HESI RN FUNDAMENTALS EXIT EXAM 2024 /
FUNDAMENTALS RN HESI EXIT 2024 ACTUAL
EXAM ALL QUESTIONS AND CORRECT DETAILED
ANSWERS
Terms in this set (125)
A 20-year-old female client D
with a noticeable body Rationale: Because a shower is most beneficial for the
odor has refused to shower client in terms of hygiene, the client should receive
for the last 3 days. She teaching first, respecting any personal beliefs such as
states, "I have been told cultural or spiritual values. After client teaching, the
that it is harmful to bathe client may still choose option A or B. Brochures reinforce
during my period." Which the teaching.
action should the nurse take
first?
A.
Accept and document the
client's wish to refrain from
bathing.
B.
Offer to give the client a
bed bath, avoiding the
perineal area.
C.
Obtain written brochures
about menstruation to give
to the client.
D.
Teach the importance of
personal hygiene during
menstruation with the client.
,A 65-year-old client who B
attends an adult daycare Rationale: The most important teaching is to change
program and is wheelchair positions frequently because pressure is the most
mobile has redness in the significant factor related to the development of pressure
sacral area. Which ulcers. Increased vitamin and fluid intake may also be
instruction is most beneficial and promote healing and reduce further risk.
important for the nurse to Option D is an intervention of last resort because this
provide? will be very expensive for the client.
A.
"Take a vitamin supplement
tablet once a day."
B.
"Change positions in the
chair frequently"
C.
"Increase daily intake of
water or other oral fluids."
D.
"Purchase a newer model
wheelchair."
,A 75-year-old client states A, B, D, E
to the nurse, "I am just not Rationale: The nurse must recommend high calorie/high
hungry anymore." The client nutrition foods for this client who is unintentionally losing
has lost 10 pounds/4.53 kg weight. The candy bar is high calorie, but empty in
in the past 4 months. Which nutritional value. The remaining selections are high
snacks will the nurse calorie/high nutrition.
recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk
, A 76-year-old client has A, B, E
returned from surgery. The Rationale:As long as the client is not on a fluid
nurse plans on decreasing restriction, offer no less than 2000 mL of fluid to keep
the chance of respiratory the body well hydrated and keep respiratory secretions
compromise for this client. loose. Ambulation is key for this client. Sitting at the side
What will the nurse include of the bed is not a replacement for ambulating. Having
in this client's plan of care? the client sit up helps expand the lungs. Taking deep
(Select all that apply.) breaths, through coughing or incentive spirometry, helps
A. expand the lungs and decrease atelectasis.
Raise the head of the bed
to no less than a 45
degrees angle.
B.
Have the client use an
incentive spirometer 10
times every hour while
awake.
C.
Limit total fluid intake to no
more than 1000 mL/day.
D.
Have the client sit on the
side of the bed instead of
getting up and walking.
E.
Ask the client to take deep
breaths and cough five
times every hour while
awake.
FUNDAMENTALS RN HESI EXIT 2024 ACTUAL
EXAM ALL QUESTIONS AND CORRECT DETAILED
ANSWERS
Terms in this set (125)
A 20-year-old female client D
with a noticeable body Rationale: Because a shower is most beneficial for the
odor has refused to shower client in terms of hygiene, the client should receive
for the last 3 days. She teaching first, respecting any personal beliefs such as
states, "I have been told cultural or spiritual values. After client teaching, the
that it is harmful to bathe client may still choose option A or B. Brochures reinforce
during my period." Which the teaching.
action should the nurse take
first?
A.
Accept and document the
client's wish to refrain from
bathing.
B.
Offer to give the client a
bed bath, avoiding the
perineal area.
C.
Obtain written brochures
about menstruation to give
to the client.
D.
Teach the importance of
personal hygiene during
menstruation with the client.
,A 65-year-old client who B
attends an adult daycare Rationale: The most important teaching is to change
program and is wheelchair positions frequently because pressure is the most
mobile has redness in the significant factor related to the development of pressure
sacral area. Which ulcers. Increased vitamin and fluid intake may also be
instruction is most beneficial and promote healing and reduce further risk.
important for the nurse to Option D is an intervention of last resort because this
provide? will be very expensive for the client.
A.
"Take a vitamin supplement
tablet once a day."
B.
"Change positions in the
chair frequently"
C.
"Increase daily intake of
water or other oral fluids."
D.
"Purchase a newer model
wheelchair."
,A 75-year-old client states A, B, D, E
to the nurse, "I am just not Rationale: The nurse must recommend high calorie/high
hungry anymore." The client nutrition foods for this client who is unintentionally losing
has lost 10 pounds/4.53 kg weight. The candy bar is high calorie, but empty in
in the past 4 months. Which nutritional value. The remaining selections are high
snacks will the nurse calorie/high nutrition.
recommend to the client?
(Select all that apply.)
A.
Nuts
B.
Milkshakes
C.
Chocolate candy bar
D.
Peanut butter and crackers
E.
Glass of whole fat milk
, A 76-year-old client has A, B, E
returned from surgery. The Rationale:As long as the client is not on a fluid
nurse plans on decreasing restriction, offer no less than 2000 mL of fluid to keep
the chance of respiratory the body well hydrated and keep respiratory secretions
compromise for this client. loose. Ambulation is key for this client. Sitting at the side
What will the nurse include of the bed is not a replacement for ambulating. Having
in this client's plan of care? the client sit up helps expand the lungs. Taking deep
(Select all that apply.) breaths, through coughing or incentive spirometry, helps
A. expand the lungs and decrease atelectasis.
Raise the head of the bed
to no less than a 45
degrees angle.
B.
Have the client use an
incentive spirometer 10
times every hour while
awake.
C.
Limit total fluid intake to no
more than 1000 mL/day.
D.
Have the client sit on the
side of the bed instead of
getting up and walking.
E.
Ask the client to take deep
breaths and cough five
times every hour while
awake.
