Foundations of Nursing HESI Exam 1 Practice Exam - Complete Questions & Verified Answers - Comprehensive Final
Assessment - Herzing University LPN
Herzing University LPN | Foundations of Nursing HESI Exam 1 | Complete Questions Verified Answers Grade A | Different
Title 5
TABLE OF CONTENTS
1. I. Foundations of Nursing Fundamentals - Nursing Process ADPIE, Maslow Hierarchy, Safety
2. II. Infection Control - Hand Hygiene Soap Water 20 Seconds vs Alcohol Sanitizer, PPE Donning Doffing Gown Mask Goggles Gloves,
Standard Precautions
3. III. Isolation Precautions - Contact MRSA Wound Gown Gloves, Droplet Influenza Surgical Mask 3 Feet, Airborne TB N95 Private Room
4. IV. Patient Safety - Fall Prevention Morse Fall Scale >45 High Risk Bed Alarm Hourly Rounding Nonslip, Restraints Last Resort, Confusion
Assessment Reorientation
5. V. Skin Integrity - Braden Scale <18 At Risk <16 Moderate <12 High Risk, Pressure Injury Stages Stage1 Intact Redness Stage2 Partial
Thickness Dermis Blister Stage3 Full Thickness Fat Stage4 Bone Muscle Unstageable Slough
6. VI. Mobility and Body Mechanics - Safe Transfer Wide Base Bend Knees Client Close Gait Belt Lock Wheelchair, Reposition q2h Bony
Prominences
7. VII. Hygiene and ADLs - Bathing Privacy Draping, ADLs Bathing Dressing Toileting Feeding Ambulation Grooming, Bed Bath Principles
Dignity
8. VIII. Medication Administration via NG Tube - Check Placement Flush 15-30mL Separate Meds Don't Crush Enteric Coated ER
Compatibility
9. IX. Intake and Output - Conversion 1 oz=30 mL, Strict I&O; Documentation, Fluid Overload Crackles Edema Dyspnea Weight Gain Elevated
BP JVD
10. X. Elimination - CAUTI Prevention Closed Drainage Bag Below Bladder Above Floor No Kinks Perineal Hygiene Early Removal
11. XI. Respiratory Care - Incentive Spirometer Prevent Atelectasis 10 Breaths Per Hour Splint Incision, SCDs Apply Check Circulation
12. XII. Documentation - SOAPIE Subjective Objective Assessment Plan Intervention Evaluation, Charting Principles
13. XIII. Professional Standards - Peer Accountability Hand Hygiene Remind Privately Chain, Client Advocacy
14. XIV. Practice Questions - Complete Questions Each Asked Like Real HESI Exam 1
15. XV. Answer Key with Detailed Rationales - Grade A
,FOUNDATIONS OF NURSING HESI EXAM 1 - PRACTICE QUESTIONS - EACH QUESTION ASKED LIKE REAL EXAM
Based on Herzing University LPN Foundations of Nursing HESI Exam 1 Blueprint - Fundamentals of Care Safety Infection Control Mobility Documentation. High Yield.
1. A client is at risk for falls with a Morse Fall Scale score of 55. Which intervention is appropriate?
A. High risk >45 - bed alarm, hourly rounding, nonslip socks, clear clutter, call light within reach, assess meds, assist with ambulation
B. No intervention
C. Only restraints
D. No assessment
Answer: A
Rationale: Morse >45 high risk, 25-44 moderate. Interventions bed alarm hourly rounding nonslip socks clear clutter call light meds review.
2. A client is on strict intake and output. The client drank 4 oz juice, 8 oz coffee, and voided 350 mL. How should the nurse document intake?
A. 360 mL intake - 4 oz = 120 mL, 8 oz = 240 mL, total 360 mL intake, output 350 mL
B. 4 oz intake
C. No intake
D. 350 mL intake
Answer: A
Rationale: I&O; conversion 1 oz=30 mL, 4 oz=120, 8 oz=240 total 360 mL intake.
3. A client has an order for sequential compression devices (SCDs). What should nurse do?
A. Apply properly, remove for skin assessment, check circulation, ensure sleeves not kinked, use while in bed, ambulation when off
B. Leave off continuously
C. Never remove
D. No check needed
Answer: A
Rationale: SCDs apply properly, remove for skin check circulation check kinks use while in bed.
4. A client is on strict intake and output. The client drank 4 oz juice, 8 oz coffee, and voided 350 mL. How should the nurse document intake?
A. 4 oz intake
B. 360 mL intake - 4 oz = 120 mL, 8 oz = 240 mL, total 360 mL intake, output 350 mL
C. No intake
D. 350 mL intake
Answer: B
Rationale: I&O; conversion 1 oz=30 mL, 4 oz=120, 8 oz=240 total 360 mL intake.
