HESI RN 2026 EXIT EXAM MOST TESTED
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
WhenA2preparingA2toA2administerA2aA2prescribedA2medicationA2toA2aA2homelessA2clientA2a
tA2aA2communityA2psychiatricA2clinic.A2TheA2clientA2tellsA2theA2nurseA2thatA2theA2usualA2dos
ageA2takenA2isA2differentA2fromA2theA2doseA2theA2nurseA2isA2giving.A2WhichA2actionA2shoul
dA2theA2nurseA2take?A2
A)A2InformA2theA2clientA2thatA2heA2mayA2refuseA2theA2medicationA2andA2documentA2wheth
erA2orA2notA2theA2clientA2takesA2it.A2
B)A2WithholdA2theA2medicationA2untilA2theA2dosageA2canA2beA2confirmed.A2
C)A2ExplainA2toA2theA2clientA2thatA2theA2dosageA2hasA2beenA2changed.A2
D)A2TellA2theA2clientA2toA2takeA2theA2medicationA2thenA2verifyA2theA2dosageA2atA2theA2nextA
2healthcareA2teamA2meeting.A2-A2Ans--
B)A2WithholdA2theA2medicationA2untilA2theA2dosageA2canA2beA2confirmed.
TheA2chargeA2nurseA2isA2makingA2assignmentsA2forA2oneA2practicalA2nurseA2andA2threeA2r
egisteredA2nursesA2whoA2areA2caringA2forA2neurologicallyA2compromisedA2clients.A2Which
A2clientA2withA2whichA2changeA2inA2statusA2isA2bestA2toA2assignA2toA2theA2PN?A2
A)A2SubduralA2hematomaA2whoseA2bloodA2pressureA2changedA2fromA2150/80A2toA2170/60
.
B)A2ViralA2meningitisA2whoseA2temperatureA2changeA2fromA2101A2SA2toA2102F.A2
C)A2DiabeticA2ketoA2acidosisA2whoA2isA2GlasgowA2comaA2scaleA2scoreA2changedA2fromA21
0A2toA27.A2
D)A2Myxedema,A2whoseA2bloodA2pressureA2changeA2fromA280/50A2toA270/40.A2-A2Ans--
B)A2ViralA2meningitisA2whoseA2temperatureA2changeA2fromA2101A2SA2toA2102F.
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2pneumoniaA2whoA2nowA2developsA2initialA2sig
nsA2ofA2septicA2shockA2andA2multiA2organA2failure.A2TheA2healthcareA2providerA2prescribes
A2aA2sepsisA2protocol.A2WhichA2interventionA2isA2mostA2importantA2forA2theA2nurseA2toA2incl
udeA2inA2theA2planA2ofA2care?A2
A)A2MaintainA2strictA2intakeA2andA2output.A2
B)A2KeepA2headA2ofA2bedA2raisedA245°.A2
C)A2ExcessA2warmthA2ofA2extremities.A2
D)A2MonitorA2bloodA2glucoseA2level.A2-A2Ans--A)A2MaintainA2strictA2intakeA2andA2output.
AndA2adolescentA2clientA2isA2admittedA2toA2theA2hospitalA2becauseA2ofA2writingA2aA2suicide
A2noteA2toA2aA2teacherA2atA2school.A2OnA2theA2secondA2dayA2ofA2hospitalization,A2theA2nur
seA2askedA2theA2clientA2toA2meetA2withA2theA2treatmentA2team.A2AfterA2theA2teamA2meeting
,,A2theA2clientA2leavesA2inA2tearsA2andA2goesA2toA2theirA2room.A2WhichA2nursingA2interventi
onA2isA2best?A2
A)A2LetA2theA2clientA2restA2quietlyA2inA2theirA2roomA2forA2aA2while.A2
B)A2ExploreA2theA2clientsA2goalsA2andA2desireA2forA2treatment.A2
C)A2AskA2theA2treatmentA2teamA2aboutA2theA2clientsA2behavior.A2
D)A2GoA2toA2theA2clientsA2roomA2andA2askA2whatA2happened.A2-A2Ans--
D)A2GoA2toA2theA2clientsA2roomA2andA2askA2whatA2happened.
