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“ HESI FUNDAMENTALS COMMUNITY PUBLIC
HEALTH NURSING”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
HESI - Fundamentals practice questions
The nurse is teaching a client how to perform progressive muscle relaxation
techniques to relieve insomnia. A week later the client reports that he is still
unable to sleep, despite following the same routine every night. Which action
should the nurse take first?
A. Instruct the client to add regular exercise as a daily routine.
B. Determine if the client has been keeping a sleep diary.
C. Encourage the client to continue the routine until sleep is achieved.
D. Ask the client to describe the routine he is currently following.
D
Rationale: The nurse should first evaluate whether the client has been adhering to
the original instructions. A verbal report of the client's routine will provide more
specific information than the client's written diary. The nurse can then determine
which changes need to be made. The routine practiced by the client is clearly
unsuccessful, so encouragement alone is insufficient.
Ten minutes after signing an operative permit for a fractured hip, an older
client states, "The aliens will be coming to get me soon!" and falls asleep.
Which action should the nurse implement next?
A. Make the client comfortable and allow the client to sleep.
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B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co-sign the operative permit.
B
Rationale: This statement may indicate that the client is confused. Informed consent
must be provided by a mentally competent individual, so the nurse should further
assess the client's neurologic status to be sure that the client understands and can
legally provide consent for surgery. Option A does not provide sufficient follow-up. If
the nurse determines that the client is confused, the surgeon must be notified and
permission obtained from the next of kin.
A nurse is working in an occupational health clinic when an employee walks in
and states that he was struck by lightning while working in a truck bed. The
client is alert but reports feeling faint. Which assessment will the nurse
perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
A
Rationale: Lightning is a jolt of electrical current and can produce a "natural"
defibrillation, so assessment of the pulse rate and regularity is a priority. Because the
client is talking, he has an open airway, so that assessment is not necessary.
Assessing for options C and D should occur after assessing for adequate circulation.
The nurse who is preparing to give an adolescent client a prescribed
antipsychotic medication notes that parental consent has not been obtained.
Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents.
C
Rationale: The nurse should not give the medication and should document the
reason because the client is a minor and needs a guardian's permission to receive
medications. Permission to give medications is not granted by a signed hospital
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consent or a health care provider's permission, unless conditions are met to justify
coerced treatment. Option D is not necessary unless the medication had previously
been administered.
A hospitalized client has had difficulty falling asleep for two nights and is
becoming irritable and restless. Which action by the nurse is best?
A. Determine the client's usual bedtime routine and include these rituals in the
plan of care as safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the
night.
C. Place a "Do Not Disturb" sign on the door and change assessments from
every 4 to every 8 hours.
D. Encourage the client to avoid pain medication during the day, which might
increase daytime napping.
A
Rationale: Including habitual rituals that do not interfere with the client's care or
safety may allow the client to go to sleep faster and increase the quality of care.
Options B, C, and D decrease the client's standard of care and compromise safety.
The nurse is assisting a client to the bathroom. When the client is 5 feet from
the bathroom door, he states, "I feel faint." Before the nurse can get the client
to a chair, the client starts to fall. Which is the priority action for the nurse to
take?
A. Check the client's carotid pulse.
B. Encourage the client to get to the toilet.
C. In a loud voice, call for help.
D. Gently lower the client to the floor.
D
Rationale: Option D is the most prudent intervention and is the priority nursing action
to prevent injury to the client and the nurse. Lowering the client to the floor should be
done when the client cannot support his own weight. The client should be placed in a
bed or chair only when sufficient help is available to prevent injury. Option A is
important but should be done after the client is in a safe position. Because the client
is not supporting himself, option B is impractical. Option C is likely to cause chaos on
the unit and might alarm the other clients.
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A male client is laughing at a television program with his wife when the
evening nurse enters the room. He says his foot is hurting and he would like a
pain pill. How should the nurse respond?
A. Ask him to rate his pain on a scale of 1 to 10.
B. Encourage him to wait until bedtime so the pill can help him sleep.
C. Attend to an acutely ill client's needs first because this client is laughing.
D. Instruct him in the use of deep breathing exercises for pain control.
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the client
to rate his pain helps the nurse determine which pain medication should be
administered and also provides a baseline for evaluating the effectiveness of the
medication. Medicating for pain should not be delayed so that it can be used as a
sleep medication. Option C is judgmental. Option D should be used as an adjunct to
pain medication, not instead of medication.
During a routine assessment, an obese 50-year-old female client expresses
concern about her sexual relationship with her husband. Which is the best
response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
D
Rationale: Option D provides an opportunity for the client to verbalize her concerns
and provides the nurse with more assessment data. Options A and B may not be
related to her current concern, assume that obesity is the problem, and are
communication blocks. Option C may be appropriate after discussing the concerns
she is having.
The nurse determines that a postoperative client's respiratory rate has
increased from 18 to 24 breaths/min. Based on this assessment finding, which
intervention is most important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea.
