HESI RN Fundamentals II | Nurselytic

Questions 58

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HESI RN Fundamentals II Questions

Extract:

History and Physical
The client is a 64-year-old female with a 3-day history of cough and chest pain. She recently began to have difficulty breathing. Cardiac causes of chest pain were ruled out with laboratory tests. The client will be admitted for presumed pneumonia. The client has a history of type 2 diabetes mellitus. She takes insulin glargine 12 units in the morning and 10 units in the evening.
Nurses' Notes
0700
Insulin glargine 12 units given SUBQ.
0900
Azithromycin 1 gm given PO.
1900
Insulin glargine 10 units given SUBQ.
2000
Insulin glargine 10 units given SUBQ.
Imaging Studies
Chest x-ray consolidation in right lower lobe consistent with pneumonia
The primary nurse went on break at 1845. The covering nurse gave insulin glargine and decided to manually document the dose but forgot to enter it into the electronic health record. The primary nurse came back from break and gave a second dose of insulin because of being unaware the covering nurse gave the ordered dose.


Question 1 of 5

What medication error prevention techniques would have helped to avoid this error?

Correct Answer: C,E

Rationale: Immediate documentation and identifiers prevent errors.

Extract:


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

Which client assessment should the nurse perform during nasopharyngeal suctioning?

Correct Answer: C

Rationale: Skin/mucous membrane observation monitors distress.

Question 5 of 5

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

Correct Answer: D

Rationale: Bevel up ensures proper dermal placement.

Similar Questions

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When assuming care of a client at 1900, the nurse learns in report that a client with a urinary tract infection had an indwelling urinary catheter removed during the previous shift. Which information is most important for the nurse to obtain?
The nurse is preparing to give an emergency sedative injection to an agitated client. Which action by the nurse comprises a tort?
A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client's parents arrive and are asking questions about the client's laboratory results. Which response is best for the nurse to provide?

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