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Hesi pn fundamentals 80 final exam script 2026 tested questions

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 102 pages. Originally published on StudyMerit.

Pages
102
Academic year
2025/2026
Language
English

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HESI PN FUNDAMENTALS 80 FINAL EXAM SCRIPT 2026 TESTED QUESTIONS AND SOLUTIONS GRADED A+ ◉ Which fluid will the nurse select to administer with the prescribed blood transfusion? A. 5% Dextrose and water B. Normal saline C. Lactated Ringers solution D. 5% Dextrose and lactated ringers Answer: B Rationale: Normal saline solution is the only solution that is compatible with blood. ◉ When assisting a client from the bed to a chair, which procedure is best for the nurse to follow? A. Place the chair parallel to the bed, with its back toward the head of the bed and assist the client in moving to the chair.

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B. With the nurse's feet spread apart and knees aligned with the client's knees, stand and pivot the client into the chair. C. Assist the client to a standing position by gently lifting upward, underneath the axillae. D. Stand beside the client, place the client's arms around the nurse's neck, and gently move the client to the chair. Answer: B Rationale: Option B describes the correct positioning of the nurse and affords the nurse a wide base of support while stabilizing the client's knees when assisting to a standing position. The chair should be placed at a 45 - degree angle to the bed, with the back of the chair toward the head of the bed. Clients should never be lifted under the axillae; this could damage nerves and strain the nurse's back. The client should be instructed to use the arms of the chair and should never place his or her arms aroun d the nurse's neck; this places undue stress on the nurse's neck and back and increases the risk for a fall. ◉ How many mL will the nurse document on the client's intake and output record from the items listed? _____ mL 1200 mL water 4 ounce container of gelatin 8 ounces of orange juice

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355 mL can of soda1 cup of soup Answer: Answer: 2155 Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155 ◉ The nurse observes a UAP taking a client's blood pressure in the lower extremity. Which observation of this procedure requires the nurse to intervene with the UAP's approach? A. The cuff wraps around the girth of the leg. B. The UAP auscultates the popliteal pulse with the cuff on the lower leg. C. The client is placed in a prone position. D. The systolic reading is 20 mm Hg higher than the blood pressure in the client's arm. Answer: B Rationale: When obtaining the blood pressure in the lower extremities, the popliteal pulse is the site for auscultation when the blood pressure cuff is applied around the thigh. The nurse should intervene with the UAP who has applied the cuff on the lower leg. Option A ensures an accurate assessment, and option C provides the best access to the artery. Systolic pressure in the popliteal artery is usually 10 to 40 mm Hg higher than in the brachial artery.

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