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HESI – Fundamentals Questions with Verified Answers

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HESI – Fundamentals Questions with Verified Answers

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HESI RN Fundamentals V1 And V2
Grado
HESI RN Fundamentals v1 and v2










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Institución
HESI RN Fundamentals v1 and v2
Grado
HESI RN Fundamentals v1 and v2

Información del documento

Subido en
29 de marzo de 2025
Número de páginas
21
Escrito en
2024/2025
Tipo
Examen
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HESI – Fundamentals Questions with
Verified Answers 2025-2026
WhenAturningAanAimmobileAbedriddenAclientAwithoutAassistance,AwhichAactionAbyAtheA
nurseAbestAensuresAclientAsafety?
A.ASecurelyAgraspAtheAclient'sAarmAandAleg.
B.APutAbedArailsAupAonAtheAsideAofAbedAoppositeAfromAtheAnurse.
C.ACorrectlyApositionAandAuseAaAturnAsheet.
D.ALowerAtheAheadAofAtheAclient'sAbedAslowly.A-AcorrectAanswers-B
Rationale:ABecauseAtheAnurseAcanAonlyAstandAonAoneAsideAofAtheAbed,AbedArailsAshouldAbe
AupAonAtheAoppositeAsideAtoAensureAthatAtheAclientAdoesAnotAfallAoutAofAbed.AOptionAAAcanAc

auseAclientAinjuryAtoAtheAskinAorAjoint.AOptionsACAandADAareAusefulAtechniquesAwhileAturnin
gAaAclientAbutAhaveAlessApriorityAinAtermsAofAsafetyAthanAuseAofAtheAbedArails.
TheAnurseAidentifiesAaApotentialAforAinfectionAinAaAclientAwithApartial-thicknessA(second-
degree)AandAfull-thicknessA(third-
degree)Aburns.AWhatAinterventionAhasAtheAhighestApriorityAinAdecreasingAtheAclient'sAriskAo
fAinfection?
A.AAdministrationAofAplasmaAexpanders
B.AUseAofAcarefulAhandwashingAtechnique
C.AApplicationAofAaAtopicalAantibacterialAcream
D.ALimitingAvisitorsAtoAtheAclientAwithAburnsA-AcorrectAanswers-B
Rationale:ACarefulAhandwashingAtechniqueAisAtheAsingleAmostAeffectiveAinterventionAforAth
eApreventionAofAcontaminationAtoAallAclients.AOptionAAAreversesAtheAhypovolemiaAthatAiniti
allyAaccompaniesAburnAtraumaAbutAisAnotArelatedAtoAdecreasingAtheAproliferationAofAinfectiv
eAorganisms.AOptionsACAandADAareArecommendedAbyAvariousAburnAcentersAasApossibleAw
aysAtoAreduceAtheAchanceAofAinfection.AOptionABAisAaAprovenAtechniqueAtoApreventAinfectio
n.
TheAnurseAisAawareAthatAmalnutritionAisAaAcommonAproblemAamongAclientsAservedAbyAaAco
mmunityAhealthAclinicAforAtheAhomeless.AWhichAlaboratoryAvalueAisAtheAmostAreliableAindic
atorAofAchronicAproteinAmalnutrition?
A.ALowAserumAalbuminAlevel
B.ALowAserumAtransferrinAlevel
C.AHighAhemoglobinAlevel
D.AHighAcholesterolAlevelA-AcorrectAanswers-A
Rationale:ALong-
termAproteinAdeficiencyAisArequiredAtoAcauseAsignificantlyAloweredAserumAalbuminAlevels.A
AlbuminAisAmadeAbyAtheAliverAonlyAwhenAadequateAamountsAofAaminoAacidsA(fromAproteinA
breakdown)AareAavailable.AAlbuminAhasAaAlongAhalf-
life,AsoAacuteAproteinAlossAdoesAnotAsignificantlyAalterAserumAlevels.AOptionABAisAaAserumAp
roteinAwithAaAhalf-
lifeAofAonlyA8AtoA10Adays,AsoAitAwillAdropAwithAanAacuteAproteinAdeficiency.AOptionsACAandAD
AareAnotAclinicalAmeasuresAofAproteinAmalnutrition.

