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Vista previa 4 fuera de 56 páginas
Examen

Hesi As

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Vista previa 4 fuera de 56 páginas

Exam of 56 pages for the course HESI V2 at HESI V2 (HESI as)

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HESI-RN FUNDAMENTALS
QUESTIONS WITH CORRECT
ANSWERS 2025/2026
TheAnurseAisAcalledAtoAtheAwaitingAroomAofAaApediatricAclinic.ATheAfranticAmotherAstates,A"IAthinkAmyA4-
month-oldAbabyAisAchoking!"AWhatAstepsAwillAtheAnurseAtake?A(SelectAallAthatAapply.)

A.

CompressAtheAchestAonceAbetweenAtheAnipplesAwithAtwoAfingers.

B.
A



NoteAanyAobstructionAorAabsenceAofAbreathing.

C.
A



DeliverAfiveAbackslapsAbetweenAtheAshoulderAblades.

D.
A



PlaceAtheAinfantAoverAtheAnurse'sAarm.

E.
A



PerformAaAblindAfingerAsweep.A-AcorrectAanswersB,AC,AD

Rationale:ATheAfingersAareAplacedAatAtheAsameAlocationAonAanAinfantAasAchestAcompressionsAforACPR;Ah
owever,AtheAnurseAmustAdeliverAfiveAchestAthrusts,AafterAtheAfiveAbackAslaps.ABlindAsweepsAareAnotAuse
dAasAthisAactionAmayApushAtheAobjectAdeeperAintoAtheAthroat.ATheAremainingAstepsAareAcorrect.

WhichAfluidAwillAtheAnurseAselectAtoAadministerAwithAtheAprescribedAbloodAtransfusion?

A.

5%ADextroseAandAwater

B.
A



NormalAsaline

C.
A



LactatedARingersAsolution

D.
A



5%ADextroseAandAlactatedAringersA-AcorrectAanswersBA

Rationale:ANormalAsalineAsolutionAisAtheAonlyAsolutionAthatAisAcompatibleAwithAblood.

WhenAassistingAaAclientAfromAtheAbedAtoAaAchair,AwhichAprocedureAisAbestAforAtheAnurseAtoAfollow?

A.

PlaceAtheAchairAparallelAtoAtheAbed,AwithAitsAbackAtowardAtheAheadAofAtheAbedAandAassistAtheAclientAinA
movingAtoAtheAchair.

,B.
A



WithAtheAnurse'sAfeetAspreadAapartAandAkneesAalignedAwithAtheAclient'sAknees,AstandAandApivotAtheAcli
entAintoAtheAchair.

C.
A



AssistAtheAclientAtoAaAstandingApositionAbyAgentlyAliftingAupward,AunderneathAtheAaxillae.

D.
A



StandAbesideAtheAclient,AplaceAtheAclient'sAarmsAaroundAtheAnurse'sAneck,AandAgentlyAmoveAtheAclientA
toAtheAchair.A-AcorrectAanswersB

Rationale:AOptionABAdescribesAtheAcorrectApositioningAofAtheAnurseAandAaffordsAtheAnurseAaAwideAbase
AofAsupportAwhileAstabilizingAtheAclient'sAkneesAwhenAassistingAtoAaAstandingAposition.ATheAchairAshoul

dAbeAplacedAatAaA45-
degreeAangleAtoAtheAbed,AwithAtheAbackAofAtheAchairAtowardAtheAheadAofAtheAbed.AClientsAshouldAneve
rAbeAliftedAunderAtheAaxillae;AthisAcouldAdamageAnervesAandAstrainAtheAnurse'sAback.ATheAclientAshould
AbeAinstructedAtoAuseAtheAarmsAofAtheAchairAandAshouldAneverAplaceAhisAorAherAarmsAaroundAtheAnurse

'sAneck;AthisAplacesAundueAstressAonAtheAnurse'sAneckAandAbackAandAincreasesAtheAriskAforAaAfall.

