HESI FUNDAMENTAL
2024 LATEST QUESTIONS
WITH VERIFIED
ANSWERS An elderly client wia fractured left hip is on strict bedrest. Which nursing measure is essential
to the client's nursi g care
A.Massage any r dd ned reas for at leaste minutes.
B.Encourage act ve r nge of motion xercises on extmities.
C.Position the client laterally, prone, and dorsally in seqce.
D.Gently lift the client when movi g into a desired position - To void shearing forces when repositioning, the clien shobe lifte gently across a surf ceRedded areas should not be massaged (A) since th s mincrease the damage to al eady trau atized skin. To control pain and muscle spasms, acti e r nge of mo on (B) m y be liehe affected leg. The position described in (C) is contrain icated forent with a fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric tube (NGT) which is connected
to suction. After ensuring correct tube placement, what action should the nurse take next?
A.Clamp the tube for 20 minutes.
B.Flush the tube with water. C.Administer the medications as prescribed.
D.Crush the tablets and dissolve in sterile water. - The NGT should be flushed before, after and
in between each medication administered (B). Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has
been flushed.
Correct Answer: B
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A.Give an around-the-clock schedule for administration of analgesics.
B.Administer analgesic medication as needed when the pain is severe.
C.Provide medication to keep the client sedated and unaware of stimuli.
D.Offer a medication-free period so that the client can do daily activities. - The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain persists until it is severe, so an analgesic medication should be administered before the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability to interact and experience the time before life ends should be minimized (C). Offering a medication-free period allows the serum drug level to fall, which is not
an effective method to manage chronic pain (D). Correct Answer: A
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand
are blue. What action should the nurse implement first?
A.Loosen the right wrist restraint.
B.Apply a pulse oximeter to the right hand.
C.Compare hand color bilaterally.
D.Palpate the right radial pulse. - The priority nursing action is to restore circulation by loosening
the restraint (A), because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to mechanical compression (the restraints).
Correct Answer: A
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein?
A.A college-age track runner with a sprained ankle.
B.A lactating woman nursing her 3-day-old infant.
C.A school-aged child with Type 2 diabetes.
2024 LATEST QUESTIONS
WITH VERIFIED
ANSWERS An elderly client wia fractured left hip is on strict bedrest. Which nursing measure is essential
to the client's nursi g care
A.Massage any r dd ned reas for at leaste minutes.
B.Encourage act ve r nge of motion xercises on extmities.
C.Position the client laterally, prone, and dorsally in seqce.
D.Gently lift the client when movi g into a desired position - To void shearing forces when repositioning, the clien shobe lifte gently across a surf ceRedded areas should not be massaged (A) since th s mincrease the damage to al eady trau atized skin. To control pain and muscle spasms, acti e r nge of mo on (B) m y be liehe affected leg. The position described in (C) is contrain icated forent with a fractured left hip.
Correct Answer: D
The nurse is administering medications through a nasogastric tube (NGT) which is connected
to suction. After ensuring correct tube placement, what action should the nurse take next?
A.Clamp the tube for 20 minutes.
B.Flush the tube with water. C.Administer the medications as prescribed.
D.Crush the tablets and dissolve in sterile water. - The NGT should be flushed before, after and
in between each medication administered (B). Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has
been flushed.
Correct Answer: B
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A.Give an around-the-clock schedule for administration of analgesics.
B.Administer analgesic medication as needed when the pain is severe.
C.Provide medication to keep the client sedated and unaware of stimuli.
D.Offer a medication-free period so that the client can do daily activities. - The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain persists until it is severe, so an analgesic medication should be administered before the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability to interact and experience the time before life ends should be minimized (C). Offering a medication-free period allows the serum drug level to fall, which is not
an effective method to manage chronic pain (D). Correct Answer: A
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand
are blue. What action should the nurse implement first?
A.Loosen the right wrist restraint.
B.Apply a pulse oximeter to the right hand.
C.Compare hand color bilaterally.
D.Palpate the right radial pulse. - The priority nursing action is to restore circulation by loosening
the restraint (A), because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not indicated in situations where the cyanosis is related to mechanical compression (the restraints).
Correct Answer: A
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein?
A.A college-age track runner with a sprained ankle.
B.A lactating woman nursing her 3-day-old infant.
C.A school-aged child with Type 2 diabetes.