TheA2healthcareA2providerA2prescribesA2dalteparinA2200A2unitsA2perA2kilogramA2subcutan
eousA2onceA2aA2dayA2forA2aA2clientA2whoA2weighsA2154A2pounds.A2TheA2medicationA2isA2a
vailableA2andA225,000A2unitsA2perA2milliliterA2vial.A2HowA2manyA2millilitersA2shouldA2theA2n
urseA2administer?
A2(EnterA2numericalA2valueA2only.A2IfA2roundingA2isA2required,A2roundA2toA2theA2nearestA21
0th.)A2-A2Ans--0.6
NGN:A2TheA2clientA2isA2aA249-year-
oldA2maleA2whoA2reportsA2fluA2likeA2symptomsA2includingA2feverA2andA2chestA2congestionA
2forA2fourA2days.A2HeA2cameA2toA2theA2emergencyA2departmentA2lastA2nightA2whenA2heA2w
asA2havingA2moreA2difficultyA2breathingA2heA2hasA2aA2historyA2ofA21/2A2packA2aA2dayA2cigar
etteA2smokingA2forA220A2years.A2HeA2hasA2noA2significantA2medicalA2orA2surgicalA2history.A
2
WhichA2twoA2ordersA2shouldA2theA2nurseA2completeA2first?A2
A)A2SputumA2culture.A2
B)A2StartA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2cannula.A2
C)A2PlaceA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor.A2
D)A2ChestA2x-ray.A2
E)A2AcetominophenA2350A2mgA2POA2everyA2sixA2hoursA2forA2temperatureA2control.A2
F)A2RunA20.9%A2sodiumA2chlorideA2IVA2infusionA2atA2150A2mLA2perA2hour.A2
G)A2StartA2peripheralA2IV.A2
H)A2NPO.A2-A2Ans--B)A2StartA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2cannula.A2
C)A2PlaceA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor.
NGN:A20330:A2placeA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor,A2NPO,A2sputumA2c
ulture,A2startA2aA2peripheralA2IVA2infusion,A2startA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2
cannula,A2beginA20.9%A2sodiumA2chlorideA2IVA2infusionA2atA2150A2mLA2perA2hour,A2aceta
minophenA2350A2mgA2POA2everyA2sixA2hoursA2forA2temperature.
ToA2startA2theA2clientA2onA2oxygenA2asA2orderedA2whichA2itemsA2shouldA2theA2nurseA2colle
ctsA2fromA2theA2supplyA2room?A2SATAA2
A)A2humidifierA2bottle.A2
B)SuctionA2canister.A2
C)SterileA2water.A2
D)A2NasalA2cannula.A2
E)A2FlowA2meter.A2
F)A2LambsA2wool.A2
G)A2Tape.A2-A2Ans--D)A2NasalA2cannula.A2
,E)A2FlowA2meter.
NGN:A2states,A2IA2amA2feelingA2extremelyA2anxiousA2rightA2now.A2TheA2clientA2hasA2decre
asedA2breathA2soundsA2inA2theA2leftA2lowerA2low.A2HisA2mucusA2membranesA2areA2dry.A2H
eA2hasA2aA2productiveA2coughA2withA2thick,A2yellowA2secretions.A2HisA2capillaryA2refillA2isA2
fourA2seconds.A2VitalA2signs,A2temperatureA2100.2.A2HeartA2rateA2101A2bpm,A2respiratoryA
2rateA228A2breathsA2perA2minute,A2bloodA2pressureA2145/89,A2oxygenA2saturationA290%A2o
nA2roomA2air.
(forA2eachA2bodyA2systemA2clickA2toA2specifyA2theA2assessmentA2findingsA2thatA2indicatesA
2hypoxia)
Cardiovascular:A2heartA2rateA2100A2bpm,A2capillaryA2refillA2forA2seconds,A2bloodA2pressure
A2145/89.
