HESI RN EXIT EXAM

HESI RN EXIT EXAM 1. A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which o staff members should the charge nurse assign the client? RN 2. A charge nurse working in a long term care facility is making out assignments. Which assignment to an unlicensed assistive personnel (UAP), if made by the nurse, requires intervention by the supervisor? Teaching a family intermittent (bolus) feedings via G-tube before discharge 3. Two people call in sick on the medical-surgical unit and no additional help is available. The team consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should the nurse assign to the UAP? Provide basic hygiene care to all clients on the unit 4. The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to? Unlicensed assistive personnel (UAP) 5. During the care of a client with Legionnaire's disease, which finding would require the nurse's immediate attention? Decrease in chest wall expansion 6. The charge nurse on a cardiac step-down unit makes assignments for the team consisting of an RN, a PN, and an unlicensed assistive person. Which client should be assigned to the PN? A 58 year-old hypertensive with possible angina 7. A client experiences intense anxiety after the home was destroyed by a fire. The client escaped from the fire with only minor injuries. The nurse knows that the most important initial intervention would be to: Determine available community and personal resources 8. The client referred for a mammography questions the nurses about the cancer risks from radiation exposure. What is the appropriate response by the nurse? The radiation from a mammography is equivalent to 1 hour of sun exposure 9. The client with multiple sclerosis has an order to change the nasogastric tube. To promote safety when removing the tube, the nurse should: ask the client to hold a breath 10. The nurse is caring for a woman 2 hours after a vaginal delivery. Documentation indicates that the membranes were ruptured for 36 hours prior to delivery. What is the priority nursing diagnoses at this time? Risk for infection 11. A nurse manager considers changing staff assignments