INET HESI RN V5 TEST BANK PROCTORED FINAL EXAM NEWEST \\UPDATED QUESTIONS AND ACCURATE ANSWERS

INET HESI RN V5 TEST BANK PROCTORED FINAL EXAM NEWEST \\UPDATED QUESTIONS AND ACCURATE ANSWERS

A 16-year-old enters the emergency department. The triage
nurse identifies
that this
a teenager is legally married and signs the consent form for
treatment.
What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian
can be contacted
B)Withhold treatment until telephone consent can be
obtained from the partner
C)Refer the teenager to a community pediatric hospital
emergency department client
D) Proceed with the triage process in the same manner as any
adult
D) Proceed with the triage process in the same manner as any
adult
A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after the immunization was given, the
client complains of itchy and watery eyes, increased anxiety,
and difficulty breathing. The nurse expects that the first action
in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as
ordered
Which of these children at the site of a disaster at a child
daycare center would the triage nurse put in the "treat last"
category?
A) An infant with intermittent bulging anterior fontanel
between crying episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg
with an upper leg fracture
D) A school-age child with singed eyebrows and hair on the
arms
The correct answer is B: A toddler with severe deep abrasions
over 98% of the body.
When admitting a client to an acute care facility, an
identification bracelet is sent with the admission form. In the
event these do not match, the nurse's best action is to
A) Change whichever item is incorrect to the correct
information
B) Use the bracelet and admission form until a replacement is
supplied
C) Notify the admissions office and wait to apply for the
bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to
apply for the bracelet
The nurse is having difficulty reading the healthcare provider's
writing that was
written right before the shift change. What action should be
taken? A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
An adult client is found to be unresponsive on morning
rounds. After Checking for responsiveness and calling for help,
the next action that should be taken by the nurse is to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
The correct answer is D: open the client''s airway

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