HESI Fundamentals V.2/ Exam Questions & Correct
Answers Updated, .
Terms in this set (175)
The nurse observes a newly A) Complete a full fall risk assessment of the client.
admitted older adult female
take short steps and walk
very slowly while pushing a
walker in front of her. What
action should the nurse take
in response to these
observations?
A) Complete a full fall
riskassessment of the client.
B) Teach the client to
takelonger steps at faster
pace.
C) Suggest that the
theclient use a wheelchair
instead of a walker.
D) Place client on
bedrestuntil the healthcare
provider is notified.
,While suctioning a client's C) Complete the intermittent suction of the nasopharynx.
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) Reposition the
pulseoximeter clip to obtain
a new reading.
B) Stop suctioning
untilthe pulse oximeter
reading is above 95%. C)
Complete the intermittent
suction of the nasopharynx.
D) Apply an oxygen mask
over the client's nose and
mouth.
,An older woman with end A) Discuss with the client her meaning of heroic measures.
stage heart disease is
hospitalized for severe heart
failure. She is alert, oriented,
and requests that no heroic
measures are implemented
if her breathing stops. What
action should the nurse take
first?
A) Discuss with the
clienther meaning of heroic
measures.
B) Obtain a "do
notresuscitate" (DNR)
prescription.
C) Set up a
familyconference to discuss
the client's.
D) Consult the
palliativecare team about
client's care.
, A client diagnosed with A) "Do not allow the dropper bottle to touch the eye."
primary open-angle
glaucoma received a
prescription for biotic eye
drops, pilocarpine HCl
(Pilocarpine). What
instruction should the nurse
plan to include in this
client's teaching?
A) "Do not allow
thedropper bottle to touch
the eye."
B) "Administer
themedication directly on
the cornea."
C) "Squeeze your
eyeclosed after
administering the drops."
D) "Wash your hands
aftereach administration of
eye drops."
D) Precipitating factors.
When assessing a client who
starts to wheeze related data
should obtain?
A) Presence of radiation.
B) Heart sounds.
C) Body temperature.
D) Precipitating factors.
Answers Updated, .
Terms in this set (175)
The nurse observes a newly A) Complete a full fall risk assessment of the client.
admitted older adult female
take short steps and walk
very slowly while pushing a
walker in front of her. What
action should the nurse take
in response to these
observations?
A) Complete a full fall
riskassessment of the client.
B) Teach the client to
takelonger steps at faster
pace.
C) Suggest that the
theclient use a wheelchair
instead of a walker.
D) Place client on
bedrestuntil the healthcare
provider is notified.
,While suctioning a client's C) Complete the intermittent suction of the nasopharynx.
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) Reposition the
pulseoximeter clip to obtain
a new reading.
B) Stop suctioning
untilthe pulse oximeter
reading is above 95%. C)
Complete the intermittent
suction of the nasopharynx.
D) Apply an oxygen mask
over the client's nose and
mouth.
,An older woman with end A) Discuss with the client her meaning of heroic measures.
stage heart disease is
hospitalized for severe heart
failure. She is alert, oriented,
and requests that no heroic
measures are implemented
if her breathing stops. What
action should the nurse take
first?
A) Discuss with the
clienther meaning of heroic
measures.
B) Obtain a "do
notresuscitate" (DNR)
prescription.
C) Set up a
familyconference to discuss
the client's.
D) Consult the
palliativecare team about
client's care.
, A client diagnosed with A) "Do not allow the dropper bottle to touch the eye."
primary open-angle
glaucoma received a
prescription for biotic eye
drops, pilocarpine HCl
(Pilocarpine). What
instruction should the nurse
plan to include in this
client's teaching?
A) "Do not allow
thedropper bottle to touch
the eye."
B) "Administer
themedication directly on
the cornea."
C) "Squeeze your
eyeclosed after
administering the drops."
D) "Wash your hands
aftereach administration of
eye drops."
D) Precipitating factors.
When assessing a client who
starts to wheeze related data
should obtain?
A) Presence of radiation.
B) Heart sounds.
C) Body temperature.
D) Precipitating factors.
