HESI RN FUNDAMENTALS EXIT EXAM
LATEST 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED
ANSWERS)
1. A 20-12 months-antique woman consumer with a substantive frame odor has refused to
shower for the remaining 3 days. She states, "I had been advised that it is dangerous to
wash throughout my length." Which movement have to the nurse take first?
A.
Accept and document the patron's wish to refrain from bathing.
B.
Offer to give the patron a mattress bathtub, fending off the perineal location.
C.
Obtain written brochures approximately menstruation to provide to the customer.
D.
Teach the importance of personal hygiene all through menstruation with the client. - ANS
-D
Rationale: Because a bath is most beneficial for the client in terms of hygiene, the patron
should obtain teaching first, respecting any non-public ideals including cultural or
spiritual values. After purchaser teaching, the patron might also still choose choice A or
B. Brochures support the coaching.
2. A 65-year-vintage client who attends an grownup daycare application and is wheelchair
cell has redness in the sacral vicinity. Which practise is maximum crucial for the nurse to
offer?
A.
"Take a diet supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a more recent version wheelchair." - ANS -B
, Rationale: The most critical teaching is to alternate positions often due to the fact
pressure is the most vast component associated with the improvement of strain ulcers.
Increased vitamin and fluid consumption may also be useful and sell restoration and
reduce further risk. Option D is an intervention of remaining inn due to the fact this could
be very pricey for the purchaser.
3. A seventy five-12 months-old customer states to the nurse, "I am just not hungry
anymore." The patron has misplaced 10 pounds/4.Fifty three kg in the beyond four
months. Which snacks will the nurse suggest to the patron? (Select all that practice.)
A.
Nuts
B.
Milkshakes
C.
Chocolate sweet bar
D.
Peanut butter and crackers
E.
Glass of whole fats milk - ANS -A, B, D, E
Rationale: The nurse ought to recommend excessive calorie/excessive nutrition
ingredients for this patron who's accidentally losing weight. The sweet bar is excessive
calorie, however empty in dietary fee. The closing choices are high calorie/excessive
vitamins.
4. A 76-12 months-vintage consumer has again from surgical procedure. The nurse plans
on decreasing the chance of respiratory compromise for this purchaser. What will the
nurse encompass on this purchaser's plan of care? (Select all that follow.)
A.
Raise the top of the mattress to no less than a 45 stages perspective.
B.
Have the client use an incentive spirometer 10 times every hour at the same time as
awake.
C.
Limit overall fluid consumption to no extra than 1000 mL/day.
D.
Have the patron sit on the facet of the mattress instead of having up and walking.
E.
Ask the consumer to take deep breaths and cough five times each hour at the same time
as awake. - ANS -A, B, E
Rationale:As long as the client isn't on a fluid limit, provide no much less than 2000 mL
of fluid to keep the body well hydrated and hold breathing secretions loose. Ambulation
is key for this patron. Sitting on the aspect of the bed isn't a substitute for ambulating.
Having the patron sit up straight helps extend the lungs. Taking deep breaths, via
coughing or incentive spirometry, facilitates enlarge the lungs and reduce atelectasis.
LATEST 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT ANSWERS
WITH RATIOANLES (VERIFIED
ANSWERS)
1. A 20-12 months-antique woman consumer with a substantive frame odor has refused to
shower for the remaining 3 days. She states, "I had been advised that it is dangerous to
wash throughout my length." Which movement have to the nurse take first?
A.
Accept and document the patron's wish to refrain from bathing.
B.
Offer to give the patron a mattress bathtub, fending off the perineal location.
C.
Obtain written brochures approximately menstruation to provide to the customer.
D.
Teach the importance of personal hygiene all through menstruation with the client. - ANS
-D
Rationale: Because a bath is most beneficial for the client in terms of hygiene, the patron
should obtain teaching first, respecting any non-public ideals including cultural or
spiritual values. After purchaser teaching, the patron might also still choose choice A or
B. Brochures support the coaching.
2. A 65-year-vintage client who attends an grownup daycare application and is wheelchair
cell has redness in the sacral vicinity. Which practise is maximum crucial for the nurse to
offer?
A.
"Take a diet supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a more recent version wheelchair." - ANS -B
, Rationale: The most critical teaching is to alternate positions often due to the fact
pressure is the most vast component associated with the improvement of strain ulcers.
Increased vitamin and fluid consumption may also be useful and sell restoration and
reduce further risk. Option D is an intervention of remaining inn due to the fact this could
be very pricey for the purchaser.
3. A seventy five-12 months-old customer states to the nurse, "I am just not hungry
anymore." The patron has misplaced 10 pounds/4.Fifty three kg in the beyond four
months. Which snacks will the nurse suggest to the patron? (Select all that practice.)
A.
Nuts
B.
Milkshakes
C.
Chocolate sweet bar
D.
Peanut butter and crackers
E.
Glass of whole fats milk - ANS -A, B, D, E
Rationale: The nurse ought to recommend excessive calorie/excessive nutrition
ingredients for this patron who's accidentally losing weight. The sweet bar is excessive
calorie, however empty in dietary fee. The closing choices are high calorie/excessive
vitamins.
4. A 76-12 months-vintage consumer has again from surgical procedure. The nurse plans
on decreasing the chance of respiratory compromise for this purchaser. What will the
nurse encompass on this purchaser's plan of care? (Select all that follow.)
A.
Raise the top of the mattress to no less than a 45 stages perspective.
B.
Have the client use an incentive spirometer 10 times every hour at the same time as
awake.
C.
Limit overall fluid consumption to no extra than 1000 mL/day.
D.
Have the patron sit on the facet of the mattress instead of having up and walking.
E.
Ask the consumer to take deep breaths and cough five times each hour at the same time
as awake. - ANS -A, B, E
Rationale:As long as the client isn't on a fluid limit, provide no much less than 2000 mL
of fluid to keep the body well hydrated and hold breathing secretions loose. Ambulation
is key for this patron. Sitting on the aspect of the bed isn't a substitute for ambulating.
Having the patron sit up straight helps extend the lungs. Taking deep breaths, via
coughing or incentive spirometry, facilitates enlarge the lungs and reduce atelectasis.
