1
HESI 223 EXAM QUESTIONS WITH
SOLUTIONS
The nurse is giving a bed bath to an assigned client when an assistive personnel
enters he client's room and tells the nurse that another assigned client is in pain
and needs pain medication. Which is the MOST APPROPRIATE nursing action?
A)Finish the bed bath and then administer the pain medication to the other client
B)Ask the AP to find out when the last pain medication was given to the client
C)Ask the AP to tell the client in pain that medication will be administered as soon
as the bed bath is complete
D)Cover the client, raise the side rails, tell the client that you will return shortly,
and administer the pain medication to the other client - correct-answer - Cover
the client, raise the side rails, tell the client that you will return shortly, and
administer the pain medication to the other client
, 2
The nurse manager has implemented a change in the method of the nursing
delivery system from function to team nursing. An assistive personnel is resistant
to the change and is not taking an active part in facilitating the process of change.
Which is the BEST approach in dealing with the AP?
A)Ignore the resistance
B)Exert coercion on the AP
C)Provide a positive reward system for the AP
D)Confront the AP to encourage verbalization of feelings regarding the change -
correct-answer - Confront the AP to encourage verbalization of feelings regarding
the change
The registered nurse is planning the client assignments for the day. Which the
MOST APPROPRIATE assignment for an assistive personnel?
A)A client requiring a colostomy irrigation
B)A client receiving continuous tube feedings
C)A client who requires urine specimen collections
D)A client with difficulty swallowing food and fluids - correct-answer - A client
who requires urine specimen collections
, 3
The nurse manager is discussing the facility protocol in the event of a tornado
with the staff. Which instructions should the nurse manager include in the
discussion? SELECT ALL THE APPLY
A)Open doors to client rooms
B)Move beds away from windows
C)Close window shades and curtains
D)Place blankets over clients who are confined to bed
E)Relocate ambulatory clients from the hallways back into their rooms - correct-
answer - Move beds away from windows, Close window shades and curtains,
Place blankets over clients who are confined to bed
The nurse employed in a long-term care facility is planning assignments for the
clients on a nursing unit. The nurse needs to assign four clients and has a licensed
practical nurse and 3 assistive personnel on a nursing team. Which client would
the nurse MOST APPROPRIATELY assign to the licensed practical nurse?
A)A client who requires a bed bath
, 4
B)An older client requiring frequent ambulation
C)A client who requires hourly vital sign measurement
D)A client requiring abdominal wound irrigations and dressing changes every 3
hours - correct-answer - A client requiring abdominal wound irrigations and
dressing changes every 3 hours
The charge nurse is planning the assignment for the day. Which factors should the
nurse remain mindful of when planning the assignment? SELECT ALL THAT APPLY
A)The acuity level of the clients
B)Specific requests from the staff
C)The clustering of the rooms on the unit
D)The number of anticipated client discharges
E)Client needs and workers' needs and abilities - correct-answer - The acuity level
of the clients, Client needs and workers' needs and abilities
The nurse is caring for a client with heart failure. On assessment, the nurse notes
that the client is dyspenic, and crackles are audible on auscultation. What
HESI 223 EXAM QUESTIONS WITH
SOLUTIONS
The nurse is giving a bed bath to an assigned client when an assistive personnel
enters he client's room and tells the nurse that another assigned client is in pain
and needs pain medication. Which is the MOST APPROPRIATE nursing action?
A)Finish the bed bath and then administer the pain medication to the other client
B)Ask the AP to find out when the last pain medication was given to the client
C)Ask the AP to tell the client in pain that medication will be administered as soon
as the bed bath is complete
D)Cover the client, raise the side rails, tell the client that you will return shortly,
and administer the pain medication to the other client - correct-answer - Cover
the client, raise the side rails, tell the client that you will return shortly, and
administer the pain medication to the other client
, 2
The nurse manager has implemented a change in the method of the nursing
delivery system from function to team nursing. An assistive personnel is resistant
to the change and is not taking an active part in facilitating the process of change.
Which is the BEST approach in dealing with the AP?
A)Ignore the resistance
B)Exert coercion on the AP
C)Provide a positive reward system for the AP
D)Confront the AP to encourage verbalization of feelings regarding the change -
correct-answer - Confront the AP to encourage verbalization of feelings regarding
the change
The registered nurse is planning the client assignments for the day. Which the
MOST APPROPRIATE assignment for an assistive personnel?
A)A client requiring a colostomy irrigation
B)A client receiving continuous tube feedings
C)A client who requires urine specimen collections
D)A client with difficulty swallowing food and fluids - correct-answer - A client
who requires urine specimen collections
, 3
The nurse manager is discussing the facility protocol in the event of a tornado
with the staff. Which instructions should the nurse manager include in the
discussion? SELECT ALL THE APPLY
A)Open doors to client rooms
B)Move beds away from windows
C)Close window shades and curtains
D)Place blankets over clients who are confined to bed
E)Relocate ambulatory clients from the hallways back into their rooms - correct-
answer - Move beds away from windows, Close window shades and curtains,
Place blankets over clients who are confined to bed
The nurse employed in a long-term care facility is planning assignments for the
clients on a nursing unit. The nurse needs to assign four clients and has a licensed
practical nurse and 3 assistive personnel on a nursing team. Which client would
the nurse MOST APPROPRIATELY assign to the licensed practical nurse?
A)A client who requires a bed bath
, 4
B)An older client requiring frequent ambulation
C)A client who requires hourly vital sign measurement
D)A client requiring abdominal wound irrigations and dressing changes every 3
hours - correct-answer - A client requiring abdominal wound irrigations and
dressing changes every 3 hours
The charge nurse is planning the assignment for the day. Which factors should the
nurse remain mindful of when planning the assignment? SELECT ALL THAT APPLY
A)The acuity level of the clients
B)Specific requests from the staff
C)The clustering of the rooms on the unit
D)The number of anticipated client discharges
E)Client needs and workers' needs and abilities - correct-answer - The acuity level
of the clients, Client needs and workers' needs and abilities
The nurse is caring for a client with heart failure. On assessment, the nurse notes
that the client is dyspenic, and crackles are audible on auscultation. What
