HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 1 of 72
Mr. Tony is nervous about a colonoscopy scheduled for tomorrow. The nurse describes the test explaining that:
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Question 2 of 72
In assessing oral temperature, how long should the nurse wait prior to reading the thermometer?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 3 of 72
The nurse further asked the client to move her tongue side to side & up and down. The nurse is checking what cranial nerve with this process?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 4 of 72
A new nurse reads a client has a wound “healing by second intention†and asks what that means. Which description by the charge nurse is most accurate?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 5 of 72
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 6 of 72
What is the most appropriate nursing diagnosis for a client expressing sadness about losing her breast?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 7 of 72
In intravenous therapy, the rule is to use veins of the upper extremities first. The superficial veins of the dorsal aspect of the hand are the preferred site. Which area of the wrist is highly sensitive and most painful site of venipuncture and must be avoided by the nurse?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 8 of 72
A behavior by a student nurse that will warrant intervention by a qualified nurse preceptor is: -
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 9 of 72
A nurse has access to computerized standardized plans of care. After printing one for a patient, what must be done next?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 10 of 72
When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 11 of 72
A nurse must verify the client's identity before administering medication. The safest way to verify identity is to:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 12 of 72
Who emphasized the nurse-patient relationship as a therapeutic and collaborative partnership in psychiatric nursing?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 13 of 72
The process of separating wastes at a point of generation is called:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 14 of 72
What item is used to test cranial nerve II?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 15 of 72
Which nursing activity reflects secondary prevention?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 16 of 72
Which assessment finding for a patient who has been admitted with a right calf venous thromboembolism (VTE) requires immediate action by the nurse?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 17 of 72
A nurse cares for a client after radiation therapy for neck cancer. The client reports extreme dry mouth. What action by the nurse is most appropriate?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 18 of 72
Which of the following data entries follows the recommended guidelines for documenting data?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 19 of 72
What medication should be given immediately to a client with acute asthma and decreased forced expiratory volume?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 20 of 72
A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 21 of 72
Which of the following nursing pioneers established the Red Cross in the United States in 1882?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 22 of 72
Which symptoms will a male client with active tuberculosis (TB) exhibit?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 23 of 72
When auscultating a client9s abdomen, how long should the nurse listen before concluding the bowel sounds are absent?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 24 of 72
Which flow sheet provides the health care provider with information on an ongoing record of fluid loss?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 25 of 72
To determine how long the nasogastric tube must be to reach the stomach of the patient, the nurse should hold the end of the tube:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 26 of 72
A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). Which client would the nurse assess first?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 27 of 72
When percussing a client's chest, the nurse should identify which sound as a normal finding?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 28 of 72
The medication order is chlorate hydrate 400mg. The bottle reads chlorate hydrate 0.1 g / capsules. How many capsules should be given?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 29 of 72
A nurse cares for a client with chronic obstructive pulmonary disease (COPD) who appears thin and disheveled. Which question would the nurse ask first?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 30 of 72
The nurse understands that medication absorption is affected by the administration route. Which route for medications has the fastest absorption rate?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 31 of 72
What action should a nurse take if a pleur-evac attached to a chest tube breaks?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 32 of 72
A 3 year-old child is brought to the clinic by his grandmother to be seen for scratching his bottom and wetting the bed at night." Based on these complaints
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 33 of 72
The proper use of the principles of body mechanics:
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Question 34 of 72
What document was developed to improve workplaces and ensure nurses' ability to provide safe, quality patient care?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 35 of 72
The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client's pulse. The standard that would be used to determine if the nurse was negligent is:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 36 of 72
When performing a skin assessment, which of the following are normal findings? Select one that doesn't apply
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 37 of 72
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 38 of 72
A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 39 of 72
What type of grief is a client experiencing when a wife is still grieving her deceased husband of five years ago?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 40 of 72
A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 41 of 72
A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 42 of 72
What nursing program is designed to prepare individuals for entry-level positions in health care and requires graduates to pass the NCLEX-PN for licensure?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 43 of 72
Which of the following nursing actions would be considered a violation of HIPAA regulations? Select all that apply.
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Question 44 of 72
A staff nurse asks a student, 'Why in the world are you studying nursing theory?' How would the student best respond?
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Question 45 of 72
During oxygenation, partial pressure of carbon dioxide in arterial blood should be maintained between:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 46 of 72
Why is air drawn into the syringe for a Z-track injection?
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Question 47 of 72
A nurse assesses a client who had a myocardial infarction and has a blood pressure of 88/58 mm Hg. Which additional assessment finding would the nurse expect?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 48 of 72
A client has been receiving an I.V. solution. What is an appropriate expected outcome for this client?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 49 of 72
Developing a teaching plan is comparable to what other nursing activity?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 50 of 72
An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening, the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 51 of 72
What should the nurse do when a client has a retention catheter?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 52 of 72
An 85-year old man was admitted to the ER with an oral body temperature of 101°F, a pulse rate of 114 /min, and a respiratory rate of 22 /min. He is restless with warm skin. Which of the following interventions are appropriate for him? Select one that doesn't apply
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 53 of 72
What is the rationale for conducting discharge planning?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 54 of 72
What type of fever would the nurse document if the client had a wide range of temperature fluctuations over normal for a period of 24 hours?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 55 of 72
Raymond is a 5-year-old with chronic disease. He had just undergone insertion of central venous catheter via ultrasound. Which of the assessment data should you look first prior to administration of IV fluids?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 56 of 72
A patient admitted to the coronary care unit (CCU) with an ST-segment-elevation myocardial infarction (STEMI) is restless and anxious. The blood pressure is 86/40 mm Hg, and heart rate is 132 beats/min. Based on this information, which patient problem is the priority?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 57 of 72
When the nurse is administering furosemide 40 mg IV push to a client in congestive heart failure (CHF), what phase of the nursing process does this represent?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 58 of 72
Which dietary guidelines are important for nurse Oliver to implement in caring for the client with burns?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 59 of 72
After having an argument with a spouse, which defense mechanism is the patient exhibiting when becoming verbally abusive toward the nurse?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 60 of 72
A nurse is learning about the types of different cells involved in the inflammatory response. Which principles does the nurse learn? (Select the one that does not apply.)
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 61 of 72
The step of the nursing process characterized by systematic collection of all subjective and objective data about the client is known as: -
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 62 of 72
When using a cane for maximal support, the nurse is aware that the client should:
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 63 of 72
Once a nurse has counseled a client about her situational role changes, and she has accepted them, what is the next step in her recovery?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 64 of 72
Which information from a patient helps the nurse confirm the previous diagnosis of chronic stable angina?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 65 of 72
A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 66 of 72
The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 67 of 72
Which of the following is a criteria that defines nursing as profession?
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Question 68 of 72
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which assessment finding will the nurse expect next?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 69 of 72
What is the primary focus of healthcare today?
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Question 70 of 72
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
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HESI RN · Introduction to Critical Care Nursing 8th Edition
Question 71 of 72
A patient is admitted to the hospital with possible acute pericarditis. What diagnostic test would the nurse expect the patient to undergo?
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Question 72 of 72
When should George be taught about testicular examinations?
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