TEST 205\2026 LATEST UPDATED
HESI RN TOP GRADED EXIT EXAM -MOST TESTED EXAM QUIZZES
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES
| GRADED A+ |PASS ASSURED SUCCESS |JUST RELEASED
The nurse is providing care to a client admitted to the emergency room with a blood glucose
level of 40 mg/dL and is semiconscious. What are the nurse's next actions? (Select all that
apply.)
A.
Place 4 sugar cubes under the tongue.
B.
Place 1 tablespoon of honey in the client's cheek.
C.
Start an IV of Normal Saline.
D.
Obtain a 50% dextrose solution.
E.
Administer glucagon as per the standing order.
F.
Turn the client to the side.
C, D, E, F
Rationale:Oral carbohydrates, such as sugar and honey, should never be given to the
semiconscious or unconscious clients with low blood sugar levels, for concern for aspiration.
, Glucagon can be administered immediately, followed by starting an IV. Await the orders for the
50% dextrose solution. Place the client in a side lying position as there is a risk for vomiting and
aspiration with these clients.
A family member was taught to suction a client's tracheostomy prior to the client's discharge
from the hospital. Which observation by the nurse indicates that the family member is capable
of correctly performing the suctioning technique?
A.
Turns on the continuous wall suction to 190 mm Hg
B.
Inserts the catheter until resistance or coughing occurs
C.
Withdraws the catheter while maintaining suctioning
D.
Reclears the tracheostomy after suctioning the mouth
B
Rationale:Option B indicates correct technique for performing suctioning. Suction pressure
should be between 80 and 120 mm Hg, not 190 mm Hg. The catheter should be withdrawn 1 to
2 cm at a time with intermittent, not continuous, suction. Option D introduces pathogens
unnecessarily into the tracheobronchial tree.
Which change in laboratory values indicates to the nurse that a client with rheumatoid arthritis
may be experiencing an adverse effect of methotrexate therapy?
A.
Increase in rheumatoid factor
B.