“ HESI FUNDAMENTALS COMMUNITY PUBLIC
HEALTH NURSING”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
HESI - Fundamentals practice questions
The nurse is teaching a client how to perform progressive muscle relaxation
techniques to relieve insomnia. A week later the client reports that he is still
unable to sleep, despite following the same routine every night. Which action
should the nurse take first?
A. Instruct the client to add regular exercise as a daily routine.
B. Determine if the client has been keeping a sleep diary.
C. Encourage the client to continue the routine until sleep is achieved.
D. Ask the client to describe the routine he is currently following.
D
Rationale: The nurse should first evaluate whether the client has been adhering to
the original instructions. A verbal report of the client's routine will provide more
specific information than the client's written diary. The nurse can then determine
which changes need to be made. The routine practiced by the client is clearly
unsuccessful, so encouragement alone is insufficient.
Ten minutes after signing an operative permit for a fractured hip, an older
client states, "The aliens will be coming to get me soon!" and falls asleep.
Which action should the nurse implement next?
A. Make the client comfortable and allow the client to sleep.
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B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co-sign the operative permit.
B
Rationale: This statement may indicate that the client is confused. Informed consent
must be provided by a mentally competent individual, so the nurse should further
assess the client's neurologic status to be sure that the client understands and can
legally provide consent for surgery. Option A does not provide sufficient follow-up. If
the nurse determines that the client is confused, the surgeon must be notified and
permission obtained from the next of kin.
A nurse is working in an occupational health clinic when an employee walks in
and states that he was struck by lightning while working in a truck bed. The
client is alert but reports feeling faint. Which assessment will the nurse
perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury
A
Rationale: Lightning is a jolt of electrical current and can produce a "natural"
defibrillation, so assessment of the pulse rate and regularity is a priority. Because the
client is talking, he has an open airway, so that assessment is not necessary.
Assessing for options C and D should occur after assessing for adequate circulation.
The nurse who is preparing to give an adolescent client a prescribed
antipsychotic medication notes that parental consent has not been obtained.
Which action should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents.
C
Rationale: The nurse should not give the medication and should document the
reason because the client is a minor and needs a guardian's permission to receive
medications. Permission to give medications is not granted by a signed hospital
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consent or a health care provider's permission, unless conditions are met to justify
coerced treatment. Option D is not necessary unless the medication had previously
been administered.
A hospitalized client has had difficulty falling asleep for two nights and is
becoming irritable and restless. Which action by the nurse is best?
A. Determine the client's usual bedtime routine and include these rituals in the
plan of care as safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the
night.
C. Place a "Do Not Disturb" sign on the door and change assessments from
every 4 to every 8 hours.
D. Encourage the client to avoid pain medication during the day, which might
increase daytime napping.
A
Rationale: Including habitual rituals that do not interfere with the client's care or
safety may allow the client to go to sleep faster and increase the quality of care.
Options B, C, and D decrease the client's standard of care and compromise safety.
The nurse is assisting a client to the bathroom. When the client is 5 feet from
the bathroom door, he states, "I feel faint." Before the nurse can get the client
to a chair, the client starts to fall. Which is the priority action for the nurse to
take?
A. Check the client's carotid pulse.
B. Encourage the client to get to the toilet.
C. In a loud voice, call for help.
D. Gently lower the client to the floor.
D
Rationale: Option D is the most prudent intervention and is the priority nursing action
to prevent injury to the client and the nurse. Lowering the client to the floor should be
done when the client cannot support his own weight. The client should be placed in a
bed or chair only when sufficient help is available to prevent injury. Option A is
important but should be done after the client is in a safe position. Because the client
is not supporting himself, option B is impractical. Option C is likely to cause chaos on
the unit and might alarm the other clients.
, Page 4 of 109
A male client is laughing at a television program with his wife when the
evening nurse enters the room. He says his foot is hurting and he would like a
pain pill. How should the nurse respond?
A. Ask him to rate his pain on a scale of 1 to 10.
B. Encourage him to wait until bedtime so the pill can help him sleep.
C. Attend to an acutely ill client's needs first because this client is laughing.
D. Instruct him in the use of deep breathing exercises for pain control.
A
Rationale: Obtaining a subjective estimate of the pain experience by asking the client
to rate his pain helps the nurse determine which pain medication should be
administered and also provides a baseline for evaluating the effectiveness of the
medication. Medicating for pain should not be delayed so that it can be used as a
sleep medication. Option C is judgmental. Option D should be used as an adjunct to
pain medication, not instead of medication.
During a routine assessment, an obese 50-year-old female client expresses
concern about her sexual relationship with her husband. Which is the best
response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
D
Rationale: Option D provides an opportunity for the client to verbalize her concerns
and provides the nurse with more assessment data. Options A and B may not be
related to her current concern, assume that obesity is the problem, and are
communication blocks. Option C may be appropriate after discussing the concerns
she is having.
The nurse determines that a postoperative client's respiratory rate has
increased from 18 to 24 breaths/min. Based on this assessment finding, which
intervention is most important for the nurse to implement?
A. Encourage the client to increase ambulation in the room.
B. Offer the client a high-carbohydrate snack for energy.
C. Force fluids to thin the client's pulmonary secretions.
D. Determine if pain is causing the client's tachypnea.
