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Hesi rn fundamentals 4 versions newest exam 2024 complete correct questions with detailed answers
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Hesi rn fundamentals 4 versions newest exam 2024 complete correct questions with detailed answers
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Hesi rn fundamentals 4 versions newestexam 2024 complete correct questions
with detailed answers
The nurse is called to the waiting room of a
pediatric clinic. The frantic mother states, "I
think my 4-month-old baby is choking!" What
steps will the nurse take? (Select all that
apply.)
A.
Compress the chest once between the nipples
with two fingers.
B.
Note any obstruction or absence of breathing.
C.
Deliver five backslaps between the shoulder
blades.
D.
,Place the infant over the nurse's arm.
E.
Perform a blind finger sweep. - ....ANSWER
>>>>B, C, D
Rationale: The fingers are placed at the same
location on an infant as chest compressions for
CPR; however, the nurse must deliver five
chest thrusts, after the five back slaps. Blind
sweeps are not used as this action may push
the object deeper into the throat. The remaining
steps are correct.
Which fluid will the nurse select to administer
with the prescribed blood transfusion?
A.
5% Dextrose and water
B.
Normal saline
C.
Lactated Ringers solution
D.
5% Dextrose and lactated ringers - ....ANSWER
>>>>B
,Rationale: Normal saline solution is the only
solution that is compatible with blood.
When assisting a client from the bed to a chair,
which procedure is best for the nurse to
follow?
A.
Place the chair parallel to the bed, with its back
toward the head of the bed and assist the client
in moving to the chair.
B.
With the nurse's feet spread apart and knees
aligned with the client's knees, stand and pivot
the client into the chair.
C.
Assist the client to a standing position by
gently lifting upward, underneath the axillae.
D.
Stand beside the client, place the client's arms
around the nurse's neck, and gently move the
client to the chair. - ....ANSWER >>>>B
Rationale: Option B describes the correct
positioning of the nurse and affords the nurse
a wide base of support while stabilizing the
, client's knees when assisting to a standing
position. The chair should be placed at a 45-
degree angle to the bed, with the back of the
chair toward the head of the bed. Clients
should never be lifted under the axillae; this
could damage nerves and strain the nurse's
back. The client should be instructed to use the
arms of the chair and should never place his or
her arms around the nurse's neck; this places
undue stress on the nurse's neck and back and
increases the risk for a fall.
How many mL will the nurse document on the
client's intake and output record from the
items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ....ANSWER
>>>>ANSWER: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120
(4 oz) + 355 = 2155
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