HESI PN EXIT EXAM WITH VERIFIED QUESTION AND ANSWERS.1. A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indica ... tes an understanding of the information? a. Federal legislation dictates the legal guidelines for advance directives b. Advance directives include instruction for resolving financial matters c. Advance directives include a living well d. My medical record should not include c. Advance directives include a living well 2. A nurse on a medical surgical unit is assisting with the admission of a client who has advanced lung cancer. Which of the following actions regarding advance directives should the nurse take? a. Ensure that an attorney has received the client's advance directives b. Document the client's decision about end-of-life care in the medical record c. Tell the client that a family member should serve as a health care surrogate d. Contact the facility's risk manager to verify if the client has a living will b. Document the client's decision about end-of-life care in the medical record #3. A nurse is reinforcing teaching with a client about advance directives and a healthcare proxy which of the following client statements and the kids and understanding of the teaching ➢ I do not need to name a relative as my designee in my health care proxy 4. A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching? "I know I can change my advance directives if I need to in the future." 5. A nurse is caring for a client who speaks a different language than the nurse. Which of the following actions should the nurse take? Supplement spoken language with pictures. Or review the facility policy about the use of an interpreter 6. A nurse is caring for a client who speaks a different language than the nurse. The clients partner tells the nurse that the client would like to go home against medical advice (AMA). Which of the ff actions should the nurse take? a. Discharge the client and notify the health care provider b. Request the services of an interpreter to determine the clients wishes c. Have the client's partner sign an AMA form d. Ask the partner to reiterate the consequences of leaving AMA to the client b. Request the services of an interpreter to determine the clients wishes 7. A nurse at long term care facility is reviewing the plan of care who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to assistive personnel? a. Evaluate the need client b. Assist the client with range of motion exercises of the hands c. Determine the circulation status d. Instruct the client's family about purpose mitten restraint b. Assist the client with range of motion exercises of the hands 8.A nurse in an acute mental health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client? a. Monitor the client's range of motion every 60 min. [Show More]
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