Exam (elaborations)
All hesi fundamentals exam test bank updated 2024
- Course
- Nursing
- Institution
- Rasmussen College
All hesi fundamentals exam test bank updated 2024
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HESI FUNDAMENTALS EXAMTEST BANK UPDATED
2024/2025 QUESTIONS AND
ANSWERS
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
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essential to the client's nursing care?
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A. Massage any reddened areas for at least five minutes.
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B. Encourage active range of motion exercises on extremities.
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C. Position the client laterally, prone, and dorsally in sequence.
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D. Gently lift the client when moving into a desired position. - To avoid shearing
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forces when repositioning, the client should be lifted gently across a surface (D).
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Reddened areas should not be massaged (A) since this may increase the damage
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to already traumatized skin. To control pain and muscle spasms, active range of
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motion (B) may be limited on the affected leg. The position described in (C) is
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contraindicated for a client with a fractured left hip.
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Correct Answer: D
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,The nurse is administering medications through a nasogastric tube (NGT) which is
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connected to suction. After ensuring correct tube placement, what action should
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the nurse take next?
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,A. Clamp the tube for 20 minutes.
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B. Flush the tube with water.
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, C. Administer the medications as prescribed. v v v v
D. Crush the tablets and dissolve in sterile water. - The NGT should be flushed
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before, after and in between each medication administered (B). Once all
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medications are administered, the NGT should be clamped for 20 minutes (A). (C
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and D) may be implemented only after the tubing has been flushed.
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Correct Answer: B v v
A client who is in hospice care complains of increasing amounts of pain. The
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healthcare provider prescribes an analgesic every four hours as needed. Which
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action should the nurse implement?
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A. Give an around-the-clock schedule for administration of analgesics.
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B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
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D. Offer a medication-free period so that the client can do daily activities. - The
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most effective management of pain is achieved using an around-the-clock
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schedule that provides analgesic medications on a regular basis (A) and in a timely
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manner. Analgesics are less effective if pain persists until it is severe, so an
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analgesic medication should be administered before the client's pain peaks (B).
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Providing comfort is a priority for the client who is dying, but sedation that
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impairs the client's ability to interact and experience the time before life ends
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should be minimized (C). Offering a medication-free period allows the serum drug
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level to fall, which is not an effective method to manage chronic pain (D).
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