HESI FUNDAMENTALS RN
EXAM VERSION
5 NEWEST ALL 95
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED
,CORRECT ANSWER-Check for kinks in the tubing and raise the IV
pole.
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." Which action should the nurse take
first?
A. Accept and document the client's wish to refrain from
bathing.
B. Offer to give the client a bed bath, avoiding the perineal
area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with
the client. - CORRECT ANSWER-Teach the importance of personal
hygiene during menstruation with the client.
,A 65-year-old client who attends an adult daycare program and is
wheelchair-mobile has redness in the sacral area. Which instruction is
most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D.Purchase a newer model wheelchair - CORRECT
ANSWER-Change positions in the chair at least every hour.
The nurse is preparing an older client for discharge. Which method is
best for the nurse to use when evaluating the client's ability to perform
a dressing change at home?
A.Determine how the client feels about changing the dressing.
B.Ask the client to describe the procedure in writing.
C.Seek a family member's evaluation of the client's ability to change the
dressing.
D.Observe the client change the dressing unassisted. - CORRECT
ANSWER-Observe the client change the dressing unassisted.
After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement? A. Complete an
incident report.
B. Select another sterile needle.
, C.Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. - CORRECT
ANSWER-Select another sterile needle.
After receiving written and verbal instructions from a clinic nurse about
a newly prescribed medication, a client asks the nurse what to do if
questions arise about the medication after getting home. How should
the nurse respond?
A. Provide the client with a list of Internet sites that answer
frequently asked questions about medications.
B. Advise the client to obtain a current edition of a drug reference
book from a local bookstore or library.
C.Reassure the client that information about the medication is included
in the written instructions.
D. Encourage the client to call the clinic nurse or health care provider if
any questions arise. - CORRECT ANSWEREncourage the client to call
the clinic nurse or health care provider if any questions arise.
After the nurse tells an older client that an IV line needs to be inserted,
the client becomes very apprehensive, loudly verbalizing a dislike for all
health care providers and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
EXAM VERSION
5 NEWEST ALL 95
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES VERIFIED
,CORRECT ANSWER-Check for kinks in the tubing and raise the IV
pole.
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." Which action should the nurse take
first?
A. Accept and document the client's wish to refrain from
bathing.
B. Offer to give the client a bed bath, avoiding the perineal
area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with
the client. - CORRECT ANSWER-Teach the importance of personal
hygiene during menstruation with the client.
,A 65-year-old client who attends an adult daycare program and is
wheelchair-mobile has redness in the sacral area. Which instruction is
most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D.Purchase a newer model wheelchair - CORRECT
ANSWER-Change positions in the chair at least every hour.
The nurse is preparing an older client for discharge. Which method is
best for the nurse to use when evaluating the client's ability to perform
a dressing change at home?
A.Determine how the client feels about changing the dressing.
B.Ask the client to describe the procedure in writing.
C.Seek a family member's evaluation of the client's ability to change the
dressing.
D.Observe the client change the dressing unassisted. - CORRECT
ANSWER-Observe the client change the dressing unassisted.
After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement? A. Complete an
incident report.
B. Select another sterile needle.
, C.Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. - CORRECT
ANSWER-Select another sterile needle.
After receiving written and verbal instructions from a clinic nurse about
a newly prescribed medication, a client asks the nurse what to do if
questions arise about the medication after getting home. How should
the nurse respond?
A. Provide the client with a list of Internet sites that answer
frequently asked questions about medications.
B. Advise the client to obtain a current edition of a drug reference
book from a local bookstore or library.
C.Reassure the client that information about the medication is included
in the written instructions.
D. Encourage the client to call the clinic nurse or health care provider if
any questions arise. - CORRECT ANSWEREncourage the client to call
the clinic nurse or health care provider if any questions arise.
After the nurse tells an older client that an IV line needs to be inserted,
the client becomes very apprehensive, loudly verbalizing a dislike for all
health care providers and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
