100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
HESI RN FUNDAMENTALS TEST BANK LATEST COMPLETE ACTUAL EXAM 2024 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED PASS. (FULL REVISED EXAM$19.99
Add to cart
HESI RN FUNDAMENTALS TEST BANK LATEST COMPLETE ACTUAL EXAM 2024 REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED PASS. (FULL REVISED EXAM
5 views 0 purchase
Course
HESI RN FUNDAMENTALS
Institution
HESI RN FUNDAMENTALS
HESI RN FUNDAMENTALS TEST BANK LATEST
COMPLETE ACTUAL EXAM 2024 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION
|GUARANTEED PASS. (FULL REVISED EXAM
HESI RN FUNDAMENTALS TEST BANK LATEST
COMPLETE ACTUAL EXAM 2024 REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION
|GUARANTEED PASS. (FULL REVISED EXAM
The nurse is called to the waiting room of a pediatric clinic. The frantic mother
states, "I think my 4-month-old baby is choking!" What steps will the nurse take?
(Select all that apply.)
A.
Compress the chest once between the nipples with two fingers.
B.
Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder blades.
D.
Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - ANSWERB, C, D
Rationale: The fingers are placed at the same location on an infant as chest
compressions for CPR; however, the nurse must deliver five chest thrusts, after
the five back slaps. Blind sweeps are not used as this action may push the object
deeper into the throat. The remaining steps are correct.
Which fluid will the nurse select to administer with the prescribed blood
transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - ANSWERB
,Rationale: Normal saline solution is the only solution that is compatible with
blood.
When assisting a client from the bed to a chair, which procedure is best for the
nurse to follow?
A.
Place the chair parallel to the bed, with its back toward the head of the bed and
assist the client in moving to the chair.
B.
With the nurse's feet spread apart and knees aligned with the client's knees,
stand and pivot the client into the chair.
C.
Assist the client to a standing position by gently lifting upward, underneath the
axillae.
D.
Stand beside the client, place the client's arms around the nurse's neck, and
gently move the client to the chair. - ANSWERB
Rationale: Option B describes the correct positioning of the nurse and affords the
nurse a wide base of support while stabilizing the client's knees when assisting
to a standing position. The chair should be placed at a 45-degree angle to the
bed, with the back of the chair toward the head of the bed. Clients should never
be lifted under the axillae; this could damage nerves and strain the nurse's back.
The client should be instructed to use the arms of the chair and should never
place his or her arms around the nurse's neck; this places undue stress on the
nurse's neck and back and increases the risk for a fall.
How many mL will the nurse document on the client's intake and output record
from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ANSWERAnswer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
The nurse observes a UAP taking a client's blood pressure in the lower extremity.
Which observation of this procedure requires the nurse to intervene with the
UAP's approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the client's
arm. - ANSWERB
,Rationale: When obtaining the blood pressure in the lower extremities, the
popliteal pulse is the site for auscultation when the blood pressure cuff is applied
around the thigh. The nurse should intervene with the UAP who has applied the
cuff on the lower leg. Option A ensures an accurate assessment, and option C
provides the best access to the artery. Systolic pressure in the popliteal artery is
usually 10 to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child
is often awake until midnight playing and is then very difficult to awaken in the
morning for school. Which assessment data should the nurse obtain in response
to the mother's concern?
A.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is experiencing
D.
Description of the family's home environment - ANSWERD
Rationale: School-age children often resist bedtime. The nurse should begin by
assessing the environment of the home to determine factors that may not be
conducive to the establishment of bedtime rituals that promote sleep. Option A
often causes daytime fatigue rather than resistance to going to sleep. Option B is
unlikely to provide useful data. The nurse cannot determine option C.
The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What action has the
highest priority in decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns - ANSWERB
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A reverses
the hypovolemia that initially accompanies burn trauma but is not related to
decreasing the proliferation of infective organisms. Options C and D are
recommended by various burn centers as possible ways to reduce the chance of
infection. Option B is a proven technique to prevent infection.
The nurse assesses a 2-year-old who is admitted for dehydration and finds that
the peripheral IV rate by gravity has slowed, even though the venous access site
is healthy. What should the nurse do next?
, A.
Apply a warm compress proximal to the site.
B.
Check for kinks in the tubing and raise the IV pole.
C.
Adjust the tape that stabilizes the needle.
D.
Flush with normal saline and recount the drop rate. - ANSWERB
Rationale: The nurse should first check the tubing and height of the bag on the IV
pole, which are common factors that may slow the rate. Gravity infusion rates are
influenced by the height of the bag, tubing clamp closure or kinks, needle size or
position, fluid viscosity, client blood pressure (crying in the pediatric client), and
infiltration. Venospasm can slow the rate and often responds to warmth over the
vessel, but the nurse should first adjust the IV pole height. The nurse may need to
adjust the stabilizing tape on a positional needle or flush the venous access with
normal saline, but less invasive actions should be implemented first.
The nurse manager of a skilled nursing (chronic care) unit is instructing UAPs on
ways to prevent complications of immobility. Which action should be included in
this instruction?
A.
Perform range-of-motion exercises to prevent contractures.
B.
Decrease the client's fluid intake to prevent diarrhea.
C.
Massage the client's legs to reduce embolism occurrence.
D.
Turn the client from side to back every shift. - ANSWERA
Rationale: Performing range-of-motion exercises is beneficial in reducing
contractures around joints. Options B, C, and D are all potentially harmful
practices that place the immobile client at risk of complications.
The nurse administered 10 mg of diazepam to the preoperative client. What steps
will the nurse take next? (Select all that apply.)
A.
Place the client in the bed next to the nurse's station.
B.
Instruct the client not to get out of bed.
C.
Place the call bell within the client's reach.
D.
Place the side rails up, according to institutional policy.
E.
Assist the client to the bathroom - ANSWERB, C, D
Rationale: Diazepam is a common preoperative medication. Close observation by
placing the client close to the nurse's station is not necessary. The medication
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Americannursingaassociation. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
