HESI RN Fundamentals of Nursing | Nurselytic

Questions 44

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HESI RN Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?

Correct Answer: D

Rationale: Suctioning clears airway obstruction.

Question 2 of 5

The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is 0.4 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 2.5

Rationale: 1 mg / 0.4 mg/mL = 2.5 mL.

Extract:

History and Physical
The client is a 56-year old woman who had an anteroposterior spinal fusion 2 days ago. She tolerated the procedure well and has been progressively increasing her walking distance.
Nurses Notes
1200
• - Heart rate: 98 bpm
• - Pain rating: 5/10
• - Morphine 2.5 mg given
• - The client did ambulation exercises with physical therapy
1300
• - Heart rate: 78 bpm
• - Pain rating: 3/10
• - Ibuprofen 800 mg given
• - The client is resting in bed
1400
Orders
- Heart rate 118 bpm


Question 3 of 5

Based on the trending heart rate and pain score, what should the nurse do?

Correct Answer: A,D,E

Rationale: Guided imagery, pain assessment, and surgeon consultation manage pain safely.

Extract:


Question 4 of 5

After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care?

Correct Answer: A,C,E

Rationale: Comfort measures, pain scale, and analgesics manage chronic pain.

Question 5 of 5

The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?

Correct Answer: D

Rationale: Rest reduces alertness, increasing aspiration risk.

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