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Foundations of Nursing HESI Exam 1 Practice Exam - Complete Questions & Verified Answers - Documentation & Professional Standards - Herzing University LPN

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Foundations of Nursing HESI Exam 1 Practice Exam - Complete Questions & Verified Answers - Documentation & Professional Standards - Herzing University LPN TABLE OF CONTENTS: Documentation SOAPIE, Professional Standards Peer Accountability, Advocacy, Hygiene Dignity, Pressure Injury Staging, Donning Doffing Order WELL-ASKED QUESTIONS (550Q): 1. A client has an order for sequential compression devices (SCDs). What should nurse do? A. Leave off continuously B. Apply properly remove for skin assessment check circulation ensure sleeves not kinked use while in bed ambulation when off C. Never remove D. No check needed Answer: B Rationale: SCDs apply properly remove for skin check circulation check kinks use while in bed. 2. A nurse is documenting using SOAPIE. What does it include? A. Only subjective B. Subjective Objective Assessment Plan Intervention Evaluation comprehensive charting C. Only objective D. No plan Answer: B Rationale: SOAPIE Subjective Objective Assessment Plan Intervention Evaluation. 3. A client is confused and attempting to get out of bed. What is nurse's priority? A. Apply restraints immediately B. Assess cause confusion reorient ensure safety bed alarm low bed nonslip address needs pain toileting consider sitter last resort restraints with order C. Ignore D. Leave alone Answer: B Rationale: Confused client safety priority assess cause reorient bed alarm low bed address needs sitter restraints last resort with order. ... 547 more ... FEATURES: 550Q Mixed A=139 B=146 C=126 D=139 - TOC Included - Well-Asked

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Foundations of Nursing HESI Exam 1 Practice Exam - Complete Questions & Verified Answers - Documentation &
Professional Standards - Herzing University LPN
Herzing University LPN | Foundations of Nursing HESI Exam 1 | Complete Questions Verified Answers Grade A | Different

Title 4


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 nurse is transferring a client from bed to wheelchair. What is safe body mechanics?
A. No mechanics
B. Lift with back
C. Bend at waist
D. Widen base of support, bend knees, keep client close, avoid twisting, use gait belt, assess client ability, lock wheelchair
Answer: D
Rationale: Safe transfer: wide base, bend knees, client close, no twisting, gait belt, assess ability, lock wheelchair bed.
2. 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. Never remove
C. No check needed
D. Leave off continuously
Answer: A
Rationale: SCDs apply properly, remove for skin check circulation check kinks use while in bed.
3. 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. 350 mL intake
B. 4 oz intake
C. No intake
D. 360 mL intake - 4 oz = 120 mL, 8 oz = 240 mL, total 360 mL intake, output 350 mL
Answer: D
Rationale: I&O; conversion 1 oz=30 mL, 4 oz=120, 8 oz=240 total 360 mL intake.
4. A client is confused and attempting to get out of bed. What is nurse's priority?
A. Apply restraints immediately
B. Ignore
C. Leave alone
D. Assess cause confusion, reorient, ensure safety bed alarm low bed, nonslip, address needs pain toileting, consider sitter, last resort restraints with
order
Answer: D
Rationale: Confused client safety priority assess cause reorient bed alarm low bed address needs sitter restraints last resort with order.
5. A nurse is preparing to give bed bath. What principle maintains client dignity?
A. Expose entire body
B. Cold water
C. Provide privacy, drape, warm water, explain, allow participation, keep warm, respect
D. No privacy
Answer: C
Rationale: Bed bath privacy draping warm water explain participation dignity.
6. A nurse is preparing to administer medications through a nasogastric tube. What is the correct action to ensure safe administration?
A. Mix all meds together
B. Check placement, flush 15-30mL water before and after each med, give meds separately, don't crush enteric-coated/ER, check compatibility
C. Give without flushing
D. Crush all enteric-coated meds together
Answer: B
Rationale: NG meds: check placement, flush before/after each med 15-30mL, separate administration, don't crush enteric-coated ER, check
compatibility.
7. A client is on contact precautions for MRSA wound infection. What PPE should nurse wear?
A. Gown and gloves, don before entering, doff before exiting, hand hygiene, private room or cohort
B. Only gloves
C. Only mask
D. No PPE
Answer: A
Rationale: Contact precautions MRSA wound: gown and gloves don before entering doff before exiting hand hygiene private room.
8. A nurse is preparing to give bed bath. What principle maintains client dignity?
A. Expose entire body
B. Cold water
C. Provide privacy, drape, warm water, explain, allow participation, keep warm, respect
D. No privacy
Answer: C
Rationale: Bed bath privacy draping warm water explain participation dignity.
9. What is correct order for donning PPE?

