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HESI PRACTICE EXAM QUESTIONS WITH CORRECT SOLUTIONS!!.
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HESI PRACTICE EXAM QUESTIONS WITH CORRECT SOLUTIONS!!.
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HESI PRACTICE EXAM QUESTIONSWITH CORRECT SOLUTIONS!!
The nnnurse nnassigns nna nnUAP nnto nnobtain nnvital nnsigns nnfrom nna nnvery nnanxious
nnclient. nnWhat nninstructions nnshould nnthe nnnurse nngive nnthe nnUAP?
a. nnRemain nncalm nnwith nnthe nnclient nnand nnrecord nnabnormal nnresults nnin nnchart
b. nnNotify nnthe nnmedication nnnurse nnimmediately nnif nnthe nnpulse nnor nnblood
nnpressure nnis nnlow
c. nnreport nnthe nnresults nnof nnthe nnvital nnsigns nnto nnnurse
d. nnreassure nnclient nnthat nnthe nnvital nnsigns nnare nnnormal nn- nnAnswer nnReport nnthe
nnresults nnof nnthe nnvital nnsigns nnto nnthe nnnurse
What nnis nnthe nnrole nnof nna nnUAP? nn- nnAnswer nnhelp nnnurses nnprovide nndirect nncare
nnto nnpatients. nnAs nndefined nnby nnindividual nnstate nnboards nnof nnnursing, nnUAPs
nnmay nnhave nnthe nntitle nnof nncertified nnnursing nnassistants, nnattendants, nnor
nntechnicians
Essentials nnof nnEffective nndelegation: nn- nnAnswer nn---know nnstate/institutional
nnpolicies nnon nndelegation
---be nnclear nnon nndifference nnbetween nnnursing nnprocess nnand nnnursing nntask
---know nntraining nn& nnbackground nnof nnUAP
---know nnpt nnneeds nnand nnwhat nnthey nnare nnat nnrisk nnfor
---assess nnwhich nntask nncan nnbe nnSAFELY nndelegated
---have nnUAP nnrepeat nnyour nninstructions
---take nnfrequent nnmini nnreports nnfrom nnUAP
---evaluate nnUAP nnperformance nn& nnpt nnresponse
An nnelderly nnclient nnwith nna nnfractured nnleft nnhip nnis nnon nnstrict nnbedrest. nnWhich
nnnursing nnmeasure nnis nnessential nnto nnthe nnclient's nnnursing nncare?
A. nnMassage nnany nnreddened nnareas nnfor nnat nnleast nnfive nnminutes
B. nnEncourage nnactive nnrange nnof nnmotion nnexercises nnon nnextremities. nn
C. nnPosition nnthe nnclient nnlaterally, nnprone, nnand nndorsally nnin nnsequence. nn
,D. nnGently nnlift nnthe nnclient nnwhen nnmoving nninto nna nndesired nnposition. nn- nnAnswer
nnGently nnlift nnthe nnclient nnwhen nnmoving nninto nna nndesired nnposition
when nnassessing nna nnclient nnwith nnwrist nnrestraints, nnthe nnnurse nnobserves nnthat
nnthe nnfingers nnon nnthe nnright nnhand nnare nnblue. nnWhat nnaction nnshould nnthe nnnurse
nnimplement nnfirst? nn
a. nnloosen nnright nnwrist nnrestraint
b. nnapply nna nnpulse nnox nnto nnright nnhand
c. nncompare nncolor nnbilaterally
d. nnpalpate nnright nnradial nnpulse nn- nnAnswer nnloosen nnthe nnright nnwrist nnrestraint nn
(restore nncirculation nnby nnloosening nnthe nnrestraint nnb/c nnblue nnfingers nnindicates
nndecreased nncirculation-cyanosis)
Cyanosis nn- nnAnswer nna nnbluish nndiscoloration nnof nnthe nnskin nnresulting nnfrom nnpoor
nncirculation nnor nninadequate nnoxygenation nnof nnthe nnblood
An nnelderly nnmale nnclient nnwho nnis nnunresponsive nnfollowing nna nncerebral nnvascular
nnaccident nn(CVA) nnis nnreceiving nnbolus nnenteral nnfeedings nnthough nna nngastrostomy
nntube. nnWhat nnis nnthe nnbest nnclient nnposition nnfor nnadministration nnof nnthe nnbolus
nntube nnfeedings?
