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Exam (elaborations)

HESI Fundamentals| Questions and Verified Answers (2023/2024) Grade A

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HESI Fundamentals| Questions and Verified Answers (2023/2024) Grade A Q: Acetaminophen is prescribed for an unconscious client with a temperature of 104 F. Which route should the practical nurse (PN) plan to administer this medication? Answer: Rectal. Q: Which intervention should the practical nurse (PN) implement to help a client cope effectively with chronic pain? Answer: Encourage using relaxation techniques. Q: A young woman, who is the primary caregiver for her mother who has Alzheimer's disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this long and my Dad for dying and not caring for her." What response should the PN offer? Answer: What you do to cope with these feelings? Q: During insertion of a nasogastric tube (NGT) into the right nares, the client starts to cough. Which action should the practical nurse (PN) implement? Answer: Withdraw the NGT to the oral pharynx, repostion client's head and reinsert. Q: The client is receiving a continuous tube feeding. While checking the gastric residual volume, the practical nurse (PN) aspirates 150 mL of gastric contents. What action should the PN take? Answer: Return all the aspirated contents to the stomach followed with water and consult the agency policy. Q: The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the highest in protein quality. Which selection should the PN recommend to the client? Answer: Soybeans Q: The practical nurse (PN) is caring for a client who is admitted with influenza and vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes are dry. Which finding is most important for the practical nurse (PN) to report to the charge nurse? Answer: Hypotension and tachycardia Q: The practical nurse (PN) contacts the healthcare provider about an older client who is agitated and aggressive with the staff. Which reason should the PN use to request a prescription for wrist restraints? Answer: To ensure the client's safety when the benefits outweigh the risk. Q: Which action should the practical nurse (PN) implement when supporting an older client who is afraid of dying? Answer: Use open-ended questions to encourage the client to share feelings. Q: A family member of a dying client asks the practical nurse (PN) if the client knows the family is at the bedside. The PN explains that which of the five senses persists the longest during the dying process? Answer: Hearing Q: Which action should the practical nurse (PN) implement to help a male client cope with his fear as he approaches death? Answer: Hold the client's hand and tell him he is not alone. Q: An older client is receiving nasogastric tube (NGT) feedings for several days Answer: Abdominal distention and nausea. Q: The practical nurse (PN) is caring for an older client who is NPO after surgery. The client complains that his mouth and mucous membranes are dry. Which intervention should the PN implement to increase the client's comfort? Answer: Preform oral hygiene frequently. Q: The practical nurse (PN) is giving oral care to an older female client with tender gums that bleed easily because of a medication she is taking. What intervention should the PN implement?

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