HESI module 6 (Latest 2024 / 2025 UPDATES STUDY) Exam Reviews | Questions and Verified Answers | 100% Correct | Grade A
HESI module 6
When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure
and takes the visitor to the emergency department for treatment. - ...
hesi module 6 when a visitor suddenly becomes weak
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HESI module 6
✅✅
When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure
and takes the visitor to the emergency department for treatment. - -Which event would
require a nurse to complete and file an incident report?
A client has a seizure.
The nurse determines that a client would benefit from the use of a walker to ambulate.
The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion
pump is not working.
When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor's blood pressure
and takes the visitor to the emergency department for treatment.
✅✅
Tell the primary health care provider that the error warrants the completion of an incident report -
-A nurse, charting the administration of medications to an assigned client at 9 pm, notes
that atenolol was prescribed to be administered at 9 am instead of 9 pm. The nurse checks the
client's vital signs, completes an incident report, and calls the primary health care provider to
report the error. The primary health care provider tells the nurse that an incident report is not
needed but instructs her to monitor the client during the night for hypotension. What action
should the nurse take?
Notify the nursing supervisor
Tear up and discard the incident report
Tell the primary health care provider that the error warrants the completion of an incident report
Tell the nursing supervisor that the primary health care provider did not want an incident report
completed and filed
To wear gloves and a gown when changing the client's bed linen. - ✅✅ -Contact precautions
are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA) infection. What
does the nurse, providing instructions to a nursing assistant about caring for the client, tell the
assistant?
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
To wear gloves and a gown when changing the client's bed linen.
,To wear a gown when caring for the client and remove the gown immediately after leaving the
client's room
Call a poison control center - ✅✅ -The mother of a 3-year-old calls a neighbor who is a nurse
and reports that her child just drank some window cleaner that had been stored in a cabinet.
What should the nurse instruct the mother to do immediately?
Call a poison control center
Administer an excessive amount of fluids to induce vomiting
Call an ambulance to bring the child to the emergency department
Leave a message on the primary health care provider's answering service about the incident
Activate the agency disaster plan - ✅✅ -A hurricane is forecast to make landfall in 48 hours,
and the staff of the emergency department of an area hospital is advised to prepare for
causalities. Which action should the nurse manager who receives the telephone call regarding
this warning take first?
Activate the agency disaster plan
Supply the triage rooms with additional equipment
Increase the number of nursing staff for the day on which the hurricane is expected
Call the hospital maintenance department to secure the building against the storm
"I need to follow the oxygen prescription exactly."
"I have to keep the oxygen concentrator out of direct sunlight."
✅✅
"I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of
the oxygen concentrator." - -A home health nurse has instructed a client about safety
measures during the use of an oxygen concentrator in the home. Which statement by the client
indicates to the nurse that the client understands the directions? Select all that apply.
"I need to follow the oxygen prescription exactly."
"I can use my electric razor while I'm using oxygen."
"I have to keep the oxygen concentrator out of direct sunlight."
"I need to keep the oxygen concentrator as close to the wall as possible or put it in a corner."
,"I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of
the oxygen concentrator."
q2hrs -✅✅ -A nurse is providing instructions to a nursing assistant who will be caring for a
client in hand restraints. How often does the nurse instruct the nursing assistant to release the
restraints to permit muscle exercises?
Every 2 hours
Every 3 hours
Every 4 hours
Every 30 minutes
Determining the appropriateness of the planned health activity - ✅✅ -A community health
nurse working in a school setting is concerned because parents are not participating in health
activities designed to promote child safety. What is the most appropriate initial action for the
nurse to take?
Implementing a child safety program
Planning a focused child safety program
Performing an analysis of health problems related to child safety
Determining the appropriateness of the planned health activity
Ramipril 2.5 mg was administered at 9 am. - ✅✅ -The nurse administers a dose of ramipril 2.5
mg to a client at 9 am. While documenting administration of the medication, the nurse discovers
that 1.25 mg, not 2.5 mg, was the prescribed dose. The nurse assesses the client, completes an
incident report, and notifies the primary health care provider and nursing supervisor of the error.
What statement does the nurse add to the client's record?
An incident report was completed and filed.
Ramipril 2.5 mg was administered at 9 am.
Twice the amount of the prescribed ramipril was administered at 9 am.
Client's blood pressure was 128/82 mm Hg after the administration of the incorrect dose of
ramipril.
, The caregiver leaves both side rails down while the client is in bed. - ✅✅ -A home health nurse
has been called to the home of an older postoperative cardiovascular client by the client's son.
The son tells the nurse, "We're using a hospital bed here at home, but my mother has fallen out
of bed three times." Which observation by the nurse reflects an increased risk of this client's
falling out of bed?
The client's bed is in a low position.
The client is oriented to person, place, and time.
The caregiver uses the overbed table for feedings.
The caregiver leaves both side rails down while the client is in bed.
Skin, lungs, GI - ✅✅ -A community health nurse is providing information to local residents
about the transmission of anthrax. Through which body systems does the nurse tell the
residents that anthrax can be contracted? Select all that apply.
Immune
Urinary
Lymphatic
Respiratory (Lungs)
Gastrointestinal
Integumentary System (Skin)
Wearing gloves, a mask, and eye protection - ✅✅ -A nurse is preparing a chemotherapy
infusion to be administered to a client with a diagnosis of Hodgkin's disease. Which precaution
should the nurse take while working with this intravenous (IV) infusion?
Wearing gloves and a mask
Wearing gloves and a gown
Wearing gloves, a mask, and eye protection
Wearing gloves, a mask, and a head covering
Obtain new IV tubing - ✅✅ -A nurse is preparing a continuous intravenous (IV) infusion at the
medication cart. As the nurse goes to attach the IV tubing port to the solution bag, the tubing
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