID: 9477014230 The nurse preparing a client to go to the radiology department for a chest x-ray notes that the client is wearing a religious medal on a chain around the neck. The client, a Catholic, expresses a concern about removing the medal. What is the most appropriate action for the nurse to take? A. Asking the client to remove the medal until the x-ray has been completed B. Assisting the client in pinning the medal and chain to the waistband of the client’s pajama bottoms Correct C. Asking the client to place the medal in the top drawer of the bedside stand just before leaving for the radiology department D. Telling the client that the medal and chain will be kept at the nurses’ station for safekeeping while the client is undergoing the xray Awarded 1.0 points out of 1.0 possible points. 11. 11.ID: 9477030405 A health care provider writes a medication prescription in a client’s record. While transcribing the prescription, the nurse notes that the prescribed dose is three times higher than the recommended dose. The nurse calls the health care provider, who states that this is the dose that the client takes at home and that it is acceptable for this client’s condition. What is the appropriate action for the nurse to take? A. Contacting the nursing supervisor Correct B. Continuing to transcribe the prescription C. Asking the nurse assigned to care for the client to administer the medication D. Verifying the prescribed dose with the client before administering the medication. 12. 12.ID: 9477016885 The nurse monitoring a client with a chest tube notes that there is no tidaling of fluid in the water seal chamber. After further assessment, the nurse suspects that the client’s lung has reexpanded and notifies the health care provider. The health care provider verifies with the use of a chest x-ray that the lung has reexpanded, then calls the nurse to asks that the chest tube be removed. Which action should the nurse take first? A. Call the nursing supervisor B. Explain the procedure to the client, then remove the chest tube C. Inform the health care provider that removal of a chest tube is not a nursing procedure Correct D. Obtain petrolatum-impregnated gauze and ask another nurse to assist in removing the chest tube The nurse calls a health care provider to report that a client with congestive heart failure (CHF) is exhibiting dyspnea and worsening of wheezing. The health care provider, who is in a hurry because of a situation in the emergency department, gives the nurse a telephone prescription for furosemide (Lasix) but does not specify the route of administration. What is the appropriate action on the part of the nurse? A. Calling the health care provider who gave the telephone prescription to clarify the prescription Correct B. Calling the nursing supervisor for assistance in determining the route of administration C. Administering the medication intravenously, because this route is generally used for clients with CHF D. Administering the medication orally and clarifying the prescription once the health care provider has finished caring for the client in the emergency department 14. 14.ID: 9477026697 A nurse is assisting a health care provider in assessing a hospitalized client. During the assessment, the health care provider is paged to report to the recovery room. The health care provider leaves the client’s bedside after giving the nurse a verbal prescription to change the solution and rate of the intravenous (IV) fluid being administered. What is the appropriate nursing action in this situation? A. Calling the nursing supervisor to obtain permission to accept the verbal prescription B. Changing the solution and rate of the IV fluid per the physician’s verbal prescription C. Asking the health care provider to write the prescription in the client’s record before leaving the nursing unit Correct D. Telling the health care provider that the prescription will not be implemented until it is documented in the client’s record 15. 15.ID: 9477014249 A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical procedure but was never told about the risks of the surgery. The nurse serves as the client’s advocate by taking which action? A. Reassuring the client that the risks are minimal B. Calling the surgeon and asking that the risks be explained to the client Correct C. Noting in the client’s record that the client was not told about the risks of the surgery D. Writing a note on the front of the client’s record so that the surgeon will see it when the client arrives in the operating room Awarded 1.0 points out of 1.0 possible points. 16. 16.ID: 9477030471 The nurse is planning to administer an oral antibiotic to a client with a communicable disease. The client refuses the medication and tells the nurse Extra Credit HESI Module 5 that the medication causes abdominal cramping. The nurse responds, “The medication is needed to prevent the spread of infection, and if you don’t take it orally I will have to give it to you in an intramuscular injection.” Which statement accurately describes the nurse’s response to the client? A. The nurse could be charged with battery. B. The nurse could be charged with assault. Correct C. The nurse is justified in administering the medication by way of the intramuscular route, because the client has a communicable disease. D. The nurse will be justified in administering the medication by the intramuscular route once a prescription has been obtained from the physician.. 17. 