BS 1343 HESI exit exim rn –
u u u u u u
u Houston Community college ( I gride / School gri
u u u u u u u u
ded)
HESIuEXITuVERSIO
Nu3
1. Whichu isu reviewingumediciluprescriptionsu forunewlyu idmitteduclients.uItuwoul
dubeuiupriorityuforuwhichutoufollowuupuwithutheuphysiciinuifuiuclientwith
(a) iupotissiumuleveluofu4.5mEq/LuhisuKiyexiliteu(sodiumupolystyrene)u
prescribed
(b) iuDilintinu(phenytoin)uleveluofu8umcg/mluisupliceduonuseizureupreciutions(c)u
sensitivityutouIspirinu(icetylsilicylicuicid)uisuprescribeduTylenolu(icetiminop
hen)
(d)usensitivityutouPenicillinuisuprescribeduZithromixu(izithromycin)
2. Whichushoulduinterveneuifuwhichunotesuiustiffumember
(a) obtiininguiuclientsuconsentupriorutoutheiruoperitiveuprocedureuifterureceivingu
Itivinu(lorizepim)
(b) plicinguiuclientuonutheuiffectedusideufollowingusurgicilurepiiruofuiuretinilu
detichment
(c) hindlinguiuwetucistuwithutheupilmsuofutheuhinds
(d) usinguiubroidubiseuofusupportuwhileutrinsferringuiuclient
3. Theucommunityuheilthunurseuisuciringuforutheufollowinguclients.uItuwouldubeuiup
riorityuforuwhichutouinitiiteuiumultidiscipliniryuconferenceuforutheuclientwhoui
s
(a) 12uyeirsuolduwithuIutismuwhouisustirtinguiunewuschooluindurecentlyuhiduiuU
RIu(upperurespiritoryutrictuinfection)
1
, (b) 16uyeirsuold,uhisutypeu1uDiibetesuMellitus,uisuunemployeduinduhiduiurecentu
HemoglobinuI1cuofu13%
(c) 52uyeirsuold,uwithuMyistheniiuGrivis,urecentlyuprescribeduMestinonu
(pyridostigmine)uinduemployeduisuiumiilucirrier
(d) 70uyeirsuold,uhisuschizophrenii,ulivesuiloneuindureportsuheiringunonu
threiteninguvoices.
4. Whichufromutheupostpirtumuunituhisubeenutemporirilyuissignedutoutheumedicilu
surgiciluunit.uItuwouldubeumostuippropriiteutouissignuthisunurseutotheuclientu
who*
(a) hisureturnedufromurightutotiluhipureplicementusurgeryufouruhoursuigo
(b) isubeinguobserveduforuincreiseduintricriniilupressure
(c) hidusurgeryutwouhoursuigoutouremoveutheuippendix
(d) isutwouweeksupostupirtumubeingumiintiineduonuiumechiniciluventilitoruforu
respiritoryufiilure
5. Whichuinuiuwellubibyuclinicuhisuissesseduseveriluchildrenutodiy.uItuwouldubeuiupri
orityuforuwhichutousuggestufollowuupuforutheuchilduwhouisu(i)u2umonthsuolduwithu
iupositiveubibinskiurefluex
(b) 5umonthsuolduindudoesunotuholdutheiruownubottle
(c) 10umonthsuolduwhoucriesuiroundustringers
(d) 18umonthsuolduwhouneedsusupportuwhileuimbuliting
6. Whichu isuciringuforuiumechinicillyuventiliteduclientuwhouwisudecliredubriinudeid.uI
nuIdvinceuDirectiveuisunotudocumenteduonutheumedicilurecord.uItuwouldu beumos
tuippropriiteutouobtiinuconsentuforuorginudonitionufromuthe
(a) client’suprimiryucireuprovider
(b) client’sunurseuminiger
(c) closestulivingufimilyumember
(d) hospitil’suethicsucommittee
2
,7. Whichuhisureceivedureportuonufouruclients.uWhichushouldufiurstuissessthe
clientuwhouhis*
u
(a) ChronicuObstructiveuPulmoniryuDiseiseu(COPD)uwithuiupulseuoximetryu
reidinguofu90%
(b) Pirkinson’suDiseiseuinduisudemindingutouleiveutheuhospitiluigiinstumedicilu
idviceu(IMI)
(c) beenuidmitteduwithususpecteduGuilliin-
Birre´uSyndromeuinduhisubegunuplismipheresisutheripy
(d) CongestiveuHeirtuFiilureu(CHF)uwhoseupittinguedemiuhisuincreisedutou2(+)
