TIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED A+
Study online at https://quizlet.com/_g5bd9q
1. a 35 year old female client with cancer refuses to allow A. evaluate the
the nurse to insert an IV for a scheduled chemothera- client's mental sta-
py treatment, and states that she is ready to go home tus for compe-
and die. What intervention should the nurse initiate? tence to refuse
A. evaluate the client's mental status for competence treatment
to refuse treatment
B. review the client's medical record for an advance
directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged
against medical advice
2. A client with chronic renal disease is admitted to the D. serum albumin
hospital for evaluation prior to a surgical procedure.
Which laboratory test indicated the client's protein
status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin
3. What client statement indicates to the nurse that the C. "I don't under-
client requires assistance with bathing? stand why I'm so
A. "I only bathe every other day" weak and tired"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the
hospital"
4. How should a nurse handle linens that are soiled with D. place an isola-
incontinent feces? tion hamper in the
A. Place the soiled linens in a pillow case and deposit client's room and
them in the dirty linen hamper discard the linens
B. put the soiled linens in an isolation bag, then place in it
it in the dirty linen hamper
C. Ask the housekeeping staff to pick up the soiled
linen from the dirty utility room
, HESI FUNDAMENTALS EXAM 2024 ACTUAL EXAM COMPLETE 100 QUES
TIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED A+
Study online at https://quizlet.com/_g5bd9q
D. place an isolation hamper in the client's room and
discard the linens in it
5. When caring for an immobile client, what nursing di- B. impaired gas
agnosis has the highest priority? exchange
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity
6. The nurse assess an immobile, elderly male client and C. turn the patient
determines that his blood pressure is 138/60, his tem- Q2
perature is 95.8F, and his output is 100 mL of concen-
trated urine during the last hour. He has wet-sounding
lung sounds, and increased respiratory secretions.
Based on these assessment findings, what nursing
action is the most important for the nurse to imple-
ment?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription
7. The home health nurse visits an elderly female client D. the nurse notes
who had a brain attack three months ago and is now that there are
able to ambulate with the assistance of a quad cane. numerous scatter
Which assessment finding has the greatest implica- rubs throughout
tions for this client's case? the house
A. The client's pulse rate is 10 beats higher than it was
at the last visit one week ago
B. the client tells the nurse that she does not have
much of an appetite today
C. the husband, who is the caregiver, begins to weep
when you ask how he is doing
D. the nurse notes that there are numerous scatter
rubs throughout the house
8.
, HESI FUNDAMENTALS EXAM 2024 ACTUAL EXAM COMPLETE 100 QUES
TIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED A+
Study online at https://quizlet.com/_g5bd9q
The nurse removes the dressing on a client's heel B. one-inch pres-
that is covering a pressure sore one-inch in diameter sure sore draining
and finds that there is straw-colored drainage seep- serous fluid
ing from the wound. What description of this finding
should the nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous
drainage
B. one-inch pressure sore draining serous fluid
C. pressure sore draining serous fluid
D. pressure sore on heel with a small amount of puru-
lent drainage
9. A medication is prescribed to be given QID. What B. 0800, 1200,
schedule should the nurse use to administer this pre- 1600, 2000
scription?
A. 800
B. 0800, 1200, 1600, 2000
C. every other day at 0800
D. 0800, 1200, 1600, 2000, 0000, 0400
10. The nurse working in the emergency department is B. a 55-year-old
assessing four client's ability to tolerate pain. Which woman who has
client is likely to tolerate a higher level of pain. had moderate low
A. A 23-year-old woman who sprained her knee while back pain for three
biking months
B. a 55-year-old woman who has had moderate low
back pain for three months
C. A 10-year-old who was burned by a camp fire earlier
today
D. A 70 year-old who has a postoperative infection
from a surgery one week ago
11. A 4-year old boy who is scheduled for a tonsillecto- d. "It may hurt but
my and adenoidectomy asks the nurse, " will it hurt we'll give you med-
to have my tonsils and adenoids taken out?" Which icine to help you
response is best for the nurse to provide? feel better"
a. "It won't hurt because you're such a big boy"
b. "It may hurt a little because of the incision made in