HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST EXAM ACTUAL EXAM TEST BANK 140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PN MED SURG EXIT EXAM / MED SURG

HESI PN LATEST EXAM 2023-2024 ACTUAL

EXAM TEST BANK 140 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

A hospital is considering changing its documentation system to reduce

the number of medication errors. Which system should the hospital

investigate?

1. Problem, intervention, evaluation (PIE)system

2. Electronic medical record

3. Problem-oriented medical record

4. Narrative system - ANSWER- 2

Rationale: The electronic medical record decreases errors and

allows for the reconciliation of the patient's medications on

admission, daily, and on discharge.

Which nursing activities are examples of independent functions of the

nursing role?

1. Teaching a soon-to-be-discharged patient about the medication

regimen that the health care provider has prescribed

2. Talking with the patient about his or her abilities to manage personal

hygiene activities while in the usual state of health at home

3. Incorporating adaptive techniques into nursing care as recommended

by occupational therapy

4. Administering analgesic medication ordered by the health care

provider

5. Introducing oneself to, and interviewing, the patient to collect data

about physical health status - ANSWER- 2,5 Rationale 1: Teaching the

patient about medications prescribed by the health care provider is

an interdependent activity. Rationale 2: This activity is part of the

assessment process, which is an independent activity that nurses

may perform, based on their education and skills. Rationale 3:

Working in coordination with another health team member is an

interdependent activity. Rationale 4: Administering medication

prescribed by the health care provider is an example of a dependent

activity. Rationale 5: These activities are included in assessment,

which is an independent activity that nurses may perform, based on

their education and skills.

The nurse is caring for a 70-year-old patient who was just admitted to an

inpatient rehabilitation center. The patient had required total parenteral

nutrition for several days, but recently resumed and is tolerating a

regular diet. She has another 4 days left in a course of intravenous

antibiotics to complete treatment of a positive central line culture. Which

nursing action, required in the care of this patient, is considered a

dependent role function?

1. Requesting that the health care provider order a consult because the

patient states that her dentures no longer fit properly and she has trouble

chewing

2. Asking the nursing assistant to demonstrate to the patient how to

operate the call system

3. Interviewing the patient to assess whether she needs assistance with

getting out of bed

4. Administering the antibiotics prescribed by the health care provider -

ANSWER- 4 Rationale 1: Assessing that the patient has a need that

requires further assessment by other team members and

communicating that need to the appropriate team member is an

example of an interdependent activity. Rationale 2: This is an

independent activity that nurses may perform or delegate, based on

their and the delegate's education and skills. Rationale 3:

Assessment is an independent activity that nurses may perform,

based on their education and skills. Rationale 4: Dependent

activities are those prescribed by the health care provider and

carried out by the nurse

When asking a patient if a pain medication provided a few hours ago has

been effective, the nurse is performing which step of the nursing

process?

1. Planning

2. Implementation

3. Evaluation

4. Assessment - ANSWER- 3 Rationale 1: Planning consists of

prioritizing among the chosen nursing diagnoses and determining

interventions to move the patient to optimal health. Rationale 2:

Implementation isthe actual "doing" step of the nursing process. In

this case, implementation occurred when the medication was

administered. Rationale 3: Evaluation focuses on a patient's

behavioral changes and compares them with the criteria stated in

the objectives. It consists of both the patient's status and the

effectiveness of the nursing care. Both must be evaluated

continuously, with the care plan modified as needed. Rationale 4:

Assessment comprises examining the patient and identifying cues,

collecting and analyzing data, and reaching conclusions. In this

situation, assessment occurred when the nurse identified that the patient

was in pain

The nursing instructor knows that further education is needed when a

student makes which statement?

1. "Assessment precedes nursing diagnosis and outcome identification."

2. "Planning follows nursing diagnosis and outcome identification and

precedes implementation."

3. "Evaluation follows implementation and precedes planning."

4. "Planning follows assessment and precedes evaluation." - ANSWER3 Rationale 1: The correct order is assessment, diagnosis, planning,

implementation, and evaluation. Rationale 2: The correct order is

assessment, diagnosis, planning, implementation, and evaluation.

Rationale 3: The correct order is assessment, diagnosis, planning,

implementation, and evaluation. Rationale 4: The correct order is

assessment, diagnosis, planning, implementation, and evaluation.

A 16-year-old patient has been admitted for treatment of presumptive

pelvic inflammatory disease. The patient's hygiene is poor and she

reports living "on the street" for a year. She is febrile and tachycardic

and reports pain as 10 on the 1-to-10 scale. The nurse identifies Acute

Pain as the priority nursing diagnosis. Which outcome statement is

appropriate?

1. The patient's comfort will be achieved and maintained.

2. The patient will be discharged to a safe living environment.

3. The patient will be reunited with her parents.