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HESI Comprehensive Review for the NCLEX-RN Examination Questions and Answers

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HESI Comprehensive Review for the NCLEX-RN Examination Questions and Answers 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 reasonable...

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  • October 15, 2024
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HESI Comprehensive Review for the NCLEX-RN
Examination Questions and Answers


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.




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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 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.




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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 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.

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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.


Triage - Answer✔✔-To sort or categorize


Identify three bio-terrorism agents. - Answer✔✔-Anthrax, pneumonic plague, botulism,

smallpox, inhalation tularemia, viral hemorrhage, fever, ricin, sarin, radiation.


What Po2 value indicates respiratory failure in adults? - Answer✔✔-Po2 below 60 mmHg


What blood value indicates hypercapnia? - Answer✔✔-Pco2 above 45 mm Hg


Identify the condition that exits when the Po2 is less than 50 mmHg and Fio2 is greater than

60%. - Answer✔✔-Hypoxemia


List three symptoms of respiratory failure in adults. - Answer✔✔-Dyspnea tachypnea,

intercostal and sternal retractions cyanosis.

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