HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS 2023/2024 | GRADED | 100% CORRECT

When assessing a male client, the nurse finds that he is fatigue, and is experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the client’s laboratory values to validate the existence of which? a. Hyperphosphatemia b. Hypocalcemia c. Hypermagnesemia d. Hypokalemia 15. A female client’s significant other has been at her bedside providing reassurances and support for the past 3days, as desired by the client. The client’s estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement? a. Obtain a perception from the healthcare provider regarding visitation privileges b. Request a consultation with the ethics committee for resolution of the . When measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. What follow-up action should the nurse take first? a. Determine pulse pressure b. Auscultate heart sounds c. Measure oxygen saturation d. Check for neck vein distention 17. To avoid nerve injury, what location should the nurse select to administer a 3 mL IM injection? a. Ventrogluteal b. outer upper quadrant of the buttock c. Two inches below the acromion process d. Vastus lateralis 18. Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia? a. Monitor daily urine output volume b. Drink plenty of water whenever thirsty c. Use salt tablets for sodium content d. Review food labels for sodium content 19. While changing a client’s post operative dressing, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given there is a positive MRSA, which is the most important action for the nurse totake? HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 B. Request a nutrition consult C. Initiate contact precautions D. Limit visitors to immediate family only 20. To prepare a client for the potential side effects of a newly prescribed medication, what action should the nurse implement? a. Assess the client for health alterations that may be impacted by the effects of the medication b. Teach the client how to administer the medication to promote the best absorption c. Administer a half dose and observe the client for side effects before administering a full dosage d. Encourage the client to drink plenty of fluids to promote effective drug distribution 21. A client is 2 days post-op from a thoracic surgery and is complaining of incisional pain. The client last received pain medication 2 hours ago. He is rating his pain a 5 on a 1-10 scale. After calling the provider, what is the nurse's next action? a. instruct the client to use guided imagery and slow rhythmic breathing b. Provide at least 20 minutes of back massage and gentle effleurage c. Encourage the client to watch TV. d. Place a hot water circulation device, such as an Aqua K pad, to operative site 22. A client with cirrhosis and ascites is receiving furosemide 40 mg BID. The pharmacy provides 20 mg tablets. How many tablets should the client receive each day? [Enter numeric value only] 4 tablets HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 When undressing him, the nurse notes that he is wearing an adult diaper and skin breakdown is obvious over his sacral area. What action should the nurse implement first? a. Establish a toileting schedule to decrease episodes of incontinence b. Complete a functional assessment of the client’s self-care abilities c. Apply a barrier ointment to intact areas that may be exposed to moisture d. Determine the size and depth of skin breakdown over the sacral area 24. While interviewing a client, the nurse records the assessment in the electronic health record. Which statement is most accurate regarding electronic documentation during an interview? a. The client’s comfort level is increased when the nurse breaks eye contact to type notes into the record b. The interview process is enhanced with electronic documentation and allows the client to speak at a normal pace c. The nurse has limited ability to observe nonverbal communication while entering the assessment electronically d. Completing the electronic record during an interview is a legal obligation of the examining nurse 25. A female client with chronic back pain has been taking muscle relaxants and analgesics to manage the discomfort, but is now experiencing an acute episode of pain that is not relieved by this medication regime. The client tells the nurse that she does not want to have HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 back surgery for a herniated intervertebral disk, and reports that she has found acupuncture effective in resolving past acute episodes. Which response is best for the nurse to provide? a. Surgery removes the disk and is the only treatment that can totally resolve the pain b. The medication regimen you previously used should be re-evaluated for dose adjustment c. Massage and hot pack treatments are less invasive and can provide temporary relief d. Acupuncture is a complementary therapy that is often effective for management of pain 26. The nurse is providing wound care to a client with stage 3 pressure ulcer that has a large amount of eschar. The wound care prescription states “clean the wound and then apply collagenase.” collagenase is a debriding agent. The prescription does not specify a cleaning method. Which technique should the nurse cleanse the pressure ulcer? a. Lightly coat the wound with povidone-iodine solution b. Irrigate the wound with sterile normal saline c. Flush the wound with sterile hydrogen peroxide d. Remove the eschar with a wet-to-dry dressing 27. A client is admitted with a fever of unknown origin. To assess fever patterns, which intervention should the nurse implement? a. Document the client’s circadian rhythms b. Assess for flushed, warm skin regularly c. Measure temperature at regularintervals d. Vary sites for temperature measurement 28. When performing blood pressure measurement to assess for orthostatic hypotension, HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 a. Position the client supine for a few minutes b. Assist the client to stand at thebedside c. Apply the blood pressure cuffsecurely d. Record the client’s pulse rate and rhythm 29. The nurse retrieves hydromorphone 4mg/mL from the Pyxis MedStation, an automated dispensing system, for a client who is receiving hydromorphone 3 mg IM 6 hours PRN severe pain. How many mL should the nurse administer to the client? (Enter the numerical value only. If rounding is required , round to the nearest tenth) Ans: 0.8 30. The unlicensed assistive personnel (UAP) describes the appearance of the bowel movement of several clients. Which description warrants additional follow up by the nurse? (select all that applies). a. Solid with red streaks. b. Brown liquid. c.Multiple hard pellets. d.Formed but soft. e. e. Tarry appearance. 