HESI:l NURl 104/l NUR104l (NEWl 2025/l
2026l Update)l Foundationsl ofl Nursingl
Examl Prep|l Questionsl &l Answers|l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
Fortis
QUESTION
Al clientl arrivesl forl scheduledl needlel aspiration.l Hel tellsl thel nursel hel hasl alreadyl givenl
verball consentl tol thel HCP.l Whatl actionl shouldl thel nursel implement?
Answer:
Witnessl thel client'sl signaturel onl thel consentl form
QUESTION
Inl assessingl al client'sl femorall pulse,l thel nursel mustl usel deepl palpationl tol feell thel
pulsationl whenl thel clientl isl inl supinel position.l Whatl actionl shouldl thel nursel
implement?
Answer:
Documentl thel presencel &l volumel ofl thel pulsel palpated
QUESTION
Al nursel isl preparingl tol insertl al rectall suppositoryl &l observesl al smalll amountl ofl rectall
bleeding.l Whatl actionl shouldl thel nursel implement?
Answer:
Withholdl thel administrationl ofl thel suppositoryl untill contactingl thel HCP
,QUESTION
Thel nursel isl preparingl tol irrigatel al client'sl indwellingl urinaryl catheterl usingl anl openl
technique.l Whatl actionl shouldl thel nursel takel afterl applyingl gloves?
Answer:
Drawl upl thel irrigatingl solutionl intol thel syringe.
Rationale:l Firstl applyl gloves,l thenl drawl upl thel irrigatingl solution.l Syringel isl attachedl
tol catheterl &l fluidl isl instilled,l usingl asepticl technique.l Oncel instilled,l catheterl shouldl
bel securedl tol drainagel tubing.l Drainagel bagl canl bel emptiedl wheneverl I&Ol
measurementl isl indicated
QUESTION
Whenl assessingl al clientl withl anl indwellingl urinaryl catheter,l whichl observationl requiresl
thel mostl immediatel interventionl byl thel nurse.
Answer:
Thel clampl onl thel urinaryl drainagel bagl isl open
QUESTION
Whilel preparingl tol insertl al rectall suppositoryl intol al malel adultl client,l thel nursel
observesl thel clientl holdingl hisl breathl whilel bearingl down.l Whatl actionl shouldl thel
nursel implement?
Answer:
Instructl thel clientl tol takel slowl deepl breathsl &l stopl bearingl down
QUESTION
Thel nursel isl completingl thel carel planl forl al clientl whol isl admittedl forl BPH.l Whichl
datal shouldl thel nursel documentl asl al subjectivel finding?
, Answer:
Complainsl ofl inabilityl tol emptyl bladder
QUESTION
Whilel thel nursel isl administeringl al bolusl feedingl tol al clientl vial NGl tube,l thel clientl
beginsl tol vomit.l Whatl actionl shouldl thel nursel implementl first?
Answer:
D/cl administrationl ofl thel bolusl feeding
QUESTION
Whatl isl thel rationalel inl usingl thel nursingl processl inl planningl carel forl clients?
Answer:
Asl al tooll tol organizel thinkingl &l clinicall decisionl makingl aboutl clients'l healthcarel needs
QUESTION
Whatl activityl shouldl thel nursel usel inl thel evaluationl phasel ofl thel nursingl process?
Answer:
Examinel thel effectivenessl ofl nursingl interventionsl towardl meetingl clientl outcomes
QUESTION
Whichl statementl isl anl examplel ofl al correctlyl writtenl nursingl diagnosisl statement?
Answer:
Ineffectivel copingl relatedl tol responsel tol positivel biopsyl testl results
2026l Update)l Foundationsl ofl Nursingl
Examl Prep|l Questionsl &l Answers|l Gradel
A|l 100%l Correctl (Verifiedl Solutions)-l
Fortis
QUESTION
Al clientl arrivesl forl scheduledl needlel aspiration.l Hel tellsl thel nursel hel hasl alreadyl givenl
verball consentl tol thel HCP.l Whatl actionl shouldl thel nursel implement?
Answer:
Witnessl thel client'sl signaturel onl thel consentl form
QUESTION
Inl assessingl al client'sl femorall pulse,l thel nursel mustl usel deepl palpationl tol feell thel
pulsationl whenl thel clientl isl inl supinel position.l Whatl actionl shouldl thel nursel
implement?
Answer:
Documentl thel presencel &l volumel ofl thel pulsel palpated
QUESTION
Al nursel isl preparingl tol insertl al rectall suppositoryl &l observesl al smalll amountl ofl rectall
bleeding.l Whatl actionl shouldl thel nursel implement?
Answer:
Withholdl thel administrationl ofl thel suppositoryl untill contactingl thel HCP
,QUESTION
Thel nursel isl preparingl tol irrigatel al client'sl indwellingl urinaryl catheterl usingl anl openl
technique.l Whatl actionl shouldl thel nursel takel afterl applyingl gloves?
Answer:
Drawl upl thel irrigatingl solutionl intol thel syringe.
Rationale:l Firstl applyl gloves,l thenl drawl upl thel irrigatingl solution.l Syringel isl attachedl
tol catheterl &l fluidl isl instilled,l usingl asepticl technique.l Oncel instilled,l catheterl shouldl
bel securedl tol drainagel tubing.l Drainagel bagl canl bel emptiedl wheneverl I&Ol
measurementl isl indicated
QUESTION
Whenl assessingl al clientl withl anl indwellingl urinaryl catheter,l whichl observationl requiresl
thel mostl immediatel interventionl byl thel nurse.
Answer:
Thel clampl onl thel urinaryl drainagel bagl isl open
QUESTION
Whilel preparingl tol insertl al rectall suppositoryl intol al malel adultl client,l thel nursel
observesl thel clientl holdingl hisl breathl whilel bearingl down.l Whatl actionl shouldl thel
nursel implement?
Answer:
Instructl thel clientl tol takel slowl deepl breathsl &l stopl bearingl down
QUESTION
Thel nursel isl completingl thel carel planl forl al clientl whol isl admittedl forl BPH.l Whichl
datal shouldl thel nursel documentl asl al subjectivel finding?
, Answer:
Complainsl ofl inabilityl tol emptyl bladder
QUESTION
Whilel thel nursel isl administeringl al bolusl feedingl tol al clientl vial NGl tube,l thel clientl
beginsl tol vomit.l Whatl actionl shouldl thel nursel implementl first?
Answer:
D/cl administrationl ofl thel bolusl feeding
QUESTION
Whatl isl thel rationalel inl usingl thel nursingl processl inl planningl carel forl clients?
Answer:
Asl al tooll tol organizel thinkingl &l clinicall decisionl makingl aboutl clients'l healthcarel needs
QUESTION
Whatl activityl shouldl thel nursel usel inl thel evaluationl phasel ofl thel nursingl process?
Answer:
Examinel thel effectivenessl ofl nursingl interventionsl towardl meetingl clientl outcomes
QUESTION
Whichl statementl isl anl examplel ofl al correctlyl writtenl nursingl diagnosisl statement?
Answer:
Ineffectivel copingl relatedl tol responsel tol positivel biopsyl testl results
