HESI RN FUNDAMENTALS EXIT EXAM
LATEST QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED
ANSWERS)
Question 1
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions
will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy.
Correct Answer
A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no
need to double check the PN, or start a second IV line. PN is administered through
the venous system and does not satiate the client. The remaining selections are true
about the administration of PN.
Page 1 of 85
,Question 2
While conducting an intake assessment of an adult client at a community mental
health clinic, the nurse notes that the client's affect is flat, responds to questions with
short answers, and reports problems with sleeping. At the end of the intake
assessment, the client reveals the loss of a life partner 1 month ago. What is the
nurse's best action for this client?
A.
Encourage the client to see the clinic's grief counselor.
B.
Determine if the client has a family history of suicide attempts.
C.
Inquire about whether the life partner was suffering from AIDS.
D.
Consult with the health care provider about the client's need for antidepressant
medications.
Correct Answer
A
Rationale: The client is exhibiting normal grieving behaviors, so referral to a grief
counselor is the most important intervention for the nurse to implement. Option B
is indicated but is not a high-priority intervention. Option C is irrelevant at this time
but might be important when determining the client's risk for contracting the
illness. An antidepressant may be indicated, depending on further assessment, but
grief counseling is a better action at this time because grief is an expected reaction
to the loss of a loved one.
Page 2 of 85
,Question 3
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get
up to use the bathroom. I repeat that pattern about three to four times per night."
What questions will the nurse include in this client's assessment? (Select all that
apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?"
Correct Answer
A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients'
pattern of frequency of urination at night. The goal of the assessment is to try and
understand the client's urinary usual patterns and to determine if there are any
modifiable factors that can decrease the frequency of urinating at night. Urinary
frequency is also a sign of a urinary tract infection.
Page 3 of 85
, Question 4
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What action has the highest priority
in decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
Correct Answer
B
Rationale: Careful handwashing technique is the single most effective intervention
for the prevention of contamination to all clients. Option A reverses the
hypovolemia that initially accompanies burn trauma but is not related to decreasing
the proliferation of infective organisms. Options C and D are recommended by
various burn centers as possible ways to reduce the chance of infection. Option B is
a proven technique to prevent infection.
Page 4 of 85
LATEST QUESTIONS AND CORRECT
ANSWERS WITH RATIOANLES (VERIFIED
ANSWERS)
Question 1
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What actions
will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy.
Correct Answer
A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no
need to double check the PN, or start a second IV line. PN is administered through
the venous system and does not satiate the client. The remaining selections are true
about the administration of PN.
Page 1 of 85
,Question 2
While conducting an intake assessment of an adult client at a community mental
health clinic, the nurse notes that the client's affect is flat, responds to questions with
short answers, and reports problems with sleeping. At the end of the intake
assessment, the client reveals the loss of a life partner 1 month ago. What is the
nurse's best action for this client?
A.
Encourage the client to see the clinic's grief counselor.
B.
Determine if the client has a family history of suicide attempts.
C.
Inquire about whether the life partner was suffering from AIDS.
D.
Consult with the health care provider about the client's need for antidepressant
medications.
Correct Answer
A
Rationale: The client is exhibiting normal grieving behaviors, so referral to a grief
counselor is the most important intervention for the nurse to implement. Option B
is indicated but is not a high-priority intervention. Option C is irrelevant at this time
but might be important when determining the client's risk for contracting the
illness. An antidepressant may be indicated, depending on further assessment, but
grief counseling is a better action at this time because grief is an expected reaction
to the loss of a loved one.
Page 2 of 85
,Question 3
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get
up to use the bathroom. I repeat that pattern about three to four times per night."
What questions will the nurse include in this client's assessment? (Select all that
apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?"
Correct Answer
A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients'
pattern of frequency of urination at night. The goal of the assessment is to try and
understand the client's urinary usual patterns and to determine if there are any
modifiable factors that can decrease the frequency of urinating at night. Urinary
frequency is also a sign of a urinary tract infection.
Page 3 of 85
, Question 4
The nurse identifies a potential for infection in a client with partial-thickness (second-
degree) and full-thickness (third-degree) burns. What action has the highest priority
in decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
Use of careful handwashing technique
C.
Application of a topical antibacterial cream
D.
Limiting visitors to the client with burns
Correct Answer
B
Rationale: Careful handwashing technique is the single most effective intervention
for the prevention of contamination to all clients. Option A reverses the
hypovolemia that initially accompanies burn trauma but is not related to decreasing
the proliferation of infective organisms. Options C and D are recommended by
various burn centers as possible ways to reduce the chance of infection. Option B is
a proven technique to prevent infection.
Page 4 of 85