31. A female UAP is assigned to take the vital signs of a client with pertussis for whom droplet precautions have been implemented. The UAP requests a change in HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 the nurse take? a. Advise the UAP to wear a standard face mask to take vital signs, and then get fitted for a filter mask before providing personal care b. Send the UAP to be fitted for a particulate filter mask immediately so she can provide care to this client c. Instruct the UAP that a standard mask is sufficient for the provision of care for the assigned client d. Before changing assignments, determine which staff members have fitted particulate filter masks 32. In-home hospice care is arranged for a client with stage 4 lung cancer. While the palliative nurse is arranging for discharge, the client verbalizes concerns about pain. What action should the nurse implement? a. Explain the respiratory problems that can occur with morphine use. b. Teach family how to evaluate the effectiveness of analgesics. c. Recommend asking the healthcare professional for a patient-controlled analgesic (PCA) pump. d. Provide client with a schedule of around-the-clock prescribed analgesic use. 33. What assessment finding places a client at risk for problems associated with impaired skin integrity? a. Scattered macula of the face b. Capillary refill 5 seconds c. Smooth nail texture d. Absence of skin tenting 34. When evaluating the effectiveness of a client’s nursing care, the nurse first reviews the HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 a. Determine if the expected outcomes were realistic b. Obtain current client data to compare with expected outcomes c. Modify the nursing interventions to achieve the client’s goals d. Review related professional standards of care 35. The nurse attaches a pulse oximeter to a client’s fingers and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading? a. BP 142/88 mmHg b. 2+ edema of fingers and hands c. Radial pulse volume is +3 d. Capillary refill time is 2 seconds 36. The nurse is caring for a hospitalized client who was placed in restraints due to confusion. The family removes the restraints while they are with the client. When the family leaves, what action should the nurse take first? a. Apply the restraints to maintain the client’s safety. b. Reassess the client to determine the need for continuing restraints. HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 c. Document the time the family left and continue to monitor the client. d. Call the healthcare provider for a new prescription. HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 37. The nurse is discharging an adult woman who was hospitalized for 6 days for treatment of pneumonia. While the nurse is reviewing the prescribed medications, the client appears anxious. What action is most important for the nurse to implement? a. Instruct the client to repeat the medication plan b. Encourage client to take a PRN antianxiety drug c. Provide written instructions that are easy to follow d. Include a family member in the teaching session 38. What instruction should the nurse provide for an UAP caring for a client with MRSA who has a prescription for contact precautions? a. Do not allow visitors until precautions are discontinued b. Wear sterile gloves when handling the client’s body fluid c. Have the client wear a mask whenever someone enters the room d. Don a gown and gloves when entering the return 39. While suctioning a client’s nasopharynx the nurse observes that the client’s oxygen saturation remains at 94% which is the same reading obtained prior to starting the procedure. What action should the nurse take in response to this finding? a. Complete the intermittent suction of the nasopharynx. b. Reposition the pulse oximeter clip to obtain a new reading. c. Stop suctioning until the pulse oximeter reading is above 95%. d. Apply an oxygen mask over the client’s nose and mouth 40. UAP has lowered the head of the bed to change the lines for a client who is bedless. Which observation...most immediate intervention by the nurse? a. A feeding is infusing at 40 mL/hr through an enteral feeding tube b. The urine meter attached to the urinary drainage bag is completely full c. There is a large dependent loop in the client’s urinary drainage tubing HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 41. A male client presents to the clinics stating that he has a high stress job and is having difficulty falling asleep at night. .The client reports having a constant headache and is seeking medication to help the sleep. Which intervention should the nurse implement? a. Determine the client’s sleep and activity pattern b. Obtain prescription for client to take when stressed c. Refer client for a sleep study and neurological follow-up d. Teach coping strategies to use when feeling stressed 42. The nurse is teaching a client about use of the syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precaution? a. Remove needle before discarding used syringes b. Wear gloves to dispose of the needle and syringe c. Done a face mask before administering the medication d. Washes hands before handling the needle and syringe 43. The nurse observes an UAP positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. Which action should the nurse implement? a. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows b. Ensure that the UAP has placed pillows effectively to protect the client c. Ask the UAP to use some pillows to prop the client in a side-lying position d. Assume responsibility for placing the pillows while the UAP complete another task 44. A cerebrovascular accident is placed on a ventilator. The client’s daughter arrives with HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 measures. What action should the nurse take? a. Refer to the risk manager b. Notify the healthcare provider c. Discontinue the ventilator d. Review the medical record 45. Earlier this morning, an elderly Hispanic female was discharged to a LTC facility. The family members are now gathered in the hallway outside her room. What is the best action? a. Ask the family to wait in the cafeteria when the next of kin makes the necessary arrangements b. Provide space and privacy for the family to share their concerns about the client’s discharge c. Ask the social worker to encourage the family to clear the hallway d. Explain to the family the client’s need for privacy so that she can make independent decisions 46. A client with rheumatoid arthritis is experiencing chronic pain in both hands and wrists. Which information about the client is most important for the nurse to obtain when planning care? a. Amount of support provided by family members b. Measurement of pain using a scale of 0 to 10 c. The ability to perform ADLs d. Nonverbal behaviors exhibited when pain occurs 47. A male Native American presents to the clinic with complaints of frequent abdominal cramping and nausea. He states that the chronic constipation and had not had a bowel movement in five days, despite trying several home remedies. Which intervention is most important for the nurse to implement? HESI FUNDAMENTALS LATEST VERSIONS VERIFIED QUESTIONS AND ANSWERS BEST DOCUMENT FOR EXAM PREPARATION 100 % SATISFACTION GUARANTEED 2023 b. Assess for the presence of an impaction c. Determine what home remedies were used d. Obtain list of prescribed home medication 48. Which assessment data reflects the need for the nurses to include the problem, “Risk for falls” in a client’s plan of care? a. Recent serum hemoglobin level of 16g/dL b. Opioid analgesic received one hour ago c. Stooped posture with a steady gait d. Expressed feelings of depression 49. The nurse receives a report that a client with an indwelling urinary catheter has an output of 150 mL, for the previous 6 hour shift. Which intervention should the nurse implement first? a. Check the drainage tubing for akink b. Review the intake and output record