HESI FUNDAMENTALS PRACTICE EXAM
#1 ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
AU35y/oUclientUwithUcancerUrefusesUtoUallowUaUnurseUtoUinsertUanUIVUforUscheduledUchemoU&Ustate
sUthatUshe'sUreadyUtoUgoUhomeUtoUdie.UWhatUinterventionUshouldUtheUnurseUinitiate?U-
UCORRECTUANSWEREvaluateUtheUclient'sUmentalUstatusUforUcompetenceUtoUrefuseUtreatment
Rationale:UCompetentUclientsUhaveUtheUrightUtoUrefuseUtreatment.UTheUnurseUcannotUdocumentUu
ntilUtheUHCPUisUnotifiedUofUtheUpatient'sUwishesU&UaUd/cURXUisUobtained.UAdvanceUdirectivesU&UDN
RUareUnotUnecessaryUforUcompetentUclientUtoUrefuseUcare.
AUclientUwithUchronicUrenalUdiseaseUisUadmittedUtoUtheUhospitalUforUevaluationUpriorUtoUaUsurgicalU
procedure.UWhichUlaboratoryUtestUindicatesUclient'sUproteinUstatusUforUtheUlongestUlengthUofUtime
?U-UCORRECTUANSWERSerumUalbumin
Rationale:USerumUalbuminUhasUaUlongUhalf-life.
WhatUclientUstatementUindicatesUtoUtheUnurseUthatUtheUclientUrequiresUassistanceUwithUbathing?U-
UCORRECTUANSWER"IUdon'tUunderstandUwhyUI'mUsoUweakU&Utired."
HowUshouldUtheUnurseUhandleUlinensUthatUareUsoiledUwithUincontinentUfeces?U-
UCORRECTUANSWERPlaceUtheUsoiledUlinensUinUaUpillowUcaseU&UdepositUthemUinUtheUdirtyUlinenUha
mper
,WhenUcaringUforUanUimmobileUclient,UwhatUnursingUdiagnosisUhasUtheUhighestUpriority?U-
UCORRECTUANSWERImpairedUgasUexchange
TheUnurseUassessesUanUimmobile,UelderlyUmaleUclientU&UdeterminesUthatUhisUbloodUpressureUisU13
8/60,UhisUtemperatureUisU95.8FU&UhisUoutputUisU100UmLUofUconcentratedUurineUduringUtheUlastUho
ur.UHeUhasUwetUsoundingUlungsU&UincreasedUrespiratoryUsecretions.UBasedUonUtheseUassessmentUf
indingsU,UwhatUnursingUactionUisUmostUimportantUforUtheUnurseUtoUimplement?U-
UCORRECTUANSWERTurnUtheUclientUq2h
Rationale:UItUwillUhelpUmoveU&UdrainUrespiratoryUsecretionsU&UpreventUpneumoniaUfromUoccurrin
g.
TheUhomeUhealthUnurseUvisitsUanUelderlyUfemaleUclientUwhoUhadUaUbrainUattackU3UmonthsUagoU&Ui
sUnowUableUtoUambulateUwithUtheUassistanceUofUaUquadUcane.UWhichUassessmentUfindingUhasUtheU
greatestUimplicationsUforUthisUclient'sUcare?U-
UCORRECTUANSWERTheUnurseUnotesUthereUareUnumerousUscatterUrugsUthroughoutUtheUhouse
TheUnurseUremovesUtheUdressingUonUaUclient'sUheelUthatUisUcoverUaUpressureUsoreU1"UinUdiameterU
&UfindsUthatUthereUisUstraw-
coloredUdrainageUseepingUfromUtheUwound.UWhatUdescriptionUofUthisUfindingUshouldUtheUnurseUin
cludeUinUtheUclient'sUrecord?U-UCORRECTUANSWEROne-inchUpressureUsoreUdrainingUserousUfluid
MedicationUisUprescribedUtoUbeUgivenUQID.UWhatUscheduleUshouldUtheUnurseUuseUtoUadministerUth
isURx?U-UCORRECTUANSWER0800,U1200,U1600,U2000
TheUnurseUworkingUinUtheUEDUisUassessingU4Uclients'UabilityUtoUtolerateUpain.UWhichUclientUisUlikelyU
toUtolerateUaUhigherUlevelUofUpain?U-
UCORRECTUANSWER1U55y/oUwomanUwhoUhasUhadUmoderateUlowUbackUpainUforU3Umonths
, Rationale:UExperiencesUwithUtheUsameUtypeUofUpainUthatUhasUsuccessfullyUbeenUrelievedUmakesUitU
easierUforUtheUclientUtoUinterpretUtheUpainUsensationUand,UasUaUresult,UtheUclientUisUbetterUprepare
dUtoUtakeUstepsUtoUrelieveUtheUpain.UAllUotherUclientsUareUhavingUnewUexperiencesUwithUpain.
