HESI RN EXIT LEGACY EXAM V2 Q&A

HESI RN EXIT LEGACY EXAM V2 QUESTIONS&ANSWERS 1. A primipara with a breech presentation is in the transition phase pf labor. The nurse visualizes the perineum and sees the umbilical cord extruding from the introitus. In which position should the nurse place the client? Supine with the foot of the bed raised 2. The nurse is developing a series of childbirth preparation classes for primigravida women and their significant others. what is the priority expected outcome for these classes? Participants can identify at least three coping strategies to use during labor 3. Clinical portfolios are being introduced into the performance apprasial process for the nurses employed at the hospital. What should the nurse-manager request that each staff nurse include in the portfolio? A self evaluation that identifies how the nurse has met professional objectives and goals. 4. a work group is to be formed to determine a care map for a new surgical intervention that is being conducted at the hospital. Which group is likely to besot effective in developing the new care map? Multisicipilinary group 5. An older client who has been bedridden for a month is admitted with a pressure ulcer on the left trochanter area. The nurse determines that the ulcer extends into the subcutaneous tissue. At which stage should the nurse document this finding? Stage 3 6. When meeting with the client and the family, which nursing intervention demonstrates the nurses role as collaborator of care? Coordinating and educating about multidisciplinary services 7. A low potassium diet is prescribed for a client what foods should the nurse try to avoid? Dried prunes 8. A client is admitted with a medical diagnosis of addisonian crisis. When completing the admission assessment, the nurse expects this client to exhibit which clinical manifestations? Hypotension, rapid weak pulse, and rapid respiratory rate 9. The nurse plans to suction a male client. Who has just undergone right pneumonectomy