HESI Fundamentals Practice Exam #1
Save
Terms in this set (91)
,A 4y/o boy who is "It may hurt, but we'll give you medicine to help
scheduled for a you feel better."
tonsillectomy &
adenoidectomy asks
the nurse, "Will it hurt
to have my tonsils &
adenoids taken out?"
Which response is
best for the nurse to
provide?
,A 35y/o client with Evaluate the client's mental status for
cancer refuses to competence to refuse treatment
allow a nurse to insert
an IV for scheduled Rationale: Competent clients have the right to
chemo & states that refuse treatment. The nurse cannot document
she's ready to go until the HCP is notified of the patient's wishes
home to die. What & a d/c RX is obtained. Advance directives &
intervention should DNR are not necessary for competent client to
the nurse initiate? refuse care.
A 73y/o Hispanic client Foods & liquids consumed during past 24 hrs
is seen with a history
of protein malnutrition. Rationale: Client's dietary habits should be
What information determined first through dietary recall before
should the nurse suggesting protein sources or supplements as
obtain first? options in client's diet.
, A 75y/o client who has Determine who is legally empowered to make
a history of end stage decisions
renal failure &
advancing lung
cancer, recently had a
stroke. 2 days ago, the
HCP d/c the client's
dialysis treatments,
stating that death is
inevitable, but the
client is disoriented &
will not sign a DNR
directive. What is the
priority nursing
intervention?
Save
Terms in this set (91)
,A 4y/o boy who is "It may hurt, but we'll give you medicine to help
scheduled for a you feel better."
tonsillectomy &
adenoidectomy asks
the nurse, "Will it hurt
to have my tonsils &
adenoids taken out?"
Which response is
best for the nurse to
provide?
,A 35y/o client with Evaluate the client's mental status for
cancer refuses to competence to refuse treatment
allow a nurse to insert
an IV for scheduled Rationale: Competent clients have the right to
chemo & states that refuse treatment. The nurse cannot document
she's ready to go until the HCP is notified of the patient's wishes
home to die. What & a d/c RX is obtained. Advance directives &
intervention should DNR are not necessary for competent client to
the nurse initiate? refuse care.
A 73y/o Hispanic client Foods & liquids consumed during past 24 hrs
is seen with a history
of protein malnutrition. Rationale: Client's dietary habits should be
What information determined first through dietary recall before
should the nurse suggesting protein sources or supplements as
obtain first? options in client's diet.
, A 75y/o client who has Determine who is legally empowered to make
a history of end stage decisions
renal failure &
advancing lung
cancer, recently had a
stroke. 2 days ago, the
HCP d/c the client's
dialysis treatments,
stating that death is
inevitable, but the
client is disoriented &
will not sign a DNR
directive. What is the
priority nursing
intervention?