AU4y/oUboyUwhoUisUscheduledUforUaUtonsillectomyU&UadenoidectomyUasksUtheUnurse,U"WillUitUhurtU
toUhaveUmyUtonsilsU&UadenoidsUtakenUout?"UWhichUresponseUisUbestUforUtheUnurseUtoUprovide?U-
UCORRECTUANSWER"ItUmayUhurt,UbutUwe'llUgiveUyouUmedicineUtoUhelpUyouUfeelUbetter."
AUlow-sodium,Ulow-
proteinUdietUisUprescribedUforUaU45y/oUclientUwithUrenalUinsufficiencyU&UHTN,UwhoUgainedU3lbsUinU
theUlastUmonth.UTheUnurseUdeterminesUthatUtheUclientUhasUbeenUnoncompliantUwithUtheUdiet,Ubas
edUonUwhichUreportUfromUtheU24hrUdietUrecall?U-
UCORRECTUANSWER1.USnackUofUpotatoUchipsU&UdietUsoda
2.ULunchUofUtuna,Ucarrots,UfruitU&Ucoffee
3.UBreakfastUofUeggs,Ubacon,UtoastU&Ucoffee
4.UBedtimeUsnackUofUcrackersU&Umilk
WhatUinterventionUshouldUtheUnurseUincludeUinUtheUcareUplanUforUaUclientUwhoUisUbeingUtreatedUw
ithUanUUnna'sUpasteUbootUforUlegUulcersUdueUtoUchronicUvenousUinsufficiency?U-
UCORRECTUANSWERCheckUcapillaryUrefillUofUtoesUonUlowerUextremityUwithUUnna'sUpasteUbootU
Rationale:UBootUbecomesUrigidUafterUitUdries,UsoUitUisUimportantUtoUcheckUdistallyUforUadequateUcir
culation.UNoUbandageUshouldUbeUputUunderUit.UShouldUbeUappliedUfromUfootU&UwrappedUtowardsU
knee.UActsUasUaUsterileUdressingU&UshouldUnotUbeUremovedUq8h.UWeeklyUremovalUisUreasonable.
MaleUclientUwithUnursingUdiagnosisUofU"spiritualUdistress".UWhatUinterventionUisUbestUforUtheUnurs
eUtoUimplementUwhenUcaringUforUthisUclient?U-
#1 ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
AU35y/oUclientUwithUcancerUrefusesUtoUallowUaUnurseUtoUinsertUanUIVUforUscheduledUchemoU&Ustate
sUthatUshe'sUreadyUtoUgoUhomeUtoUdie.UWhatUinterventionUshouldUtheUnurseUinitiate?U-
UCORRECTUANSWEREvaluateUtheUclient'sUmentalUstatusUforUcompetenceUtoUrefuseUtreatment
Rationale:UCompetentUclientsUhaveUtheUrightUtoUrefuseUtreatment.UTheUnurseUcannotUdocumentUu
ntilUtheUHCPUisUnotifiedUofUtheUpatient'sUwishesU&UaUd/cURXUisUobtained.UAdvanceUdirectivesU&UDN
RUareUnotUnecessaryUforUcompetentUclientUtoUrefuseUcare.
AUclientUwithUchronicUrenalUdiseaseUisUadmittedUtoUtheUhospitalUforUevaluationUpriorUtoUaUsurgicalU
procedure.UWhichUlaboratoryUtestUindicatesUclient'sUproteinUstatusUforUtheUlongestUlengthUofUtime
?U-UCORRECTUANSWERSerumUalbumin
Rationale:USerumUalbuminUhasUaUlongUhalf-life.
WhatUclientUstatementUindicatesUtoUtheUnurseUthatUtheUclientUrequiresUassistanceUwithUbathing?U-
UCORRECTUANSWER"IUdon'tUunderstandUwhyUI'mUsoUweakU&Utired."
HowUshouldUtheUnurseUhandleUlinensUthatUareUsoiledUwithUincontinentUfeces?U-
UCORRECTUANSWERPlaceUtheUsoiledUlinensUinUaUpillowUcaseU&UdepositUthemUinUtheUdirtyUlinenUha
mper
,WhenUcaringUforUanUimmobileUclient,UwhatUnursingUdiagnosisUhasUtheUhighestUpriority?U-
UCORRECTUANSWERImpairedUgasUexchange
TheUnurseUassessesUanUimmobile,UelderlyUmaleUclientU&UdeterminesUthatUhisUbloodUpressureUisU13
8/60,UhisUtemperatureUisU95.8FU&UhisUoutputUisU100UmLUofUconcentratedUurineUduringUtheUlastUho
ur.UHeUhasUwetUsoundingUlungsU&UincreasedUrespiratoryUsecretions.UBasedUonUtheseUassessmentUf
indingsU,UwhatUnursingUactionUisUmostUimportantUforUtheUnurseUtoUimplement?U-
UCORRECTUANSWERTurnUtheUclientUq2h
Rationale:UItUwillUhelpUmoveU&UdrainUrespiratoryUsecretionsU&UpreventUpneumoniaUfromUoccurrin
g.
