HESI RN Fundamentals II | Nurselytic

Questions 58

HESI RN

HESI RN Test Bank

HESI RN Fundamentals II Questions

Extract:


Question 1 of 5

The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

Correct Answer: B

Rationale: Hand washing is key to standard precautions.

Question 2 of 5

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?

Correct Answer: A

Rationale: Witnessed disposal ensures accountability.

Question 3 of 5

The palliative care nurse receives a consult for a terminally ill client in the intensive care unit. The client is weak, mouth breathing, and refusing anything to eat or drink. Which intervention should the nurse include in plan of care?

Correct Answer: B

Rationale: Moist membranes enhance comfort in terminal care.

Question 4 of 5

The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, 'Streptomycin 1 gram/2.5 mL.' How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.5

Rationale: 200 mg = 0.5 mL from 1 g/2.5 mL vial.

Extract:

History and Physical
Client was involved in a multi-car collision six days ago. Sustained a liver laceration, right rib fracture and right femur fracture. The liver laceration was repaired. An intermedullary rod was placed to repair the femur fracture. Client is progressing.
Orders
Post-op day 2
• Physical therapy evaluation


Question 5 of 5

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Action to Take

Concentric exercises
Isotonic exercises
Eccentric exercises
Isometric exercises

Potential Condition

Support the extremity during exercise routine
Teach family how to participate in exercise program
Teach client how to use resistive bands

Parameter to Monitor

Pain level
Ability to perform activities of daily living
Have client contract

Correct Answer: Condition: Isometric exercises; Actions: Support the extremity during exercise routine, Teach family how to participate in exercise program; Parameters: Pain level, Ability to perform activities of daily living

Rationale: Isometric exercises minimize stress; support and family aid compliance.

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