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HESI 700 |100 QUESTIONS| WITH SOLVED SOLUTIONS.
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HESI 700 |100 QUESTIONS| WITH SOLVED SOLUTIONS.
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Name: Score:814 Multiple choice questions
Term 1 of 814
A client presents to the labor and delivery unit, screaming "THE BABY IS COMING" which action
should the nurse implement first.
Observe the perineum
Elevate the head of the bed 60 to 90 degrees
Wash hands before cleaning exit site
Left forearm hematoma
Term 2 of 814
When entering a client's room to administer an 0900 IV antibiotic, the nurse finds that the client is
engaged in sexual activity with a visitor. Which actions should the nurse implement?
Contact the regional organ procurement agency
headache, photophobia, and nuchal rigidity
Notify the healthcare provider
Leave the room and close the door quietly
Term 3 of 814
A client who received multiple antihypertensive medications experiences syncope due to a drop
in blood pressure to 70/40. What is the rationale for the nurse's decision to hold the client's
scheduled antihypertensive medication?
The client needs more antihypertensive medications
The client should stop taking all medications immediately
The client's blood pressure is within the normal range
The additive effect of multiple medications has caused the blood pressure to drop too low
,Term 4 of 814
A client in septic shock has a double lumen central venous catheter with one liter of 0.9% Normal
Saline Solution infusing at 1 ml/hour through one lumen and TPN infusing at 50 ml/ hr. through
one port. The nurse prepared newly prescribed IV antibiotic that should take 45 mints to infuse.
What intervention should the nurse implement?
Give IV dose of adenosine rapidly over 1-2 seconds.
3 ml/hour
Rationale : 0.01 x 500 x = 3
Use a secondary port of the Normal Saline solution to administer the antibiotic.
Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI).
Term 5 of 814
An older client is admitted for repair of a broken hip. To reduce the risk for infection in the
postoperative period, which nursing care interventions should the nurse include in the client's
plan of care? (Select all that apply)
Teach client to use incentive spirometer q2 hours while awake. Remove urinary catheter as
soon as possible and encourage voiding.
Schedule frequent rest periods
Provide assistance to bedside commode
Teach to patch one eye when ambulating
Establish a structured routine for the client to follow
Encourage him to use an electric razor
,Term 6 of 814
While assessing a radial artery catheter, the client complains of numbness and pain distal to the
insertion site. What interventions should the nurse implement?
Promptly remove the arterial catheter from the radial artery.
Administer pain medication to the client.
Increase the rate of iv fluid infusion.
Apply ice to the insertion site.
Term 7 of 814
The nurse should teach the client to observe which precaution while taking dronedarone?
Simethicone (mylicon
New onset of purple skin lesions.
Avoid grapefruits and its juic
Document the ongoing wound healing
Definition 8 of 814
Explain that counseling will be provided to give her information about her cancer risk
To reduce staff nurse role ambiguity, which strategy should the nurse-manager implement?
A young adult woman visits the clinic and learns that she is positive for BRCA1 gene
mutation and asks the nurse what to expect next. How should the nurse respond?
A female nurse who took drugs from the unit for personal use was temporarily released
from duty. After completion of mandatory counseling, the nurse has asked administration to
allow her to return to work. When the nurse administrator approaches the charge nurse with
the impaired nurse request, which action is best for the charge nurse to take?
The charge nurse observes a new nurse preparing to insert an intravenous (IV) catheter. The
new nurse has gathered supplies, including intravenous catheters, an intravenous insertion
kit, and a 4x4 sterile gauze dressing to cover and secure the insertion site. What action
should the charge nurse take?
, Term 9 of 814
The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation to
cardiopulmonary resuscitation (CPR) should the nurse implement?
Position a firm wedge to support pelvis and thorax at 30 degree tilt.
Administer oxygen through a face mask.
Perform chest compressions with shallow depth.
Administer a tocolytic agent.
Term 10 of 814
An infant is placed in a radiant warmer immediately after birth. At one hour of age, the nurse finds
the infant tachypneic, and hypotonic. What is the first action that the nurse should take?
Oatmeal with butter, artificial sweetener, and strawberries, and 6 ounces coffee
Determine the infant's blood sugar level
Use sunblock or protective clothing when outdoors
Evaluate the urine osmolality and the serum osmolality values.
Term 11 of 814
A client with a cervical spinal cord injury (SCI) has Crutchfield tongs and skeletal traction applied
as a method of closed reduction. Which intervention is most important for the nurse to include in
the client's a plan of care?
Provide daily care of tong insertion sites using saline and antibiotic ointment
Educate the client on the importance of a balanced diet for wound healing
Assist the client with range of motion exercises for the lower extremities
Monitor the client's respiratory status for signs of infection
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