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HESI EXIT V1 EXAM
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass
This exam has: 160 Multiple-choice ques & Ans
Performance Score is Above 1100
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO,
sputum culture, start a PIV, start oxygen 3L via nasal cannula, normal saline
150 ML per hour, acetaminophen 350mg PO every six hours for temp greater
than 101F, chest x-ray.
0500: Oxygen 8Lvia simple facemask, titrate to keep oxygen saturation
greater than 94%.
(mark whether the statements by the new grad nurse indicate understanding
or no understanding of the use of facemask in the care of this client)
-I should clean the facemask once per shift.
-The client should take a 1 to 2 minute break from the facemask each hour.
-I should put gauze under the elastic straps over the ears.
-I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
-The mask should cover only the mouth and leave the nose open for
expiration.
-I should place the mask first over the nose and then cover the mouth.
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Understanding of Facemask Use in Client Care
Statement Understanding
No
I should clean the facemask once per shift.
Understanding
No
The client should take a 1 to 2 minute break from the facemask each hour.
Understanding
No
I should put gauze under the elastic straps over the ears.
Understanding
I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation
Understanding
greater than 94%.
No
The mask should cover only the mouth and leave the nose open for expiration.
Understanding
I should place the mask first over the nose and then cover the mouth. Understanding
Explanation
1. I should clean the facemask once per shift.
• This statement shows no understanding. Facemasks are typically single-use and
should be replaced rather than cleaned.
2. The client should take a 1 to 2 minute break from the facemask each hour.
• This statement shows no understanding. Removing the mask could lead to a drop in
oxygen saturation, which could be dangerous for the patient.
3. I should put gauze under the elastic straps over the ears.
• This statement shows no understanding. Gauze is not typically used in this way with
a facemask.
4. I can adjust the oxygen level on the flow meter to keep the clients oxygen
saturation greater than 94%.
• This statement shows understanding. Adjusting the oxygen level to maintain
appropriate oxygen saturation is a key part of managing a patient on oxygen
therapy.
5. The mask should cover only the mouth and leave the nose open for
expiration.
• This statement shows no understanding. A facemask should cover both the nose
and mouth to ensure the patient is receiving the correct amount of oxygen.
6. I should place the mask first over the nose and then cover the mouth.
• This statement shows understanding. The mask should be placed over the nose first
and then pulled down to cover the mouth to ensure a proper fit.
1. In planning care for a 6 month-old infant, what must the nurse provide to
assist in the development of trust?
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