rnsg 2231 hesi extra credit module 5 exam winter 2021rnsg 2231 hesi extra credit module 5 exam winter 2021rnsg 2231 hesi extra credit module 5 exam winter 2021rnsg 2231 hesi extra credit module 5 exa
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Extra Credit HESI Module 5
1. Questions
1. 1.ID: 9477027534
A client with leukemia is being considered for a bone marrow transplant. The
healthcare team is discussing the risks and benefits of this treatment and other
possible treatments with the goal of inflicting the least possible harm on the
client. Which principle of healthcare ethics is the team practicing?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence Correct
Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in
healthcare ethics, ethical practice involves not only the will to do good but also
the equal commitment to do no harm. Healthcare professionals try to balance
the risks and benefits of a plan of care while striving to do the least possible
harm. Justice refers to fairness and equity and ensuring fair allocation of
resources, such as nursing care for all clients. Fidelity is the keeping of
promises made to clients, families, and other healthcare professionals.
Autonomy refers to a person’s independence and represents an agreement to
respect another’s right to determine his or her course of action.
Test-Taking Strategy: Focus on the subject - the ethical principle being utilized.
Recall the definition of each item in the options. Note the relationship of the
words “least possible harm” in the question and the definition of
nonmaleficence. Review: principles of healthcare ethics.
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Celluar Regulation, Ethics
HESI Concepts: Advocacy/Ethical/Legal Issues, Cellular Regulation
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 9477024200
Which action by the nurse represents the ethical principle of beneficence?
A. The nurse upholds a client’s decision to refuse chemotherapy
for lung cancer.
B. The nurse follows a plan of care designed to relieve pain in a
client with cancer.
C. The nurse administers an immunization to a child even though
it may cause discomfort. Correct
, Extra Credit HESI Module 5
D. The nurse provides equal amounts of care to all assigned
clients on the basis of illness acuity.
Rationale: Beneficence is taking action to help others. Although administration
of a child’s immunization might cause discomfort, the benefits of protection
from disease outweigh the temporary discomfort. Fidelity is keeping promises
made to clients, families, and other healthcare professionals. Autonomy is a
person’s independence. Respecting another’s autonomy means that you are
agreeing to respect that person’s right to determine his or her course of action.
Justice refers to fairness and equity, including fair allocation of resources, such
as nursing care for all clients.
Test-Taking Strategy: Focus on the subject, beneficence. Recalling that
beneficence refers to taking action to help others will direct you to the correct
option. Review: the principles of healthcare ethics .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p.
314). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Ethics, Immunity
HESI Concepts: Advocacy/Ethical/Legal Issues, Immunity
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 9477029451
The nursing instructor asks a student to name an example of false
imprisonment. Which situation reflects a violation of this client right?
A. Performing a procedure without consent
B. Telling the client that he or she may not leave the
hospital Correct
C. Threatening to give a client a medication against his or her will
D. Observing the provision of care to the client without the client’s
permission
Rationale: Telling a client that he or she may not leave the hospital constitutes
false imprisonment. Performing a procedure without consent is an example of
battery. Threatening to give a client a medication against his or her will is
assault. Invasion of privacy takes place with unreasonable intrusion into an
individual’s private affairs. Observing the provision of care to a client without
the client’s permission is an example of invasion of privacy.
Test-Taking Strategy: Focus on the subject, an example of false
imprisonment. Note the relationship of the subject and the words in the correct
option. Review: the concept of false imprisonment.
References: Cherry, B., & Jacob, S. (2008). Contemporary nursing issues:
, Extra Credit HESI Module 5
Trends & management (4th ed., pp. 175, 176). St. Louis: Mosby.
Zerwekh, J., & Claborn, J. (2009). Nursing today: Transition and trends (6th
ed., p. 424).
Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Ethical/Legal
Giddens Concepts: Health Care Law, Leadership
HESI Concepts: Advocacy/Ethical/Legal Issues, Health Policy/Systems—
Health Care Law
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 9477017756
The nurse and an unlicensed assistive personnel (UAP)enter a client’s room to
provide care and find the client lying on the floor. Which action should the nurse
take first?
A. Ask the nursing assistant to complete an incident report
B. Check the client’s level of consciousness and vital
signs Correct
C. Ask the nursing assistant to assist in getting the client back to
bed
D. Contact the unit secretary on the intercom and ask that the
client’s health care provider be called
Rationale: When a client sustains a fall, the nurse must first assess the client.
The nurse should check the client’s level of consciousness and vital signs and
look for any bruises or injuries sustained in the fall. If the nurse determines that
the client has not sustained any injuries and that it is safe to move the client,
the nurse should ask the UAP to assist in getting the client into bed. The nurse
should then contact the health care provider and file an incident report.
Test-Taking Strategy: Note the strategic word “first.” Use the steps of the
nursing process to answer the question. The correct option is the only one that
addresses assessment. Remember to always assess the client first if a client
sustains a fall. Review: client injuries and procedures for filing incident reports .
References: Ignatavicius, D., & Workman, M. (2010). Medical-surgical
nursing: Patient–centered collaborative care (6th ed., p. 180). St. Louis:
Saunders.
Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 403). St.
Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Delegating/Prioritizing
, Extra Credit HESI Module 5
Giddens Concepts: Mobility, Safety
HESI Concepts: Mobility, Safety
Awarded 1.0 points out of 1.0 possible points.
5. 5.ID: 9477020809
Which action exemplifies the use of evidence-based practice in the delivery of
client care?
A. Donning sterile gloves to change an abdominal wound
dressing Correct
B. Encouraging a client to take an herbal substance to treat his
insomnia
C. Advising a client to agree to the treatment recommended by
her health care provider
D. Taking a rectal temperature from a client for whom bleeding
precautions have been instituted
Rationale: Evidence-based practice is an approach to client care in which the
nurse integrates the client’s preferences, clinical expertise, and the best
research evidence to deliver quality care. Donning sterile gloves to change an
abdominal wound dressing reflects evidence-based practice, because it
prevents the entrance of harmful bacteria into the wound. The remaining
options do not reflect evidence-based practice. Taking an herbal substance
could be harmful to some clients. It is nontherapeutic for a nurse to advise a
client to agree to a treatment. Because of the risk of injury to the rectal mucosa,
rectal temperature-taking is avoided in the client for whom bleeding precautions
have been instituted.
Test-Taking Strategy: Read each option carefully, focusing on the subject,
evidence-based practice. Recall the definition of evidence-based practice and
note the words “sterile gloves” in the correct option. Review: the situations that
reflect evidence-based practice .
Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., pp.
54-60). St. Louis: Mosby.
Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Leadership/Management
Giddens Concepts: Evidence, Safety
HESI Concepts: Evidence-Based Practice/Evidence, Safety
Awarded 1.0 points out of 1.0 possible points.
6. 6.ID: 9477020817
The registered nurse has accepted a new position as case manager in a
hospital. Which responsibilities are part of the nurse’s new role? Select all that
apply.
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