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
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 assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
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
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 × 60 /20x 1= 300/20=150
Correct Answer: 150
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the
nurse?
A. That means you have derived the maximum benefit, and the heat can be
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
removed.
NUR 1234 HESI CRITICAL THINKING EXAM QUESTIONS
AND ANSWERS 100% CORRECT/VERIFIED BEST GRADED
A+ LATEST UPDATE 2022
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
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 assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
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
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 × 60 /20x 1= 300/20=150
Correct Answer: 150
Twenty minutes after beginning a heat application, the client states that the
heating pad no longer feels warm enough. What is the best response by the
nurse?
A. That means you have derived the maximum benefit, and the heat can be
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
removed.
NUR 1234 HESI CRITICAL THINKING EXAM QUESTIONS
AND ANSWERS 100% CORRECT/VERIFIED BEST GRADED
A+ LATEST UPDATE 2022
