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Exam (elaborations)

401 Hesi Training Exam Questions And 100% Accurate Answers.

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  • Course
  • NURS 401
  • Institution
  • NURS 401

A nurse is caring for a client who sustained a transection of the spinal cord with no other injuries. The nurse continually monitors this client for which medical emergency? 1. Hemorrhage 2. Hypovolemic shock 3. Gastrointestinal atony 4. Autonomic hyperreflexia - Answer 4. A nurse is ca...

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  • August 31, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 401
  • NURS 401
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COCOSOLUTIONS
401 Hesi Training Exam Questions And
100% Accurate Answers.
A nurse is caring for a client who sustained a transection of the spinal cord with no other injuries. The
nurse continually monitors this client for which medical emergency?



1. Hemorrhage

2. Hypovolemic shock

3. Gastrointestinal atony

4. Autonomic hyperreflexia - Answer 4.



A nurse is caring for a client who experienced serious burns in a fire. Which relationship between a
client's burned body surface area and fluid loss should the nurse consider when evaluating fluid loss in a
client with burns?



1.Equal

2.Unrelated

3.Inversely related

4.Directly proportional - Answer 4.



A client is on a cardiac monitor. The monitor begins to alarm showing ventricular tachycardia. What
should the nurse do first?



1.Check for a pulse

2.Start cardiac compressions

3.Prepare to defibrillate the client

4.Administer oxygen via an ambu bag - Answer 1.



A client is admitted to the hospital with partial- and full-thickness burns of the chest and face sustained
while trying to extinguish a brush fire. Which is the nurse's priority concern?

, 1. Loss of skin integrity caused by the burns

2. Potential infection as a result of the burn injury

3. Inadequate gas exchange caused by smoke inhalation

4. Decreased fluid volume because of the depth of the burns - Answer 3.



A nurse is caring for a client with severe burns. The nurse determines that this client is at risk for
hypovolemic shock. Which physiologic finding supports the nurse's conclusion?



1. Decreased rate of glomerular filtration

2. Excessive blood loss through the burned tissues

3. Plasma proteins moving out of the intravascular compartment

4. Sodium retention occurring as a result of the aldosterone mechanism - Answer 3.



During the first 48 hours after a client has sustained a thermal injury, which conditions should the nurse
assess for?



1. Hypokalemia and hyponatremia

2. Hyperkalemia and hyponatremia

3. Hypokalemia and hypernatremia

4. Hyperkalemia and hypernatremia - Answer 2.



The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority concern of
the nurse when caring for this client?



1. Fluid volume

2. Skin integrity

3. Physical mobility

4. Urinary elimination - Answer 2.

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