HESI Fundamentals Exam 2021, Fundamentals HESI Exam 2021.

HESI Fundamentals Exam(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM ANDOTHER HESI EXAMS)1.A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is beingachieved.a.Number of staff inducedinjuryb.Client satisfactionsurveyc.Health care-associated infectionrate.d.Rate of needle-stick injuries bynurse.2.The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag reflex. Which actionshould the nurseinclude?A.Offer smalls sips of water through astrawB.Place tongue blade on back half oftongueC.Use a penlight to observe back of oralcavityD.Auscultate breath sounds after clientswallows3.The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for creatinineclearance.A.Assess the client for confusion and reteach theprocedureB.Check the urine for color andtextureC.Empty the urinal contents into the 24-hour collectioncontainerD.Discard the contents of theurinal4.A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to bemostA.Ask her how she would like to participate in the client’scareB.Provide the wife with information abouthospiceC.Encourage the wife to visit after painful treatments arecompletedD.Refer her to support group for family members of those dying ofcancer5.A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurserecommend?A.Plan low carbohydrate and high proteinmealsB.Engage in strenuous activity for an hourdailyC.Keep a record of food and drinks consumeddailyD.Participated in a group exercise class 3 times aweek6.The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess for skin damage related to the cannula, which areas should the nurseobserve?A.Tops of theearB.Bridge of thenoseC.Around thenostrilsD.Over thecheeksE.Across theforehead7.The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the client’s foot in a basin of warm water placed on the bed. What action should the nursetake?a.Removethebasinofwaterfromtheclient’sbedimmediatelyb.RemindtheUAPtodrybetweentheclient’stoescompletelyc.Advise the UAP that this procedure is damaging to theskind.Add skin cream to the basin of water while the foot issoaking8.The nurse in the emergency department observes a colleague viewing the electronic health record (EHR) of a client who holds an elected position in the community. The client is not a part of the colleague’s assignment. Which action should the nurseimplement?a.Communicate the colleague’s actions to the unit chargenurseb.Send an email to facility administration reporting theactionc.Write an anonymous complaint to a professionalwebsited.Post a comment about the action on a staff discussionboard9.At 0100 on a male client’s second postoperative night, the client states he is unstable to sleep and plans to read until feeling sleepy. What action should the nurseimplement?a.Leavetheroomandclosethedoortotheclient’sroomb.Assesstheappearanceoftheclient’ssurgicaldressingc.Bring the client a prescribed PRNsedative-hypnoticd.Discuss symptoms of sleep deprivation with theclient10.The nursing staff in the cardiovascular intensive care unit are creating a continuous quality improvement project on social media that addresses coronary artery disease (CAD). Which action should the nurse implement to protect clientprivacy?a.Remove identifying information of the clients whoparticipatedb.Recallthatauthoredcontentmaybelegallydiscoverablec.Sharematerialfromcredible,peerreviewedsourcesonlyd.Respect all copyright laws when adding websitecontent11.A male client with unstable angina needs a cardiac catheterization, so the healthcare provider explains the risks and benefits of the procedure, and then leaves to set up for the procedure. When the nurse presents the consent form for signature, the client hesitates andasks how the wires will keep his heart going. Which action should the nursetake?a.Answer the client’s specific questions with a short understandableexplanationb.Postpone the procedure until the client understands the risks andbenefitsc.Call the client’s next of kin and ask them to provide verbalconsentd.Page the healthcare provider to return and provide additionalexplanation12.The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should thenurse instruct the client toperform?a.Tilt the pelvis forwards andbackwards