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HESI FUNDAMENTALS EXAM 2 NEWEST COMPLETE ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH (APPROVED SOLUTIONS) 2025 A NEW UPDATED VERSION |ALREADY GRADED A+ $19.99   Add to cart

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HESI FUNDAMENTALS EXAM 2 NEWEST COMPLETE ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH (APPROVED SOLUTIONS) 2025 A NEW UPDATED VERSION |ALREADY GRADED A+

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HESI FUNDAMENTALS EXAM 2 NEWEST COMPLETE ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS WITH (APPROVED SOLUTIONS) 2025 A NEW UPDATED VERSION |ALREADY GRADED A+

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  • November 20, 2024
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By: Americannursingaassociation • 4 days ago

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IANNYAGA
HESI FUNDAMENTALS EXAM 2 NEWEST
COMPLETE ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH (APPROVED
SOLUTIONS) 2025 A NEW UPDATED VERSION
|ALREADY GRADED A+


A client with pneumonia has a decrease in oxygen saturation from 94% to 88%
while ambulating. Based on these findings, which intervention should the nurse
implement first?


Assist the ambulating client back to the bed.


Encourage the client to ambulate to resolve pneumonia.


Obtain a prescription for portable oxygen while ambulating.


Move the oximetry probe from the finger to the earlobe. - ......answer.....A
An oxygen saturation below 90% indicates inadequate oxygenation. First, the
client should be assisted to return to bed to minimize oxygen demands.
Ambulation increases aeration of the lungs to prevent pooling of respiratory
secretions, but the client's activity at this time is depleting oxygen saturation of
the blood. Increased activity increases respiratory effort, and oxygen may be
necessary to continue ambulation, but first the client should return to bed to rest.


On admission, a client presents a signed living will that includes a Do Not
Resuscitate (DNR) prescription. When the client stops breathing, the nurse
performs cardiopulmonary resuscitation (CPR) and successfully revives the
client. What legal issues could be brought against the nurse?


Assault.

,Battery.


Malpractice.


False imprisonment. - ......answer.....B
Civil laws protect individual rights and include intentional torts, such as assault
(an intentional threat to engage in harmful contact with another) or battery
(unwanted touching).Performing any procedure against the client's wishes can
potentially create a legal issue, such as battery, even if the procedure is of
questionable benefit to the client.


The nurse plans to obtain health assessment information from a primary source.
Which option is a primary source for the completion of the health assessment?


Client.


Healthcare provider.


A family member.


Previous medical records. - ......answer.....A
A primary source of information for a health assessment is the client. Family
members, the medical record, and the healthcare provider are considered
secondary sources about the client's health history, but other details, such as
subjective data, can only be provided directly from the client.


The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in this teaching plan?


Avoid any types of sprays, powders, and perfumes.

,Wearing a mask while cleaning will not help to avoid allergens.


Purchase any type of clothing, but be sure it is washed before wearing it.


Pollen count is related to hay fever, not to allergens. - ......answer.....A
The client with allergies should be instructed to reduce any exposure to pollen,
dust, fumes, odors, sprays, powders, and perfumes. The client should be
encouraged to wear a mask when working around dust or pollen. Clients with
allergies should avoid any clothing that causes itching; washing clothes will not
prevent an allergic reaction to some fabrics. Pollen count is related to allergens,
and the client should be instructed to stay indoors when the pollen count is high.


A client with pericardial effusion has phrenic nerve compression resulting in
recurrent hiccups. The healthcare provider prescribes metoclopramide (Reglan)
liquid 10 mg PO q 6 hours. Reglan is available as 5 mg/5 ml. A measuring device
marked in teaspoons is being used. How many teaspoons should the nurse
administer? - ......answer.....2
First, using the formula, Desired dose/dose on Hand x Quantity of volume on
hand (D/H x Q),
10 mg / 5 mg x 5ml = 10 ml
Next using the known conversion of 5 ml = 1 tsp:
5 ml : 1 tsp :: 10 ml : X
: 1 / X
5X = 10
X=2


The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks
the nurse to help determine the safest way to transfer an older client with left-
sided weakness from the bed to the chair. Which method describes the correct
transfer procedure for this client?

, Place the chair at a right angle to the bed on the client's left side before moving.


Assist the client to a standing position, then place the right hand on the armrest.


Have the client place the left foot next to the chair and pivot to the left before
sitting.


Move the chair parallel to the right side of the bed, and stand the client on the
right foot. - ......answer.....D
When positioning a client for transfer from bed to chair when the client has left-
sided weakness, use the client's stronger side, the right side, for weight-bearing
during the transfer. In this case, the client should stand on the right foot during
the transfer.


The nurse observes an unlicensed assistive personnel (UAP) checking a client's
blood pressure with a cuff that is too small, but the blood pressure reading
obtained is within the client's usual range. Which action is most important for the
nurse to implement?


Tell the UAP to use a larger cuff at the next scheduled assessment.


Reassess the client's blood pressure using a larger cuff.


Have the unit educator review this procedure with the UAPs.


Teach the UAP the correct technique for assessing blood pressure. -
......answer.....B
An unlicensed assistive personnel (UAP) is using the wrong sized cuff to check a
blood pressure. The most important action is to ensure that an accurate blood

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