HESI Fundamentals Practice Exam QUESTIONS AND ANSWERS ALL CORRECT

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The nurse observes that a male client has removed the covering form an ice pack applied to his knee. What action should the nurse take first? Correct Answer: Observe the appearance of the skin under ... the ice pack. The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor of 60gtt/ml, how many drops permin should the client receive? Correct Answer: 124gtt/min lbs to kg 182/2.2 = 82.73kg Dosage for the client 5mcg X 82.73 =413mcg/min mcg / ml 250/50000mcg =200 mcg/ml 2.07ml/min with a drip factor of 60gtt/ml 60 x 2.07 =124.28gtt/min A healthcare provider prescibes an IV infusion of 1000ml of Riger's Lactate with 30 units of Pitocin to run in over 4hrs for a client who has just delievered a 10lbs infant via cesarean section. The tubing has been changed to a 20gtt/ml administration set. The nurse plans to set the flow rate to how many gtt/min? Correct Answer: 83 gtt/min 20gtt/ml x 1000 ml/4hrs x 1hr/60mins = 83gtt/min Wich assessment data provides the most accurate determination of proper placement of a nasogastric tube? Correct Answer: Chest x-ray Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse? Correct Answer: Instruct the client that the stoma will become smaller when the initial swelling diminishes A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube an additional five centimeters. D. Administer an intravenous antiemetic prescribed for PRN use. Correct Answer: Reposition the client on her side A hospitalized male client is receiving nasogastric tube feeding via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take? Correct Answer: After clearing the tube with 30ml of air, check the pH of fluid withdrawn from the tube. A male client tells the nurse that he does not know where he is or what year it is. What data should the nurse document that is most accurate? Correct Answer: Is disorientated to place and time A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should the nurse take? Correct Answer: Commend the client for selecting a high biologic value protein. When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center of gravity for an elderly person is the A. Arms. B. Upper torso. C. Head. D. Feet. Correct Answer: Upper Torso In developing a plan of care for a client with dementia, the nurse should remember that confusion in the elderly Correct Answer: Often follows relocation to new surroundings A postoperative client will need to perform daily dressing changes after discharge. Which outcome statement best demonstrates the client's readiness to manage his would care after discharge? Correct Answer: The client demonstrates the wound care procedure correctly. A client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment? Correct Answer: What vitamin and mineral supplements do you take? During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement? A. Provide additional coffee on the client's breakfast tray. B. Exchange the client's grape juice for cranberry juice. C. Bring the client additional fruit at mid-morning. D. Encourage additional oral intake of juices and water. Correct Answer: Encourage additional oral intake of juices and water. Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? A. Apply a condom catheter. B. Apply a skin protectant. C. Encourage increased fluid intake. D. Assess for bladder distention. Correct Answer: Assess for bladder distention. A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible. Which intervention is most important for the nurse to implement? Correct Answer: Ensure the accuracy of the blood type match. A male client is being discharged with a prescription for the bronchodialator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow? Correct Answer: 8am 4pm midnight A client is to receive 10mEq of KCL diluted in 250ml of normal saline over 4hrs. At what rate should the nurse set the clients IV infusion pump? Correct Answer: 63ml/hr When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action will the nurse implement first? A. Establish a new nursing diagnosis. B. Note which actions were not implemented. C. Add additional nursing orders to the plan. D. Collaborate with the healthcare provider to make changes. Correct Answer: Note which actions were not implemented. Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status? A. Chocolate pudding. B. Graham crackers. C. Sugar free gelatin. D. Apple slices. Correct Answer: Chocolate pudding The nurse is instructing a client with high cholesterol about diet and life style modification. what comment from the client indicated that the teaching has been effective Correct Answer: I will limit my intake of beef to 4 ounces per week An obese male client discusses with the nurse his plans to begin a long-term weight loss regimen. In addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week and to take stress management classes. After praising the client for his decision, which instruction is most important for the nurse to provide? A. Be sure to have a complete physical examination before beginning your planned exercise program. B. Be careful that the exercise program doesn't simply add to your stress level, making you want to eat more. C. Increased exercise helps to reduce stress, so you may not need to spend money on a stress management class. D. Make sure to monitor your weight loss regularly to provide a sense of accomplishment and motivation. Correct Answer: Be sure to have a complete physical examination before beginning your planned exercise program. The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler delivered medication to demonstrate correct use of the inhaler. Correct Answer: During the inhalation The IV infusion terbutaline sulfate 5mg in 500ml of D5W, infusing at a rate of 30 mcg/min, is prescribed for a client in premature labor. How many ml/hr should the nurse set hte infusion pump? Correct Answer: 180 The healthcare provider prescribes the diuretic metolazone 7.5mg PO. Metolazone is available in 5mg tablets. How much should the nurse plan to administer? Correct Answer: 1 1/2 tablets The healthcare provider prescribes furosemide (Lasix) 15mg IV stat. On hand is Lasix 20 mg/2ml. How many milliliters should the nurse administer. Correct Answer: 1.5ml Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How much heparin has the client received? A. 11,000 units. B. 13,000 units. C. 15,000 units. D. 17,000 units. Correct Answer: 11000 units The nurse is caring for a client who is receiving 24hr total parenteral nutrition (TPN) via a central line at 54ml/hr. When initially assessing the client, the nurse notes that TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? Correct Answer: Infuse 10% dextrose and water at 54ml/hr examination of a client com [Show More]

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