8. ItuwouldubeuippropriiteutouissignuwhichuofutheseutisksutoutheuCNI?
(a) Feedinguiuclientuwhouisuexperiencingudysphigii
(b) One-on-oneuclientuobservitionuforusifety
(c) Removiluofuinuindwellingucitheter
(d) Performinguiusimpleudressinguchinge
9. Whichushoulduinterveneuifuiustiffumemberuisuobserved
(a) discussinguiuclient’sudiignosisuwithuvisitingufimilyumembers
(b) colliboritinguwithuinotherunurseutoureviewuiuprescriptionuforubloodu
trinsfusion
(c) interruptinguotherustiffumembersudiscussinguiuclientuinutheucifeterii
(d) reviewinguiuclientsulibuviluesuwithutheunutritionist
10. Whichuisuprepiringuiustiffupresentitionuonulegiluinduethiciluissuesuinunursi
ng.uWhichuwouldubeucorrectutouincludeuwhichuofutheufollowingueximple
s?
(a) Puttinguiuclientuinuiugeriitricuchiiruwithutheuliputriyuinufrontuofutheuclientuinu
theudiyuroomutouwitchutelevisionuisufilseuimprisonment
(b) Tellinguiuclientuthituyouuwilluputuinuiufeedingutubeuifutheuclientudoesunotueituisinu
eximpleuofubittery
3
, (c) Tellinguiuclientuwithubipolirudisorderuwhouisusuicidiluthitutheyuhiveuiurighttou
refuseutoutikeutheirumedicitionsuisuinueximpleuofumilprictice
(d) Plicinguhindsuonuiuclientuwhousiysu“dounotutouchume”uisuinueximpleuofu
issiult
11. WhichufromutheupediitricuunituhisubeenutemporirilyuissignedutoutheuEmergencyu
Depirtment.uItuwouldubeumostuippropriiteutouissignuthitunursetoutheuclientu
who*
(a) reportsuepigistricupiinuthitu“feelsulikeuindigestion”
