HESI RN fundamentals v1
A postoperative patron has three unique PRN analgesics prescribed for one of a kind stages
of pain. The nurse inadvertently administers a dose that isn't within the prescribed
parameters. What movement must the nurse take first?
A) Determine if the pain changed into relieved.
B) Complete a medication errors document. C) Assess for facet consequences of the
medicine.
D) Document the customer's responses.
C
The unlicensed assistive personnel (UAP) describes the advent of the bowel actions of
numerous clients. Which descriptions warrant additional observe-up through the nurse?
(Select all that observe.)
A) Multiple tough pellets.
B) Brown liquid.
C) Formed but soft.
D) Solid with red streaks.
E) Tarry appearance
A,B,D
An aged girl comes to the health facility due to vaginal bleeding. The healthcare issuer finds
a vaginal tear, which the patron reports is possibly to have passed off all through
unprotected sexual sex. Which content is most important for the nurse to consist of in the
client's teaching plan?
A: The significance of the use of vaginal lubricants.
B: Methods used to exercise secure sex.
C: Information about opportunity approaches to express sexuality.
D:Intercourse positions that assist save you tears.
A
A male customer has proper-sided hemiplegia following a left cerebrovascular twist of fate
(CVA). His sitting balance has stepped forward, and he's now capable of sit in a wheelchair.
To help the purchaser in transferring from the mattress to a wheelchair, what motion have to
the nurse take?
A) Have the client put both hands around the nurse's neck for guide.
B) Place the wheelchair on the customer's left side.
, C) Instruct the customer to look at his ft. D) Instruct the patron overall slow, deep breaths
while transferring
B
The nurse observes a newly admitted older grownup girl take quick steps and stroll very
slowly at the same time as pushing a walker in front of her. What action need to the nurse
soak up response to those observations?
A) Complete a complete fall hazard evaluation of the consumer.
B) Teach the client to take longer steps at a quicker pace.
C) Suggest that the purchaser use a wheelchair rather than a walker.
D) Place the purchaser on mattress rest till the healthcare issuer is notified.
A
While suctioning a customer's nasopharynx, the nurse observes that the purchaser's oxygen
saturation stays at ninety four%, that's the same reading received previous to starting the
manner. What movement should the nurse soak up reaction to this locating?
A) Reposition the pulse oximeter clip to acquire a new analyzing.
B) Stop suctioning until the pulse oximeter analyzing is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
C
An older lady with give up-level coronary heart disorder is hospitalized for extreme coronary
heart failure. She is alert, oriented, and requests that no heroic measures are implemented if
her respiratory stops. What motion should the nurse take first?
A) Discuss with the patron her which means of heroic measures.
B) Obtain a "do no longer resuscitate" (DNR) prescription.
C) Set up a circle of relatives convention to speak about the customers.
D) Consult the palliative care team approximately the consumer's care.
A
A customer identified with primary open-attitude glaucoma obtained a prescription for biotic
eye drops, pilocarpine HCl. What guidance need to the nurse plan to include on this
consumer's teaching?
A: "Do no longer permit the dropper bottle to the touch the eye."
B: "Administer the medication directly on the cornea."
C: :Squeeze the eye closed after administering the drops."
D: Wash your hands after management of eye drops."
A
A postoperative patron has three unique PRN analgesics prescribed for one of a kind stages
of pain. The nurse inadvertently administers a dose that isn't within the prescribed
parameters. What movement must the nurse take first?
A) Determine if the pain changed into relieved.
B) Complete a medication errors document. C) Assess for facet consequences of the
medicine.
D) Document the customer's responses.
C
The unlicensed assistive personnel (UAP) describes the advent of the bowel actions of
numerous clients. Which descriptions warrant additional observe-up through the nurse?
(Select all that observe.)
A) Multiple tough pellets.
B) Brown liquid.
C) Formed but soft.
D) Solid with red streaks.
E) Tarry appearance
A,B,D
An aged girl comes to the health facility due to vaginal bleeding. The healthcare issuer finds
a vaginal tear, which the patron reports is possibly to have passed off all through
unprotected sexual sex. Which content is most important for the nurse to consist of in the
client's teaching plan?
A: The significance of the use of vaginal lubricants.
B: Methods used to exercise secure sex.
C: Information about opportunity approaches to express sexuality.
D:Intercourse positions that assist save you tears.
A
A male customer has proper-sided hemiplegia following a left cerebrovascular twist of fate
(CVA). His sitting balance has stepped forward, and he's now capable of sit in a wheelchair.
To help the purchaser in transferring from the mattress to a wheelchair, what motion have to
the nurse take?
A) Have the client put both hands around the nurse's neck for guide.
B) Place the wheelchair on the customer's left side.
, C) Instruct the customer to look at his ft. D) Instruct the patron overall slow, deep breaths
while transferring
B
The nurse observes a newly admitted older grownup girl take quick steps and stroll very
slowly at the same time as pushing a walker in front of her. What action need to the nurse
soak up response to those observations?
A) Complete a complete fall hazard evaluation of the consumer.
B) Teach the client to take longer steps at a quicker pace.
C) Suggest that the purchaser use a wheelchair rather than a walker.
D) Place the purchaser on mattress rest till the healthcare issuer is notified.
A
While suctioning a customer's nasopharynx, the nurse observes that the purchaser's oxygen
saturation stays at ninety four%, that's the same reading received previous to starting the
manner. What movement should the nurse soak up reaction to this locating?
A) Reposition the pulse oximeter clip to acquire a new analyzing.
B) Stop suctioning until the pulse oximeter analyzing is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
C
An older lady with give up-level coronary heart disorder is hospitalized for extreme coronary
heart failure. She is alert, oriented, and requests that no heroic measures are implemented if
her respiratory stops. What motion should the nurse take first?
A) Discuss with the patron her which means of heroic measures.
B) Obtain a "do no longer resuscitate" (DNR) prescription.
C) Set up a circle of relatives convention to speak about the customers.
D) Consult the palliative care team approximately the consumer's care.
A
A customer identified with primary open-attitude glaucoma obtained a prescription for biotic
eye drops, pilocarpine HCl. What guidance need to the nurse plan to include on this
consumer's teaching?
A: "Do no longer permit the dropper bottle to the touch the eye."
B: "Administer the medication directly on the cornea."
C: :Squeeze the eye closed after administering the drops."
D: Wash your hands after management of eye drops."
A
