NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder,
the nurse observes that she is holding his arm above and
below the elbow. What nursing action should the nurse
implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better
support.
D. Instruct her to grip directly over the joint for better motion. -
CORRECT ANSWER The wife is performing the passive ROM
correctly, therefore the nurse should acknowledge this fact (A).
The joint that is being exercised should be uncovered (B) while
the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the joint
while still allowing for joint movement.
Correct Answer: A
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
,NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower
extremities of adults?
A. It is more difficult to find a superficial vein in the feet and
ankles.
B. A decreased flow rate could result in the formation of a
thrombosis.
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
,NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
C. A cannulated extremity is more difficult to move when the leg or
foot is used.
D. Veins are located deep in the feet and ankles, resulting in a
more painful procedure. - CORRECT ANSWER Venous return is
usually better in the upper extremities. Cannulation of the veins
in the lower extremities increases the risk of thrombus formation
(B) which, if dislodged, could be life-threatening. Superficial veins
are often very easy (A) to find in the feet and legs. Handling a leg
or foot with an IV (C) is probably not any more difficult than
handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important
reason for using the upper extremities. Pain (D) is not a
consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
, NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure. - CORRECT ANSWER The most important action is to
ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B).
Reassessment should not be postponed (A). Though (C and D)
are likely indicated, these actions do not have the priority of
(B).
Correct Answer: B
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB.
The preparation arrives from the pharmacy diluted in 50 ml of
0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set
to deliver the secondary infusion? - CORRECT ANSWER The
infusion rate is calculated as a ratio proportion problem, i.e., 50
ml/ 20 min : x ml/ 60 min. Multiply extremes and means 50 ×
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder,
the nurse observes that she is holding his arm above and
below the elbow. What nursing action should the nurse
implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better
support.
D. Instruct her to grip directly over the joint for better motion. -
CORRECT ANSWER The wife is performing the passive ROM
correctly, therefore the nurse should acknowledge this fact (A).
The joint that is being exercised should be uncovered (B) while
the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the joint
while still allowing for joint movement.
Correct Answer: A
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
,NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower
extremities of adults?
A. It is more difficult to find a superficial vein in the feet and
ankles.
B. A decreased flow rate could result in the formation of a
thrombosis.
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
,NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
C. A cannulated extremity is more difficult to move when the leg or
foot is used.
D. Veins are located deep in the feet and ankles, resulting in a
more painful procedure. - CORRECT ANSWER Venous return is
usually better in the upper extremities. Cannulation of the veins
in the lower extremities increases the risk of thrombus formation
(B) which, if dislodged, could be life-threatening. Superficial veins
are often very easy (A) to find in the feet and legs. Handling a leg
or foot with an IV (C) is probably not any more difficult than
handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important
reason for using the upper extremities. Pain (D) is not a
consideration.
Correct Answer: B
The nurse observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
, NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022
assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure. - CORRECT ANSWER The most important action is to
ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B).
Reassessment should not be postponed (A). Though (C and D)
are likely indicated, these actions do not have the priority of
(B).
Correct Answer: B
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB.
The preparation arrives from the pharmacy diluted in 50 ml of
0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set
to deliver the secondary infusion? - CORRECT ANSWER The
infusion rate is calculated as a ratio proportion problem, i.e., 50
ml/ 20 min : x ml/ 60 min. Multiply extremes and means 50 ×
NUR 1234 HESI CRITICAL THINKING EXAM
QUESTIONS AND ANSWERS 100%
CORRECT/VERIFIED BEST GRADED A+ LATEST
UPDATE 2022