HESI AQ

After teaching the parents of a newborn how to suction using a bulb syringe, which statement made by the parent indicates an understanding of the information? 1 "I will suction the nares first." 2 "I will keep the bulb syringe nearby." 3 "I will depress the bulb before suctioning the mouth or nose." 4 "I will insert the tip of the bulb syringe in the center of the mouth."

3 "I will depress the bulb before suctioning the mouth or nose."

Which action would the nurse recommend to the parents of a preschool child who ingests poison? 1 Administer ipecac syrup. 2 Call the poison control center. 3 Give the child milk to drink. 4 Call an ambulance immediately.

2 Call the poison control center.

Which statement by the client indicates understanding of how to use a dry powder inhaler medication safely and effectively? 1 "Forcefully inhale the powder." 2 "Exhale into the delivery device." 3 "Shake the inhaler before using it." 4 "Submerge the inhaler in water to wash it."

1 "Forcefully inhale the powder."

A client with bipolar disorder, manic episode, has a superior, authoritative manner and constantly instructs other clients in how to dress, what to eat, and where to sit. Which emotion might these behaviors bring forth in the other clients on the unit? 1 Anger 2 Dependence 3 Inadequacy 4 Ambivalence

1 Anger

Which biological agent can be used in bioterrorism? 1 Anthrax 2 Botulism 3 Uranium 4 Smallpox 5 Phosgene

1 Anthrax 2 Botulism 4 Smallpox

Which topic does the nurse include when reinforcing education regarding the safe use of the car seat before newborn discharge? Select all that apply 1 Fasten the seat's harness snugly. 2 Place the car seat in a rear-facing position. 3 Place the car seat in a semi-reclining position. 4 Secure the car seat to the automobile seat with a seat belt.

1 Fasten the seat's harness snugly. 2 Place the car seat in a rear-facing position. 3 Place the car seat in a semi-reclining position. 4 Secure the car seat to the automobile seat with a seat belt.

Which intervention would the nurse institute to keep a client with Guillain-Barré syndrome safe from injury? Select all that apply. One, some, or all responses may be correct. 1 Inspect the skin. 2 Keep the bed in low position. 3 Use a moisture chamber for the eyes. 4 Raise side rails while the client is in bed. 5 Put call light within easy reach of the client.

1 Inspect the skin. 2 Keep the bed in low position. 3 Use a moisture chamber for the eyes. 4 Raise side rails while the client is in bed. 5 Put call light within easy reach of the client. RATIONALE The client with Guillain-Barré syndrome experiences progressive muscle weakness making the client prone to injury. Interventions to keep the client safe include inspecting the skin for areas of pressure or injury, keeping the bed in low position, and raising the side rails while the client is in bed. A moisture chamber for the eyes is used to prevent eye injury from excessive drying when eyes no longer close completely. Putting the call light within easy reach of the client will allow the client to call for help and decrease the likelihood that the client will attempt to get out of bed alone and fall.

Which strategy would the nurse include in a teaching session on the prevention of traumatic brain injuries (TBIs)? 1 Wear seatbelts while in automobiles. 2 Use 60-watt bulbs in hallways in the home. 3 Take blood pressure medication in the morning. 4 Consume a moderate amount of alcohol each day.

1 Wear seatbelts while in automobiles.

Which action would the nurse complete when caring for a client with a tracheostomy? 1 Place the client in the semi-Fowler position. 2 Use sterile gloves when suctioning. 3 Monitor body temperature after care is completed. 4 Remove both tracheostomy ties at the same time

2 Use sterile gloves when suctioning.

Which is the most highly sensitive time within the developing embryo for the risk for malformation related to environmental teratogens? 1 Heart at 32 weeks' gestation 2 Cleft lip at 18 weeks' gestation 3 Cleft palate at 8 weeks' gestation 4 Upper limbs at 24 weeks' gestation

3 Cleft palate at 8 weeks' gestation

Which intervention would the nurse perform when an adolescent client is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis? 1 Complete admission questionnaire. 2 Place in contact isolation. 3 Initiate droplet precautions. 4 Institute seizure precautions.

3 Initiate droplet precautions.

A client with a positive result on a home pregnancy test states that her last menstrual period began 10 weeks ago. She expresses fear because she has been recently diagnosed with syphilis. What prescription will the nurse expect to receive from the primary health care provider because of this information? Select all that apply. One, some, or all responses may be correct. 1 - A wait-and-see approach 2 - Recommendation for elective abortion 3 - Screening and testing of sexual partners 4 - None, because the syphilis will most likely not affect the fetus in utero 5 - Intramuscular benzathine penicillin G, 2.4 million units, one dose

3 Screening and testing of sexual partners 5 Intramuscular benzathine penicillin G 2.4million units, one dose

A psychologist has been a client on a mental health unit for 3 days. The client has questioned the authority of the treatment team, advised other clients that their treatment plans are wrong, and been disruptive in group therapy. Which nursing intervention is most appropriate? 1 Telling the other clients to disregard what the client is saying 2 Ignoring the client's disruptive behavior and waiting for it to subside 3 Restricting the client's contact with other clients until the disruptive behavior ceases 4 Accepting that the client is unable to control this behavior and setting appropriate limits

4 Accepting that the client is unable to control this behavior and setting appropriate limits

Which goal would the nurse include in the nursing plan of care for a client with morbid obesity? 1 Rather than changing the diet, the client will lose weight by exercising more. 2 The client, 5' 7", will meet an ideal body weight of 135 pounds by the end of the year. 3 The client will consume 1000 calories per day for 4 weeks to jump-start weight loss. 4 The client will lose 0.5 to 1 pound per week, although weight loss may be higher for the first few weeks secondary to water loss.

4 The client will lose 0.5 to 1 pound per week, although weight loss may be higher for the first few weeks secondary to water loss.