HESI Fundamentals Assignment Quiz
NEW UPDATE WITH 400+ QUESTIONS
,The nurses determines a client's IV solution is infusing at 250 ml/hr. The prescribed rate
is 125 ml/hr. What action should the nurse take first?
A. Determine when the IV solution was started.
B. Slow the IV infusion to keep vein open rate.
C. Assess the IV insertion site for swelling.
D. Report the finding to the healthcare provider. - CORRECT ANSWERS-B. Slow the IV
infusion to keep vein open rate.
The nurse is preparing to give a client dehydration IV fluids delivered at a continuous
rate of 175 ml/hour. Which infusion device should the nurse use?
A. Portable syringe pump.
B. Cassette infusion pump.
C. Volumetric controller.
D. Nonvolumetric controller. - CORRECT ANSWERS-B. Cassette infusion pump
A 75-year-old client who has a history of end stage renal failure and advanced lung
cancer, recently had a stroke. Two days ago the healthcare provider discontinued the
client's dialysis treatments, stating that death is inevitable, but the client is disoriented
and will not sign a DNR directive. What is the priority nursing intervention?
A. Review the client's most recent laboratory reports.
B. Refer the client and family members for hospice care.
C. Notify the hospital ethics committee of the client situation.
D. Determine who is legally empowered to make decisions. - CORRECT ANSWERS-D.
Determine who is legally empowered to make decisions.
When assessing a client with a nursing diagnosis of fluid volume deficit, the nurse notes
that the client's skin over the sternum "tents" when gently pinched. Which action should
the nurse implement?
A. Confirm the finding by further assessing the client for jugular vein distention.
, B. Offer the client high protein snacks between regularly scheduled mealtimes.
C. Continue the planned nursing interventions to restore the client's fluid volume.
D. Change the plan of care to include a nursing diagnosis of impaired skin integrity. -
CORRECT ANSWERS-C. Continue the planned nursing interventions to restore the
client's fluid volume.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is best
for the nurse to provide?
A. "It may hurt a little because of the incision made in your throat."
B. "It won't hurt because you're such a big boy."
C. "It won't hurt because we put you to sleep."
D. "It may hurt but we'll give you medicine to help you feel better." - CORRECT
ANSWERS-D. "It may hurt but we'll give you medicine to help you feel better."
A client who has been on bedrest for several days now has a prescription to progress
activity as tolerated. When the nurse assists the client out of bed for the first time, the
client becomes dizzy. What action should the nurse implement?
A. Encourage the client to take several slow, deep breaths while ambulating.
B. Help the client to remain standing by the bedside until the dizziness is relieved.
C. Instruct the client to remain on bedrest until the healthcare provider is contacted.
D. Advise the client to sit on the side of the bed for a few minutes before standing again.
- CORRECT ANSWERS-D. Advise the client to sit on the side of the bed for a few
minutes before standing again.
Which statement best describes durable power of attorney for health care?
A. The client signs a document that designates another person to make legally binding
healthcare decisions if client is unable to do so.
B. The healthcare decisions made by another person designated by the client are not
legally binding.
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