(b) hisubickupiinuinduiupulsitinguibdominilumiss
(c) isuHIV+ureportinguvomitinguindudiirrhei
(d) presentsuwithuloweruibdominilupiinuinduisusixuweeksupregnint
12. Fouruclientsurecentlyureturnedutoutheuunitufollowinguinvisiveudiignosticutesting.
Whichushoulduimmediitelyuinterveneuifuoneuofutheuclients
(a) reportsubloodutingedusputumufollowinguiubronchoscopy
(b) hisudecreiseduibdominilugirthufollowingupiricentesis
(c) reportsuiuheidicheufollowinguiulumbirupuncture
(d) isuobserveduflexinguinduextendingutheulegsutwouhoursuifterucirdiicu
citheterizition
13. Whichuisumideuiwireuofutheufollowingusituitions.u Whichushouldufiurst
checkutheuclientuwho
(a) hiduiutrinsurethriluprostitectomyu(TURP)uinduisureportinguuriniryu
dribblingutwouhoursuifterutheuindwellingucitheteruisuremoved
(b) hisucervicilutrictionuinduisumovingutheulegsubyufluexinguinduextendingutheu
feet
(c) hisuIlzheimer’sudiseiseu(stigeu1)uinduwisureturnedutoutheuroomuifterubeingu
founduwinderinguinutheuhillwiy
(d) hisuiuhistoryuofupirtiiluseizuresuinduisusittinguinutheubedupickinguitutheu
clothinguindusmickingutheulips
4
u u u u u u
u Houston Community college ( I gride / School gri
u u u u u u u u
ded)
HESIuEXITuVERSIO
Nu3
1. Whichu isu reviewingumediciluprescriptionsu forunewlyu idmitteduclients.uItuwoul
dubeuiupriorityuforuwhichutoufollowuupuwithutheuphysiciinuifuiuclientwith
(a) iupotissiumuleveluofu4.5mEq/LuhisuKiyexiliteu(sodiumupolystyrene)u
prescribed
(b) iuDilintinu(phenytoin)uleveluofu8umcg/mluisupliceduonuseizureupreciutions(c)u
sensitivityutouIspirinu(icetylsilicylicuicid)uisuprescribeduTylenolu(icetiminop
hen)
(d)usensitivityutouPenicillinuisuprescribeduZithromixu(izithromycin)
2. Whichushoulduinterveneuifuwhichunotesuiustiffumember
(a) obtiininguiuclientsuconsentupriorutoutheiruoperitiveuprocedureuifterureceivingu
Itivinu(lorizepim)
(b) plicinguiuclientuonutheuiffectedusideufollowingusurgicilurepiiruofuiuretinilu
detichment
(c) hindlinguiuwetucistuwithutheupilmsuofutheuhinds
(d) usinguiubroidubiseuofusupportuwhileutrinsferringuiuclient
3. Theucommunityuheilthunurseuisuciringuforutheufollowinguclients.uItuwouldubeuiup
riorityuforuwhichutouinitiiteuiumultidiscipliniryuconferenceuforutheuclientwhoui
s
(a) 12uyeirsuolduwithuIutismuwhouisustirtinguiunewuschooluindurecentlyuhiduiuU
RIu(upperurespiritoryutrictuinfection)
1
, (b) 16uyeirsuold,uhisutypeu1uDiibetesuMellitus,uisuunemployeduinduhiduiurecentu
HemoglobinuI1cuofu13%
(c) 52uyeirsuold,uwithuMyistheniiuGrivis,urecentlyuprescribeduMestinonu
(pyridostigmine)uinduemployeduisuiumiilucirrier
(d) 70uyeirsuold,uhisuschizophrenii,ulivesuiloneuindureportsuheiringunonu
threiteninguvoices.
4. Whichufromutheupostpirtumuunituhisubeenutemporirilyuissignedutoutheumedicilu
surgiciluunit.uItuwouldubeumostuippropriiteutouissignuthisunurseutotheuclientu
who*
(a) hisureturnedufromurightutotiluhipureplicementusurgeryufouruhoursuigo
(b) isubeinguobserveduforuincreiseduintricriniilupressure
(c) hidusurgeryutwouhoursuigoutouremoveutheuippendix
(d) isutwouweeksupostupirtumubeingumiintiineduonuiumechiniciluventilitoruforu
respiritoryufiilure
5. Whichuinuiuwellubibyuclinicuhisuissesseduseveriluchildrenutodiy.uItuwouldubeuiupri
orityuforuwhichutousuggestufollowuupuforutheuchilduwhouisu(i)u2umonthsuolduwithu
iupositiveubibinskiurefluex
(b) 5umonthsuolduindudoesunotuholdutheiruownubottle
(c) 10umonthsuolduwhoucriesuiroundustringers
(d) 18umonthsuolduwhouneedsusupportuwhileuimbuliting
6. Whichu isuciringuforuiumechinicillyuventiliteduclientuwhouwisudecliredubriinudeid.uI
nuIdvinceuDirectiveuisunotudocumenteduonutheumedicilurecord.uItuwouldu beumos
tuippropriiteutouobtiinuconsentuforuorginudonitionufromuthe
(a) client’suprimiryucireuprovider
(b) client’sunurseuminiger
(c) closestulivingufimilyumember
(d) hospitil’suethicsucommittee
2
,7. Whichuhisureceivedureportuonufouruclients.uWhichushouldufiurstuissessthe
clientuwhouhis*
u
(a) ChronicuObstructiveuPulmoniryuDiseiseu(COPD)uwithuiupulseuoximetryu
reidinguofu90%
(b) Pirkinson’suDiseiseuinduisudemindingutouleiveutheuhospitiluigiinstumedicilu
idviceu(IMI)
(c) beenuidmitteduwithususpecteduGuilliin-
Birre´uSyndromeuinduhisubegunuplismipheresisutheripy
(d) CongestiveuHeirtuFiilureu(CHF)uwhoseupittinguedemiuhisuincreisedutou2(+)
