RN Fundamentals HESI Latest Exam
RN Fundamentals HESI Latest Exam 1 Prep
Test Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
A community hospital is opening a mental health services department. Which document should the
nurse use to develop the unit's nursing guidelines?Select an option, then click Submit.
A.
Americans with Disabilities Act of 1990
P a g e 1 | 152
,RN Fundamentals HESI Latest Exam
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 –
Correct Answer :C
Rationale:
The ANA Scope of Standards of Practice for Psychiatric-Mental Health Nursing serves to direct the
philosophy and standards of psychiatric nursing practice. Options A and D define the client's rights.
Option B provides ethical guidelines for nursing.
In completing a client's preoperative routine, the nurse finds that the operative permit is not signed.
The client begins to ask more questions about the surgical procedure. Which action should the nurse
take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
P a g e 2 | 152
,RN Fundamentals HESI Latest Exam
C.
Inform the surgeon that the operative permit is not signed and the client has questions about the
surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is administered.
–
Correct Answer :C
Rationale:
The surgeon should be informed immediately that the permit is not signed. It is the surgeon's
responsibility to explain the procedure to the client and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first be explained by the
health care provider or surgeon, including answering the client's questions. The client's questions
should be addressed before the permit is signed.
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the
greatest threat for complications to occur during surgery?
A.
Taking birth control pills for the past 2 years
B.
Taking anticoagulants for the past year
C.
Recently completing antibiotic therapy
P a g e 3 | 152
, RN Fundamentals HESI Latest Exam
D.
Having taken laxatives PRN for the last 6 months –
Correct Answer :B Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a threat for the
development of surgical complications. The health care provider should be informed that the client is
taking these drugs. Although clients who take birth control pills may be more susceptible to the
development of thrombi, such problems usually occur postoperatively. A client with option C or D is at
less of a surgical risk than with option B.
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and alert.
Which intervention(s) is(are) correct? (Select all that apply.)Select option(s), then click Submit.
A.
Place the client in a high Fowler position.
B.
Help the client assume a left side-lying position.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
P a g e 4 | 152
RN Fundamentals HESI Latest Exam 1 Prep
Test Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
A community hospital is opening a mental health services department. Which document should the
nurse use to develop the unit's nursing guidelines?Select an option, then click Submit.
A.
Americans with Disabilities Act of 1990
P a g e 1 | 152
,RN Fundamentals HESI Latest Exam
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 –
Correct Answer :C
Rationale:
The ANA Scope of Standards of Practice for Psychiatric-Mental Health Nursing serves to direct the
philosophy and standards of psychiatric nursing practice. Options A and D define the client's rights.
Option B provides ethical guidelines for nursing.
In completing a client's preoperative routine, the nurse finds that the operative permit is not signed.
The client begins to ask more questions about the surgical procedure. Which action should the nurse
take next?
A.
Witness the client's signature to the permit.
B.
Answer the client's questions about the surgery.
P a g e 2 | 152
,RN Fundamentals HESI Latest Exam
C.
Inform the surgeon that the operative permit is not signed and the client has questions about the
surgery.
D.
Reassure the client that the surgeon will answer any questions before the anesthesia is administered.
–
Correct Answer :C
Rationale:
The surgeon should be informed immediately that the permit is not signed. It is the surgeon's
responsibility to explain the procedure to the client and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first be explained by the
health care provider or surgeon, including answering the client's questions. The client's questions
should be addressed before the permit is signed.
The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the
greatest threat for complications to occur during surgery?
A.
Taking birth control pills for the past 2 years
B.
Taking anticoagulants for the past year
C.
Recently completing antibiotic therapy
P a g e 3 | 152
, RN Fundamentals HESI Latest Exam
D.
Having taken laxatives PRN for the last 6 months –
Correct Answer :B Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a threat for the
development of surgical complications. The health care provider should be informed that the client is
taking these drugs. Although clients who take birth control pills may be more susceptible to the
development of thrombi, such problems usually occur postoperatively. A client with option C or D is at
less of a surgical risk than with option B.
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and alert.
Which intervention(s) is(are) correct? (Select all that apply.)Select option(s), then click Submit.
A.
Place the client in a high Fowler position.
B.
Help the client assume a left side-lying position.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
P a g e 4 | 152
