EXAM 3 WITH 81 Complete Solutions
100%
HESI FUNDAMENTALS ASSIGNMENT
EXAM 3 WITH 81 Complete Solutions
100%
The practical nurse is checking client care equipment in the clinic for proper
functionality. Which finding should the PN identify as a piece of equipment in need of
repair - ANSWER-intravenous pump alarms constantly
Which technique is most important for the practical nurse to implement when obtaining
a specimen for urinalysis, culture, and sensitivity for a male client? - ANSWER-ensure
client understands to retract the foreskin and cleanse meatus
Which equipment malfunction should the practical nurse report as having the highest
risk to client safety> - ANSWER-intravenous pump screen does not light up when
turned on
Which finding indicates to the practical nurse that the client is meeting the rehabilitation
goals after an acute brain attack? - ANSWER-puts hands on chair arms when standing
to use a walker
The practical nurse is caring for a male client who wears a hearing aid. Which client
behavior should the PN identify that indicates further evaluation of the clients ability to
hear? - ANSWER-does not respond when his name is called from behind
Which action by another nurse should the practical nurse report as a breach of client
confidentiality? - ANSWER-Visitors are told to wear a mask because the client has
tuberculosis
At 0900, a client's blood pressure is 120/70. At noon, the unlicensed assisitive
personnel reports that the client's blood pressure is 200/100. Which action should the
PN implement first? - ANSWER-take clients blood pressure
A client with a possible mumps infection is admitted to an acute care facility. Which
infection control precaution should the PN implement - ANSWER-wear a mask or
respirator within 3 feet of the client.
A client has an automatic blood pressure cuff on the right arm where an IV is infusing. In
the left arm, a saline lock is present. The PN notes the presence of blood in the IV
, HESI FUNDAMENTALS ASSIGNMENT
EXAM 3 WITH 81 Complete Solutions
100%
infusion line. What action should the PN implement? - ANSWER-move the blood
pressure cuff to the left arm
Which disposable product should the practical nurse place in a biohazard container? -
ANSWER-Peri-pads saturated with rubra lochia for a client who is one day post-vaginal
delivery.
The healthcare provider calls the nurses' station to give telephone call prescriptions for
a client who is recently aditted to the unit. The practical nurse is unsure of the
prescription given by the healthcare provider. Which action should the PN take? -
ANSWER-read back the prescription to the healthcare provider
A client who is 8 hours postoperative begins using the incentive spirometer with 750 ml
inspiratory volume and coughs up a large thick light yellow white mucous plug. What
action should the practical nurse take - ANSWER-document the findings
Which client needs immediate action by the practical nurse - ANSWER-An older client
who is climbing over the side rails.
A client is receiving supplemental oxygen. The practical nurse walks in the room and
sees a fire in the bedside wastebasket. Which action should the PN take first? -
ANSWER-take client out of the room
The wife of an older, overweight man tells the PN that her husband snores and
frequently wakes up jerking or gasping. What action should the PN take? - ANSWER-
discuss the possibility of a sleep study for sleep apnea
The practical nurse is working with a newly employed PN who is having difficulty
preparing the infusion pump for the administration of an IV medication per secondary
infusion. What action should the PN implement? - ANSWER-demonstrate the use of the
IV pump.
A client who is postoperative is receiving an infusion at 80 mL/hour. At the end of 8
postoperative hours, the PN documents that the client tolerated 100 mL oral intake of
ice chips and urinary output is 1100 mL. What action should the PN take - ANSWER-
document the intake and output findings.
The practical nurse is assessing a client and obtains a pulse rate of 120 beats/minute,
respiration of 28 breaths/minutes and a blood pressure of 80/60. What action should the
PN take first? - ANSWER-position the client flat in the bed.