HESI 101 Module 6 Exam Questions with Answers 2023/2024 | 100% Correct

HESI 101 Module 6 Exam Questions with Answers 2023/2024 | 100% Correct. A home health nurse has instructed a client about safety measures during the use of an oxygen concentrator in the home. Which statements by the client indicate to the nurse that the client has understood the directions? Select all that apply. Correct! “I need to follow the oxygen prescription exactly.” 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) “I can use my electric razor while I’m using oxygen.” “I have to keep the oxygen concentrator out of direct sunlight.” Correct! “I need to keep the oxygen concentrator as close to the wall as possible or put it in a corner.” “I have to tell everyone that they can’t smoke or have an open flame within 10 feet of the oxygen concentrator.” Correct! Rationale: The client should follow the oxygen prescription exactly. The use of electric razors or other equipment that could emit sparks should be avoided while oxygen is in use, because fire and injury to the client could result. The oxygen concentrator is kept out of direct sunlight and slightly away from walls and corners to permit adequate air flow. The client should not allow smoking or any type of flame within 10 feet of the oxygen source. Other measures include having telephone numbers for the health care provider, nurse, and oxygen vendor available and teaching the client signs and symptoms requiring emergency care. Test-Taking Strategy: Recall knowledge of the subject, oxygen safety measures, to assist you with eliminating options. Recall that one hazard associated with oxygen is ignition, which could result from heat in the form of flames or sparks. Evaluating the question from this perspective, eliminate the options that are unsafe. Review oxygen safety measures if you had difficulty with this question. Cognitive Ability: Evaluating Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Evaluation Content Area: Safety Question 7 1 / 1 pts 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) A nurse is providing instructions to a nursing student who will be caring for a client in hand restraints. The nurse instructs the nursing student to release the restraints to permit muscle exercise how frequently? Correct! Every 2 hours Every 3 hours Every 4 hours Every 30 minutes Rationale: The nurse should assess the restraints and the client’s circulatory status and skin integrity every 30 minutes. Restraints must be released at least every 2 hours to permit muscle exercise and promote circulation. Agency guidelines regarding the use of restraints should always be followed. Test-Taking Strategy: Knowledge regarding the subject, the use of restraints, is necessary to answer this question. Noting the strategic words “release the restraints” will help direct you to the correct option. Review nursing responsibilities regarding the use of restraints if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Teaching and Learning Content Area: Safety Question 8 1 / 1 pts A community health nurse working in a school setting is concerned because parents are not participating in health activities designed to promote child safety. In this situation, which is the most appropriate initial action? 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Implementing a child safety program Planning a focused child safety program Performing an analysis of health problems related to child safety Determining the appropriateness of the planned health activity Correct! Rationale: In this situation, the best initial action would be to determine the appropriateness of the planned health activities. This would be followed by analysis, planning, and implementation. Test-Taking Strategy: Use the steps of the nursing process to answer the question. Note that the correct option involves the process of data collection, the first step of the nursing process. Review the procedure for planning health activities to provide safety if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Safety Question 9 1 / 1 pts The nurse administers a dose of ramipril 2.5 mg to a client at 9 a.m. While documenting administration of the medication, the nurse discovers that 1.25 mg, not 2.5 mg, was the prescribed dose. The nurse assesses the client, completes an incident report, and notifies the health care provider and nursing supervisor of the error. What statement does the nurse add to the client’s record? An incident report was completed and filed. 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Correct! Ramipril (Altace) 2.5 mg was administered at 9 a.m. Twice the amount of the prescribed ramipril was administered at 9 a.m. Client’s blood pressure was 128/82 mm Hg after the administration of the incorrect dose of ramipril. Rationale: After an incident, the nurse would document a concise and objective description of what occurred and any follow-up actions taken in the client’s record. The nurse would not document in the client’s record that an incident report was completed. Nor would the nurse document that twice the prescribed dose was given or that an incorrect dose was given. Test-Taking Strategy: Focus on the data in the question. Recall that notes made in a client’s record must be objective. Eliminate the comparable or alike options that indicate that an incorrect dose of medication was administered. Next note that the correct option clearly and accurately describes the incident in an objective manner. Review documentation of a medication error or other incident if you had difficulty with this question. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Communication and Documentation Content Area: Ethical/Legal Question 10 1 / 1 pts A home health nurse has been called to the home of an older postoperative cardiovascular client by the client’s son. The son tells the nurse, “We’re using a hospital bed here at home, but my mother has fallen out of bed three times.” Which observation by the nurse reflects an increased risk of this client’s falling out of bed? 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) The client’s bed is in a low position. The client is oriented to person, place, and time. The caregiver uses the overbed table for feedings. The caregiver leaves both siderails down while the client is in bed. Correct! Rationale: Leaving the siderails of older client’s bed down may increase the client’s risk of falling. The aging process also increases this client’s potential for falls; therefore, evaluating the safety of the environment is a necessity. Keeping the client’s bed in a low position, orientating the client to the environment, and using the overbed table for feedings are all ways to help ensure the client’s safety. Test-Taking Strategy: Use the process of elimination, focusing on the subject, an observation of an unsafe practice. Noting that the question indicates that the bed is in the low position and that the client is oriented will assist you in eliminating these options. To select from the remaining options, choose the one that identifies an unsafe practice. Review the causes of falls in an older client if you had difficulty with this question. Cognitive Ability: Evaluating Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Data Collection Content Area: Safety Question 11 1 / 1 pts A community health nurse is providing information to local residents about the transmission of anthrax. Through which body systems does the nurse tell the residents that anthrax can be contracted? Select all that apply. 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Correct! Skin Correct! Lungs Immune Urinary Lymphatic Correct! Gastrointestinal Rationale: Anthrax, caused by Bacillus anthracis, can be contracted through the gastrointestinal system, abrasions in the skin, or inhalation. It is not contracted through the immune system, urinary tract, or lymphatic system. Test-Taking Strategy: Specific knowledge of the subject, the routes of infection with B. anthracis, is needed to answer this question. Remember that anthrax can be contracted through the gastrointestinal system, skin, or lungs. Review content on anthrax and its modes of transmission if you had difficulty with this question. Cognitive Ability: Understanding Client Needs: Safe and Effective Care Environment Integrated Process: Teaching and Learning Content Area: Biological/chemical warfare Question 12 1 / 1 pts A nurse is removing a partially empty chemotherapy infusion bag that was used to administer to a client with a diagnosis of Hodgkin disease. Which precaution should the nurse take while working with this intravenous (IV) infusion? Wearing gloves and a mask 7/19/2021 Module 6 Exam: HESI VN TXGRP 1912COHORT(VNE 39) Wearing gloves and a gown Correct! Wearing gloves, a mask, and eye protection Wearing gloves, a mask, and a head covering Rationale: When handling chemotherapeutic agents, the nurse should wear disposable latex gloves, a mask that covers the nose and mouth, and eye protection, especially if a biological hood is not available. Wearing gloves and a mask or gloves and a gown will not provide adequate protection. A head covering is not necessary. Test-Taking Strategy: Knowledge regarding the subject, precautions for handling chemotherapeutic agents, is necessary to answer this question. Think about the effects and cytotoxic nature of chemotherapy to answer the question. Select the option that will provide the greatest degree of protection to the nurse handling chemotherapeutic agents. If you had difficulty with this question, review the precautions for handling a chemotherapy infusion. Cognitive Ability: Applying