HESI RN FUNDAMENTAL EXAM 2023 VERSION WITH VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
HESI NCLEX-RN ©
FUNDAMENTALS
1. A 20-year-old female client
... [Show More] with a noticeable body odor has refused to shower for the last
3 days. She states, "I have been told that it is harmful to bathe during my period." Which
action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation with the client.: D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the client
should receive teaching first, respecting any personal beliefs such as cultural or spiritual values.
After client teaching, the client may still choose option A or B. Brochures reinforce the teaching.
2. A 65-year-old client who attends an adult daycare program and is wheelchair-mobile has
redness in the sacral area. Which instruction is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.: B
Rationale: The most important teaching is to change positions frequently because pressure is
the most significant factor related to the development of pressure ulcers. Increased vitamin and
fluid intake may also be beneficial and promote healing and reduce further risk. Option D is an
intervention of last resort because this will be very expensive for the client.
3. After a needle stick occurs while removing the cap from a sterile needle, which action
should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately.: B
Rationale: After a needle stick, the needle is considered used, so the nurse should discard it and
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HESI RN FUNDAMENTAL EXAM 2023 VERSION WITH VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
select another needle. Because the needle was sterile when the nurse was stuck and the needle
was not in contact with any other person's body fluids, the nurse does not need to complete an
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HESI RN FUNDAMENTAL EXAM 2023 VERSION WITH VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
incident report or notify the occupational health nurse. Disinfecting a needle with an alcohol
swab is not in accordance with standards for safe practice and infection control.
4. After receiving written and verbal instructions from a clinic nurse about a newly prescribed
medication, a client asks the nurse what to do if questions arise about the medication after
getting home. How should the nurse respond?
A. Provide the client with a list of Internet sites that answer frequently asked questions
about medications.
B. Advise the client to obtain a current [Show Less]