HESI EXIT COMPREHENSIVE REVIEW A
1. Until the census on the obstetrics (OB) unit increases, an
unlicensed assistive personnel (UAP) who usually works in labor
and delivery and the newborn nursery is assigned to work on the
postoperative unit. Which client would be best for the charge
nurse to assign to this UAP?
A An adolescent who was readmitted to
. the hospital because of a postoperative
infection
B A woman with a new colostomy who
. requires discharge teaching
C A woman who had a hip
. replacement and may be
transferred to the home care unit
D A man who had a cholecystectomy and
. currently has a nasogastric tube set to
intermittent suction
Rationale:
A hip replacement is considered a clean case, and transferring the
client to another unit is likely to involve physically moving the
client and her belongings. The charge nurse will be responsible for
providing a report to the home care unit if the transfer occurs.
The adolescent client is infected, and an employee who works on
an OB unit should be assigned to clean cases in case the
employee is required to return to the OB unit. This requires the
skills of a registered nurse (RN) to do discharge teaching and
provide emotional support. This may require skills beyond the
level of this UAP.
2. The nurse is correct in withholding an older adult client's dose of
nifedipine if which assessment finding is obtained?
A Blood pressure of 90/56 mm Hg
.
B Apical pulse rate of 68 beats/min
1. Until the census on the obstetrics (OB) unit increases, an
unlicensed assistive personnel (UAP) who usually works in labor
and delivery and the newborn nursery is assigned to work on the
postoperative unit. Which client would be best for the charge
nurse to assign to this UAP?
A An adolescent who was readmitted to
. the hospital because of a postoperative
infection
B A woman with a new colostomy who
. requires discharge teaching
C A woman who had a hip
. replacement and may be
transferred to the home care unit
D A man who had a cholecystectomy and
. currently has a nasogastric tube set to
intermittent suction
Rationale:
A hip replacement is considered a clean case, and transferring the
client to another unit is likely to involve physically moving the
client and her belongings. The charge nurse will be responsible for
providing a report to the home care unit if the transfer occurs.
The adolescent client is infected, and an employee who works on
an OB unit should be assigned to clean cases in case the
employee is required to return to the OB unit. This requires the
skills of a registered nurse (RN) to do discharge teaching and
provide emotional support. This may require skills beyond the
level of this UAP.
2. The nurse is correct in withholding an older adult client's dose of
nifedipine if which assessment finding is obtained?
A Blood pressure of 90/56 mm Hg
.
B Apical pulse rate of 68 beats/min