Neurological:A2anxious,A2awakeA2andA2alert,A2restless.
Respiratory:A2oxygenA2saturationA290%A2onA2roomA2air,A2respiratoryA2rateA228A2bpm,A2pro
ductiveA2cough.A2-A2Ans--
Cardiovascular:A2capillaryA2refillA2forA2seconds,A2bloodA2pressureA2145/89.
Neurological:A2anxious,A2restless.
Respiratory:A2oxygenA2saturationA290%A2onA2roomA2air,A2respiratoryA2rateA228A2bpm.
NGN:A2TheA2clientA2isA2aA249-year-
oldA2maleA2whoA2reportsA2fluA2likeA2symptomsA2includingA2feverA2andA2chestA2congestionA
2forA2fourA2days.A2HeA2cameA2toA2theA2emergencyA2departmentA2lastA2nightA2whenA2heA2w
asA2havingA2moreA2difficultyA2breathingA2heA2hasA2aA2historyA2ofA21/2A2packA2aA2dayA2cigar
etteA2smokingA2forA220A2years.A2HeA2hasA2noA2significantA2medicalA2orA2surgicalA2history.A
2
TheA2nurseA2shouldA2placeA2theA2clientA2inA2aA2_______________A2positionA2toA2promote
A2_____________.A2-A2Ans--Semi-FowlerA2,A2lungA2expansion.
NGN:A2Orders:A20330:A2placeA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor,A2NPO,A2s
putumA2culture,A2startA2aA2PIV,A2startA2oxygenA23LA2viaA2nasalA2cannula,A2normalA2salineA
2150A2MLA2perA2hour,A2acetaminophenA2350mgA2POA2everyA2sixA2hoursA2forA2tempA2great
erA2thanA2101F,A2chestA2x-ray.
0500:A2OxygenA28LviaA2simpleA2facemask,A2titrateA2toA2keepA2oxygenA2saturationA2greate
rA2thanA294%.
(markA2whetherA2theA2statementsA2byA2theA2newA2gradA2nurseA2indicateA2understandingA2
orA2noA2understandingA2ofA2theA2useA2ofA2facemaskA2inA2theA2careA2ofA2thisA2client)
-IA2shouldA2cleanA2theA2facemaskA2onceA2perA2shift.
-
TheA2clientA2shouldA2takeA2aA21A2toA22A2minuteA2breakA2fromA2theA2facemaskA2eachA2hour
.
-IA2shouldA2putA2gauzeA2underA2theA2elasticA2strapsA2overA2theA2ears.
, -
IA2canA2adjustA2theA2oxygenA2levelA2onA2theA2flowA2meterA2toA2keepA2theA2clientsA2oxygenA
2saturationA2greaterA2thanA294%.
-
TheA2maskA2shouldA2coverA2onlyA2theA2mouthA2andA2leaveA2theA2noseA2openA2forA2expirat
ion.
-IA2shouldA2placeA2theA2maskA2firstA2overA2theA2noseA2andA2thenA2coverA2theA2mouth.A2-
A2Ans---IA2shouldA2cleanA2theA2facemaskA2onceA2perA2shift.A2(UNDERSTANDING)
-
TheA2clientA2shouldA2takeA2aA21A2toA22A2minuteA2breakA2fromA2theA2facemaskA2eachA2hour
.A2(NOTA2UNDERSTANDING)
-
IA2shouldA2putA2gauzeA2underA2theA2elasticA2strapsA2overA2theA2ears.A2(NOTA2UNDERSTA
NDINGA2????)