5. What is correct order for donning PPE?
A. Hand hygiene, gown, mask, goggles, gloves - donning
B. No order
C. Gloves first
D. Mask first
Answer: A
Rationale: Donning: hand hygiene gown mask goggles gloves. Doffing: gloves goggles gown mask hand hygiene.
6. A nurse is caring for a client with impaired mobility. The client has a Braden Scale score of 12. Which intervention should the nurse prioritize
to prevent pressure injury?
A. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
B. Reposition every 4 hours
C. Only apply lotion
D. No intervention needed
Answer: A
Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
7. A client is on contact precautions for MRSA wound infection. What PPE should nurse wear?
A. Only gloves
B. Only mask
C. No PPE
D. Gown and gloves, don before entering, doff before exiting, hand hygiene, private room or cohort
Answer: D
Rationale: Contact precautions MRSA wound: gown and gloves don before entering doff before exiting hand hygiene private room.
8. A nurse is caring for a client with impaired mobility. The client has a Braden Scale score of 12. Which intervention should the nurse prioritize
to prevent pressure injury?
A. Only apply lotion
B. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
C. No intervention needed
D. Reposition every 4 hours
Answer: B
,Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
9. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. No signs
B. Thirst
C. Dry mucous membranes
D. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
Answer: D
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
10. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. Thirst
B. No signs
C. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
D. Dry mucous membranes
Answer: C
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
11. What is purpose of incentive spirometer?
A. No purpose
B. Increase pain
C. Only for COPD
D. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
Answer: D
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
12. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
B. Only water needed
C. No need to wash
D. Hand sanitizer replaces handwashing for C. diff
Answer: A
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
13. A nurse is caring for client on droplet precautions for influenza. What is required?
A. Private room and N95
B. Only gloves
C. No mask
D. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
Answer: D
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
14. A nurse is caring for client on droplet precautions for influenza. What is required?
A. Private room and N95
B. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
C. Only gloves
D. No mask
Answer: B
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
15. A nurse is caring for a client with indwelling urinary catheter. What action prevents CAUTI?
A. Open system frequently
B. Maintain closed drainage system, bag below bladder above floor, no kinks, perineal hygiene, remove as soon as possible, hand hygiene
C. Leave bag on floor
D. No hygiene needed
Answer: B
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
16. A nurse is caring for a client with indwelling urinary catheter. What action prevents CAUTI?
A. Maintain closed drainage system, bag below bladder above floor, no kinks, perineal hygiene, remove as soon as possible, hand hygiene
B. No hygiene needed
C. Leave bag on floor
D. Open system frequently
Answer: A
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
17. What is purpose of incentive spirometer?
A. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
B. Only for COPD
, C. No purpose
D. Increase pain
Answer: A
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
18. A client needs assistance with ADLs. What does ADL include?
A. No ADL
B. Activities of Daily Living - bathing, dressing, toileting, feeding, ambulation, grooming
C. Only medications
D. Only work
Answer: B
Rationale: ADL bathing dressing toileting feeding ambulation grooming.
19. A client reports pain 8/10. The nurse assesses OLDCARTS. What does this include?
A. Only severity
B. Onset, Location, Duration, Character, Aggravating/Alleviating, Radiation, Timing, Severity - comprehensive pain assessment
C. No assessment
D. Only location
Answer: B
Rationale: OLDCARTS pain: Onset Location Duration Character Aggravating Alleviating Radiation Timing Severity.
20. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Only water needed
B. Hand sanitizer replaces handwashing for C. diff
C. No need to wash
D. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
Answer: D
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
21. What is purpose of incentive spirometer?
A. Only for COPD
B. Increase pain
C. No purpose
D. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
Answer: D
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
22. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
B. Dry mucous membranes
C. Thirst
D. No signs
Answer: A
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
23. What is purpose of incentive spirometer?
A. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
B. Increase pain
C. Only for COPD
D. No purpose
Answer: A
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
24. A nurse is caring for client on droplet precautions for influenza. What is required?
A. No mask
B. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
C. Private room and N95
D. Only gloves
Answer: B
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
25. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
B. Only water needed
C. Hand sanitizer replaces handwashing for C. diff
D. No need to wash
Answer: A
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
26. A client needs assistance with ADLs. What does ADL include?
Assessment - Herzing University LPN
Herzing University LPN | Foundations of Nursing HESI Exam 1 | Complete Questions Verified Answers Grade A | Different
Title 5
TABLE OF CONTENTS
1. I. Foundations of Nursing Fundamentals - Nursing Process ADPIE, Maslow Hierarchy, Safety
2. II. Infection Control - Hand Hygiene Soap Water 20 Seconds vs Alcohol Sanitizer, PPE Donning Doffing Gown Mask Goggles Gloves,
Standard Precautions
3. III. Isolation Precautions - Contact MRSA Wound Gown Gloves, Droplet Influenza Surgical Mask 3 Feet, Airborne TB N95 Private Room
4. IV. Patient Safety - Fall Prevention Morse Fall Scale >45 High Risk Bed Alarm Hourly Rounding Nonslip, Restraints Last Resort, Confusion
Assessment Reorientation
5. V. Skin Integrity - Braden Scale <18 At Risk <16 Moderate <12 High Risk, Pressure Injury Stages Stage1 Intact Redness Stage2 Partial
Thickness Dermis Blister Stage3 Full Thickness Fat Stage4 Bone Muscle Unstageable Slough
6. VI. Mobility and Body Mechanics - Safe Transfer Wide Base Bend Knees Client Close Gait Belt Lock Wheelchair, Reposition q2h Bony
Prominences
7. VII. Hygiene and ADLs - Bathing Privacy Draping, ADLs Bathing Dressing Toileting Feeding Ambulation Grooming, Bed Bath Principles
Dignity
8. VIII. Medication Administration via NG Tube - Check Placement Flush 15-30mL Separate Meds Don't Crush Enteric Coated ER
Compatibility
9. IX. Intake and Output - Conversion 1 oz=30 mL, Strict I&O; Documentation, Fluid Overload Crackles Edema Dyspnea Weight Gain Elevated
BP JVD
10. X. Elimination - CAUTI Prevention Closed Drainage Bag Below Bladder Above Floor No Kinks Perineal Hygiene Early Removal
11. XI. Respiratory Care - Incentive Spirometer Prevent Atelectasis 10 Breaths Per Hour Splint Incision, SCDs Apply Check Circulation
12. XII. Documentation - SOAPIE Subjective Objective Assessment Plan Intervention Evaluation, Charting Principles
13. XIII. Professional Standards - Peer Accountability Hand Hygiene Remind Privately Chain, Client Advocacy
14. XIV. Practice Questions - Complete Questions Each Asked Like Real HESI Exam 1
15. XV. Answer Key with Detailed Rationales - Grade A
,FOUNDATIONS OF NURSING HESI EXAM 1 - PRACTICE QUESTIONS - EACH QUESTION ASKED LIKE REAL EXAM
Based on Herzing University LPN Foundations of Nursing HESI Exam 1 Blueprint - Fundamentals of Care Safety Infection Control Mobility Documentation. High Yield.
1. A client is at risk for falls with a Morse Fall Scale score of 55. Which intervention is appropriate?
A. High risk >45 - bed alarm, hourly rounding, nonslip socks, clear clutter, call light within reach, assess meds, assist with ambulation
B. No intervention
C. Only restraints
D. No assessment
Answer: A
Rationale: Morse >45 high risk, 25-44 moderate. Interventions bed alarm hourly rounding nonslip socks clear clutter call light meds review.
2. A client is on strict intake and output. The client drank 4 oz juice, 8 oz coffee, and voided 350 mL. How should the nurse document intake?
A. 360 mL intake - 4 oz = 120 mL, 8 oz = 240 mL, total 360 mL intake, output 350 mL
B. 4 oz intake
C. No intake
D. 350 mL intake
Answer: A
Rationale: I&O; conversion 1 oz=30 mL, 4 oz=120, 8 oz=240 total 360 mL intake.
3. A client has an order for sequential compression devices (SCDs). What should nurse do?
A. Apply properly, remove for skin assessment, check circulation, ensure sleeves not kinked, use while in bed, ambulation when off
B. Leave off continuously
C. Never remove
D. No check needed
Answer: A
Rationale: SCDs apply properly, remove for skin check circulation check kinks use while in bed.
4. A client is on strict intake and output. The client drank 4 oz juice, 8 oz coffee, and voided 350 mL. How should the nurse document intake?
A. 4 oz intake
B. 360 mL intake - 4 oz = 120 mL, 8 oz = 240 mL, total 360 mL intake, output 350 mL
C. No intake
D. 350 mL intake
Answer: B
Rationale: I&O; conversion 1 oz=30 mL, 4 oz=120, 8 oz=240 total 360 mL intake.
5. What is correct order for donning PPE?
A. Hand hygiene, gown, mask, goggles, gloves - donning
B. No order
C. Gloves first
D. Mask first
Answer: A
Rationale: Donning: hand hygiene gown mask goggles gloves. Doffing: gloves goggles gown mask hand hygiene.
