HESI Fundamentals Latest Exam Answers 2023

1. a nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I am at an average risk for colon cancer, I should have a routine screening. what does that involve?" which of the following responses should the nurse make? A. "I'll get a blood sample from you and send it for a screening test." B. "beginning at age 60, you should have a colonoscopy." C. "you should have a decal occult blood test every year." D. "the recommendation isto have a sigmoidoscopy every 10 years." "You should have a fecal occult blood test every year." Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a fecal occult blood test annually. 2. a nurse is caring for a client who is having difficulty breathing. the client is laying in bed with a nasal cannula delivering oxygen. which of the following intervention should the nurse take first? A. suction the client's airway B. administer a bronchodilator C. increase the humidity in the client's room D. assist the client to an upright position assist the client to an upright position When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on the diaphragm from abdominal organs. 3. a nurse is preparing to administer 0.5 mL of oralsingle-dose liquid medication to a client. which of the following actions should the nurse take? A. gently shake the container of medication prior to administration B. transfer the medication to a medicine cup C. place the client in a semi-fowlers position to medication administration D. verify the dosage by measuring the liquid before administering it Gently shake the container of medication prior to administration. The nurse should gently shake the liquid medication to ensure the medication is mixed. 4. a nurse is planning care to improve self-feeding for a client who has vision loss. which of the following interventions should the nurse include in the plan of care? A. tell the client which food she should eat first B. provide small-handle utensilsfor the client C. thicken liquids on the client's tray D. use a clock pattern to describe food on the client's plate Use a clock pattern to describe food on the client's plate. Use a clock pattern to describe food on the client's plate.MY ANSWERDescribing the location of the food on the plate by using a clock pattern allows the client to have greater independence during meals. 5. a nurse isteaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. which of the following types of activity should the nurse recommend? A. walking briskly B. riding a bicycle C. performing isometric exercises D. engaging in high-impact aerobics walking briskly Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent osteoporosis. Walking engages older adult clientsin this preventive and therapeutic strategy. 6. a nurse is assessing a client's readiness to learn about insulin administration. which of the following statements should the nurse identify as an indication that the client is ready to learn? A. "I can concentrate best in the morning." B. "it is difficult to read the instructions because my glasses are at home." C. "I'm wondering why I need to learn this." D. "you will have to talk to my wife about this." "I can concentrate best in the morning." The client's statement indicates a readiness to learn because he is verbalizing the best time for him to learn. 7. a nurse is giving discharge instructions to a client who will require oxygen therapy at home. which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home? A. "I'll make sure that, when my friend comes by,she smokes at least 6 feet away from my oxygen tank." B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen." C. "I'll check the wires and cables on my TV to make sure they are in good working order." ament D. "I'll lay my oxygen tank down on the floor when the grandchildren visit so they don't knock it over." "I'll check the wires and cables on my TV to make sure they are in good working order." Oxygen is a highly flammable gas. The client should make sure any electrical equipment in the room where she is using supplemental oxygen is functioning properly so it does not create any electrical sparks. 8. a nurse is caring for a client who isreporting difficulty falling asleep. which of the following measures should the nurse recommend? A. drink a cup of hot cocoa before bedtime B. exercise 1 hr before going to bed C. use progressive relaxation techniques at bedtime D. reflect on the day's activities before going to bed Use progressive relaxation techniques at bedtime. Progressive relaxation promotes sleep by decreasing stress and reducing muscle tension. 1. A policy requiring the removal of acrylic nails by all nursing personnel wasimplemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved. a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. 2. The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag reflex. Which action should the nurse include? A. Offersmalls sips of water through a straw B. Place tongue blade on back half of tongue C. Use a penlight to observe back of oral cavity D. Auscultate breath sounds after client swallows 3. The nurse explainsto an older adult male the procedure for collecting a 24-hour urine specimen for creatinine clearance. A. Assessthe client for confusion and reteach the procedure B. Check the urine for color and texture C. Empty the urinal contents into the 24-hour collection container D. Discard the contents of the urinal 4. A 54-year-old male client and his wife were informed this morning that he hasterminal cancer. Which nursing intervention islikely to be most A. Ask her how she would like to participate in the client’s care B. Provide the wife with information about hospice C. Encourage the wife to visit after painful treatments are completed D. Refer her to support group for family members of those dying of cancer 5. A client who has a body massindex (BMI) of 30 isrequesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? A. Plan low carbohydrate and high protein meals B. Engage in strenuous activity for an hour daily C. Keep a record of food and drinks consumed daily D. Participated in a group exercise class 3 times a week 6. The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assessforskin damage related to the cannula, which areas should the nurse observe? A. Tops ofthe ear B. Bridge of the nose C. Around the nostrils D. Overthe cheeks E. Acrossthe forehead 7. The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the client’s foot in a basin of warm water placed on the bed. What action should the nurse take? a. Remove the basin of water from the client’s bed immediately b. Remind theUAP to dry between the client’stoes completely c. Advise theUAP that this procedure is damaging to the skin d. Add skin cream to the basin of water while the foot is soaking 8. The nurse in the emergency department observes a colleague viewing the electronic health record (EHR) of a client who holds an elected position in the community. The client is not a part of the colleague’s assignment. Which action should the nurse implement? a. Communicate the colleague’s actions to the unit charge nurse ament b. Send an emailto facility administration reporting the action c. Write an anonymous complaint to a professional website d. Post a comment aboutthe action on a staff discussion board 9. At 0100 on a male client’ssecond postoperative night, the clientstates he is unstable to sleep and plansto read until feeling sleepy. What action should the nurse implement? a. Leave the room and close the door to