17.ID: 9477030487 The nurse discovers that another nurse has administered an enema to a client even though the client told the nurse that he did not want one. Which action is the most appropriate for the nurse to take? A. Contact the client’s health care provider B. Report the incident to the nursing supervisor Correct C. Tell the client that the nurse did the right thing in giving the enema D. Confront the nurse who gave the enema and tell the nurse that she is going to be charged with battery Extra Credit HESI Module 5 18. 18.ID: 9477027505 The nurse calls a health care provider to question a prescription written for a higher-than-normal dosage of morphine sulfate. The health care provider changes the prescription to a dosage within the normal range, and the nurse documents the new telephone prescription in accordance with the agency’s guidelines in the client’s record. Which other statement does the nurse document in the nursing notes? A. The health care provider was called to clarify the prescription for morphine sulfate. Correct B. The health care provider made an error in the written prescription for morphine sulfate. C. The health care provider was called to correct an error in the dosage of morphine sulfate. D. An incorrect dosage of morphine sulfate was prescribed and the health care provider was notified. 19. 19.ID: 9477031437 The charge nurse on the 11 pm–to–7 am shift is gathering the nursing staff together to listen to the 3-to-11 pm intershift report. The charge nurse notes that a staff member has an odor of alcohol on her breath, slurred speech, and an unsteady gait and suspects alcohol intoxication. Which is the most appropriate action for the charge nurse to take? A. Send the staff member home Correct B. Ask the staff member how much alcohol she has consumed C. Tell the staff member that she is not allowed to administer medications D. Ask the staff member to rest in the nurses’ lounge until the effects of the alcohol wear off A client asks the nurse about the procedure for becoming an organ donor. What should the nurse tell the client? A. That anatomical gifts should be made in writing and signed by the client Correct B. To speak with the chaplain about the psychosocial aspects of becoming a donor C. That this decision must be made by the next of kin at the time of the client’s death D. To let the health care provider know about the request so that it may be documented in the client’s record The nurse enters a client’s room to administer a medication that has been prescribed by the health care provider. The client asks the nurse about the medication. Which response by the nurse is appropriate? A. “It’s to help get rid of the swelling in your feet.” B. “You need to discuss this medication with your physician.” C. “I know that it’s for fluid buildup, and I think you’ve taken it before.” D. “It’s called furosemide (Lasix), and it will promote urination and rid your body of the excess fluid. It can cause an alteration in electrolyte levels, so we’ll need to increase the potassium in your diet.” Correct. Extra Credit HESI Module 5 22. 22.ID: 9477025856 A nursing student is assigned to care for a client who requires a total bed bath. When the student explains to the client that she is going to gather supplies to administer the bath, the client states, “I don’t want a bath. I’ve been up all night, and I’m clean enough.” The student reports the client’s refusal to the nurse in charge. Which action by the nurse in charge is appropriate? A. Telling the nursing student to allow the client to rest Correct B. Telling the nursing student to give the client the bath anyway C. Telling the client that the health care provider will be informed of the refusal of care D. Telling the nursing student to persuade the client to have a bath so that the evening shift staff will not have to do it Awarded 1.0 points out of 1.0 possible points. 23. 23.ID: 9477031472 A client with cancer is transported to the radiology department for a bone scan to determine whether the cancer has metastasized to bone. While the client is in the radiology department, the client’s wife arrives for a visit and asks what test is being performed on the client. What should the nurse tell the wife? A. A bone scan is being performed. B. She will have to discuss the prescribed test with the client. Correct C. The radiology department is not clear as to which test has been prescribed. Extra Credit HESI Module 5 D. She can read the client’s medical record to determine what the health care provider prescribed. A married couple is attending a hospital program about in vitro fertilization. During the program, a crew from a local television station arrives to film the proceedings because the station is publicizing a series on hospital services. The nurse conducting the program should: A. Allow the television crew to videotape the program B. Explain to the television crew that videotaping is not allowed Correct C. Ask the television crew to interview the individuals attending the program individually D. Allow the television crew to videotape the program as long as they do not publicize that the program is about in vitro fertilization . 25. 25.ID: 9477018553 A nurse is taking a morning break with the unit secretary in the nurses’ lounge. The unit secretary says to the nurse, “I read in Mr. Gage’s medical record that he has gonorrhea.” How should the nurse respond to the secretary? A. “Oh, really? I didn’t see that!” B. “We can’t discuss a client’s medical condition.” Correct C. “Yes, that’s why we’ve imposed contact precautions.” D. “Yes, he does, but be sure not to discuss this with anyone else.”