A. nnProne
B. nnFowler's
C. nnSims'
D. nnSupine nn- nnAnswer nnFowlers
Fowlers nnPosition nn- nnAnswer nnsemi-sitting nnposition nncalls nnfor nnthe nnhead nnof nnbed
nnto nnbe nnelevated nn45-60 nndegrees. nn
This nnposition nnis nnused nnto nnpromote nncardiac nn& nnrespiratory nnfunctioning nnbc
nnabd nnorgans nndrop nnin nnthis nnposition, nnproviding nnmaximal nnspace nnin nnthoracic
nncavity
Good nnposition nnfor nneating, nnconversation, nnand nnurinary/intestinal nnelimination
buttocks nnbear nnthe nnmain nnbody nnweight
what nnplaces nnare nnat nnrisk nnfor nnskin nnbreakdown nnin nnfowlers? nn- nnAnswer nnheels,
nnsacrum, nnand nnscapula
High nnFowler's nnPosition nn- nnAnswer nnhead nnof nnbed nnelevated nn90 nndegrees
, Low nnFowler's nnPosition nn- nnAnswer nnHead nnof nnbed nnis nnelevated nn30 nndegrees
supine nnor nndorsal nnrecumbent nnposition nn- nnAnswer nnpt nnlies nnflat nnon nnback nnwith
nnhead nn& nnshoulders nnslightly nnelevated
Side nnlying nnor nnLateral nnposition nn- nnAnswer nnThe nnpt nnlies nnon nnthe nnside nnand
nnthe nnmain nnweight nnof nnthe nnbody nnis nnborne nnby nnthe nnlateral nnaspect nnof nnthe
nnlower nnscapula nnand nnthe nnlateral nnaspect nnof nnthe nnlower nnilium
Sims nnPosition nn- nnAnswer nnpt nnlies nnon nnside nnbut nnlower nnarm nnis nnflexed nnat
nnboth nnshoulder nnand nnelbow.
In nndeveloping nna nnplan nnof nncare nnfor nna nnpt nnwith nndementia, nnthe nnnurse nnshould
nnremember nnthat nnconfusion nnin nnthe nnelderly
a. nnis nnto nnbe nnexpected, nnand nnprogresses nnwith nnage
b. nnoften nnfollows nnrelocation nnto nnnew nnsurroundings
c. nnis nna nnresult nnof nnirreversible nnbrain nnpathology
d. nncan nnbe nnprevented nnwith nnadequate nnsleep nn- nnAnswer nnoften nnfollows
nnrelocation nnto nnnew nnsurroundings
(relocation nnoften nnresults nnin nnconfusion nnamong nnelderly nnclients--moving nnis
nnstressful nnfor nnanyone)
Prone nnposition nn- nnAnswer nnthe nnperson nnlies nnon nnthe nnabdomen nnwith nnthe nnhead
nnturned nnto nnone nnside
The nnnurse nnis nnevaluating nnclient nnlearning nnabout nna nnlow-sodium nndiet. nnSelection
nnof nnwhich nnmeal nnwould nnindicate nnto nnthe nnnurse nnthat nnthis nnclient nnunderstands
nnthe nndietary nnrestrictions?
a. nntossed nnsalad, nnlow-sodium nndressing, nnbacon nn& nntomato nnsandwich
b. nnnew nnengland nnclam nnchowder, nnno-salt nncrackers, nnand nnfresh nnfruit nnsalad
c. nnskim nnmilk, nnturkey nnsalad, nnroll, nnand nnvanilla nnice nncream
d. nnmac nn& nncheese, nndiet nncoke, nncherry nnpie nn- nnAnswer nnskim nnmilk, nnturkey
nnsalad, nnroll, nnand nnvanilla nnice nncream
A nnUAP nnplaces nna nnpt nnin nna nnleft nnlateral nnposition nnprior nnto nnadministration nna
nnsoap nnsuds nnenema. nnwhich nninstruction nnshould nnthe nnnurse nnprovide nnthe nnUAP?
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