Page 1 of 84
HESI Comprehensive Examination for the NCLEX-RN
Examination (Latest Update ) | 510
Questions & Answers | Grade A | 100% Correct
(Verified Solutions) – HESI
What types of procedures should be assigned to professional
nurses? ......ANSWER........Sterile or invasive procedures.
Negligence is measured by reasonableness. What question
might the nurse ask when determining such reasonableness?
......ANSWER........Would a reasonable and prudent nurse act in
the same manner under the same circumstances
List the 4 elements that are necessary to prove negligence.
......ANSWER........Duty. Failure to protect client again
unreasonable risk. Breach of duty. Failure to perform according
to established standards. Causation. A connection exists between
conduct of the nurse and the resulting damage. Damages.
Damage is done to the client, physical or mental.
Define an intentional tort and five one example.
......ANSWER........Conduct causing damage to another person in
a willful or intentional way without just cause. Example Hitting a
client out of anger, not in a manner of self protection.
Voluntary admission ......ANSWER........Client admits self to an
institution for treatment and restrains his or her civil rights. He or
she may leave at any time.
,Page 2 of 84
Involuntary admission ......ANSWER........Someone other than client
applies for the client's admission to an institution requires
certification by 1 or 2 health care providers that the person is a
danger to self or others.
List 5 activities a person who is declared incompetent cannot
perform. ......ANSWER........Vote, make contracts or wills, drive a
care, sue or be sued, hold a professional license.
Name 3 legal requirements of a surgical permit
......ANSWER........Voluntary, informed, and written.
Who may give consent for medical treatment?
......ANSWER........Alert, coherent, or otherwise competent adults,
a parent or legal guardian, a person in loco parentis of minors
or incompetent adults.
What law protects the nurse who provides care or gives aid in
an emergency situation? ......ANSWER........The Good Samaritan
Act.
What action should the nurse take if he or she questions a health
care provider's prescription that they believe is wrong?
......ANSWER........Inform the health care provider. Record that the
health care provider was informed and the health care
provider's response to such information. Inform the nursing
supervisor. Refuse to carry out the prescription.
Describe the nurse's legal responsibility when asked to perform
a task for which he or she is unprepared. ......ANSWER. Inform
,Page 3 of 84
the health care provider or person asking the nurse to perform
the task that he or she is unprepared to carry out the task.
Refuse to perform the task.
Describe nursing care of the restrained client.
......ANSWER........Apply restraints properly. Check restraints
frequently to see that they are not causing injury and record
such monitoring. Remove restraints as soon as possible. Use
restraints as a last resort.
By what authority may RNs delegate nursing care to others?
......ANSWER........State Nurse Practice Act
A UAP may perform care that falls within which components of
the nursing process? ......ANSWER. Implementation
Which type of communication is necessary to implement a
democratic leadership style? ......ANSWER. Assertive
communication skills
What are the 4 rights of communication? ......ANSWER. Right
task, right circumstance, right person, right direction or
communication, and right supervision.
Which tasks can be delegated to a UAP? A. Inserting a Foley
catheter. B. Measuring and recording the client's output through
a Foley catheter. C. Teaching a client how to care for a catheter
after discharge. D. Assessing for symptoms of a urinary tract
, Page 4 of 84
infection. ......ANSWER........A. is a sterile invasive procedure and
should not be delegated to a UAP. B. Falls within the
implementation phase, does not involve nursing judgement.
Evaluation of the I & O must be done by the nurse. C. Client
teaching requires the abilities of a nurse should not be
delegated. D. Assessment must be performed by the nurse and
should not be delegated.
What are the essential steps of effective supervision?
......ANSWER........Direction, evaluation, and follow-up.
Which of the following is an example of assertive
communication? A. You need to improve the way you spend your
time so that all of your care gets performed. B. I've noticed that
many of your clients did not get their care today.
......ANSWER........A. This is an aggressive communication, which
causes anger, hostility, and a defensive attitude. B. Assertive
communication begins with I rather than you and clearly states
the problem.
List the three levels of disaster management
......ANSWER........Disaster preparedness, disaster response, and
disaster recovery.
List examples of the three levels of prevention in disaster
management. ......ANSWER........Primary: develop plan, train and
educate personnel and public. Secondary: triage, treatment
shelter, supervision. Tertiary: follow-up, recovery assistance,
prevention of future disasters.
