HESI/Saunders – Fundamentals Exam Questions and
Answers| Latest Update 100% Solved | Guaranteed Success
A nurse is setting up an intravenous pump that will be used for a client who will be receiving a
continuous intravenous infusion of normal saline solution containing heparin. As the nurse
prepares to plug the pump's electrical cord into the wall socket, she notes that no socket is
available because of other medical equipment being used in the room. Which action by the
nurse is most appropriate?
1. Allowing the pump to run in battery mode
2. Obtaining an extension cord from the nurses' lounge
3. Moving the client into the hallway, near a wall socket
4. Calling the hospital's electrical department for assistance 4 - The nurse would most
appropriately contact the hospital's electrical department for assistance in safely setting up
electrical equipment. Safety-type extension cords are used only if necessary, and although this
may be an option, it is not the most appropriate one. Electrical outlets should not be
overloaded, because this presents an electrical hazard. The nurse would not allow the pump to
run on its battery for an extended period. It is inappropriate to place a client in a hallway. This
would constitute an invasion of the client's privacy.
A nurse receives a telephone call from her next-door neighbor, who is frantically seeking help
because her 3-year-old son has swallowed pills from a bottle of ibuprofen. The neighbor tells
the nurse that her teenage daughter takes the pills for menstrual cramps and apparently forgot
to put the bottle away before leaving for school this morning. After the nurse rushes to the
neighbor's house, which action should she take first?
1. Calling the poison center
2. Asking the mother to call an ambulance
3. Assessing the child for airway patency and removing any visible material from the child's
mouth
, 4. Asking the neighbor to call the school and ask her daughter how many pills remained in the
bottle 3 - In the event of an accidental poisoning, the nurse would first assess airway
patency, breathing, and circulation. The nurse would remove any visible material from the
child's mouth and then try to identify the type and amount of substance ingested, because this
may help determine the correct antidote. The Poison Control Center is also called, but airway is
the priority. If the Poison Control Center says that the child should be taken to an emergency
department, an ambulance is called. It may be necessary to contact the daughter at school, but
this would not be the first action.
A nurse is watching a nursing student implement standard precautions as she delivers care. The
nurse should intervene if the nursing student performs which incorrect action?
1. Washing the hands after removing a pair of soiled gloves
2. Putting on a gown and gloves to change the bed linens of an incontinent client
3. Manually placing the cap on a needle after administering an IV push medication
4. Wearing gloves, eyewear, and a face shield when emptying a urine drainage bag 3-
Standard precautions must be practiced with all clients in every setting. These precautions
involve handwashing and the use of gloves, masks, eye protection, and gowns, as well as other
protective devices, as appropriate for client contact. Standard precautions are used to help
prevent contact with blood, body fluids, nonintact skin, and mucous membranes. A mask, eye
protection, or face shield is worn if client care activities have the potential to result in splashes
or sprays of blood or other body fluids. A gown is worn if soiling of clothing is likely. The hands
are always washed when gloves are removed. Needles are not recapped manually because of
the risk of a needlestick; rather, they are discarded in a puncture-resistant container
immediately after use (a mechanical device for recapping the needle may be used if one is
available).
What diseases are transmitted by nuclei of airborne droplets? Chickenpox (varicella)
Disseminated varicella zoster
Measles
Tuberculosis
Answers| Latest Update 100% Solved | Guaranteed Success
A nurse is setting up an intravenous pump that will be used for a client who will be receiving a
continuous intravenous infusion of normal saline solution containing heparin. As the nurse
prepares to plug the pump's electrical cord into the wall socket, she notes that no socket is
available because of other medical equipment being used in the room. Which action by the
nurse is most appropriate?
1. Allowing the pump to run in battery mode
2. Obtaining an extension cord from the nurses' lounge
3. Moving the client into the hallway, near a wall socket
4. Calling the hospital's electrical department for assistance 4 - The nurse would most
appropriately contact the hospital's electrical department for assistance in safely setting up
electrical equipment. Safety-type extension cords are used only if necessary, and although this
may be an option, it is not the most appropriate one. Electrical outlets should not be
overloaded, because this presents an electrical hazard. The nurse would not allow the pump to
run on its battery for an extended period. It is inappropriate to place a client in a hallway. This
would constitute an invasion of the client's privacy.
A nurse receives a telephone call from her next-door neighbor, who is frantically seeking help
because her 3-year-old son has swallowed pills from a bottle of ibuprofen. The neighbor tells
the nurse that her teenage daughter takes the pills for menstrual cramps and apparently forgot
to put the bottle away before leaving for school this morning. After the nurse rushes to the
neighbor's house, which action should she take first?
1. Calling the poison center
2. Asking the mother to call an ambulance
3. Assessing the child for airway patency and removing any visible material from the child's
mouth
, 4. Asking the neighbor to call the school and ask her daughter how many pills remained in the
bottle 3 - In the event of an accidental poisoning, the nurse would first assess airway
patency, breathing, and circulation. The nurse would remove any visible material from the
child's mouth and then try to identify the type and amount of substance ingested, because this
may help determine the correct antidote. The Poison Control Center is also called, but airway is
the priority. If the Poison Control Center says that the child should be taken to an emergency
department, an ambulance is called. It may be necessary to contact the daughter at school, but
this would not be the first action.
A nurse is watching a nursing student implement standard precautions as she delivers care. The
nurse should intervene if the nursing student performs which incorrect action?
1. Washing the hands after removing a pair of soiled gloves
2. Putting on a gown and gloves to change the bed linens of an incontinent client
3. Manually placing the cap on a needle after administering an IV push medication
4. Wearing gloves, eyewear, and a face shield when emptying a urine drainage bag 3-
Standard precautions must be practiced with all clients in every setting. These precautions
involve handwashing and the use of gloves, masks, eye protection, and gowns, as well as other
protective devices, as appropriate for client contact. Standard precautions are used to help
prevent contact with blood, body fluids, nonintact skin, and mucous membranes. A mask, eye
protection, or face shield is worn if client care activities have the potential to result in splashes
or sprays of blood or other body fluids. A gown is worn if soiling of clothing is likely. The hands
are always washed when gloves are removed. Needles are not recapped manually because of
the risk of a needlestick; rather, they are discarded in a puncture-resistant container
immediately after use (a mechanical device for recapping the needle may be used if one is
available).
What diseases are transmitted by nuclei of airborne droplets? Chickenpox (varicella)
Disseminated varicella zoster
Measles
Tuberculosis
