HESI RN
HESI Fundamentals Quizlet Questions
Question 1 of 5
The caregiver learns the use of a gait belt from the nurse for a woman with right-sided weakness. The caregiver demonstrates the skill. Which observation indicates that the caregiver has learned how to perform this procedure correctly?
Correct Answer: B
Rationale: Standing on the weak side of the client and holding the gait belt from the back provides better security and support during ambulation, reducing the risk of falls. This positioning allows the caregiver to offer stability and assistance without interfering with the client's movement, ensuring safe ambulation for the client with right-sided weakness.
Question 2 of 5
A healthcare professional stops at a motor vehicle collision site to render aid until the emergency personnel arrive and applies pressure to a groin wound that is bleeding profusely. Later, the client has to have the leg amputated and sues the healthcare professional for malpractice. What is the most likely outcome of this lawsuit?
Correct Answer: C
Rationale: The Good Samaritan Act protects healthcare professionals who provide care in good faith and offer reasonable assistance in emergencies. This law shields them from malpractice claims, even if the outcome for the client is unfavorable. Therefore, in this scenario, the healthcare professional is likely to be protected from judgment under the Good Samaritan Act.
Question 3 of 5
The mental health nurse plans to discuss a client's depression with the health care provider in the emergency department. There are two clients sitting across from the emergency department desk. Which nursing action is best?
Correct Answer: D
Rationale: The best nursing action is to discuss the client another time. When discussing a client's confidential information, it is essential to ensure privacy and confidentiality. Given the presence of other clients in the immediate vicinity, it is inappropriate to discuss personal details about a client's condition openly. Waiting for a more private setting is crucial to uphold the client's right to privacy and confidentiality.
Question 4 of 5
A male client is laughing at a television program with his wife when the evening nurse enters the room. He says his foot is hurting and he would like a pain pill. How should the nurse respond?
Correct Answer: A
Rationale: In this scenario, the correct response for the nurse is option A) Ask him to rate his pain on a scale of 1 to 10. This is the most appropriate action because pain assessment is a crucial aspect of nursing care. By asking the client to rate his pain, the nurse can gather essential information to determine the intensity of the pain and make informed decisions regarding pain management. Option B is incorrect as it suggests delaying pain relief, which goes against the principle of providing timely and effective pain management. Option C is also incorrect because all clients deserve prompt attention and care regardless of their current activity or demeanor. Option D is not the best initial response in this situation, as assessing pain intensity should be the priority before implementing pain management strategies. In an educational context, understanding the importance of pain assessment and management is fundamental for nursing students. Effective pain management is essential for improving patient outcomes and quality of life. By prioritizing pain assessment and individualizing pain management strategies, nurses can provide holistic and patient-centered care.
Question 5 of 5
The health care provider has changed a client's prescription from the PO to the IV route of administration. The nurse should anticipate which change in the pharmacokinetic properties of the medication?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The onset of action of the drug will occur more rapidly, resulting in a more rapid effect. When a medication is administered intravenously (IV) instead of orally (PO), it bypasses the absorption phase, leading to a faster onset of action. This is due to the direct entry of the drug into the bloodstream, allowing for immediate distribution and faster therapeutic effects. Option A is incorrect because changing the route of administration to IV does not lead to increased tolerance or necessitate a higher dose. Option C is incorrect as the protein-binding properties of a medication are not typically altered by changing the route of administration. Option D is also incorrect as increasing the therapeutic index would actually reduce the risk of toxicity, not increase it. From an educational standpoint, understanding the pharmacokinetic properties of medications and how different routes of administration can impact drug absorption, distribution, metabolism, and excretion is crucial for safe and effective nursing practice. Nurses must be able to anticipate how changing the route of administration can alter a medication's pharmacological effects to provide optimal patient care.