Graded A+
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 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)
,The nurse should intervene if 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 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 CA DEMICMASTER 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
12 years old with Autism who is starting a new school and
A.
recently had a URI (upper respiratory tract infection)
yeaBr.s old, has type 1 Diabetes Mellitus, and a recent Hemoglobin A1c of 1
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.
, 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