NUR 301 HESI RN FUNDS V1 AND V2 EXAM WITH BEST ORGANISED
AND VERIFIED QUESTIONS AND ANSWERS
A policy requiring the removal of acrylic nails by
... [Show More] all nursing personnel was
implemented 6 months ago.Whichassessment measure bestdetermines if the intended
outcome of thepolicy is being achieved.
a. Numberofstaff inducedinjury
b. Clientsatisfactionsurvey
c. Health care-associated infection rate.
d. Rateofneedle-stick injuriesbynurse.
Thenurse is preparing toassistanewly admitted client withpersonalhygiene
measures. Theclient...theclient’s gag reflex. Which actionshould thenurse include?
A. Offersmallssipsof water through astraw
B. Place tonguebladeon backhalfof tongue
C. Usea penlight toobserve backoforalcavity
D. Auscultate breath sounds after client
swallows
The father of an 11-year-oldboy….
inform the father that it is most important to let the son that nocturnal emissions
are normal
Thenurse explains toanolder adult maletheprocedureforcollecting a24-hoururine
specimen for creatinine
clearance.
A. Assesstheclient forconfusionand reteach theprocedure
B. Check theurine forcolorand texture
C. Empty theurinalcontentsintothe 24-hourcollection container
D. Discard thecontentsof theurinal
54-year-old maleclientandhis wife were informedthis morning thathehas
terminalcancer. Whichnursing intervention is likely to be most
A. Askher how she would like toparticipate intheclient’s care
B. Providethe wife with information abouthospice
C. Encourage the wifetovisitafter painful treatmentsare completed
D. Refer her tosupportgroup forfamily members of thosedying ofcancer
client who has a body mass index (BMI) of 30 is requesting information on the initial
approach to aweight loss plan. Which actionshould the nurse recommend?
A. Planlow carbohydrate andhigh protein meals
B. Engageinstrenuous activity foranhourdaily
C. Keep arecordof foodanddrinks consumeddaily
D. Participated inagroupexercise 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 damagerelated to the cannula, which areas should the nurse observe?
A. Tops of the ear
B. Bridge of thenose
C. Aroundthenostrils
D. Over thecheeks
E. Acrossthe forehead
Thenurseobserves anunlicensed assistive personnel (UAP) who is providinga totalbedbath
for a
confused and lethargic client. The UAP is soaking the client’s foot in a basin of warm
water placed on thebed. What action should the nurse take?
Remove thebasin of water from theclient’sbed immediately
b. Remind the UAP todrybetween the client’s toescompletely
c. Advisethe UAP that thisprocedure isdamaging totheskin
d. Addskincream to thebasinof water while the foot issoaking
The nurse in the emergency department observes a colleague viewing the electronic health
record (EHR) of aclient who holds an elected position in the community. The client is not a
part of the colleague’s assignment. Which action should thenurse implement?
a. Communicate thecolleague’sactionstotheunitcharge nurse
b. Sendanemail tofacilityadministration reporting theaction
c. Writean anonymous complaint toaprofessional website
d. Postacommentabout theaction onastaffdiscussion board
At 0100 on a maleclient’s second postoperative night, theclientstateshe is unstable to sleep
andplansto read until feelingsleepy. What action should the nurse implement?
Leave theroom and closethedoor to theclient’s room
Assess theappearance of theclient’ssurgicaldressing
Bring the clientaprescribed PRN sedative-hypnotic
Discuss symptomsofsleep deprivation with theclient
The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvementprojectonsocial media thataddresses coronaryarterydisease (CAD).
Whichaction should thenurse implement to protect client privacy?
a. Removeidentifyinginformation of theclients whoparticipated
b. Recall thatauthored content may belegallydiscoverable
c. Share material from credible,peer reviewedsources only
d. Respectallcopyright laws when adding websitecontent
A male client with unstable angina needs a cardiac catheterization, so the healthcare
provider explains the risksand benefitsof theprocedure,and then leaves to setup for the
procedure. When thenurse presents the
consent form for signature, the client hesitates and asks how the wires will keep his heart
going. Which actionshould the nurse take?
Answer theclient’sspecific questions with ashortunderstandable explanation
Postpone theprocedure until the clientunderstands therisksand benefits
Call the client’s next of kinand ask them toprovideverbalconsent
Pagethehealthcareprovider toreturnandprovide additionalexplanation
Thenurse is teachingaclienthow to doactive rangeof motion (ROM) exercises.
To exercise thehinge joints, which actionshould thenurse instruct the client to
perform?
Tilt thepelvis forwards and backwards
bendthearm by flexing theulnar to the humerus
Turn thehead totherightand left
Extend thearm at theideand rotate in circles
A postoperative client has three different PRN analgesics prescribed for different levels
of pain. The nurseinadvertently administers a dose that is not within the prescribed
parameters. What actions should the nurse take first?
. Accessforside effects of the medication
Document theclient’s responses.
completea medicationerror report.
Determine if thepain was relieved.
When assessing a male client, the nurse finds that he is fatigue, and is
experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these
findings, the nurse plans to check theclient’s laboratory values to validate the
existence of which?
Hyperphosphatemia
Hypocalcemia
Hypermagnesemia
Hypokalemi [Show Less]