HESI module 9 Training Exam Questions 100% Well Answered.
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Course
Mobility hesi
Institution
Mobility Hesi
A client who has undergone abdominal surgery calls the nurse and reports that she just felt "something give way" in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse should take which immediate action?
Document the findings
Contact the pri...
HESI module 9 Training Exam Questions
100% Well Answered.
A client who has undergone abdominal surgery calls the nurse and reports that she just felt "something
give way" in the abdominal incision. The nurse checks the incision and notes the presence of wound
dehiscence. The nurse should take which immediate action?
Document the findings
Contact the primary health care provider
Place the client in a supine position with the legs flat
Cover the abdominal wound with a sterile dressing moistened with sterile saline solution - Answer
Cover the abdominal wound with a sterile dressing moistened with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless
and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a
copious amount of bright-red blood. The nurse should take which immediate action?
Notify the surgeon
Continue the assessment
Check the client's blood pressure
Obtain a flashlight, gauze, and a curved hemostat - Answer Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and tachypnea. The
nurse suspects that the client has a pulmonary embolism and immediately sets about to take which
action?
Preparing the client for a perfusion scan
Attaching the client to a cardiac monitor
Administering oxygen by way of nasal cannula
Ensuring that the intravenous (IV) line is patent - Answer Administering oxygen by way of nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes constant
bubbling in the water seal chamber. What actions should the nurse take? Select all that apply.
Clamp the chest tube
,Change the drainage system
Assess the system for an external air leak
Reduce the degree of suction being applied
Document assessment findings, actions taken, and client response - Answer Assess the system for an
external air leak
Document assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and into a chair.
During the transfer, the chest tube is caught on the leg of the chair and dislodged from the insertion site.
What is the immediate nursing action?
Reinsert the chest tube
Contact the primary health care provider
Transfer the client back to bed
Cover the insertion site with a sterile occlusive dressing - Answer Cover the insertion site with a sterile
occlusive dressing
A nurse performing nasopharyngeal suctioning and suddenly notes the presence of bloody secretions.
Which action should the nurse take first?
Continue suctioning to remove the blood
Check the degree of suction being applied
Encourage the client to cough out the bloody secretions
Remove the suction catheter from the client's nose and begin vigorous suctioning through the mouth -
Answer Check the degree of suction being applied
A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to
cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client's
trachea but is unable to do so. Which action should the nurse take first?
Call a code
Contact the primary health care provider
Administer a bronchodilator
Disconnect the suction source from the catheter - Answer Disconnect the suction source from the
catheter
, A nurse assesses the closed chest tube drainage system of a client who underwent lobectomy 24 hours
ago. The nurse notes that there has been no chest tube drainage for the past hour. Which action should
the nurse take first?
Contact the primary health care provider
Check for kinks in the drainage system
Check the client's blood pressure and heart rate
Connect a new drainage system to the client's chest tube - Answer Check for kinks in the drainage
system
A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client's urine
output for the past hour was 25 mL. On the basis of this finding, the nurse should take which action first?
Call the primary health care provider
Increase the rate of the IV infusion
Check the client's overall intake and output record
Administer a 250-mL bolus of normal saline solution (0.9%) - Answer Check the client's overall intake
and output record
A nurse is getting a client out of bed for the first time since surgery. The nurse raises the head of the bed,
and the client complains of dizziness. Which action should the nurse take first?
Check the client's blood pressure
Check the oxygen saturation level
Have the client take some deep breaths
Lower the head of the bed slowly until the dizziness is relieved - Answer Lower the head of the bed
slowly until the dizziness is relieved
A nurse is preparing for intershift report when an assistive personnel (AP) pulls an emergency call light in
a client's room. Upon answering the light, the nurse finds a client who returned from surgery earlier in
the day experiencing tachycardia and tachypnea. The client's blood pressure is 88/60 mm Hg. Which
action should the nurse take first?
Call the primary health care provider
Check the hourly urine output
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