TheUhomeUhealthUnurseUvisitsUanUelderlyUfemaleUclientUwhoUhadUaUbrainUattackU3UmonthsUagoU&Ui
sUnowUableUtoUambulateUwithUtheUassistanceUofUaUquadUcane.UWhichUassessmentUfindingUhasUtheU
greatestUimplicationsUforUthisUclient'sUcare?U-
UCORRECTUANSWERTheUnurseUnotesUthereUareUnumerousUscatterUrugsUthroughoutUtheUhouse
TheUnurseUremovesUtheUdressingUonUaUclient'sUheelUthatUisUcoverUaUpressureUsoreU1"UinUdiameterU
&UfindsUthatUthereUisUstraw-
coloredUdrainageUseepingUfromUtheUwound.UWhatUdescriptionUofUthisUfindingUshouldUtheUnurseUin
cludeUinUtheUclient'sUrecord?U-UCORRECTUANSWEROne-inchUpressureUsoreUdrainingUserousUfluid
MedicationUisUprescribedUtoUbeUgivenUQID.UWhatUscheduleUshouldUtheUnurseUuseUtoUadministerUth
isURx?U-UCORRECTUANSWER0800,U1200,U1600,U2000
TheUnurseUworkingUinUtheUEDUisUassessingU4Uclients'UabilityUtoUtolerateUpain.UWhichUclientUisUlikelyU
toUtolerateUaUhigherUlevelUofUpain?U-
UCORRECTUANSWER1U55y/oUwomanUwhoUhasUhadUmoderateUlowUbackUpainUforU3Umonths
, Rationale:UExperiencesUwithUtheUsameUtypeUofUpainUthatUhasUsuccessfullyUbeenUrelievedUmakesUitU
easierUforUtheUclientUtoUinterpretUtheUpainUsensationUand,UasUaUresult,UtheUclientUisUbetterUprepare
dUtoUtakeUstepsUtoUrelieveUtheUpain.UAllUotherUclientsUareUhavingUnewUexperiencesUwithUpain.
AU4y/oUboyUwhoUisUscheduledUforUaUtonsillectomyU&UadenoidectomyUasksUtheUnurse,U"WillUitUhurtU
toUhaveUmyUtonsilsU&UadenoidsUtakenUout?"UWhichUresponseUisUbestUforUtheUnurseUtoUprovide?U-
UCORRECTUANSWER"ItUmayUhurt,UbutUwe'llUgiveUyouUmedicineUtoUhelpUyouUfeelUbetter."
AUlow-sodium,Ulow-
proteinUdietUisUprescribedUforUaU45y/oUclientUwithUrenalUinsufficiencyU&UHTN,UwhoUgainedU3lbsUinU
theUlastUmonth.UTheUnurseUdeterminesUthatUtheUclientUhasUbeenUnoncompliantUwithUtheUdiet,Ubas
edUonUwhichUreportUfromUtheU24hrUdietUrecall?U-
UCORRECTUANSWER1.USnackUofUpotatoUchipsU&UdietUsoda
2.ULunchUofUtuna,Ucarrots,UfruitU&Ucoffee
3.UBreakfastUofUeggs,Ubacon,UtoastU&Ucoffee
4.UBedtimeUsnackUofUcrackersU&Umilk
WhatUinterventionUshouldUtheUnurseUincludeUinUtheUcareUplanUforUaUclientUwhoUisUbeingUtreatedUw
ithUanUUnna'sUpasteUbootUforUlegUulcersUdueUtoUchronicUvenousUinsufficiency?U-
UCORRECTUANSWERCheckUcapillaryUrefillUofUtoesUonUlowerUextremityUwithUUnna'sUpasteUbootU
Rationale:UBootUbecomesUrigidUafterUitUdries,UsoUitUisUimportantUtoUcheckUdistallyUforUadequateUcir
culation.UNoUbandageUshouldUbeUputUunderUit.UShouldUbeUappliedUfromUfootU&UwrappedUtowardsU
knee.UActsUasUaUsterileUdressingU&UshouldUnotUbeUremovedUq8h.UWeeklyUremovalUisUreasonable.
MaleUclientUwithUnursingUdiagnosisUofU"spiritualUdistress".UWhatUinterventionUisUbestUforUtheUnurs
eUtoUimplementUwhenUcaringUforUthisUclient?U-