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HESI BLOCK 3/NCLEX EXAM QUESTIONS AND ANSWERS 100% CORRECT!!

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A clinet in cardiac arrest is noted on bedside monitor to be in pulseless vetricular tachycardia. What is the first action that should be taken? - ANSWER Defibrilation A pericardial thump is only indicated in - ANSWER pulseless VT of VF or when ventricular asytole on the motnitor responds to a thump with a QRS complex 4 common causes of fluid volume DEFICIT - ANSWER GI causes: vomiting, diarrhea, GI suctioning, decreased fluid intake, increase in fluid output like sweating, massive edema, ascites 4 common causes of fluid volume OVERLOAD - ANSWER Heart failure, cirrhosis, excess ingestion of table salt or overhydration with sodium0containing fluids Isotonic fluids: - ANSWER LR and NS 3 systems that maintain acid-base balance: - ANSWER lungs, kidneys, chemical buffers Normal PH - ANSWER 7.35 - 7.45 Normal PCO2 - ANSWER 35 - 45 Normal HCO3 - ANSWER 22 - 29 What is the most important assessment data for the nurse to obtain in a client with an arrhythmia? - ANSWER the patients ability to tolerate the arrhythmia 5 variables that increase surgical risk: - ANSWER Age, obesity, malnutrition, p

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HESI BLOCK 3/NCLEX EXAM QUESTIONS
AND ANSWERS 100% CORRECT!!

, By what authority may nurses delegate nursing care to others? - ANSWER State Nurse
Practice Act

A UAP may perform care that falls within which component of the nursing process? -
ANSWER Implementation

Which type of communication skills is neccessary to implement a democratic leadership
style? - ANSWER Assertive communication skills

What are the 5 rights of delegation? - ANSWER Right task, circumstance, person,
direction/communication and supervision

What are the essential steps of effective supervison? - ANSWER Direction, evealuation
and follow-up

Assertive communication begins with: - ANSWER "I" rather than "you" and clearly states
the problem

What is the first priority when a client with an unwitnessed cardiac arrest is found? -
ANSWER Begin CPR

Define myocardial infarction: - ANSWER Necrosis of the heart muscle due to poor
perfusion of the heart

What criteria should alert a client with known angina who takes nitroglycerin tablets
sublinguallty to call EMS? - ANSWER Unrelieved chest pain after nytroglycerine

In feeling for presence of the carotid pulse no more than - ANSWER 10 seconds should
be used

During one rescuer CPR what is the ratio of compressions to breaths in adult patients
and pediatric patients? - ANSWER 30:2 in adults and 15:2 in children

What is the first drug most likely to be used for an in-hospital cardiac arrest? - ANSWER
Epinephrine

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