HESI Comprehensive Examination for the NCLEX-RN
Examination (Latest Update ) | 510
Questions & Answers | Grade A | 100% Correct
(Verified Solutions) – HESI
What types of procedures should be assigned to professional
nurses? ......ANSWER........Sterile or invasive procedures.
Negligence is measured by reasonableness. What question
might the nurse ask when determining such reasonableness?
......ANSWER........Would a reasonable and prudent nurse act in
the same manner under the same circumstances
List the 4 elements that are necessary to prove negligence.
......ANSWER........Duty. Failure to protect client again
unreasonable risk. Breach of duty. Failure to perform according
to established standards. Causation. A connection exists between
conduct of the nurse and the resulting damage. Damages.
Damage is done to the client, physical or mental.
Define an intentional tort and five one example.
......ANSWER........Conduct causing damage to another person in
a willful or intentional way without just cause. Example Hitting a
client out of anger, not in a manner of self protection.
Voluntary admission ......ANSWER........Client admits self to an
institution for treatment and restrains his or her civil rights. He or
she may leave at any time.
,Page 2 of 84
Involuntary admission ......ANSWER........Someone other than client
applies for the client's admission to an institution requires
certification by 1 or 2 health care providers that the person is a
danger to self or others.
List 5 activities a person who is declared incompetent cannot
perform. ......ANSWER........Vote, make contracts or wills, drive a
care, sue or be sued, hold a professional license.
Name 3 legal requirements of a surgical permit
......ANSWER........Voluntary, informed, and written.
Who may give consent for medical treatment?
......ANSWER........Alert, coherent, or otherwise competent adults,
a parent or legal guardian, a person in loco parentis of minors
or incompetent adults.
What law protects the nurse who provides care or gives aid in
an emergency situation? ......ANSWER........The Good Samaritan
Act.
What action should the nurse take if he or she questions a health
care provider's prescription that they believe is wrong?
......ANSWER........Inform the health care provider. Record that the
health care provider was informed and the health care
provider's response to such information. Inform the nursing
supervisor. Refuse to carry out the prescription.
Describe the nurse's legal responsibility when asked to perform
a task for which he or she is unprepared. ......ANSWER. Inform
,Page 3 of 84
the health care provider or person asking the nurse to perform
the task that he or she is unprepared to carry out the task.
Refuse to perform the task.
Describe nursing care of the restrained client.
......ANSWER........Apply restraints properly. Check restraints
frequently to see that they are not causing injury and record
such monitoring. Remove restraints as soon as possible. Use
restraints as a last resort.
By what authority may RNs delegate nursing care to others?
......ANSWER........State Nurse Practice Act
A UAP may perform care that falls within which components of
the nursing process? ......ANSWER. Implementation
Which type of communication is necessary to implement a
democratic leadership style? ......ANSWER. Assertive
communication skills
What are the 4 rights of communication? ......ANSWER. Right
task, right circumstance, right person, right direction or
communication, and right supervision.
Which tasks can be delegated to a UAP? A. Inserting a Foley
catheter. B. Measuring and recording the client's output through
a Foley catheter. C. Teaching a client how to care for a catheter
after discharge. D. Assessing for symptoms of a urinary tract
, Page 4 of 84
infection. ......ANSWER........A. is a sterile invasive procedure and
should not be delegated to a UAP. B. Falls within the
implementation phase, does not involve nursing judgement.
Evaluation of the I & O must be done by the nurse. C. Client
teaching requires the abilities of a nurse should not be
delegated. D. Assessment must be performed by the nurse and
should not be delegated.
What are the essential steps of effective supervision?
......ANSWER........Direction, evaluation, and follow-up.
Which of the following is an example of assertive
communication? A. You need to improve the way you spend your
time so that all of your care gets performed. B. I've noticed that
many of your clients did not get their care today.
......ANSWER........A. This is an aggressive communication, which
causes anger, hostility, and a defensive attitude. B. Assertive
communication begins with I rather than you and clearly states
the problem.
List the three levels of disaster management
......ANSWER........Disaster preparedness, disaster response, and
disaster recovery.
List examples of the three levels of prevention in disaster
management. ......ANSWER........Primary: develop plan, train and
educate personnel and public. Secondary: triage, treatment
shelter, supervision. Tertiary: follow-up, recovery assistance,
prevention of future disasters.
