HESI RN Fundamentals | ACCURATE
QUESTIONS AND DETAILED ANSWERS |
GUARANTEED PASS | GRADED A |
LATEST UPDATE 2024-2025 WITH 100+
QUESTIONS
A client in a long-term care facility reports to the nurse that he has not had a bowel movement
in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. -
ANSWERS-Assess the client's medical record to determine the client's normal bowel pattern.
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
A.Tell the client that the blood pressure is high and that the reading needs to be verified by
another nurse.
B. Contact the health care provider to report the reading and obtain a prescription foran
antihypertensive medication.
C. Replace the cuff with a larger one to ensure an ample fit for the client to increase arm
comfort.
D. Compare the current reading with the client's previously documented blood pressure
readings.
- ANSWERS-Compare the current reading with the client's previously documented blood
pressure readings.
,A community hospital is opening a mental health services department. Which document should
the nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990
- ANSWERS-ANA's Scope and Standards of Nursing Practice
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake
until midnight playing and is then very difficult to awaken in the morning forschool. Which
assessment data should the nurse obtain in response to the mother's report?
A.The occurrence of any episodes of sleep apnea
B.The child's blood pressure, pulse, and respirations
C.Length of rapid eye movement (REM) sleep that the child is experiencing
D.Description of the family's home environment
- ANSWERS-Description of the family's home environment
During a routine assessment, an obese 50-year-old female client expresses concern about her
sexual relationship with her husband. Which is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
- ANSWERS-Ask the client to talk about specific concerns.
During evacuation of a group of clients from a medical unit because of a fire, the nurse
observes an ambulatory client walking alone toward the stairway at the end of the hall. Which
action should the nurse take?
A. Assign an unlicensed assistive personnel to transport the client via a wheelchair.
, B. Remind the client to walk carefully down the stairs until reaching a lower floor.
C. Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D. Open the closest fire doors so that ambulatory clients can evacuate more rapidly. -
ANSWERS-Remind the client to walk carefully down the stairs until reaching a lower floor.
A female client with frequent urinary tract infections (UTIs) asks the nurse to explainher friend's
advice about drinking a glass of juice daily to prevent future UTIs. Whichresponse is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
- ANSWERS-Cranberry juice stops pathogens' adherence to the bladder.
The health care provider has changed a client's prescription from the PO to the IV route of
administration. The nurse should anticipate which change in the pharmacokinetic properties of
the medication?
A. The client will experience increased tolerance to the drug's effects and may needa higher
dose.
B. The onset of action of the drug will occur more rapidly, resulting in a more rapid effect.
C. The medication will be more highly protein-bound, increasing the duration of action.
D. The therapeutic index will be increased, placing the client at greater risk for toxicity. -
ANSWERS-The onset of action of the drug will occur more rapidly, resulting in a more rapid
effect.
A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and
restless. Which action by the nurse is best?
A. Determine the client's usual bedtime routine and include these rituals in the plan of care as
safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the night.
QUESTIONS AND DETAILED ANSWERS |
GUARANTEED PASS | GRADED A |
LATEST UPDATE 2024-2025 WITH 100+
QUESTIONS
A client in a long-term care facility reports to the nurse that he has not had a bowel movement
in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume enema.
C. Assess the client's medical record to determine the client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per day. -
ANSWERS-Assess the client's medical record to determine the client's normal bowel pattern.
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
A.Tell the client that the blood pressure is high and that the reading needs to be verified by
another nurse.
B. Contact the health care provider to report the reading and obtain a prescription foran
antihypertensive medication.
C. Replace the cuff with a larger one to ensure an ample fit for the client to increase arm
comfort.
D. Compare the current reading with the client's previously documented blood pressure
readings.
- ANSWERS-Compare the current reading with the client's previously documented blood
pressure readings.
,A community hospital is opening a mental health services department. Which document should
the nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990
- ANSWERS-ANA's Scope and Standards of Nursing Practice
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake
until midnight playing and is then very difficult to awaken in the morning forschool. Which
assessment data should the nurse obtain in response to the mother's report?
A.The occurrence of any episodes of sleep apnea
B.The child's blood pressure, pulse, and respirations
C.Length of rapid eye movement (REM) sleep that the child is experiencing
D.Description of the family's home environment
- ANSWERS-Description of the family's home environment
During a routine assessment, an obese 50-year-old female client expresses concern about her
sexual relationship with her husband. Which is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
- ANSWERS-Ask the client to talk about specific concerns.
During evacuation of a group of clients from a medical unit because of a fire, the nurse
observes an ambulatory client walking alone toward the stairway at the end of the hall. Which
action should the nurse take?
A. Assign an unlicensed assistive personnel to transport the client via a wheelchair.
, B. Remind the client to walk carefully down the stairs until reaching a lower floor.
C. Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D. Open the closest fire doors so that ambulatory clients can evacuate more rapidly. -
ANSWERS-Remind the client to walk carefully down the stairs until reaching a lower floor.
A female client with frequent urinary tract infections (UTIs) asks the nurse to explainher friend's
advice about drinking a glass of juice daily to prevent future UTIs. Whichresponse is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
- ANSWERS-Cranberry juice stops pathogens' adherence to the bladder.
The health care provider has changed a client's prescription from the PO to the IV route of
administration. The nurse should anticipate which change in the pharmacokinetic properties of
the medication?
A. The client will experience increased tolerance to the drug's effects and may needa higher
dose.
B. The onset of action of the drug will occur more rapidly, resulting in a more rapid effect.
C. The medication will be more highly protein-bound, increasing the duration of action.
D. The therapeutic index will be increased, placing the client at greater risk for toxicity. -
ANSWERS-The onset of action of the drug will occur more rapidly, resulting in a more rapid
effect.
A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and
restless. Which action by the nurse is best?
A. Determine the client's usual bedtime routine and include these rituals in the plan of care as
safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the night.
