Advanced HESI #2 Questions With
Complete Solutions
a client has an automatic blood pressure cuff on the right arm
where an intravenous (IV) is infusing. In the left arm, a saline
lock is present. The practical nurse (PN) notes the presence of
blood in the IV infusion line. What action should the PN
implement Correct Answers c) move the blood pressure cuff to
the left arm
a client is admitted with bacterial meningitis. Which
intervention is most important for the practical nurse (PN)
Correct Answers d) implement droplet precautions
a client is receiving supplemental oxygen. the practical nurse
(PN) walks in the room and sees a fire in the bedside
wastebasket. which action should the PN take first Correct
Answers c) take client out of room
a client presents to the emergent care center reporting chest pain
and feeling "lightheaded," as if is "going to faint." What is the
most important action the practical nurse (PN) should implement
Correct Answers a) place client in a chair or upright on a
stretcher
a client who has abdominal surgery yesterday is receiving
morphine via a patin-controlled analgesia (PCA) infusion pump.
The client reports a pain level of a 6 based on a pain scale of 1-
10. what action should the practical nurse (PN) implement first
Correct Answers b) ask for a description of the pain
, a client who has tunneled Hickman catheter for hemodialysis
receives a prescription for IV antibiotics. Which action should
practical nurse take Correct Answers d) Utilize a peripheral IV
access to administer IV antibiotics
a client who is 8 hours postoperative begins using the incentive
spirometer (IS) with 750 mL inspiratory volume and coughs up
a large, thick, light yellow-white mucous plug. Which action
should the practical nurse (PN) take Correct Answers a)
document the findings
a client who is demonstrating violent behavior is restrained by
personnel using a 4-man maneuver. two days late, the practical
nurse (PN) sees that the client's arm is ecchymotic and mottled.
What finding is most important for the PN document Correct
Answers a) radial pulse
A client who is placed in wrist protective devices begins to
complain of pain and swelling in one hand. The practical nurse
(PN) notes that both hands are cool and pale. What action should
the PN implement Correct Answers a) Remove both devices
and notify the healthcare provider
a client who is postoperative is receiving an infusion at 80ml/hr.
at the end of 8 post operative hours, the practical nurse (PN)
documents that the client tolerated 100 ml oral intake of ice
chips, and urinary output is 1,100 mL what action should the PN
take Correct Answers a) document the intake and output
findings
Complete Solutions
a client has an automatic blood pressure cuff on the right arm
where an intravenous (IV) is infusing. In the left arm, a saline
lock is present. The practical nurse (PN) notes the presence of
blood in the IV infusion line. What action should the PN
implement Correct Answers c) move the blood pressure cuff to
the left arm
a client is admitted with bacterial meningitis. Which
intervention is most important for the practical nurse (PN)
Correct Answers d) implement droplet precautions
a client is receiving supplemental oxygen. the practical nurse
(PN) walks in the room and sees a fire in the bedside
wastebasket. which action should the PN take first Correct
Answers c) take client out of room
a client presents to the emergent care center reporting chest pain
and feeling "lightheaded," as if is "going to faint." What is the
most important action the practical nurse (PN) should implement
Correct Answers a) place client in a chair or upright on a
stretcher
a client who has abdominal surgery yesterday is receiving
morphine via a patin-controlled analgesia (PCA) infusion pump.
The client reports a pain level of a 6 based on a pain scale of 1-
10. what action should the practical nurse (PN) implement first
Correct Answers b) ask for a description of the pain
, a client who has tunneled Hickman catheter for hemodialysis
receives a prescription for IV antibiotics. Which action should
practical nurse take Correct Answers d) Utilize a peripheral IV
access to administer IV antibiotics
a client who is 8 hours postoperative begins using the incentive
spirometer (IS) with 750 mL inspiratory volume and coughs up
a large, thick, light yellow-white mucous plug. Which action
should the practical nurse (PN) take Correct Answers a)
document the findings
a client who is demonstrating violent behavior is restrained by
personnel using a 4-man maneuver. two days late, the practical
nurse (PN) sees that the client's arm is ecchymotic and mottled.
What finding is most important for the PN document Correct
Answers a) radial pulse
A client who is placed in wrist protective devices begins to
complain of pain and swelling in one hand. The practical nurse
(PN) notes that both hands are cool and pale. What action should
the PN implement Correct Answers a) Remove both devices
and notify the healthcare provider
a client who is postoperative is receiving an infusion at 80ml/hr.
at the end of 8 post operative hours, the practical nurse (PN)
documents that the client tolerated 100 ml oral intake of ice
chips, and urinary output is 1,100 mL what action should the PN
take Correct Answers a) document the intake and output
findings