HowAmanyAmLAwillAtheAnurseAdocumentAonAtheAclient'sAintakeAandAoutputArecordAfromAtheAitemsAliste
d?A_____AmL

1200AmLAwater

4AounceAcontainerAofAgelatin

8AouncesAofAorangeAjuice

355AmLAcanAofAsoda1AcupAofAsoupA-AcorrectAanswersAnswer:A2155

Rationale:A1200A+A240A(8Aoz)A+A240A(1Acup)A+A120A(4Aoz)A+A355A=A2155

TheAnurseAobservesAaAUAPAtakingAaAclient'sAbloodApressureAinAtheAlowerAextremity.AWhichAobservatio
nAofAthisAprocedureArequiresAtheAnurseAtoAinterveneAwithAtheAUAP'sAapproach?

A.

TheAcuffAwrapsAaroundAtheAgirthAofAtheAleg.

B.
A



TheAUAPAauscultatesAtheApoplitealApulseAwithAtheAcuffAonAtheAlowerAleg.

C.
A



TheAclientAisAplacedAinAaAproneAposition.

D.
A



TheAsystolicAreadingAisA20AmmAHgAhigherAthanAtheAbloodApressureAinAtheAclient'sAarm.A-
AcorrectAanswersB



Rationale:AWhenAobtainingAtheAbloodApressureAinAtheAlowerAextremities,AtheApoplitealApulseAisAtheAsit
eAforAauscultationAwhenAtheAbloodApressureAcuffAisAappliedAaroundAtheAthigh.ATheAnurseAshouldAinterv
eneAwithAtheAUAPAwhoAhasAappliedAtheAcuffAonAtheAlowerAleg.AOptionAAAensuresAanAaccurateAassessm

,ent,AandAoptionACAprovidesAtheAbestAaccessAtoAtheAartery.ASystolicApressureAinAtheApoplitealAarteryAisAu
suallyA10AtoA40AmmAHgAhigherAthanAinAtheAbrachialAartery.

DuringAaAclinicAvisit,AtheAmotherAofAaA7-year-
oldAreportsAtoAtheAnurseAthatAherAchildAisAoftenAawakeAuntilAmidnightAplayingAandAisAthenAveryAdifficult
AtoAawakenAinAtheAmorningAforAschool.AWhichAassessmentAdataAshouldAtheAnurseAobtainAinAresponseAt

oAtheAmother'sAconcern?

A.

TheAoccurrenceAofAanyAepisodesAofAsleepAapnea

B.
A



TheAchild'sAbloodApressure,Apulse,AandArespirations

C.
A



LengthAofArapidAeyeAmovementA(REM)AsleepAthatAtheAchildAisAexperiencing

D.
A



DescriptionAofAtheAfamily'sAhomeAenvironmentA-AcorrectAanswersD

Rationale:ASchool-
ageAchildrenAoftenAresistAbedtime.ATheAnurseAshouldAbeginAbyAassessingAtheAenvironmentAofAtheAhom
eAtoAdetermineAfactorsAthatAmayAnotAbeAconduciveAtoAtheAestablishmentAofAbedtimeAritualsAthatAprom
oteAsleep.AOptionAAAoftenAcausesAdaytimeAfatigueAratherAthanAresistanceAtoAgoingAtoAsleep.AOptionABAi
sAunlikelyAtoAprovideAusefulAdata.ATheAnurseAcannotAdetermineAoptionAC.

TheAnurseAidentifiesAaApotentialAforAinfectionAinAaAclientAwithApartial-thicknessA(second-
degree)AandAfull-thicknessA(third-
degree)Aburns.AWhatAactionAhasAtheAhighestApriorityAinAdecreasingAtheAclient'sAriskAofAinfection?

A.

