Fundamentals HESI

Question 1 of 5

A nurse on the IV team is conducting an in-service education program about the complications of IV therapy. Which of the following statements by an attendee indicates an understanding of the manifestations of infiltration? (Select all that apply.)

A. "The temperature around the IV site is cooler." B. "The rate of the infusion increases." C. "The skin at the IV site is red." D. "The IV dressing is damp."

Question 2 of 5

A nurse is providing home care for a client who is receiving tube feedings and medication through a gastrostomy tube. The family member providing the feedings reports that the client has begun to have diarrhea. For which of the following practices should the nurse intervene?

A. The family member washes out the feeding bag with warm water once every 24 hours. B. The family member washes out the feeding bag with hot water once every 24 hours. C. The family member washes out the feeding bag with soap and water every 24 hours. D. The family member changes the feeding bag every 24 hours.

Question 3 of 5

When assessing a client's skin as part of a comprehensive physical examination, what finding should a nurse expect?

A. Capillary refill less than 3 seconds B. 1+ pitting edema in both feet C. Pale nail beds in both hands D. Thick skin on the soles of the feet

Question 4 of 5

A charge nurse is observing a newly licensed nurse prepare a sterile field. Which of the following actions should the charge nurse identify as contaminating the sterile field?

A. The nurse opens the sterile field on a wet surface. B. The nurse turns away from the sterile field. C. The nurse uses a non-sterile glove to touch the sterile field. D. The nurse touches the edge of the sterile drape with her hand.

Question 5 of 5

While administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take?

A. Have the client hold their breath briefly and bear down. B. Clamp the enema tubing. C. Remind the client that cramping is common at this time. D. Raise the level of the enema fluid container.

Fundamentals HESI

Skildor

HESI LPN

HESI LPN