Hesi Fundamentals Practice Exam #1 Questions And Correct Answers

HESI FUNDAMENTALS PRACTICE EXAM
#1 QUESTIONS AND CORRECT
ANSWERS

AA235y/
oA2clientA2withA2cancerA2refusesA2toA2allowA2aA2nurseA2toA2insertA2anA2IVA2forA2scheduledA2
chemoA2&A2statesA2thatA2she'sA2readyA2toA2goA2homeA2toA2die.A2WhatA2interventionA2shoul
dA2theA2nurseA2initiate?A2-A2Ans--
EvaluateA2theA2client'sA2mentalA2statusA2forA2competenceA2toA2refuseA2treatment

Rationale:A2CompetentA2clientsA2haveA2theA2rightA2toA2refuseA2treatment.A2TheA2nurseA2ca
nnotA2documentA2untilA2theA2HCPA2isA2notifiedA2ofA2theA2patient'sA2wishesA2&A2aA2d/
cA2RXA2isA2obtained.A2AdvanceA2directivesA2&A2DNRA2areA2notA2necessaryA2forA2compete
ntA2clientA2toA2refuseA2care.

AA2clientA2withA2chronicA2renalA2diseaseA2isA2admittedA2toA2theA2hospitalA2forA2evaluationA2
priorA2toA2aA2surgicalA2procedure.A2WhichA2laboratoryA2testA2indicatesA2client'sA2proteinA2s
tatusA2forA2theA2longestA2lengthA2ofA2time?A2-A2Ans--SerumA2albumin

Rationale:A2SerumA2albuminA2hasA2aA2longA2half-life.

WhatA2clientA2statementA2indicatesA2toA2theA2nurseA2thatA2theA2clientA2requiresA2assistanc
eA2withA2bathing?A2-A2Ans--"IA2don'tA2understandA2whyA2I'mA2soA2weakA2&A2tired."

HowA2shouldA2theA2nurseA2handleA2linensA2thatA2areA2soiledA2withA2incontinentA2feces?A2-
A2Ans--
PlaceA2theA2soiledA2linensA2inA2aA2pillowA2caseA2&A2depositA2themA2inA2theA2dirtyA2linenA2h
amper

WhenA2caringA2forA2anA2immobileA2client,A2whatA2nursingA2diagnosisA2hasA2theA2highestA2
priority?A2-A2Ans--ImpairedA2gasA2exchange

TheA2nurseA2assessesA2anA2immobile,A2elderlyA2maleA2clientA2&A2determinesA2thatA2hisA2b
loodA2pressureA2isA2138/60,A2hisA2temperatureA2isA295.8FA2&A2hisA2outputA2isA2100A2mLA2o
fA2concentratedA2urineA2duringA2theA2lastA2hour.A2HeA2hasA2wetA2soundingA2lungsA2&A2incr
easedA2respiratoryA2secretions.A2BasedA2onA2theseA2assessmentA2findingsA2,A2whatA2nurs
ingA2actionA2isA2mostA2importantA2forA2theA2nurseA2toA2implement?A2-A2Ans--
TurnA2theA2clientA2q2h

Rationale:A2ItA2willA2helpA2moveA2&A2drainA2respiratoryA2secretionsA2&A2preventA2pneumon
iaA2fromA2occurring.

, TheA2homeA2healthA2nurseA2visitsA2anA2elderlyA2femaleA2clientA2whoA2hadA2aA2brainA2attac
kA23A2monthsA2agoA2&A2isA2nowA2ableA2toA2ambulateA2withA2theA2assistanceA2ofA2aA2quadA2
cane.A2WhichA2assessmentA2findingA2hasA2theA2greatestA2implicationsA2forA2thisA2client'sA2
care?A2-A2Ans--
TheA2nurseA2notesA2thereA2areA2numerousA2scatterA2rugsA2throughoutA2theA2house

TheA2nurseA2removesA2theA2dressingA2onA2aA2client'sA2heelA2thatA2isA2coverA2aA2pressureA
2soreA21"A2inA2diameterA2&A2findsA2thatA2thereA2isA2straw-
coloredA2drainageA2seepingA2fromA2theA2wound.A2WhatA2descriptionA2ofA2thisA2findingA2sh
ouldA2theA2nurseA2includeA2inA2theA2client'sA2record?A2-A2Ans--One-
inchA2pressureA2soreA2drainingA2serousA2fluid

MedicationA2isA2prescribedA2toA2beA2givenA2QID.A2WhatA2scheduleA2shouldA2theA2nurseA2u
seA2toA2administerA2thisA2Rx?A2-A2Ans--0800,A21200,A21600,A22000

TheA2nurseA2workingA2inA2theA2EDA2isA2assessingA24A2clients'A2abilityA2toA2tolerateA2pain.A2
WhichA2clientA2isA2likelyA2toA2tolerateA2aA2higherA2levelA2ofA2pain?A2-A2Ans--
1A255y/oA2womanA2whoA2hasA2hadA2moderateA2lowA2backA2painA2forA23A2months

Rationale:A2ExperiencesA2withA2theA2sameA2typeA2ofA2painA2thatA2hasA2successfullyA2been
A2relievedA2makesA2itA2easierA2forA2theA2clientA2toA2interpretA2theA2painA2sensationA2and,A2
asA2aA2result,A2theA2clientA2isA2betterA2preparedA2toA2takeA2stepsA2toA2relieveA2theA2pain.A2
AllA2otherA2clientsA2areA2havingA2newA2experiencesA2withA2pain.

AA24y/
oA2boyA2whoA2isA2scheduledA2forA2aA2tonsillectomyA2&A2adenoidectomyA2asksA2theA2nurse
,A2"WillA2itA2hurtA2toA2haveA2myA2tonsilsA2&A2adenoidsA2takenA2out?"A2WhichA2responseA2is
A2bestA2forA2theA2nurseA2toA2provide?A2-
A2Ans--"ItA2mayA2hurt,A2butA2we'llA2giveA2youA2medicineA2toA2helpA2youA2feelA2better."


AA2low-sodium,A2low-
proteinA2dietA2isA2prescribedA2forA2aA245y/
oA2clientA2withA2renalA2insufficiencyA2&A2HTN,A2whoA2gainedA23lbsA2inA2theA2lastA2month.A2
TheA2nurseA2determinesA2thatA2theA2clientA2hasA2beenA2noncompliantA2withA2theA2diet,A2b
asedA2onA2whichA2reportA2fromA2theA224hrA2dietA2recall?A2-A2Ans--
1.A2SnackA2ofA2potatoA2chipsA2&A2dietA2soda

2.A2LunchA2ofA2tuna,A2carrots,A2fruitA2&A2coffee

3.A2BreakfastA2ofA2eggs,A2bacon,A2toastA2&A2coffee

4.A2BedtimeA2snackA2ofA2crackersA2&A2milk

WhatA2interventionA2shouldA2theA2nurseA2includeA2inA2theA2careA2planA2forA2aA2clientA2who
A2isA2beingA2treatedA2withA2anA2Unna'sA2pasteA2bootA2forA2legA2ulcersA2dueA2toA2chronicA2v