,InAcompletingAaAclient'sApreoperativeAroutine,AtheAnurseAfindsAthatAtheAoperativeApermitAisA
notAsigned.ATheAclientAbeginsAtoAaskAmoreAquestionsAaboutAtheAsurgicalAprocedure.AWhic
hAactionAshouldAtheAnurseAtakeAnext?
A.AWitnessAtheAclient'sAsignatureAtoAtheApermit.
B.AAnswerAtheAclient'sAquestionsAaboutAtheAsurgery.
C.AInformAtheAsurgeonAthatAtheAoperativeApermitAisAnotAsignedAandAtheAclientAhasAquestion
sAaboutAtheAsurgery.
D.AReassureAtheAclientAthatAtheAsurgeonAwillAanswerAanyAquestionsAbeforeAtheAanesthesia
AisAadministered.A-AcorrectAanswers-C

Rationale:ATheAsurgeonAshouldAbeAinformedAimmediatelyAthatAtheApermitAisAnotAsigned.AItAi
sAtheAsurgeon'sAresponsibilityAtoAexplainAtheAprocedureAtoAtheAclientAandAobtainAtheAclient'
sAsignatureAonAtheApermit.AAlthoughAtheAnurseAcanAwitnessAanAoperativeApermit,AtheAproc
edureAmustAfirstAbeAexplainedAbyAtheAhealthAcareAproviderAorAsurgeon,AincludingAanswerin
gAtheAclient'sAquestions.ATheAclient'sAquestionsAshouldAbeAaddressedAbeforeAtheApermitAisA
signed.
TheAnurseAisAassessingAseveralAclientsApriorAtoAsurgery.AWhichAfactorAinAaAclient'sAhistoryA
posesAtheAgreatestAthreatAforAcomplicationsAtoAoccurAduringAsurgery?
A.ATakingAbirthAcontrolApillsAforAtheApastA2Ayears
B.ATakingAanticoagulantsAforAtheApastAyear
C.ARecentlyAcompletingAantibioticAtherapy
D.AHavingAtakenAlaxativesAPRNAforAtheAlastA6AmonthsA-AcorrectAanswers-B
Rationale:
AnticoagulantsAincreaseAtheAriskAforAbleedingAduringAsurgery,AwhichAcanAposeAaAthreatAfor
AtheAdevelopmentAofAsurgicalAcomplications.ATheAhealthAcareAproviderAshouldAbeAinforme

dAthatAtheAclientAisAtakingAtheseAdrugs.AAlthoughAclientsAwhoAtakeAbirthAcontrolApillsAmayAb
eAmoreAsusceptibleAtoAtheAdevelopmentAofAthrombi,AsuchAproblemsAusuallyAoccurApostope
ratively.AAAclientAwithAoptionACAorADAisAatAlessAofAaAsurgicalAriskAthanAwithAoptionAB.
WhenAassistingAaAclientAfromAtheAbedAtoAaAchair,AwhichAprocedureAisAbestAforAtheAnurseAtoA
follow?
A.APlaceAtheAchairAparallelAtoAtheAbed,AwithAitsAbackAtowardAtheAheadAofAtheAbedAandAassis
tAtheAclientAinAmovingAtoAtheAchair.
B.AWithAtheAnurse'sAfeetAspreadAapartAandAkneesAalignedAwithAtheAclient'sAknees,AstandAan
dApivotAtheAclientAintoAtheAchair.
C.AAssistAtheAclientAtoAaAstandingApositionAbyAgentlyAliftingAupward,AunderneathAtheAaxillae
.
D.AStandAbesideAtheAclient,AplaceAtheAclient'sAarmsAaroundAtheAnurse'sAneck,AandAgentlyA
moveAtheAclientAtoAtheAchair.A-AcorrectAanswers-B
Rationale:AOptionABAdescribesAtheAcorrectApositioningAofAtheAnurseAandAaffordsAtheAnurseA
aAwideAbaseAofAsupportAwhileAstabilizingAtheAclient'sAkneesAwhenAassistingAtoAaAstandingAp
osition.ATheAchairAshouldAbeAplacedAatAaA45-
degreeAangleAtoAtheAbed,AwithAtheAbackAofAtheAchairAtowardAtheAheadAofAtheAbed.AClientsAs
houldAneverAbeAliftedAunderAtheAaxillae;AthisAcouldAdamageAnervesAandAstrainAtheAnurse'sA
back.ATheAclientAshouldAbeAinstructedAtoAuseAtheAarmsAofAtheAchairAandAshouldAneverAplac
eAhisAorAherAarmsAaroundAtheAnurse'sAneck;AthisAplacesAundueAstressAonAtheAnurse'sAneckA
andAbackAandAincreasesAtheAriskAforAaAfall.

