QUESTIONS AND ANSWERS FOR HESI FUNDAMENTALS FINAL ASSESSMENT

QUESTIONS AND ANSWERS FOR HESI FUNDAMENTALS FINAL ASSESSMENT 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 - CORRECT ANSWER -After clearing the tube with 30ml of air, check the pH of fluid withdrawn from the tube.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