HESI FUNDAMENTALS 2022/2023 exams graded A+.
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how
to perform this procedure correctly?
A Standing on his wife's strong side, the caregiver is ready to
. hold the gait belt if any evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides
security by holding the gait belt from the back.
C. Standing behind his wife, the caregiver provides balance
by holding both sides of the gait belt.
D Standing slightly in front and to the right of his wife, the
. caregiver guides her forward by gently pulling on the gait
belt.
An older client who had abdominal surgery 3 days earlier was given a barbiturate for sleep
and is now requesting to go to the bathroom. Which action should the nurse implement?
A Assist the client to walk to the bathroom and do not leave
. the client alone.
B. Request that the UAP assist the client onto a bedpan.
C. Ask if the client needs to have a bowel movement or void.
D Assess the client's bladder to determine if the client needs
. to urinate.
In taking a client's history, the nurse asks about the stool characteristics. Which description
should the nurse report to the health care provider as soon as possible?
Select an option, then click Submit.
A. Daily black, sticky stool
B. Daily dark brown stool
C. Firm brown stool every other day
D. Soft light brown stool twice a day
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this
is the first time the client has voided in 4 hours. Which action should the nurse take next?
Select an option, then click Submit.
A Record the amount on the client's fluid output record.
.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
D Palpate the client's bladder for distention.
.
This study source was downloaded by 100000853187528 from CourseHero.com on 10-11-2022 02:27:45 GMT -05:00
https://www.coursehero.com/file/70370261/Comprehensive-test-questions-EXAM-docx/
, HESI FUNDAMENTALS 2022/2023 exams graded A+.
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which client
instruction is important for the nurse to provide?
Select an option, then click Submit.
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to
prevent complications of immobility. Which intervention should be included in this
instruction?
Select an option, then click Submit.
A. Perform range-of-motion exercises to prevent
contractures.
B. Decrease the client's fluid intake to prevent diarrhea.
C. Massage the client's legs to reduce embolism occurrence.
D. Turn the client from side to back every shift.
Which intervention is most important to include in the plan of care for a client at high risk for
the development of postoperative thrombus formation?
Select an option, then click Submit.
A Instruct in the use of the incentive spirometer.
.
B. Elevate the head of the bed during all meals.
C. Use aseptic technique to change the dressing.
D Encourage frequent ambulation in the hallway.
.
When turning an immobile bedridden client without assistance, which action by the nurse
best ensures client safety?
Select an option, then click Submit.
A Securely grasp the client's arm and leg.
.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D Lower the head of the client's bed slowly.
.
A male client is laughing at a television program with his wife when the evening nurse enters
the room. He says his foot is hurting and he would like a pain pill. How should the nurse
respond?
This study source was downloaded by 100000853187528 from CourseHero.com on 10-11-2022 02:27:45 GMT -05:00
https://www.coursehero.com/file/70370261/Comprehensive-test-questions-EXAM-docx/
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how
to perform this procedure correctly?
A Standing on his wife's strong side, the caregiver is ready to
. hold the gait belt if any evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides
security by holding the gait belt from the back.
C. Standing behind his wife, the caregiver provides balance
by holding both sides of the gait belt.
D Standing slightly in front and to the right of his wife, the
. caregiver guides her forward by gently pulling on the gait
belt.
An older client who had abdominal surgery 3 days earlier was given a barbiturate for sleep
and is now requesting to go to the bathroom. Which action should the nurse implement?
A Assist the client to walk to the bathroom and do not leave
. the client alone.
B. Request that the UAP assist the client onto a bedpan.
C. Ask if the client needs to have a bowel movement or void.
D Assess the client's bladder to determine if the client needs
. to urinate.
In taking a client's history, the nurse asks about the stool characteristics. Which description
should the nurse report to the health care provider as soon as possible?
Select an option, then click Submit.
A. Daily black, sticky stool
B. Daily dark brown stool
C. Firm brown stool every other day
D. Soft light brown stool twice a day
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this
is the first time the client has voided in 4 hours. Which action should the nurse take next?
Select an option, then click Submit.
A Record the amount on the client's fluid output record.
.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
D Palpate the client's bladder for distention.
.
This study source was downloaded by 100000853187528 from CourseHero.com on 10-11-2022 02:27:45 GMT -05:00
https://www.coursehero.com/file/70370261/Comprehensive-test-questions-EXAM-docx/
, HESI FUNDAMENTALS 2022/2023 exams graded A+.
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which client
instruction is important for the nurse to provide?
Select an option, then click Submit.
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to
prevent complications of immobility. Which intervention should be included in this
instruction?
Select an option, then click Submit.
A. Perform range-of-motion exercises to prevent
contractures.
B. Decrease the client's fluid intake to prevent diarrhea.
C. Massage the client's legs to reduce embolism occurrence.
D. Turn the client from side to back every shift.
Which intervention is most important to include in the plan of care for a client at high risk for
the development of postoperative thrombus formation?
Select an option, then click Submit.
A Instruct in the use of the incentive spirometer.
.
B. Elevate the head of the bed during all meals.
C. Use aseptic technique to change the dressing.
D Encourage frequent ambulation in the hallway.
.
When turning an immobile bedridden client without assistance, which action by the nurse
best ensures client safety?
Select an option, then click Submit.
A Securely grasp the client's arm and leg.
.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D Lower the head of the client's bed slowly.
.
A male client is laughing at a television program with his wife when the evening nurse enters
the room. He says his foot is hurting and he would like a pain pill. How should the nurse
respond?
This study source was downloaded by 100000853187528 from CourseHero.com on 10-11-2022 02:27:45 GMT -05:00
https://www.coursehero.com/file/70370261/Comprehensive-test-questions-EXAM-docx/
