HESI COMPREHENSIVE > EXAM > HESI-RN COMPREHENSIVE EXAM A STUDY QUESTIONS WITH CORRECT ANSWERS 2024/2025 GUARANTEED PASS | RATED (All)
HESI-RN COMPREHENSIVE EXAM A STUDY QUESTIONS WITH CORRECT ANSWERS 2024/2025 GUARANTEED PASS | RATED A+ The nurse walks into the hospital room and observes a child is having a generalized tonic-cloni... c seizure. Which action should the nurse take first? A. Move objects out of the child's immediate area. B. Quickly slip soft restraints on the child's wrists. C. Insert a padded tongue blade between the teeth. D. Place in the recovery position before going for help. - Answer>>> A Rationale:The first priority during a seizure is to provide a safe environment, so the nurse should clear the area to reduce the risk of trauma. The child should not be restrained because this may cause more trauma. Objects should not be placed in the child's mouth because it may pose a choking hazard. Although option D should be implemented after the seizure, the nurse should not leave the child during a seizure to get help. A client with schizophrenia tells the nurse, "The world is coming to an end. All the violence in the Middle East is soon going to destroy the entire world!" How should the nurse respond? A. "Let's play some dominoes for a few minutes." B. "I don't think the violence means the world is ending." C. "The news makes you have upsetting thoughts." D. "Listening to the news seems to be frightening you." - Answer>>> D Rationale:A client's delusional statements are best addressed by identifying the feeling associated with the delusion. Option A may be helpful but ignores the feelings that the client is experiencing. Delusional clients often argue with statements that contradict their belief system. The client is unlikely to understand the relationship between the news and the thoughts experienced. he nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis measures to help reduce the pain associated with the disease. Which instruction should the nurse provide to these parents? A. Administer a nonsteroidal antiinflammatory drug (NSAID) to the child prior to getting the child out of bed in the morning. B. Perform passive range of motion exercises every evening before bed. C. Warm the child with an electric blanket prior to getting the child out of bed. D. Immobilize swollen joints during acute exacerbations until function returns. - Answer>>> C Rationale: Early morning stiffness and pain are common symptoms of rheumatoid arthritis. Warming the child in the morning helps reduce these symptoms. Although moist heat is best, an electric blanket could also be used to help relieve early morning discomfort. Option A on an empty stomach is likely to cause gastric discomfort. Passive range of motion exercises keeps the joints mobile. Option D is contraindicated, because joints should be exercised, not immobilized. [Show More]
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