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Pretest
Question 1
Ac. What document shouldbeinguidingthe care of thisclient?
A) Client Self Determination Act
B) Physician'streatment orders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: Thecorrect answer is: C) Advance Directives. Thisdocument
specifiestheclient's wishes
Question 2
You aretheof ahealth care teamthatconsists of onelicensedpractical/vocational nurse,
onenursing assistant , an ursingstudent andyourself. To whomisit appropriate
toassigncomplete care for
A) Yourself
B) Thenursingstudent
C) Thelicensedvocational nurse
D) Thenursingassistant
Review Information: Thecorrect answer is:A) Yourself.
Whilethenursemaydelegate abedbath for astableclient, thiscareshouldbeperformed
byan RNfor a newadmi ssion. Onlytasks that donot require independent judgment
shouldbedelegated.
3Question 3
, ALL HESI EXIT Questions and Answers Test
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Amother brings her theclinic, complainingthat thechildseemstobe Thenurseexpects tofind
whichof thefollow ingontheinitial historyandphysical assessment?
A) Increasedtemperature andlethargy
B) Rashandrestlessness
C) Increasedsleepingandlistlessness
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D) Diarrheaandpoor skinturgor
Review Information: Thecorrect answer is:B) Rashandrestlessness.
, ALL HESI EXIT Questions and Answers Test
Bank; A+ Rated Guide
Question 4
Asthenursetakes ahistory of a 3 year-oldwithneuroblastoma, whatcommentsbytheparents
require follow- upandareconsistent withthediagnosis?
A) "Thechildhas beenlistless andhaslost weight."
B) "Her urineisdarkyellowandsmall in amounts."
C) "Clothesarebecomingtighter across her
abdomen." D+)" Wenoticemuscleweakness
andsomeunsteadiness."
Review Information: Thecorrect answer is:C) "Clothesarebecomingtighter across her
abdomen.".
Oneof themost common signsof neuroblastomaisincreasingabdominal girth. Theparents''
report that clothi ngistight issignificant, andshouldbefollowedbyadditional
assessments.
Question 5
A 16 year-
oldpresents totheemergency department. Thetriagenursefinds that thisteenager is legally
married andsign edtheconsent formfor treatment. Whatwouldbetheappropriate INITIAL action
bythe nurse?
A) Refusetoseetheclient until aparent or legal guardiancanbecontacted
B) Withholdtreatment until telephoneconsent can beobtained fromthespouse
C) Refer theclient toacommunitypediatric hospital emergencyroom
D) Assessandtreat inthesamemanner asanyadult client
Review Information: Thecorrect answer is:D) Assessandtreat inthesame manner
asanyadult client.
Minors may becomeknownas an"emancipatedminor" through marriage, pregnancy,
highschool graduation, ind ependent livingor serviceinthemilitary. Therefore,
thisclient, whois married, hasthelegal capacity of anadult.