UACCB GEN RN HESI WEEK 11 Exam Q & A

1. Fetal heart rate tracing abnormalities are observed on the fetal monitor when a client in active labor turns to the supine position. Which nursing action is most beneficial at this time? - Helping the client change her position 2. The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)? - Inactivity 3. A client is diagnosed with heart failure and is admitted for medical management. Which statement made by the client may indicate worsening heart failure? - "I wake up at night short of breath." 4. A client who is receiving atenolol for hypertension frequently reports feeling dizzy. What effect of atenolol should the nurse consider may be responsible this response? - Blocking the adrenergic response 5. A healthcare provider prescribes enalapril for a client. Which is the most important nursing action? - Monitor the client's blood pressure during therapy. 6. A client who just returned from a cardiac catheterization reports to the nurse that the pressure bandage on the right groin is tight. What action should the nurse take? - Assess the pulses distal to the dressing 7. A nurse on the Code Blue/Arrest team responds to a code that is called for a client with hyperkalemia who is experiencing cardiac standstill. What would an appropriate immediate treatment plan include? - Sodium bicarbonate 8. A client with a coronary occlusion is experiencing chest pain and distress. Why does the nurse administer oxygen? - To increase oxygen concentration to heart cells 9. While assessing a client's vascular system, the nurse finds that pulse strength is diminished or barely palpable. Which documentation is appropriate in this situation? - 1+ 10. A nurse is assessing an ECG rhythm strip. Which component of the tracing will the nurse observe to determine ventricular depolarization? - QRS complex 11. A nurse is teaching Hands Only Basic Life Support for adults in the community. What should the rescuer do first after determining that the person is not responding and the emergency medical system has been activated? - Identify the absence of a pulse