225 HESI PREPARATION| TOP SCORES MADE
SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
What is the correct order of actions a nurse should take before entering a room for wound
care?
- wash hands
- apply surgical mask
- don gloves
- put on an isolation gown Answer: 1. Wash hands
2. Put on an isolation gown
3. Apply surgical mask
4. Don gloves.
Using the SBAR technique, what information should the nurse provide first when notifying
the healthcare provider?
A. Admitted after a motor vehicle accident
B. A 26 year old client
C. Prescription for ?? PO every 12 hours
D. Blood pressure is 80/48mmHG Answer: A. Admitted after a motor vehicle accident.
The nurse observed the UAP securing a client's wrist restraints to the bedside rails. Which
action is most important for the nurse to implement?
A. ensure that the restraints are not too tight
B. complete an adverse occurrence/incident report
C. demonstrate proper securing of the restraints
D. initiate the facility's restraint flow sheet Answer: C. Demonstrate proper securing of the
restraints.
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the
radial pulse is no longer palpable at 90mHG, Which action should the nurse take?
A. Document the absence of the radial pulse
B. Inflate the blood pressure cuff to 120mmHG
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, C. Release the manometer valve immediately
D. record a palpable systolic pressure of 90mmHg Answer: B. Inflate the blood pressure
cuff to 120 mmHg.
The healthcare provider prescribes Digoxin elixir 125 mcg PO daily. The drug is available in a
60mL bottle labeled "Digoxin elixir 0.05mg/mL". How many mL should the nurse
administer?
(Enter NUMERIC value only) Answer: 2.5 mL.
A client with atrial fibrillation receives a prescription for a loading dose of Digoxin 0.5mg
PO. The medication is available in 125 mcg tablets. How many tablets should the nurse
administer?
(Enter NUMERICAL value only). Answer: 4 tablets.
Which assessment data reflects the need for the nurse to include the problem, "risk for
falls" in a client's plan of care?
Reference range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago Answer: D. Opioid analgesic received one hour
ago.
What action should the nurse take when preparing to obtain a stool specimen for occult
blood from a client with soft, solid, light brown feces?
A. Wait to obtain the specimen until the observable blood is pre- sent
B. Withhold the specimen collection until tarry black stool is ob- served
C. Obtain the specimen from the client's current bowel movement
D. Contact the healthcare provider before obtaining the specimen Answer: C. Obtain the
specimen from the client's current bowel movement.
When administering a new medication to a patient, the nurse logs in the electronic
medication administration record (eMAR). Which action should the nurse take next?
A. Reconcile the medication to be administered with the initial client prescription
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
SIMPLE | TRUSTED TEST SOLUTIONS!
QUALITY CONTENT YOU CAN RELY ON!
What is the correct order of actions a nurse should take before entering a room for wound
care?
- wash hands
- apply surgical mask
- don gloves
- put on an isolation gown Answer: 1. Wash hands
2. Put on an isolation gown
3. Apply surgical mask
4. Don gloves.
Using the SBAR technique, what information should the nurse provide first when notifying
the healthcare provider?
A. Admitted after a motor vehicle accident
B. A 26 year old client
C. Prescription for ?? PO every 12 hours
D. Blood pressure is 80/48mmHG Answer: A. Admitted after a motor vehicle accident.
The nurse observed the UAP securing a client's wrist restraints to the bedside rails. Which
action is most important for the nurse to implement?
A. ensure that the restraints are not too tight
B. complete an adverse occurrence/incident report
C. demonstrate proper securing of the restraints
D. initiate the facility's restraint flow sheet Answer: C. Demonstrate proper securing of the
restraints.
The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the
radial pulse is no longer palpable at 90mHG, Which action should the nurse take?
A. Document the absence of the radial pulse
B. Inflate the blood pressure cuff to 120mmHG
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, C. Release the manometer valve immediately
D. record a palpable systolic pressure of 90mmHg Answer: B. Inflate the blood pressure
cuff to 120 mmHg.
The healthcare provider prescribes Digoxin elixir 125 mcg PO daily. The drug is available in a
60mL bottle labeled "Digoxin elixir 0.05mg/mL". How many mL should the nurse
administer?
(Enter NUMERIC value only) Answer: 2.5 mL.
A client with atrial fibrillation receives a prescription for a loading dose of Digoxin 0.5mg
PO. The medication is available in 125 mcg tablets. How many tablets should the nurse
administer?
(Enter NUMERICAL value only). Answer: 4 tablets.
Which assessment data reflects the need for the nurse to include the problem, "risk for
falls" in a client's plan of care?
Reference range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
A. expressed feelings of depression
B. Recent serum hemoglobin level of 16 g/dL (160 g/dL)
C. Stooped posture with a steady gait
D. opioid analgesic received one hour ago Answer: D. Opioid analgesic received one hour
ago.
What action should the nurse take when preparing to obtain a stool specimen for occult
blood from a client with soft, solid, light brown feces?
A. Wait to obtain the specimen until the observable blood is pre- sent
B. Withhold the specimen collection until tarry black stool is ob- served
C. Obtain the specimen from the client's current bowel movement
D. Contact the healthcare provider before obtaining the specimen Answer: C. Obtain the
specimen from the client's current bowel movement.
When administering a new medication to a patient, the nurse logs in the electronic
medication administration record (eMAR). Which action should the nurse take next?
A. Reconcile the medication to be administered with the initial client prescription
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
