QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

At the beginning of the shift, the nurse assesses a client who is admitted from the post-anesthesia care (PACU). When should the nurse document the client's findings?

Answer Choices:

Correct Answer:

Immediately after the assessments are completed.

Rationale:

🟣Documentation of assessment findings should occur immediately after the assessment to maintain accuracy and continuity of care.

🟣Prompt documentation helps ensure real-time communication among healthcare providers and reduces the risk of forgetting critical details.

🟣It also provides legal protection and supports clinical decision-making based on current data.

🟣Early charting ensures that significant findings are available for timely intervention by the team.

🟣Nurses are legally and ethically required to record observations accurately and promptly.

Want to practice more questions like this?

This question is from Hesi pre-assessment 1 which contains 59 questions.

More Questions from This Exam
The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, which action should the nurse take next?

Answer Choices:

A. Flush the tube with water.
B. Crush the tablets and dissolve in sterile water.
C. Clamp the tube for 20 minutes.
D. Administer the medications as prescribed.
An older client who requires frequent monitoring fell and fractured a hip. Which nurse is at greatest risk fora malpractice judgment?

Answer Choices:

A. The nurse assigned to care for the client who was at lunch at the time of the fall.
B. The nurse who worked the 7 to 3 shift at the hospital and wrote poor nursing notes.
C. The nurse who transferred the client to the hair when the fall occurred.
D. The charge nurse who completed rounds 30 minutes before the fall occurred.
The nurse is examining a client who reports itching on the right arm, The nurse observes a rash made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?

Answer Choices:

A. Localized petechial area, ranging in size from pinpoint to 0.5 cm in diameter.
B. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
C. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
D. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
The nurse is caring a client with a history of hypertension who states an intention to stop taking antihypertensive medications and try spiritual meditation instead. Which is the best response by the nurse?

Answer Choices:

A. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
B. Complementary therapy and western medicine can be effective for you.
C. It is important that you continue your medication while learning to meditate.
D. Obtain your healthcare provider's permission before starting meditation.
From Exam
Hesi pre-assessment 1

59 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: Hesi Nutrition
  • Answer Choices: 4
Q