HESI Fundamentals Exit Exam Version 1 (V1) (2022/2023) (All 55 Q&A) (100% Verified Q&A) Graded A++

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 being achieved. a. Number ofstaff induced injury b. Clientsatisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. 2. The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag reflex. Which action should the nurse include? A. Offersmalls sips of water through a straw B. Place tongue blade on back half of tongue C. Use a penlight to observe back of oral cavity D. Auscultate breath sounds after client swallows 3. The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for creatinine clearance. A. Assessthe client for confusion and reteach the procedure B. Check the urine for color and texture C. Empty the urinal contentsinto the 24-hour collection container D. Discard the contents of the urinal 4. A 54-year-old male client and his wife were informed this morning that he hasterminal cancer. Which nursing intervention islikely to be most A. Ask her how she would like to participate in the client’s care B. Provide the wife with information about hospice C. Encourage the wife to visit after painful treatments are completed D. Refer her to support group for family members of those dying of cancer 5. 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 nurse recommend? A. Plan low carbohydrate and high protein meals B. Engage in strenuous activity for an hour daily C. Keep a record of food and drinks consumed daily D. Participated in a group exercise class 3 times a week 6. The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess forskin damage related to the cannula, which areas should the nurse observe? A. Tops of the ear B. Bridge of the nose C. Around the nostrils D. Over the cheeks E. Acrossthe forehead 7. 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 nurse take? a. Remove the basin of water from the client’s bed immediately b. Remind the UAP to dry between the client’s toes completely c. Advise the UAP that this procedure is damaging to the skin d. Add skin cream to the basin of water while the foot is soaking 8. 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 nurse implement? a. Communicate the colleague’s actionsto the unit charge nurse b. Send an email to facility administration reporting the action c. Write an anonymous complaint to a professional website d. Post a comment about the action on a staff discussion board 9. At 0100 on a male client’ssecond postoperative night, the client states he is unstable to sleep and plansto read until feeling sleepy. What action should the nurse implement? a. Leave the room and close the door to the client’s room b. Assessthe appearance of the client’s surgical dressing c. Bring the client a prescribed PRN sedative-hypnotic d. Discusssymptoms of sleep deprivation with the client 10. 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 client privacy? a. Remove identifying information of the clients who participated b. Recall that authored content may be legally discoverable c. Share material from credible, peer reviewed sources only d. Respect all copyright laws when adding website content 11. 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 presentsthe consent form forsignature, the client hesitates and asks how the wires will keep his heart going. Which action should the nurse take? a. Answer the client’sspecific questions with a short understandable explanation b. Postpone the procedure until the client understands the risks and benefits Contact: HESI Fundamentals Exit Exam Version 1 (V1) (2022/2023) (All 55 Q&A) (100% Verified Q&A) Graded A++ c. Call the client’s next of kin and ask them to provide verbal consent d. Page the healthcare provider to return and provide additional explanation 12. The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform? a. Tilt the pelvis forwards and backwards HESI Fundamentals Exit Exam Version 1 (V1) (2022/2023) (All 55 Q&A) (100% Verified Q&A) Graded A++ b. bend the arm by flexing the ulnar to the humerus c. Turn the head to the right and left d. Extend the arm at the ide and rotate in circles 1) A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the LPN/LVN implement? A. Give an around-the-clock schedule for administration of analgesics. B. Administer analgesic medication as needed when the pain is severe. C. Provide medication to keep the client sedated and unaware of stimuli. D. Offer a medication-free period so that the client can do daily activities. Correct Answer: A 2) When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN implement first? A. Loosen the right wrist restraint. B. Apply a pulse oximeter to the right hand. C. Compare hand color bilaterally. D. Palpate the right radial pulse. Correct Answer: A 3) The LPN/LVN is assessing the nutritionalstatus ofseveral clients. Which client hasthe greatest nutritional need for additional intake of protein? A. A college-age track runner with a sprained ankle. B. A lactating woman nursing her 3-day-old infant. C. A school-aged child with Type 2 diabetes. D. An elderly man being treated for a peptic ulcer. HESI Fundamentals Exit Exam Version 1 (V1) (2022/2023) (All 55 Q&A) (100% Verified Q&A) Graded A++ Correct Answer: B