HESI Fundamentals Final Exam / HESI Fundamentals Practice Test | Questions and Verified Correct Answers (2023/2024)
QUESTION
A middle-aged woman who
... [Show More] enjoys being a teacher and mentor feels that she should pass down her legacy of knowledge and skills to the younger generation. According to Erikson she is involved in what developmental stage?
Answer:
Generativity.
Healthy middle-aged adults focus on establishing the next generation by nurturing and guiding, which is describe by Erikson as the developmental stage of generativity
QUESTION
The nurse is digitally removing a fecal impaction for a client. The nurse should stop the procedure and take corrective action if which client reaction is noted?
Answer:
a. Temperature increases from 98.8 to 99.0 F.
b. Pulse rate decreases from 78 to 52 beats/min.
c. Respiratory rate increases from 16 to 24 breaths/min.
b. Blood pressure increases from 110/84 to 118/88 mm/Hg.
b. Parasympathetic reaction can occur as a result of digital stimulation of the anal sphincter, which should be stopped if the client experiences a vagal response, such as bradycardia
QUESTION
What action by the nurse demonstrates culturally sensitive care?
Answer:
Asks permission before touching a client.
Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it is strictly forbidden. So asking permission before touching a client demonstrates culturally sensitive care.
QUESTION
What is the rationale for using the nursing process in planning care for clients?
Answer:
As a tool to organize thinking and clinical decision making about clients' healthcare needs.
The nursing process is a problem-solving approach that provides an organized, systematic, decision making process to effectively address the client's needs and problems. The nursing process includes an organized framework using knowledge, judgments, and actions by the nurse as the client's plan of care is determined, and encompasses assessment, analysis, planning, implementation, and evaluation of client care.
QUESTION
The nurse is providing passive range of motion (ROM) exercises to the hip and knee for a client who is unconscious. After supporting the client's knee with one hand what action should the nurse take next?
Answer:
Cradle the client's heel.
Passive ROM exercise for the hip and knee is provided by supporting the joints of the knee and ankle (D) and gently moving the limb in a slow, smooth, firm but gentle manner.
QUESTION
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
Answer:
Ask the client about numbness or tingling in the hands.
A positive Chvostek's sign is an indication of hypocalcemia, so the client should be assessed for the subjective symptoms of hypocalcemia, such as numbness or tingling of the hands (B) or feet.
QUESTION
In assessing a client's femoral pulse the nurse must use deep palpation to feel the pulsation while the client is in a supine position. What action should the nurse implement?
Answer:
Document the presence and volume of the pulse palpated.
Deep palpation may be required to palpate the femoral pulse; and, when palpated, the nurse should document the presence and volume of the pulse
QUESTION
The nurses determines a client's IV solution is infusing at 250 ml/hr. The prescribed rate is 125 ml/hr. What action should the nurse take first?
Answer:
Slow the IV infusion to keep vein open rate.
The nurse should first slow the IV flow rate to keep vein open (KVO) rate (B) to prevent further risk of fluid volume overload, then gather additional assessment data, such as when the IV solution was started
QUESTION
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical procedure. Which laboratory test indicates the client's protein status for the longest length of time?
Answer:
Serum albumin.
Serum albumin has a long half-life and is the best long-term indicator of the body's entry into a catabolic state following protein depletion from malnutrition or stress of chronic illness
QUESTION
Which technique is most important for the nurse to implement when performing a physical assessment?
Answer:
A consistent, systematic approach.
The most important factor in performing a physical assessment is following a consistent and systematic technique (C) each time an assessment is performed to minimize variation in sequence which may increase the likelihood of omitting a step or exam of an isolated area.
QUESTION
A medication is prescribed to be given QID. What schedule should the nurse use to administer this prescription?
Answer:
0800, 1200, 1600, 2000.
provides the best schedule, because QID means four times per day.
QUESTION
When caring for an immobile client what nursing diagnosis has the highest priority?
Answer:
Impaired gas exchange.
The ABCs of caring for clients are airway, breathing, and circulation. Impaired gas exchange (B) implies that the client is having trouble with breathing, which has the highest priority of the nursing diagnoses listed.
QUESTION
A male client with an infected wound tells the nurse that he follows a macrobiotic diet. Which type of foods should the nurse recommend that the client select from the hospital menu?
Answer:
Combination of plant proteins to provide essential amino acids. [Show Less]