HESI Fundamentals Exam
A GRADED
1. A policy requiring the removal of acrylic nails by all nursing personnel
was implemented 6 months ago. Which
... [Show More] assessment measurebest
determines if the intended outcome of the policy is being achieved.
a. Number of staff induced injury b. Client satisfaction survey
c. Health care-associated infectionrate. d. Rate of needle-stick injuries by nurse.
The nurse is preparing to assist a newly admitted client with personal
hygiene measures. The client...the client’s gag reflex. Whichaction should
the nurse include?
A. Offer smalls sips of water through astraw
B. Place tongue blade on back half oftongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
The nurse explains to an older adult male the procedure for collecting a 24-hour urine
specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
A 54-year-old male client and his wife were informed this morning that he
has terminal cancer. Which nursing intervention is likely to
be most
A. Ask her how she would like to participate in the client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of
cancer
A client who has a body mass index (BMI) of 30 is requesting information
on the initial approach to a weight loss plan. Which actionshould the nurse
recommend?
A. Plan low carbohydrate and high proteinmeals
B. Engage in strenuous activity for an hourdaily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week
The nurse assesses a client who has a nasal cannula delivering oxygen at 2
L/min. To assess for skin damage related to the cannula,which areas should
the nurse observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
The nurse observes an unlicensed assistive personnel (UAP) who is
providing a total bed bath for a confused and lethargic client.The UAP is
soaking the client’s foot in a basin of warm water placed on the bed. What
action should the nurse take?
a. Remove the basin of water from the client’s bed immediately b. Remind the UAP to dry between the client’s toes completely
c. Advise the UAP that this procedure is damaging to the skin d. Add skin cream to the basin of water while the foot is soaking
The nurse in the emergency department observes a colleague viewing the
electronic health record (EHR) of a client who holds an elected position in
the community. The client is not a part of the colleague’s assignment.
Which action should the nurse implement?
a. Communicate the colleague’s actions to the unit charge nurse
/
b. Send an email to facility administration reporting the action
c. Write an anonymous complaint to a professional website d. Post a comment about the action on a staff discussion board
At 0100 on a male client’s second postoperative night, the client states he
is unstable to sleep and plans to read until feeling sleepy.What action should
the nurse implement?
a. Leave the room and close the door to the client’s room b. Assess the appearance of the client’s surgical dressing
c. Bring the client a prescribed PRN sedative-hypnotic d. Discuss symptoms of sleep deprivation with the client
The nursing staff in the cardiovascular intensive care unit are creating a
continuous quality improvement project on social mediathat addresses
coronary artery disease (CAD). Which action should the nurse implement to
protect client privacy?
a. Remove identifying information of the clients who participated b. Recall that authored content may be legally discoverable
c. Share material from credible, peer reviewed sources only d. Respect all copyright laws when adding website content
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains the risks and benefits of theprocedure, and
then leaves to set up for the procedure. When the nurse presents the
consent form for signature, the client hesitates and asks how the wires will
keep his heart going. Which action should the nurse take?
a. Answer the client’s specific questions with a short understandable
explanation
b. Postpone the procedure until the client understands the risks and benefits
c. Call the client’s next of kin and ask them to provide verbal consent d. Page the healthcare provider to return and provide additional explanation
The nurse is teaching a client how to do active range of motion (ROM)
exercises. To exercise the hinge joints, which action shouldthe nurse
instruct the client to perform?
a. Tilt the pelvis forwards and backwards
b. bend the arm by flexing the ulnar to the humerus
c. Turn the head to the right and left
d. Extend the arm at the ide and rotate in circles
1) A client who is in hospice care complains of increasing amounts of pain.
The healthcare provider prescribes an analgesic every four hours as
needed. Which action should the LPN/LVN implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
Correct Answer: A
2) When assessing a client with wrist restraints, the nurse observes that
the fingers on the right hand are blue. What action should the LPN
implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
Correct Answer: A
3) The LPN/LVN is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
Correct Answer: B
4) A client is in the radiology department at 0900 when the prescript [Show Less]