-
IA2canA2adjustA2theA2oxygenA2levelA2onA2theA2flowA2meterA2toA2keepA2theA2clientsA2oxygenA
2saturationA2greaterA2thanA294%.A2(UNDERSTANDING)
-
TheA2maskA2shouldA2coverA2onlyA2theA2mouthA2andA2leaveA2theA2noseA2openA2forA2expirat
ion.A2(NOTA2UNDERSTANDING)
-
IA2shouldA2placeA2theA2maskA2firstA2overA2theA2noseA2andA2thenA2coverA2theA2mouth.A2(UN
DERSTANDING)
NGN:A2NursesA2Notes:A20400,A2theA2clientA2isA2awakeA2andA2alertA2butA2restless.A2HeA2st
atesA2IA2amA2feelingA2extremelyA2anxiousA2rightA2now.A2TheA2clientA2hasA2decreasedA2bre
athA2soundsA2inA2theA2leftA2lowerA2lobe.A2HisA2mucusA2membranesA2areA2dry.A2HeA2hasA2a
A2productiveA2coughA2withA2thick,A2yellowA2secretions.A2HisA2capillaryA2refillA2isA2fourA2sec
onds.A2HeartA2rateA2101A2BPM,A2oxygenA2saturationA290%.A2BloodA2pressureA2145/89,A2t
emperatureA2100.2A2F,A2respiratoryA2rateA228A2BPM.A2
0500:A2PlacedtheA2clientA2inA2semi-
FowlersA2position.A2NoA2improvementA2inA2oxygenA2saturationA2onA23LA2nasalA2cannula...
(WhichA2areA2theA2threeA2mostA2importantA2goals?)
A)A2TheA2clientA2willA2remainA2freeA2ofA2skinA2breakdown.
B)A2TheA2clientA2willA2haveA2quitA2smoking.
C)A2TheA2clientA2willA2beA2afebrileA2forA224A2hours.
D)A2TheA2clientA2willA2maintainA2oxygenA2saturationA2ofA296%A2withoutA2supplementalA2ox
ygen.
E)A2TheA2clientA2willA2reportA2painA2lessA2thanA23/10.A2-A2Ans--
B)A2TheA2clientA2willA2haveA2quitA2smoking.
C)A2TheA2clientA2willA2beA2afebrileA2forA224A2hours.
E)A2TheA2clientA2willA2reportA2painA2lessA2thanA23/10.
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS GRADED A+ ASSURED
SUCCESS
WhenA2preparingA2toA2administerA2aA2prescribedA2medicationA2toA2aA2homelessA2clientA2a
tA2aA2communityA2psychiatricA2clinic.A2TheA2clientA2tellsA2theA2nurseA2thatA2theA2usualA2dos
ageA2takenA2isA2differentA2fromA2theA2doseA2theA2nurseA2isA2giving.A2WhichA2actionA2shoul
dA2theA2nurseA2take?A2
A)A2InformA2theA2clientA2thatA2heA2mayA2refuseA2theA2medicationA2andA2documentA2wheth
erA2orA2notA2theA2clientA2takesA2it.A2
B)A2WithholdA2theA2medicationA2untilA2theA2dosageA2canA2beA2confirmed.A2
C)A2ExplainA2toA2theA2clientA2thatA2theA2dosageA2hasA2beenA2changed.A2
D)A2TellA2theA2clientA2toA2takeA2theA2medicationA2thenA2verifyA2theA2dosageA2atA2theA2nextA
2healthcareA2teamA2meeting.A2-A2Ans--
B)A2WithholdA2theA2medicationA2untilA2theA2dosageA2canA2beA2confirmed.
TheA2chargeA2nurseA2isA2makingA2assignmentsA2forA2oneA2practicalA2nurseA2andA2threeA2r
egisteredA2nursesA2whoA2areA2caringA2forA2neurologicallyA2compromisedA2clients.A2Which
A2clientA2withA2whichA2changeA2inA2statusA2isA2bestA2toA2assignA2toA2theA2PN?A2
A)A2SubduralA2hematomaA2whoseA2bloodA2pressureA2changedA2fromA2150/80A2toA2170/60
.
B)A2ViralA2meningitisA2whoseA2temperatureA2changeA2fromA2101A2SA2toA2102F.A2
C)A2DiabeticA2ketoA2acidosisA2whoA2isA2GlasgowA2comaA2scaleA2scoreA2changedA2fromA21
0A2toA27.A2
D)A2Myxedema,A2whoseA2bloodA2pressureA2changeA2fromA280/50A2toA270/40.A2-A2Ans--
B)A2ViralA2meningitisA2whoseA2temperatureA2changeA2fromA2101A2SA2toA2102F.
