HESI Critical Care
(2021) TEST
BANK RN Critical
Care HESI TEST
BANK RN Exam
Elaborations
Q&A (2021)
At 40-week gestation, a laboring client who
is lying is a supine position tells the nurse
that she has finally found a comfortable
position. What action should the nurse
take? A. Place a pillow under the client's
head and knees.
B. Place a wedge under the client's right
hip.
C. Encourage the client to turn on her left
side.
D. Explain to the client that her position is
not safe. - ANSWER-B. Place a wedge under
the client's right hip.
After breast-feeding 10 minutes at each
breast, a new mother calls the nurse to the
postpartum room to help change the
newborns diaper. As the mother begins the
diaper change, the newborn spits up the
breast milk.
A. Wipe away the spit-up and assist the
mother with the diaper change
B. Turn the newborn to the side and bulb
suction the mouth and nares
C. Sit the newborn up and burp by rubbing
or patting the upper back
D. Place the newborn in a position with the
head lower than the feet
What action should the nurse implement
first? - ANSWER-B. Turn the newborn to the
side and bulb suction the mouth and nares
A young adult female presents at the
emergency center with acute lower
abdominal pain. Which assessment finding
is most important for the nurse to report to
the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a "9" on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge. -
ANSWER-C. Last menstrual period 7 weeks
ago.
The nurse is teaching a mother of a
newborn with a cleft lip how to bottle feed
her baby using a Medela Haberman feeder,
which has a valve to control the release of
milk and a slit nipple opening. The nurse
discusses placing the nipple's elongated tip
in the back of the oral cavity. What
instruction should the nurse provide the
mother about feedings?
A. Alternate milk with water during the
feedings.
B. Squeeze the nipple base to introduce
milk into the mouth.
C. Position the baby in the left lateral
position after feeding.
D. Hold the newborn in an upright position.
- ANSWER-D. Hold the newborn in an
upright position
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