, A. Gloves first
B. Mask first
C. Hand hygiene, gown, mask, goggles, gloves - donning
D. No order
Answer: C
Rationale: Donning: hand hygiene gown mask goggles gloves. Doffing: gloves goggles gown mask hand hygiene.
10. 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.
11. A client reports pain 8/10. The nurse assesses OLDCARTS. What does this include?
A. Onset, Location, Duration, Character, Aggravating/Alleviating, Radiation, Timing, Severity - comprehensive pain assessment
B. Only location
C. Only severity
D. No assessment
Answer: A
Rationale: OLDCARTS pain: Onset Location Duration Character Aggravating Alleviating Radiation Timing Severity.
12. 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.
13. What is purpose of incentive spirometer?
A. Only for COPD
B. No purpose
C. Prevent atelectasis, improve lung expansion, 10 breaths per hour while awake, splint incision, exhale normally inhale slowly
D. Increase pain
Answer: C
Rationale: Incentive spirometer prevents atelectasis improves expansion 10 breaths per hour awake splint incision.
14. A nurse is caring for a client with indwelling urinary catheter. What action prevents CAUTI?
A. No hygiene needed
B. Open system frequently
C. Leave bag on floor
D. Maintain closed drainage system, bag below bladder above floor, no kinks, perineal hygiene, remove as soon as possible, hand hygiene
Answer: D
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
15. A client needs assistance with ADLs. What does ADL include?
A. No ADL
B. Only medications
C. Activities of Daily Living - bathing, dressing, toileting, feeding, ambulation, grooming
D. Only work
Answer: C
Rationale: ADL bathing dressing toileting feeding ambulation grooming.
16. A client reports pain 8/10. The nurse assesses OLDCARTS. What does this include?
A. Onset, Location, Duration, Character, Aggravating/Alleviating, Radiation, Timing, Severity - comprehensive pain assessment
B. Only location
C. Only severity
D. No assessment
Answer: A
Rationale: OLDCARTS pain: Onset Location Duration Character Aggravating Alleviating Radiation Timing Severity.
17. A client is on contact precautions for MRSA wound infection. What PPE should nurse wear?
A. No PPE
B. Only mask
C. Only gloves
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.
18. A client has stage 2 pressure injury on sacrum. What is description?
A. Unstageable
B. Intact skin redness
C. Partial thickness skin loss with exposed dermis, blister or shallow crater pink-red moist, no slough, no fat visible
D. Full thickness with bone
Answer: C
Rationale: Stage2 partial thickness dermis exposed pink-red moist blister shallow crater no slough fat.
19. A nurse is transferring a client from bed to wheelchair. What is safe body mechanics?
A. Lift with back
B. Bend at waist
C. Widen base of support, bend knees, keep client close, avoid twisting, use gait belt, assess client ability, lock wheelchair
D. No mechanics
Answer: C
Rationale: Safe transfer: wide base, bend knees, client close, no twisting, gait belt, assess ability, lock wheelchair bed.
20. 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. No intervention needed
C. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
D. Reposition every 4 hours
Answer: C
Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
21. A nurse is transferring a client from bed to wheelchair. What is safe body mechanics?
A. Widen base of support, bend knees, keep client close, avoid twisting, use gait belt, assess client ability, lock wheelchair
B. No mechanics
C. Bend at waist
D. Lift with back
Answer: A
Rationale: Safe transfer: wide base, bend knees, client close, no twisting, gait belt, assess ability, lock wheelchair bed.
22. A nurse is documenting using SOAPIE. What does it include?
A. No plan
B. Only subjective
C. Subjective Objective Assessment Plan Intervention Evaluation - comprehensive charting
D. Only objective
Answer: C
Rationale: SOAPIE Subjective Objective Assessment Plan Intervention Evaluation.
23. 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 4 hours
C. No intervention needed
D. Reposition every 2 hours, assess bony prominences, keep skin dry, use pressure-relieving mattress, nutrition consult - Braden 12 high risk
Answer: D
Rationale: Braden 12 high risk (<18 at risk, <16 moderate, <12 high). Priority q2h repositioning, skin assessment, moisture control, pressure relief,
nutrition.
24. A nurse is teaching a client about hand hygiene. Which statement indicates understanding?
A. No need to wash
B. 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
C. Only water needed
D. Hand sanitizer replaces handwashing for C. diff
Answer: B
Rationale: Hand hygiene: soap water 20 sec when visibly soiled C.diff norovirus, alcohol sanitizer when not visibly soiled.
25. 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. No hygiene needed
D. Leave bag on floor
Answer: B
Rationale: CAUTI prevention: closed system, bag below bladder above floor, no kinks, perineal hygiene, early removal, hand hygiene.
26. A nurse is documenting using SOAPIE. What does it include?

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