2019 Hesi Fundamentals 47 Q&A.docx - 2019 HESI FUNDAMENTALS...

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2019 HESI FUNDAMENTALS RN 47 TEST BANK Q/A
2.A male client with limited mobility is discharged with home health services. When the home health nurse arrives, the client asks what he does for the swelling in his leg. Which should the nurse implement?
3.A client at an outpatient clinic submits a clean-catch midstream urine specimen for routine urinalysis. In later review of the client’s medical record, which data indicates to the nurse that the specimen collection should be repeated?
4.During the admission assessment of a terminally ill male client, the client states that he is an agnostic. What is the best nursing action in response to this statement?
5.The nurse observes a newly admitted older adult female take short stems and walk very slowly while pushing a walker in front of her. Whataction should the nurse take in response to these observations?
6.The nurse notes that a client has cyanosis of the toes and fingertips. Which vital signs should the nurse obtain first?
7.A middle-aged male client tells the nurse that two weeks ago, he began exercising four times a week to lose weight and to help him sleep better. He states that it still takes him an hour to fall asleep at night. Which action should the nurse implement?
8.While suctioning a client's nasopharynx, the nurse observes that the patient's oxygen saturation remains at 94%, which is the same readingobtained before starting the procedure. What action should the nurse take in response to this finding?
9.An older male client returns to the clinic for chronic pain management after taking morphine sulfate (MS Contin) 25 mg every 12 hours. He states he took the medication only when the pain was too severe to sleep. What action should the nurse implement?
10.A female, unlicensed assistive personnel (UAP) is assigned to take the vital signs of a client with pertussis for whom droplet precautions have been implemented. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. What action should the nurse take first?

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