HESI Fundamentals V2 |Rated A Questions and Answers| Latest 2022/2023
HESI Fundamentals V2 |Questions and Answers 1. What assessment finding places a client at risk for problems associated with impaired skin integrity? A. Scattered macula of the face B. Capillary refill 5 seconds C. Smooth nail texture D. Absence of skin tenting 2. When evaluating the effectiveness of a client’s nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next? A. Determine if the expected outcomes were realistic B. Obtain current client data to compare with expected outcomes C. Modify the nursing interventions to achieve the client’s goals D. Review related professional standards of care 3. The nurse attaches a pulse oximeter to a client’s fingers and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading? A. BP 142/88 mmHg B. 2+ edema of fingers and hands C. Radial pulse volume is +3 D. Capillary refill time is 2 seconds 4. The nurse is caring for a hospitalized client who was placed in restraints due to confusion. The family removes the restraints while they are with the client. When the family leaves, what action should the nurse take first? A. Apply the restraints to maintain the client’s safety. B. Reassess the client to determine the need for continuing restraints. C. Document the time the family left and continue to monitor the client. D. Call the healthcare provider for a new prescription. 5. The nurse is discharging an adult woman who was hospitalized for 6 days for treatment of pneumonia. While the nurse is reviewing the prescribed medications, the client appears anxious. What action is most important for the nurse to implement? A. Instruct the client to repeat the medication plan B. Encourage client to take a PRN antianxiety drug C. Provide written instructions that are easy to follow D. Include a family member in the teaching session 6. What instruction should the nurse provide for an UAP caring for a client with MRSA who has a prescription for contact precautions? A. Do not allow visitors until precautions are discontinued B. Wear sterile gloves when handling the client’s body fluid C. Have the client wear a mask whenever someone enters the room D. Don a gown and gloves when entering the return 7. While suctioning a client’s nasopharynx the nurse observes that the client’s oxygen saturation remains at 94% which is the same reading obtained prior to starting the procedure. What action should the nurse take in response to this finding? A. Complete the intermittent suction of the nasopharynx. B. Reposition the pulse oximeter clip to obtain a new reading. C. Stop suctioning until the pulse oximeter reading is above 95%. D. Apply an oxygen mask over the client’s nose and mouth
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