, WhichAstep(s)AshouldAtheAnurseAtakeAwhenAadministeringAearAdropsAtoAanAadultAclient?A(S
electAallAthatAapply.)
A.APlaceAtheAclientAinAaAside-lyingAposition.
B.APullAtheAauricleAupwardAandAoutward.
C.AHoldAtheAdropperA6AcmAaboveAtheAearAcanal.
D.APlaceAaAcottonAballAintoAtheAinnerAcanal.
E.APullAtheAauricleAdownAandAback.A-AcorrectAanswers-A,AB
Rationale:ATheAcorrectAanswersA(AAandAB)AareAtheAappropriateAadministrationAofAearAdrop
s.ATheAdropperAshouldAbeAheldA1AcmA(½Ainch)AaboveAtheAearAcanalA(C).AAAcottonAballAshou
ldAbeAplacedAinAtheAoutermostAcanalA(D).ATheAauricleAisApulledAdownAandAbackAforAaAchildA
youngerAthanA3AyearsAofAage,AbutAnotAanAadultA(E).
TheAnurseAisAinstructingAaAclientAinAtheAproperAuseAofAaAmetered-
doseAinhaler.AWhichAinstructionAshouldAtheAnurseAprovideAtheAclientAtoAensureAtheAoptimal
AbenefitsAfromAtheAdrug?

A.A"FillAyourAlungsAwithAairAthroughAyourAmouthAandAthenAcompressAtheAinhaler."
B.A"CompressAtheAinhalerAwhileAslowlyAbreathingAinAthroughAyourAmouth."
C.A"CompressAtheAinhalerAwhileAinhalingAquicklyAthroughAyourAnose."
D.A"ExhaleAcompletelyAafterAcompressingAtheAinhalerAandAthenAinhale."A-AcorrectAanswers-
B
Rationale:ATheAmedicationAshouldAbeAinhaledAthroughAtheAmouthAsimultaneouslyAwithAco
mpressionAofAtheAinhaler.AThisAwillAfacilitateAtheAdesiredAdestinationAofAtheAaerosolAmedica
tionAdeepAinAtheAlungsAforAanAoptimalAbronchodilationAeffect.AOptionsAA,AC,AandADAdoAnotAa
llowAforAdeepAlungApenetration.
AA20-year-
oldAfemaleAclientAwithAaAnoticeableAbodyAodorAhasArefusedAtoAshowerAforAtheAlastA3Adays.A
SheAstates,A"IAhaveAbeenAtoldAthatAitAisAharmfulAtoAbatheAduringAmyAperiod."AWhichAactionA
shouldAtheAnurseAtakeAfirst?
A.AAcceptAandAdocumentAtheAclient'sAwishAtoArefrainAfromAbathing.
B.AOfferAtoAgiveAtheAclientAaAbedAbath,AavoidingAtheAperinealAarea.
C.AObtainAwrittenAbrochuresAaboutAmenstruationAtoAgiveAtoAtheAclient.
D.ATeachAtheAimportanceAofApersonalAhygieneAduringAmenstruationAwithAtheAclient.A-
AcorrectAanswers-D

Rationale:ABecauseAaAshowerAisAmostAbeneficialAforAtheAclientAinAtermsAofAhygiene,AtheAcli
entAshouldAreceiveAteachingAfirst,ArespectingAanyApersonalAbeliefsAsuchAasAculturalAorAspiri
tualAvalues.AAfterAclientAteaching,AtheAclientAmayAstillAchooseAoptionAAAorAB.ABrochuresArei
nforceAtheAteaching.
WhileAreviewingAtheAsideAeffectsAofAaAnewlyAprescribedAmedication,AaA72-year-
oldAclientAnotesAthatAoneAofAtheAsideAeffectsAisAaAreductionAinAsexualAdrive.AWhichAisAtheAbe
stAresponseAbyAtheAnurse?
A.A"HowAwillAthisAaffectAyourApresentAsexualAactivity?"
B.A"HowAactiveAisAyourAcurrentAsexAlife?"
C.A"HowAhasAyourAsexAlifeAchangedAasAyouAhaveAbecomeAolder?"
D.A"TellAmeAaboutAyourAsexualAneedsAasAanAolderAadult."A-AcorrectAanswers-A
Rationale:AOptionAAAoffersAanAopen-
endedAquestionAmostArelevantAtoAtheAclient'sAstatement.AOptionABAdoesAnotAofferAtheAclient

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