NURSING Fundamentals HESI Review over 700 QUESTIONs AND ANSWERS WITH RATIONALES EXIT EXAM NEW UPDATE 2022 GRADED A+ ASSURED SUCCESS

NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS
 After placement of a left subclavian central venous catheter (CVC), the
nurse receives report of the x-ray findings that indicate the CVC tip is in
the client’s superior vena cava. Which action should the nurse
implement? ***

 Initiate intravenous fluid as prescribed

 Notify the HCP of the need to reposition the catheter

 Remove the catheter and apply direct pressure for 5 minute

 Secure the catheter using aseptic technique

 Rationale: Venous blood return to the heart and drains from the
subclavian vein into the superior vena cava. The X-ray findings
indicate proper placement of the CVC, so prescribed intravenous
fluid can be started. A and B are not indicated at this time. The
catheter should be secure immediate following insertion (C)

 The nurse has received funding to design a health promotion project
for African- American women who are at risk for developing breast
cancer. Which resource is most important in designing this program?
***

NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS

,NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS
 A listing of African-American women so live in the community

 Participation of community leaders in planning the program

 Morbidity data for breast cancer in women of all races

 Technical assistance to produce a video on breast self-examination.

 Rationale: When developing a culturally-competent health
promotion project, the participation of stakeholders and community
leaders is most important. A and B might be useful background
information, but t=first the program should be developed. D may be
useful fulfilling the plan developed by the health care team and the
community leaders if funding for this assistance is included in the
budget.

 The home care nurse provide self-care instruction for a client chronic
venous insufficiency cause by deep vein thrombosis. Which instructions
should the nurse include in the client’s discharge teaching plan? Select all
that apply ***

 Avoid prolonged standing or sitting

 Use recliner for long period of sitting

NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS

,NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS
 continue wearing elastic stocking

 Maintain the bed flat while sleeping

 Cross legs at knee but not at ankle

 The nurse is interviewing a client with schizophrenia. Which client
behavior requires immediate intervention? ***

 Lip smacking and frequent eye blinking

 Shuffling gait and stooped posture

 Rocks back and forth in the chair

 Muscle spasms of the back and neck

 Rationale: An extra pyramidal symptom (EPS) characterized by
abnormal muscle spasms of the neck (A) requires immediate
intervention because it can cause difficulty swallowing and
jeopardize the airway. Though (A, B and C) are also EPS caused by
antipsychotic medication medications used to manage schizophrenia
(D) has the highest priority to insure client safety is (A)




NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS

, NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS
 A male client was transferred yesterday from the emergency
department to the telemetry unit because he had ST depression and
resolved chest pain. When his EKG monitor alarms for ventricular
tachycardia (VT), what action should the nurse take first? ***

 Determine the client’s responsiveness and respirations

 Bring the crash cart to the room to defibrillate the client.

 Immediately initiate chest compressions.

 Notify the emergency response team

 Rationale: Activities, such as brushing teeth, can mimic the waveform
of VI, so first he client should be assessed (A) to determine if the
alarm is accurate. The crash cart can be brought to the room by
someone else and defibrillation (B) delivered as indicated by the
client’s rhythm. Based on as assessment of the client, CPR© as
summoning the emergency response team (D) may be indicated.

 A client with a large pleural effusion undergoes a thoracentesis.
Following the procedure, which assessment finding warrants
immediate intervention by the nurse? ***


NURSING Fundamentals HESI Review over 700
QUESTIONs AND ANSWERS WITH RATIONALES
EXIT EXAM NEW UPDATE 2022 GRADED A+
ASSURED SUCCESS