2024 HESI RN Fundamentals Practice Quiz Guaranteed A+ Actual Questions and Answers, Complete 100%
- During shift change report, the nurse receives report that a client has
- Place the stethoscope bell at random points on the posterior chest
- Use the stethoscope bell over the valvular areas of the anterior chest
- Move the diaphragm of the stethoscope over the left anterior chest
abnormal heart sounds. Which placement of the stethoscope should the nurse use to hear the client's heart sounds?
D. Position the diaphragm of the stethoscope over Erb's point on the chest-:
Answer:
Use the stethoscope bell over the valvular areas of the anterior chest Abnormal heart sounds are best heard with the bell of the stethoscope (which picks up lower-pitched sounds) and placed over the valvular areas of the anterior chest
- A female client with a nasogastric tube attached to low suction states
- Irrigate the nasogastric tube with sterile normal saline.
- Reposition the client on her side.
- Advance the nasogastric tube an additional five centimeters.
that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first?
D. Administer an intravenous antiemetic prescribed for PRN use.:
Answer:
Reposition the client on her side The immediate priority is to determine if the tube is functioning correctly, which would then relieve the client's nausea. The least invasive intervention should be attempted first
- The nurse witnesses the signature of a client who has signed an informed
- The client voluntarily signed the form.
- The client fully understands the procedure.
- The client agrees with the procedure to be done.
consent. Which statement best explains this nursing responsibility?
D. The client authorizes continued treatment.:
Answer:
The client voluntarily signed the form The nurse signs the consent form to witness that the client voluntarily signs the 1 / 2
consent, that the client's signature is authentic, and that the client is otherwise competent to give consent
- After completing an assessment and determining that a client has a problem,
- Determine the etiology of the problem.
- Prioritize nursing care interventions.
- Plan appropriate interventions.
which action should the nurse perform next?
D. Collaborate with the client to set goals.:
Answer:
Determine the etiology of the problem Before planning care, and following the steps of ADPIE, the nurse should determine the cause or etiology of the problem
- An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a
- 30
- 60
rate of 30 mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
C. 120
D. 180:
Answer:
180
Calculation: 180ml/hr = 500 ml/5mg X 1mg/1000mcg X 30 mcg/min X 60 min/hr
Remember you are solving for the ml/hr so set up your equation accordingly
- Secobarbital (Seconal) 150mg is prescribed at bedtime for a male client
who is scheduled for surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets should the nurse administer? (Enter the numerical value only, if rounding is required, round to the nearest tenth).Fill in the blank
:
Answer:
1.5 Calculation: 1,000mg : 1 gram :: X mg : 0.1 gram X = 100 mg D/H = 150/100 = 1.5 tablets
- An adult male client with a history of hypertension tells the nurse that he
- / 2
is tired of taking antihypertensive medications and is going to try spiritual