HESI RN FUNDAMENTALS Exam Questions and Answers latest update 2022/2023

To assess the quality of an adult client’s pain, what approach should the nurse use? C • Observe body language and movement. • Provide a numeric pain scale. • Ask the client to describe the pain. • Identify effective pain relief measures. A client who has been diagnosed with terminal cancer tells the nurse, “The doctor told me I have cancer and do not have long to live.” Which response is best for the nurse to provide? • “That’s correct, you do not have long to live”D • “Would you like me to call your minister?” • “Don't give up, you still have chemotherapy to try.” • “Yes, your condition is serious.” When performing blood pressure measurement to assess for orthostatic hypotension, which action should the nurse implementfirst? C • Apply the blood pressure cuff securely. • Record the client’s pulse rate and rhythm. C) Positionthe client supine for a few minutes. D) Assist the client to stand at bedside. HESI RN FUNDAMENTALS Exam Questions and Answers latest update 2022/2023 Female unlicensed assistive personnel (UAP) are assigned to take the vital signs of a client with pertussis for whom droplet precautions have been implemented. The UAP request a change in assignment, stating she has notyet been fitted for a particulate filter mask. What action should the nurse take? D When evaluating the effectiveness of a client’s nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next? • Modify the nursing interventions to achieve the client’s goals. • Determine if the expected outcomes were realistic. • Review related professional standards of care. • Obtain current client data to compare with expected outcomes. A policy requiring the removal of acrylic nails by all nursing personnel wasimplemented six months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? A)Number of the staff-induced skin injuries. B) Client satisfaction survey. C) Rate of needlestick injuries by nurses. D) Healthcare-associated infection rates. A client with limited tolerance for activity needs to walk in the hallwaywith assistance. Which instructions should the nurse give to the HESI RN FUNDAMENTALS Exam Questions and Answers latest update 2022/2023 unlicensed assistive personnel (UAP) who assisting with client’s care?(Select all that apply.) • Instruct the client about signs of orthostatic hypertension • Determine if the client needs to have a gait belt applied • Measure the clients vital signs before the client walks. • Offer to assist the client to void prior to walking in the hall. • Report the onset of any dizziness or light headedness.