TheA2nurseA2isA2caringA2forA2aA2clientA2withA2pneumoniaA2whoA2nowA2developsA2initialA2sig
nsA2ofA2septicA2shockA2andA2multiA2organA2failure.A2TheA2healthcareA2providerA2prescribes
A2aA2sepsisA2protocol.A2WhichA2interventionA2isA2mostA2importantA2forA2theA2nurseA2toA2incl
udeA2inA2theA2planA2ofA2care?A2
A)A2MaintainA2strictA2intakeA2andA2output.A2
B)A2KeepA2headA2ofA2bedA2raisedA245°.A2
C)A2ExcessA2warmthA2ofA2extremities.A2
D)A2MonitorA2bloodA2glucoseA2level.A2-A2Ans--A)A2MaintainA2strictA2intakeA2andA2output.
AndA2adolescentA2clientA2isA2admittedA2toA2theA2hospitalA2becauseA2ofA2writingA2aA2suicide
A2noteA2toA2aA2teacherA2atA2school.A2OnA2theA2secondA2dayA2ofA2hospitalization,A2theA2nur
seA2askedA2theA2clientA2toA2meetA2withA2theA2treatmentA2team.A2AfterA2theA2teamA2meeting
,,A2theA2clientA2leavesA2inA2tearsA2andA2goesA2toA2theirA2room.A2WhichA2nursingA2interventi
onA2isA2best?A2
A)A2LetA2theA2clientA2restA2quietlyA2inA2theirA2roomA2forA2aA2while.A2
B)A2ExploreA2theA2clientsA2goalsA2andA2desireA2forA2treatment.A2
C)A2AskA2theA2treatmentA2teamA2aboutA2theA2clientsA2behavior.A2
D)A2GoA2toA2theA2clientsA2roomA2andA2askA2whatA2happened.A2-A2Ans--
D)A2GoA2toA2theA2clientsA2roomA2andA2askA2whatA2happened.
TheA2healthcareA2providerA2prescribesA2dalteparinA2200A2unitsA2perA2kilogramA2subcutan
eousA2onceA2aA2dayA2forA2aA2clientA2whoA2weighsA2154A2pounds.A2TheA2medicationA2isA2a
vailableA2andA225,000A2unitsA2perA2milliliterA2vial.A2HowA2manyA2millilitersA2shouldA2theA2n
urseA2administer?
A2(EnterA2numericalA2valueA2only.A2IfA2roundingA2isA2required,A2roundA2toA2theA2nearestA21
0th.)A2-A2Ans--0.6
NGN:A2TheA2clientA2isA2aA249-year-
oldA2maleA2whoA2reportsA2fluA2likeA2symptomsA2includingA2feverA2andA2chestA2congestionA
2forA2fourA2days.A2HeA2cameA2toA2theA2emergencyA2departmentA2lastA2nightA2whenA2heA2w
asA2havingA2moreA2difficultyA2breathingA2heA2hasA2aA2historyA2ofA21/2A2packA2aA2dayA2cigar
etteA2smokingA2forA220A2years.A2HeA2hasA2noA2significantA2medicalA2orA2surgicalA2history.A
2
WhichA2twoA2ordersA2shouldA2theA2nurseA2completeA2first?A2
A)A2SputumA2culture.A2
B)A2StartA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2cannula.A2
C)A2PlaceA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor.A2
D)A2ChestA2x-ray.A2
E)A2AcetominophenA2350A2mgA2POA2everyA2sixA2hoursA2forA2temperatureA2control.A2
F)A2RunA20.9%A2sodiumA2chlorideA2IVA2infusionA2atA2150A2mLA2perA2hour.A2
G)A2StartA2peripheralA2IV.A2
H)A2NPO.A2-A2Ans--B)A2StartA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2cannula.A2
C)A2PlaceA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor.