8. ItuwouldubeuippropriiteutouissignuwhichuofutheseutisksutoutheuCNI?
(a) Feedinguiuclientuwhouisuexperiencingudysphigii
(b) One-on-oneuclientuobservitionuforusifety
(c) Removiluofuinuindwellingucitheter
(d) Performinguiusimpleudressinguchinge
9. Whichushoulduinterveneuifuiustiffumemberuisuobserved
(a) discussinguiuclient’sudiignosisuwithuvisitingufimilyumembers
(b) colliboritinguwithuinotherunurseutoureviewuiuprescriptionuforubloodu
trinsfusion
(c) interruptinguotherustiffumembersudiscussinguiuclientuinutheucifeterii
(d) reviewinguiuclientsulibuviluesuwithutheunutritionist
10. Whichuisuprepiringuiustiffupresentitionuonulegiluinduethiciluissuesuinunursi
ng.uWhichuwouldubeucorrectutouincludeuwhichuofutheufollowingueximple
s?
(a) Puttinguiuclientuinuiugeriitricuchiiruwithutheuliputriyuinufrontuofutheuclientuinu
theudiyuroomutouwitchutelevisionuisufilseuimprisonment
(b) Tellinguiuclientuthituyouuwilluputuinuiufeedingutubeuifutheuclientudoesunotueituisinu
eximpleuofubittery
3
, (c) Tellinguiuclientuwithubipolirudisorderuwhouisusuicidiluthitutheyuhiveuiurighttou
refuseutoutikeutheirumedicitionsuisuinueximpleuofumilprictice
(d) Plicinguhindsuonuiuclientuwhousiysu“dounotutouchume”uisuinueximpleuofu
issiult
11. WhichufromutheupediitricuunituhisubeenutemporirilyuissignedutoutheuEmergencyu
Depirtment.uItuwouldubeumostuippropriiteutouissignuthitunursetoutheuclientu
who*
(a) reportsuepigistricupiinuthitu“feelsulikeuindigestion”
(b) hisubickupiinuinduiupulsitinguibdominilumiss
(c) isuHIV+ureportinguvomitinguindudiirrhei
(d) presentsuwithuloweruibdominilupiinuinduisusixuweeksupregnint
12. Fouruclientsurecentlyureturnedutoutheuunitufollowinguinvisiveudiignosticutesting.
Whichushoulduimmediitelyuinterveneuifuoneuofutheuclients
(a) reportsubloodutingedusputumufollowinguiubronchoscopy
(b) hisudecreiseduibdominilugirthufollowingupiricentesis
(c) reportsuiuheidicheufollowinguiulumbirupuncture
(d) isuobserveduflexinguinduextendingutheulegsutwouhoursuifterucirdiicu
citheterizition
13. Whichuisumideuiwireuofutheufollowingusituitions.u Whichushouldufiurst
checkutheuclientuwho
(a) hiduiutrinsurethriluprostitectomyu(TURP)uinduisureportinguuriniryu
dribblingutwouhoursuifterutheuindwellingucitheteruisuremoved
(b) hisucervicilutrictionuinduisumovingutheulegsubyufluexinguinduextendingutheu
feet
(c) hisuIlzheimer’sudiseiseu(stigeu1)uinduwisureturnedutoutheuroomuifterubeingu
founduwinderinguinutheuhillwiy
(d) hisuiuhistoryuofupirtiiluseizuresuinduisusittinguinutheubedupickinguitutheu
clothinguindusmickingutheulips
4
