HESI RN FUNDA b b
MENTALS EXAM b
v2 - b
2023 update for grade A+
b b b b
1.
2. Thebnursebobservesbabnewlybadmittedbolderbadultbfemalebtakebshortbstepsbandbwalkbverybs
lowlybwhilebpushingbabwalkerbinbfrontbofbher.bWhatbactionbshouldbthebnursebtakebinbrespo
nsebtobthesebobservations?
A) Completebabfullbfallbriskbassessmentbofbthebclient.
B) Teachbthebclientbtobtakeblongerbstepsbatbfasterbpace.
C) Suggestbthatbthebthebclientbusebabwheelchairbinsteadbofbabwalker.
D) Placebclientbonbbedrestbuntilbthebhealthcarebproviderbisbnotified.
3. Abclientbisbreceivingbketorolacb(Toradol)bIMb45bmgbIMb6bhoursbforbpostoperativebpain.
Thebavailableb2bmlbvialbisblabeledb,bToradolbIMb30bmg/ml,bHowbmanybshouldbthebnursebadmi
nister?
(Roundbtobthebnearestbtenth.)
1.5mg
4. Whilebsuctioningbabclient’sbnasopharynx,bthebnursebobservesbthatbthebclient’sboxygenbsaturation
,remainsbatb94%,bwhichbisbthebsamebreadingbobtainedbpriorbtobstartingbthebprocedure.bWhatbactionbsh
ouldbthebnursebtakebinbresponsebtobthisbfinding?
A) Repositionbthebpulseboximeterbclipbtobobtainbabnewbreading.
B) Stopbsuctioningbuntilbthebpulseboximeterbreadingbisbaboveb95%.
C)bCompletebthebintermittentbsuctionbofbthebnasopharynx.
, D)b Applybanboxygenbmaskboverbthebclient’sbnosebandbmouth.
5. Anbolderbwomanbwithbendbstagebheartbdiseasebisbhospitalizedbforbseverebheartbfailure.bShebisba
lert,boriented,bandbrequestsbthatbnobheroicbmeasuresbarebimplementedbifbherbbreathingbstops.bWh
atbactionbshouldbthebnursebtakebfirst?
A) Discussbwithbthebclientbherbmeaningbofbheroicbmeasures.
B) Obtainbab“dobnotbresuscitate”b(DNR)bprescription.
C) Setbupbabfamilybconferencebtobdiscussbthebclient’s.
D) Consultbthebpalliativebcarebteambaboutbclient’sbcare.
6. Abclientbdiagnosedbwithbprimarybopen-
anglebglaucomabreceivedbabprescriptionbforbbioticbeyebdrops,bpilocarpinebHClb(Pilocarpine).bWh
atbinstructionbshouldbthebnursebplanbtobincludebinbthisbclient’sbteaching?
A) “Dobnotballowbthebdropperbbottlebtobtouchbthebeye.”
B) “Administerbthebmedicationbdirectlybonbthebcornea.”
C) “Squeezebyourbeyebclosedbafterbadministeringbthebdrops.”
D) “Washbyourbhandsbafterbeachbadministrationbofbeyebdrops.”
7. Whenbassessingbabclientbwhobstartsbtobwheezebrelatedbdatabshouldbobtain?
A) Presencebofbradiation.
B) Heartbsounds.
C) Bodybtemperature.
D) Precipitatingbfactors.
MENTALS EXAM b
v2 - b
2023 update for grade A+
b b b b
1.
2. Thebnursebobservesbabnewlybadmittedbolderbadultbfemalebtakebshortbstepsbandbwalkbverybs
lowlybwhilebpushingbabwalkerbinbfrontbofbher.bWhatbactionbshouldbthebnursebtakebinbrespo
nsebtobthesebobservations?
A) Completebabfullbfallbriskbassessmentbofbthebclient.
B) Teachbthebclientbtobtakeblongerbstepsbatbfasterbpace.
C) Suggestbthatbthebthebclientbusebabwheelchairbinsteadbofbabwalker.
D) Placebclientbonbbedrestbuntilbthebhealthcarebproviderbisbnotified.
3. Abclientbisbreceivingbketorolacb(Toradol)bIMb45bmgbIMb6bhoursbforbpostoperativebpain.
Thebavailableb2bmlbvialbisblabeledb,bToradolbIMb30bmg/ml,bHowbmanybshouldbthebnursebadmi
nister?
(Roundbtobthebnearestbtenth.)
1.5mg
4. Whilebsuctioningbabclient’sbnasopharynx,bthebnursebobservesbthatbthebclient’sboxygenbsaturation
,remainsbatb94%,bwhichbisbthebsamebreadingbobtainedbpriorbtobstartingbthebprocedure.bWhatbactionbsh
ouldbthebnursebtakebinbresponsebtobthisbfinding?
A) Repositionbthebpulseboximeterbclipbtobobtainbabnewbreading.
B) Stopbsuctioningbuntilbthebpulseboximeterbreadingbisbaboveb95%.
C)bCompletebthebintermittentbsuctionbofbthebnasopharynx.
, D)b Applybanboxygenbmaskboverbthebclient’sbnosebandbmouth.
5. Anbolderbwomanbwithbendbstagebheartbdiseasebisbhospitalizedbforbseverebheartbfailure.bShebisba
lert,boriented,bandbrequestsbthatbnobheroicbmeasuresbarebimplementedbifbherbbreathingbstops.bWh
atbactionbshouldbthebnursebtakebfirst?
A) Discussbwithbthebclientbherbmeaningbofbheroicbmeasures.
B) Obtainbab“dobnotbresuscitate”b(DNR)bprescription.
C) Setbupbabfamilybconferencebtobdiscussbthebclient’s.
D) Consultbthebpalliativebcarebteambaboutbclient’sbcare.
6. Abclientbdiagnosedbwithbprimarybopen-
anglebglaucomabreceivedbabprescriptionbforbbioticbeyebdrops,bpilocarpinebHClb(Pilocarpine).bWh
atbinstructionbshouldbthebnursebplanbtobincludebinbthisbclient’sbteaching?
A) “Dobnotballowbthebdropperbbottlebtobtouchbthebeye.”
B) “Administerbthebmedicationbdirectlybonbthebcornea.”
C) “Squeezebyourbeyebclosedbafterbadministeringbthebdrops.”
D) “Washbyourbhandsbafterbeachbadministrationbofbeyebdrops.”
7. Whenbassessingbabclientbwhobstartsbtobwheezebrelatedbdatabshouldbobtain?
A) Presencebofbradiation.
B) Heartbsounds.
C) Bodybtemperature.
D) Precipitatingbfactors.