NGN:A20330:A2placeA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor,A2NPO,A2sputumA2c
ulture,A2startA2aA2peripheralA2IVA2infusion,A2startA2oxygenA23A2LA2perA2minuteA2viaA2nasalA2
cannula,A2beginA20.9%A2sodiumA2chlorideA2IVA2infusionA2atA2150A2mLA2perA2hour,A2aceta
minophenA2350A2mgA2POA2everyA2sixA2hoursA2forA2temperature.
ToA2startA2theA2clientA2onA2oxygenA2asA2orderedA2whichA2itemsA2shouldA2theA2nurseA2colle
ctsA2fromA2theA2supplyA2room?A2SATAA2
A)A2humidifierA2bottle.A2
B)SuctionA2canister.A2
C)SterileA2water.A2
D)A2NasalA2cannula.A2
E)A2FlowA2meter.A2
F)A2LambsA2wool.A2
G)A2Tape.A2-A2Ans--D)A2NasalA2cannula.A2
,E)A2FlowA2meter.
NGN:A2states,A2IA2amA2feelingA2extremelyA2anxiousA2rightA2now.A2TheA2clientA2hasA2decre
asedA2breathA2soundsA2inA2theA2leftA2lowerA2low.A2HisA2mucusA2membranesA2areA2dry.A2H
eA2hasA2aA2productiveA2coughA2withA2thick,A2yellowA2secretions.A2HisA2capillaryA2refillA2isA2
fourA2seconds.A2VitalA2signs,A2temperatureA2100.2.A2HeartA2rateA2101A2bpm,A2respiratoryA
2rateA228A2breathsA2perA2minute,A2bloodA2pressureA2145/89,A2oxygenA2saturationA290%A2o
nA2roomA2air.
(forA2eachA2bodyA2systemA2clickA2toA2specifyA2theA2assessmentA2findingsA2thatA2indicatesA
2hypoxia)
Cardiovascular:A2heartA2rateA2100A2bpm,A2capillaryA2refillA2forA2seconds,A2bloodA2pressure
A2145/89.
Neurological:A2anxious,A2awakeA2andA2alert,A2restless.
Respiratory:A2oxygenA2saturationA290%A2onA2roomA2air,A2respiratoryA2rateA228A2bpm,A2pro
ductiveA2cough.A2-A2Ans--
Cardiovascular:A2capillaryA2refillA2forA2seconds,A2bloodA2pressureA2145/89.
Neurological:A2anxious,A2restless.
Respiratory:A2oxygenA2saturationA290%A2onA2roomA2air,A2respiratoryA2rateA228A2bpm.
NGN:A2TheA2clientA2isA2aA249-year-
oldA2maleA2whoA2reportsA2fluA2likeA2symptomsA2includingA2feverA2andA2chestA2congestionA
2forA2fourA2days.A2HeA2cameA2toA2theA2emergencyA2departmentA2lastA2nightA2whenA2heA2w
asA2havingA2moreA2difficultyA2breathingA2heA2hasA2aA2historyA2ofA21/2A2packA2aA2dayA2cigar
etteA2smokingA2forA220A2years.A2HeA2hasA2noA2significantA2medicalA2orA2surgicalA2history.A
2
TheA2nurseA2shouldA2placeA2theA2clientA2inA2aA2_______________A2positionA2toA2promote
A2_____________.A2-A2Ans--Semi-FowlerA2,A2lungA2expansion.
NGN:A2Orders:A20330:A2placeA2theA2clientA2onA2aA2cardioA2respiratoryA2monitor,A2NPO,A2s
putumA2culture,A2startA2aA2PIV,A2startA2oxygenA23LA2viaA2nasalA2cannula,A2normalA2salineA
2150A2MLA2perA2hour,A2acetaminophenA2350mgA2POA2everyA2sixA2hoursA2forA2tempA2great
erA2thanA2101F,A2chestA2x-ray.
0500:A2OxygenA28LviaA2simpleA2facemask,A2titrateA2toA2keepA2oxygenA2saturationA2greate
rA2thanA294%.