AdministrationAofAplasmaAexpanders

B.
A



UseAofAcarefulAhandwashingAtechnique

C.
A



ApplicationAofAaAtopicalAantibacterialAcream

D.
A



LimitingAvisitorsAtoAtheAclientAwithAburnsA-AcorrectAanswersB

Rationale:ACarefulAhandwashingAtechniqueAisAtheAsingleAmostAeffectiveAinterventionAforAtheApreventio
nAofAcontaminationAtoAallAclients.AOptionAAAreversesAtheAhypovolemiaAthatAinitiallyAaccompaniesAburnA
traumaAbutAisAnotArelatedAtoAdecreasingAtheAproliferationAofAinfectiveAorganisms.AOptionsACAandADAare
ArecommendedAbyAvariousAburnAcentersAasApossibleAwaysAtoAreduceAtheAchanceAofAinfection.AOptionAB

AisAaAprovenAtechniqueAtoApreventAinfection.

, TheAnurseAassessesAaA2-year-
oldAwhoAisAadmittedAforAdehydrationAandAfindsAthatAtheAperipheralAIVArateAbyAgravityAhasAslowed,Aeve
nAthoughAtheAvenousAaccessAsiteAisAhealthy.AWhatAshouldAtheAnurseAdoAnext?

A.

ApplyAaAwarmAcompressAproximalAtoAtheAsite.

B.
A



CheckAforAkinksAinAtheAtubingAandAraiseAtheAIVApole.

C.
A



AdjustAtheAtapeAthatAstabilizesAtheAneedle.

D.
A



FlushAwithAnormalAsalineAandArecountAtheAdropArate.A-AcorrectAanswersB

Rationale:ATheAnurseAshouldAfirstAcheckAtheAtubingAandAheightAofAtheAbagAonAtheAIVApole,AwhichAareAc
ommonAfactorsAthatAmayAslowAtheArate.AGravityAinfusionAratesAareAinfluencedAbyAtheAheightAofAtheAba
g,AtubingAclampAclosureAorAkinks,AneedleAsizeAorAposition,AfluidAviscosity,AclientAbloodApressureA(cryingA
inAtheApediatricAclient),AandAinfiltration.AVenospasmAcanAslowAtheArateAandAoftenArespondsAtoAwarmth
AoverAtheAvessel,AbutAtheAnurseAshouldAfirstAadjustAtheAIVApoleAheight.ATheAnurseAmayAneedAtoAadjustAt

heAstabilizingAtapeAonAaApositionalAneedleAorAflushAtheAvenousAaccessAwithAnormalAsaline,AbutAlessAinv
asiveAactionsAshouldAbeAimplementedAfirst.

TheAnurseAmanagerAofAaAskilledAnursingA(chronicAcare)AunitAisAinstructingAUAPsAonAwaysAtoApreventAco
mplicationsAofAimmobility.AWhichAactionAshouldAbeAincludedAinAthisAinstruction?

A.

PerformArange-of-motionAexercisesAtoApreventAcontractures.

B.
A



DecreaseAtheAclient'sAfluidAintakeAtoApreventAdiarrhea.

C.
A



MassageAtheAclient'sAlegsAtoAreduceAembolismAoccurrence.

D.
A



TurnAtheAclientAfromAsideAtoAbackAeveryAshift.A-AcorrectAanswersA

Rationale:APerformingArange-of-
motionAexercisesAisAbeneficialAinAreducingAcontracturesAaroundAjoints.AOptionsAB,AC,AandADAareAallApot
entiallyAharmfulApracticesAthatAplaceAtheAimmobileAclientAatAriskAofAcomplications.

TheAnurseAadministeredA10AmgAofAdiazepamAtoAtheApreoperativeAclient.AWhatAstepsAwillAtheAnurseAtak
eAnext?A(SelectAallAthatAapply.)

A.

PlaceAtheAclientAinAtheAbedAnextAtoAtheAnurse'sAstation.

Información del documento

Subido en
21 de febrero de 2025
Número de páginas
56
Escrito en
2024/2025
Tipo
Examen
Contiene
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