Page 1 of 23
HESI FUNDAMENTALS PRACTICE EXAM #1 |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A 35y/o client with cancer refuses to allow a nurse to insert an
IV for scheduled chemo & states that she's ready to go home to
die. What intervention should the nurse initiate? - ✔✔✔ Correct
Answer > Evaluate the client's mental status for competence to
refuse treatment
Rationale: Competent clients have the right to refuse treatment.
The nurse cannot document until the HCP is notified of the
patient's wishes & a d/c RX is obtained. Advance directives &
DNR are not necessary for competent client to refuse care.
The nurse is preparing to irrigate a client's indwelling urinary
catheter using an open technique. What action should the nurse
take after applying gloves? - ✔✔✔ Correct Answer > Draw up the
irrigating solution into the syringe.
Rationale: First apply gloves, then draw up the irrigating solution.
Syringe is attached to catheter & fluid is instilled, using aseptic
technique. Once instilled, catheter should be secured to drainage
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tubing. Drainage bag can be emptied whenever I&O
measurement is indicated
When assessing a client with an indwelling urinary catheter,
which observation requires the most immediate intervention by
the nurse. - ✔✔✔ Correct Answer > The clamp on the urinary drainage
bag is open
While preparing to insert a rectal suppository into a male adult
client, the nurse observes the client holding his breath while
bearing down. What action should the nurse implement? - ✔✔✔
Correct Answer > Instruct the client to take slow deep breaths & stop
bearing down
The nurse is completing the care plan for a client who is
admitted for BPH. Which data should the nurse document as a
subjective finding? - ✔✔✔ Correct Answer > Complains of inability to
empty bladder
While the nurse is administering a bolus feeding to a client via
NG tube, the client begins to vomit. What action should the nurse
implement first? - ✔✔✔ Correct Answer > D/c administration of the
bolus feeding
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What is the rationale in using the nursing process in planning
care for clients? - ✔✔✔ Correct Answer > As a tool to organize thinking
& clinical decision making about clients' healthcare needs
What activity should the nurse use in the evaluation phase of the
nursing process? - ✔✔✔ Correct Answer > Examine the effectiveness
of nursing interventions toward meeting client outcomes
Which statement is an example of a correctly written nursing
diagnosis statement? - ✔✔✔ Correct Answer > Ineffective coping
related to response to positive biopsy test results
Rationale: "Diagnostic label" followed by "related to" the cause,
which should direct the nurse to the appropriate interventions.
Should not include medical diagnosis. Should not focus on
client's response.
What action by the nurse demonstrates culturally sensitive care?
- ✔✔✔ Correct Answer > Asks permission before touching a client
A nurse is becoming increasingly frustrated by the family
members' efforts to participate in the care of a hospitalized
client. What action should the nurse implement to cope with
these feelings of frustration? - ✔✔✔ Correct Answer > Examine one's
own culturally based values, beliefs, attitudes & practices.
HESI FUNDAMENTALS PRACTICE EXAM #1 |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A 35y/o client with cancer refuses to allow a nurse to insert an
IV for scheduled chemo & states that she's ready to go home to
die. What intervention should the nurse initiate? - ✔✔✔ Correct
Answer > Evaluate the client's mental status for competence to
refuse treatment
Rationale: Competent clients have the right to refuse treatment.
The nurse cannot document until the HCP is notified of the
patient's wishes & a d/c RX is obtained. Advance directives &
DNR are not necessary for competent client to refuse care.
The nurse is preparing to irrigate a client's indwelling urinary
catheter using an open technique. What action should the nurse
take after applying gloves? - ✔✔✔ Correct Answer > Draw up the
irrigating solution into the syringe.
Rationale: First apply gloves, then draw up the irrigating solution.
Syringe is attached to catheter & fluid is instilled, using aseptic
technique. Once instilled, catheter should be secured to drainage
,Page 2 of 23
tubing. Drainage bag can be emptied whenever I&O
measurement is indicated
When assessing a client with an indwelling urinary catheter,
which observation requires the most immediate intervention by
the nurse. - ✔✔✔ Correct Answer > The clamp on the urinary drainage
bag is open
While preparing to insert a rectal suppository into a male adult
client, the nurse observes the client holding his breath while
bearing down. What action should the nurse implement? - ✔✔✔
Correct Answer > Instruct the client to take slow deep breaths & stop
bearing down
The nurse is completing the care plan for a client who is
admitted for BPH. Which data should the nurse document as a
subjective finding? - ✔✔✔ Correct Answer > Complains of inability to
empty bladder
While the nurse is administering a bolus feeding to a client via
NG tube, the client begins to vomit. What action should the nurse
implement first? - ✔✔✔ Correct Answer > D/c administration of the
bolus feeding
, Page 3 of 23
What is the rationale in using the nursing process in planning
care for clients? - ✔✔✔ Correct Answer > As a tool to organize thinking
& clinical decision making about clients' healthcare needs
What activity should the nurse use in the evaluation phase of the
nursing process? - ✔✔✔ Correct Answer > Examine the effectiveness
of nursing interventions toward meeting client outcomes
Which statement is an example of a correctly written nursing
diagnosis statement? - ✔✔✔ Correct Answer > Ineffective coping
related to response to positive biopsy test results
Rationale: "Diagnostic label" followed by "related to" the cause,
which should direct the nurse to the appropriate interventions.
Should not include medical diagnosis. Should not focus on
client's response.
What action by the nurse demonstrates culturally sensitive care?
- ✔✔✔ Correct Answer > Asks permission before touching a client
A nurse is becoming increasingly frustrated by the family
members' efforts to participate in the care of a hospitalized
client. What action should the nurse implement to cope with
these feelings of frustration? - ✔✔✔ Correct Answer > Examine one's
own culturally based values, beliefs, attitudes & practices.
