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HESI RN FUNDAMENTALS EXIT EXAM V2 42 Q&A
1. A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What action should the nurse take first?...
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RN FUNDAMENTALS EXIT EXAM V2 42 2022
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HESI RN FUNDAMENTALS EXIT EXAM V2 42 Q&A
1. A postoperative client has three different PRN analgesics prescribed for different levels of
pain. The nurse inadvertently administers a dose that is not within the prescribed
parameters. What action should the nurse take first? C
A) Determine if the pain was relieved.
B) Complete a medication error report.
C) Assess for side effects of the medication.
D) Document the client’s responses.
2. The unlicensed assistive personnel (UAP) describes the appearance of the bowel
movements of several clients. Which descriptions warrant additional follow-up by the
nurse? (Select all that apply.) ABDE
A) Multiple hard
pellets. B) Brown
liquid.
C) Formed but soft.
D) Solid with red
streaks. E) Tarry
appearance.
3. An elderly woman comes to the clinic because of vaginal bleeding. The healthcare provider
finds a vaginal tear, which the client reports are likely to have occurred during unprotected
sexual intercourse. Which content is most important for the nurse to include in this client’s
teaching plan? A
A) The importance of using vaginal lubricants.
B) Methods used to practice safe sex.
C) Information about alternative ways to express sexuality.
C) Intercourse positions that help prevent tears.
4. A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His
sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in
transferring from the bed to a wheelchair, what action should the nurse take?
A) Have the client put both arms around the nurse’s neck for support.
B) Place the wheelchair on the client’s left side.
C) Instruct the client to look at his feet.
D) Instruct the client total slow, deep breaths while transferring.
, 5. The nurse observes a newly admitted older adult female take short steps and walk very
slowly while pushing a walker in front of her. What action should the nurse take in
response to these observations? A
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at a faster pace.
C) Suggest that the client use a wheelchair instead of a walker.
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