HESI RN NEW FUNDAMENTALS EXAM

HESI RN NEW FUNDAMENTALS EXAM1. The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)? Pregnancy 2. A client on hospice care is receiving palliative treatment. A palliative approach involves planning measures to: 1. Restore the client's health 2. Remove and dispose of the patch in an appropriate receptacle. 3.Have the family return the patch to the pharmacy for disposal. 4.Leave the patch in place for the mortician to remove. 3.A client is diagnosed with AIDS. When examining the client's oral cavity, the nurse assesses white patchy plaques on the mucosa. The nurse recognizes that this finding most likely represents what opportunistic infection? 1.Cytomegalovirus 2.Histoplasmosis 3.Candida albicans 4.Human papillomavirus 4. A nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. The nurse observes that the client requested a do not publish (DNP) order on any information regarding condition or presence in the hospital. What is the best response bythe nurse? 1 "We have no record of that client on our unit. Thank you for calling." 2 "The new privacy laws prevent me from providing any client information over the phone." 3"The client has requested that no information be given out. You'll need to call the client directly." 4"It is against the hospital's policy to provide you with any information regarding any of our clients." 5.When being interviewed for a position as a registered professional nurse, the applicant is asked to identify an example of an intentional tort. What is the appropriate response? 1. Negligence 2 Malpractice 3 .Breach of duty 4. False imprisonment 6.The nurse plans care for a client with a somatoform disorder based on the understanding that the disorder is: 1. A physiological response to stress 2 A conscious defense against anxiety 3. An intentional attempt to gain attention A+ 4. An unconscious means of reducing stress 7.A nurse is caring for a client diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) in the urine. The health care provider orders an indwelling urinary catheter to be inserted. Which precaution should the nurse take during this procedure? 1.Droplet precautions 2.Reverse isolation 3.Surgical asepsis 4Medical asepsis 8.Alternative therapy measures have become increasingly accepted within the past decade, especially in the relief of pain. Which methods qualify as alternative therapies for pain? Select all that apply. 1.Prayer 2. Hypnosis 3. Medication 4. Aromatherapy 5Guided imagery 9. A nurse is teaching an adolescent about type 1 diabetes and self-care. Which questions from the client indicate a need for additional teaching in the cognitive domain? Select all that apply. 1. "What is diabetes?" 2. "What will my friends think?" 3 "How do I give myself an injection?" 4. "Can you tell me how the glucose monitor works?" 5."How do I get the insulin from the vial into the syringe? 10.Place each step of the nursing process in the order that it should be used. Correct 1.Obtain client's nursing history. Correct 2.State client's nursing needs. Correct 3.Identify goalsfor care. Correct 4.Develop a plan of care. Correct 5.Implement nursing interventions. 11.In what position should the nurse place a client recovering from general anesthesia? A+ 1. Supine 2. Side-lying 3. High Fowler 4. Trendelenburg 12.Which age-related change should the nurse consider when formulating a plan of care for an older adult? Select all that apply. 1. Difficulty in swallowing 2.Increased sensitivity to heat 3.Increased sensitivity to glare 4.Diminished sensation of pain 5.Heightened response to stimuli . 13.The spouse of a comatose client who has severe internal bleeding refuses to allow transfusions of whole blood because they are Jehovah's Witnesses. The client does not have a Durable Power of Attorney for Healthcare. What action should the nurse take? 1. Institute the prescribed blood transfusion because the client's survival depends on volume replacement. 2. Clarify the reason why the transfusion is necessary and explain the implications if there is no transfusion. 3 Phone the health care provider for an administrative prescription to give the transfusion under these circumstances. 4. Give the spouse a treatment refusal form to sign and notify the health care provider that a court order now can be sought 14. A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first? A) Irrigate the nasogastric tube with sterile normal saline. B) Reposition the client on her side. C) Advance the nasogastric tube an additional five centimeters. D) Administer an intravenous antiemetic prescribed for PRN use. 15.The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client? A) Place the chair at a right angle to the bed on the client's left side before moving. B) Assist the client to a standing position, then place the right hand on the armrest. A+ C) Have the client place the left foot next to the chair and pivot t