HESI Fundamentals V1 |Rated A Questions and Answers| Latest 2022/2023
HESI Fundamentals V1 |Questions and Answers 1. The nurse observes that there are reddened areas on the cheekbones of a client receiving oxygen per nasal cannula at 3L/minute, and the client’s oxygen saturation level is 92%. What intervention should the nurse implement? A. Decrease the flow rate to 1 L/minute. B. Discontinue the use of the nasal cannula. C. Apply lubricant to the cannula tubing. D. Place padding around the cannula tubing. 2. A female nursing home resident and her family only speak Spanish. During a visit, the entire family begins to cry hysterically. When unable to determine why the family is upset, what intervention is most important for the nurse to implement? A. Ask a Spanish speaking staff member to talk with the family. B. Use a Spanish translation reference to interview the family. C. Close the door to client’s room to provide family privacy. D. Sit quietly with the family to offer comfort and support. 3. The nurse is performing a routine dressing change for a client with a stage 3 pressure ulcer that is red with significant grandution. The wound has a gauze dressing covering the area. What action should the nurse implemented? A. Apply a hydro gel (Duaderm) dressing B. Increase the frequency of the dressing changes. C. Replace the gauze with transparent dressing. D. Leave the dressing off until consulting with the healthcare provider. 4. Which client care requires the nurse to wear barrier gloves as required by the protocol for Standard Precautions? A. Removing the empty food tray from a client with a urinary catheter. B. Washing and combing the hair of a client with a fractured leg in traction. C. Administering oral medications to a cooperative client with a wound infection. D. Emptying the urinary catheter drainage bag for a client with Alzheimer's disease. 5. What action should the nurse implement to prevent the formation of a sacral ulcer for a client who is immobile? A. Maintain in a lateral position using protective wrist and vest devices. B. Position prone with a small pillow below the diaphragm. C. Raise the head and knee gatch when lying in a supine position. D. Transfer into a wheelchair close to the nurse's station for observation. 6. What intervention should the nurse include in the plan of care for a client who is being treated with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? A. Check capillary refill of toes on lower extremity with Unna's paste boot. B. Apply dressing to wound area before applying the Unna's paste boot. C. Wrap the leg from the knee down towards the foot. D. Remove the Unna's paste boot q8h to assess wound healing. 7. The nurse is administering an intermittent infusion of an antibiotic to a client whose intravenous (IV) access is an antecubital saline lock. After the nurse opens the roller clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction. What action should the nurse take first? A. Check for a blood return.
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- December 14, 2022
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- 2022/2023
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