HESI RN FUNDAMENTALS EXAM ( BUNDLES )

HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
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To assess the quality of an adult client’s pain, what approach should the nurse use?C
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A) Observeebodyelanguageeandemovement.

B) Provide a numeric pain scale. e e e e



C) Ask the client to describe the pain.
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D) Identify effective pain relief measures.
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A client who has been diagnosed with terminal cancer tells the nurse, “The doctortol
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d me I have cancer and do not havelong to live.” Which response is best for the nurs
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e to provide?
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A) “That’s correct, you do not have long to live” D
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B) “Would you like me to call your minister?”
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C) “Don't give up, you still have chemotherapy to try.”
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D) “Yes, your condition is serious.”
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When performing blood pressure measurement to assess for orthostatich
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ypotension, which action should thenurse implement first? e e e e e e C
A) Applyetheebloodepressureecuffesecurely.

B) Record the client’s pulse rate e e e e e



and rhythm. C) Position the clie
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nt supine for a few minutes.
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D) Assist the client to stand at bedside.
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Female unlicensed assistive personnel (UAP) are assigned to take the vital signsof
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a client with pertussis for whom droplet precautions have been implemented. The
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UAP request a change in assignment, stating she has not yet been fitted for a
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and An
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swers latest update 2024/2025
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,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
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nswers latest update 2024/2025
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particulate filter mask. What action should the nurse take?
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When evaluating the effectiveness of a client’s nursing care, the nurse firstreviews t
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he expected outcomes identified in the plan of care. What action should the nurse tak
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e next?
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A) Modify the nursing interventions to achieve the client’s goals.
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B) Determine if the expected outcomes were realistic. e e e e e e



C) Review related professional standards of care.
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D) Obtain current client data to compare with expected outcomes.
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A policy requiring the removal of acrylic nails by all nursing personnel was implem
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ented six months ago. Which assessment measure best determines if theintended ou
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tcome of the policy is being achieved?
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A)eNumbereofetheestaff-inducedeskineinjuries.

B)eClientesatisfactionesurvey.

C)e Rateeofeneedlestickeinjuriesebyenurses.

D)eHealthcare-associatedeinfectionerates.




A client with limited tolerance for activity needs to walk in the hallway with assista
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nce. Which instructions should the nurse give to the unlicensed assistivepersonnel (
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UAP) who assisting with client’s care? (Select all that apply.)
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A) Instruct the client about signs of orthostatic hypertension
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B) Determine if the client needs to have a gait belt applied
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C) Measure the clients vital signs before the e e e e e e e




HESI RN FUNDAMENTALS TESTBANK Exam Questions and An
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swers latest update 2024/2025
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,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
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nswers latest update 2024/2025
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client walks. e



D) Offer to assist the client to void prior tow
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alking in the hall. e e e



E) Report the onset of any dizziness or light headedness.
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A client has begun a long-
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term maintenance therapy with lithium, which hasa narrow therapeutic index.
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Which adverse effect is most important for nurse to include in the teaching plan
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?
A) Dependence.
B) Toxicity.
C)e Interaction.

D)eTolerance.




While interviewing a client, the nurse records the assessment in the electronic health r
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ecord. Which statement is most accurate regarding electronic documentationduring an
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interview?
A)eTheeintervieweprocesseiseenhancedewitheelectronicedocumentationeandeallowsetheeclientetoespeak

e at a normal pace.
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B)eCompletingetheeelectronicerecordeduringeaneintervieweiseaelegaleobligationeofetheeexaminingenurs

e.
C) The nurse has limited ability to observe nonverbal com
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munication while entering the assessment electronically. e e e e e



D) The client’s comfort level is increased when the nurse breaks eye contact to type notesint
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o the record.
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and An
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swers latest update 2024/2025
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, HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
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nswers latest update 2024/2025
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A client who lives in an assisted living facility develops cognitive impairmentfollo
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wing a stroke. Informed consent is needed to provide additional nursing services.
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Who should nurse contact?
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A)eTheeclient’seoldestelivingechild,eaelawyer,ewhoeisevisitingefromeouteofetown.

B)eAedaughtere-in-lawedesignatedeasetheeclient’seDurableePowereofeAttorneye(DPOA).

C)e Theeclient’seyoungesteson,eidentifiedebyefamilyememberseasetheefamilyespokesperson.

D)eTheeclient’sespouseewhoeliveseinetheeindependentelivingeuniteofetheefacility.




A client is in contact isolation due to stage IV coccyx wound infected with methicillin
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resistant staphylococcus aureus (MRSA). The nurse plans interventionsto prevent mul
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tiple re- e



entries to the client’s room. In which order should the nurseperform the interventions?
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A)eChangeecoccyxedressing,eperformetracheostomyecare,erestartetheeIV.

B)ePerformetracheostomyecare,echangeecoccyxedressing,erestartetheeIV.

C) Restart the IV, perform tracheotomy care, change coccyx dressing.
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D) Change coccyx dressing, restart the IV, perform tracheostomy care.
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What self- e



care outcome is best for the nurse to use in evaluating a client’s recoveryform a stroke t
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hat resulted in left- sided hemiparesis?
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A)ePromoteeindependenceebyeallowingeclientetoeperformealleself-careeactivities.

B)eParticipateseineself-careetoeoptimaleleveleofecapacity.


C)e Clienteverbalizeseimportanceeofehygienicepracticeseinetheerecoveryeprocess.


HESI RN FUNDAMENTALS TESTBANK Exam Questions and An
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swers latest update 2024/2025
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