(markA2whetherA2theA2statementsA2byA2theA2newA2gradA2nurseA2indicateA2understandingA2
orA2noA2understandingA2ofA2theA2useA2ofA2facemaskA2inA2theA2careA2ofA2thisA2client)
-IA2shouldA2cleanA2theA2facemaskA2onceA2perA2shift.
-
TheA2clientA2shouldA2takeA2aA21A2toA22A2minuteA2breakA2fromA2theA2facemaskA2eachA2hour
.
-IA2shouldA2putA2gauzeA2underA2theA2elasticA2strapsA2overA2theA2ears.
, -
IA2canA2adjustA2theA2oxygenA2levelA2onA2theA2flowA2meterA2toA2keepA2theA2clientsA2oxygenA
2saturationA2greaterA2thanA294%.
-
TheA2maskA2shouldA2coverA2onlyA2theA2mouthA2andA2leaveA2theA2noseA2openA2forA2expirat
ion.
-IA2shouldA2placeA2theA2maskA2firstA2overA2theA2noseA2andA2thenA2coverA2theA2mouth.A2-
A2Ans---IA2shouldA2cleanA2theA2facemaskA2onceA2perA2shift.A2(UNDERSTANDING)
-
TheA2clientA2shouldA2takeA2aA21A2toA22A2minuteA2breakA2fromA2theA2facemaskA2eachA2hour
.A2(NOTA2UNDERSTANDING)
-
IA2shouldA2putA2gauzeA2underA2theA2elasticA2strapsA2overA2theA2ears.A2(NOTA2UNDERSTA
NDINGA2????)
-
IA2canA2adjustA2theA2oxygenA2levelA2onA2theA2flowA2meterA2toA2keepA2theA2clientsA2oxygenA
2saturationA2greaterA2thanA294%.A2(UNDERSTANDING)
-
TheA2maskA2shouldA2coverA2onlyA2theA2mouthA2andA2leaveA2theA2noseA2openA2forA2expirat
ion.A2(NOTA2UNDERSTANDING)
-
IA2shouldA2placeA2theA2maskA2firstA2overA2theA2noseA2andA2thenA2coverA2theA2mouth.A2(UN
DERSTANDING)
NGN:A2NursesA2Notes:A20400,A2theA2clientA2isA2awakeA2andA2alertA2butA2restless.A2HeA2st
atesA2IA2amA2feelingA2extremelyA2anxiousA2rightA2now.A2TheA2clientA2hasA2decreasedA2bre
athA2soundsA2inA2theA2leftA2lowerA2lobe.A2HisA2mucusA2membranesA2areA2dry.A2HeA2hasA2a
A2productiveA2coughA2withA2thick,A2yellowA2secretions.A2HisA2capillaryA2refillA2isA2fourA2sec
onds.A2HeartA2rateA2101A2BPM,A2oxygenA2saturationA290%.A2BloodA2pressureA2145/89,A2t
emperatureA2100.2A2F,A2respiratoryA2rateA228A2BPM.A2
0500:A2PlacedtheA2clientA2inA2semi-
FowlersA2position.A2NoA2improvementA2inA2oxygenA2saturationA2onA23LA2nasalA2cannula...
(WhichA2areA2theA2threeA2mostA2importantA2goals?)
A)A2TheA2clientA2willA2remainA2freeA2ofA2skinA2breakdown.
B)A2TheA2clientA2willA2haveA2quitA2smoking.
C)A2TheA2clientA2willA2beA2afebrileA2forA224A2hours.
D)A2TheA2clientA2willA2maintainA2oxygenA2saturationA2ofA296%A2withoutA2supplementalA2ox
ygen.
E)A2TheA2clientA2willA2reportA2painA2lessA2thanA23/10.A2-A2Ans--
B)A2TheA2clientA2willA2haveA2quitA2smoking.
C)A2TheA2clientA2willA2beA2afebrileA2forA224A2hours.
E)A2TheA2clientA2willA2reportA2painA2lessA2thanA23/10.