6. A nurse is caring for a client with impaired mobility. The client has a Braden Scale score of 12. Which intervention should the nurse prioritize
to prevent pressure injury?
A. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
B. Reposition every 4 hours
C. Only apply lotion
D. No intervention needed
Answer: A
Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
7. A client is on contact precautions for MRSA wound infection. What PPE should nurse wear?
A. Only gloves
B. Only mask
C. No PPE
D. Gown and gloves, don before entering, doff before exiting, hand hygiene, private room or cohort
Answer: D
Rationale: Contact precautions MRSA wound: gown and gloves don before entering doff before exiting hand hygiene private room.
8. A nurse is caring for a client with impaired mobility. The client has a Braden Scale score of 12. Which intervention should the nurse prioritize
to prevent pressure injury?
A. Only apply lotion
B. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
C. No intervention needed
D. Reposition every 4 hours
Answer: B
,Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
9. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. No signs
B. Thirst
C. Dry mucous membranes
D. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
Answer: D
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
10. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. Thirst
B. No signs
C. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
D. Dry mucous membranes
Answer: C
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
11. What is purpose of incentive spirometer?
A. No purpose
B. Increase pain
C. Only for COPD
D. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
Answer: D
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
12. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
B. Only water needed
C. No need to wash
D. Hand sanitizer replaces handwashing for C. diff
Answer: A
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
13. A nurse is caring for client on droplet precautions for influenza. What is required?
A. Private room and N95
B. Only gloves
C. No mask
D. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
Answer: D
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
14. A nurse is caring for client on droplet precautions for influenza. What is required?
A. Private room and N95
B. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
C. Only gloves
D. No mask
Answer: B
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
15. A nurse is caring for a client with indwelling urinary catheter. What action prevents CAUTI?
A. Open system frequently
B. Maintain closed drainage system, bag below bladder above floor, no kinks, perineal hygiene, remove as soon as possible, hand hygiene
C. Leave bag on floor
D. No hygiene needed
Answer: B
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
16. A nurse is caring for a client with indwelling urinary catheter. What action prevents CAUTI?
A. Maintain closed drainage system, bag below bladder above floor, no kinks, perineal hygiene, remove as soon as possible, hand hygiene
B. No hygiene needed
C. Leave bag on floor
D. Open system frequently
Answer: A
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
17. What is purpose of incentive spirometer?
A. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
B. Only for COPD
, C. No purpose
D. Increase pain
Answer: A
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
18. A client needs assistance with ADLs. What does ADL include?
A. No ADL
B. Activities of Daily Living - bathing, dressing, toileting, feeding, ambulation, grooming
C. Only medications
D. Only work
Answer: B
Rationale: ADL bathing dressing toileting feeding ambulation grooming.
19. A client reports pain 8/10. The nurse assesses OLDCARTS. What does this include?
A. Only severity
B. Onset, Location, Duration, Character, Aggravating/Alleviating, Radiation, Timing, Severity - comprehensive pain assessment
C. No assessment
D. Only location
Answer: B
Rationale: OLDCARTS pain: Onset Location Duration Character Aggravating Alleviating Radiation Timing Severity.
20. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Only water needed
B. Hand sanitizer replaces handwashing for C. diff
C. No need to wash
D. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
Answer: D
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
21. What is purpose of incentive spirometer?
A. Only for COPD
B. Increase pain
C. No purpose
D. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
Answer: D
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
22. A nurse is caring for a client who is NPO and receiving IV fluids. What indicates fluid overload?
A. Crackles, edema, dyspnea, weight gain, elevated BP, JVD, decreased urine output? Actually increased? - assess lung sounds edema
B. Dry mucous membranes
C. Thirst
D. No signs
Answer: A
Rationale: Fluid overload: crackles, edema peripheral periorbital, dyspnea, weight gain, elevated BP, JVD, bounding pulse.
23. What is purpose of incentive spirometer?
A. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
B. Increase pain
C. Only for COPD
D. No purpose
Answer: A
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
24. A nurse is caring for client on droplet precautions for influenza. What is required?
A. No mask
B. Private room or cohort, surgical mask within 3 feet, hand hygiene, limit transport, mask on client when transported
C. Private room and N95
D. Only gloves
Answer: B
Rationale: Droplet influenza private room cohort surgical mask within 3ft hand hygiene mask on client transport.
25. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. Wash hands with soap and water for 20 seconds when visibly soiled or after C. diff/norovirus, use alcohol-based sanitizer when not visibly soiled
B. Only water needed
C. Hand sanitizer replaces handwashing for C. diff
D. No need to wash
Answer: A
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
26. A client needs assistance with ADLs. What does ADL include?
