HESI Fundamentals Assignment Latest
Quiz
A 35-year-old female client with cancer refuses to allow the nurse to insert an IV for a scheduled
chemotherapy treatment, and states that she is ready to go home to die. What intervention should
the nurse initiate?
Review the client's medical record for an advance directive.
Determine if a do-not-resuscitate prescription has been obtained.
Document that the client is being discharged against medical advice.
Evaluate the client's mental status for competence to refuse treatment. - ANSWER D.
Evaluate the client's mental status for competence to refuse treatment.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the nurse, "Will it
hurt to have my tonsils and adenoids taken out?" Which response is best for the nurse to provide?
A. "It may hurt a little because of the incision made in your throat."
B. "It won't hurt because you're such a big boy."
C. "It won't hurt because we put you to sleep."
D. "It may hurt but we'll give you medicine to help you feel better." - ANSWER D. "It may
hurt but we'll give you medicine to help you feel better."
A 73-year-old Hispanic client is seen at the community health clinic with a history of protein
malnutrition. What information should the nurse obtain first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client. - ANSWER B. Foods and liquids
consumed during the past 24 hours.
A 75-year-old client who has a history of end stage renal failure and advanced lung cancer, recently
had a stroke. Two days ago the healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
A. Review the client's most recent laboratory reports.
B. Refer the client and family members for hospice care.
C. Notify the hospital ethics committee of the client situation.
D. Determine who is legally empowered to make decisions. - ANSWER D. Determine who is
legally empowered to make decisions.
A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this client?
,HESI Fundamentals Assignment Latest
Quiz
A. Help the client to accept the final stage of life.
B. Assist and support the client in establishing short-term goals.
C. Encourage the client to make future plans, even if they are unrealistic.
D. Instruct the client's family to focus on positive aspects of the client's life. - ANSWER B.
Assist and support the client in establishing short-term goals.
A client in hospice care develops audible gurgling sounds on inspiration. Which nursing action has
the highest priority?
A. Ensure cultural customs are observed.
B. Increase oxygen flow to 4L/minute.
C. Auscultate bilateral lung fields.
D. Inform the family that death is imminent. - ANSWER D. Inform the family that death is
imminent.
A client is admitted to the hospital with intractable pain. What instruction should the nurse provide
the unlicensed assistive personnel (UAP) who is preparing to assist this client with a bed bath?
A. Take measures to promote as much comfort as possible.
B. Report any signs of drug addiction to the nurse immediately.
C. Wait until the client's pain is gone before assisting with personal care.
D. This client's pain will be difficult to manage, since the cause is unknown. - ANSWER A.
Take measures to promote as much comfort as possible.
A client is admitted with a stage four pressure ulcer that has a black, hardened surface and a light-
pink wound bed with a malodorous green drainage. Which dressing is best for the nurse to use first?
A. Hydrogel.
B. Exudate absorber.
C. Wet to moist dressing.
D. Transparent adhesive film. - ANSWER C. Wet to moist dressing.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
A. Observe the client's pupil size and response to light.
B. Ask the client about numbness or tingling in the hands.
C. Assess the client's serum potassium level.
D. Restrict dietary intake of calcium-rich foods. - ANSWER B. Ask the client about numbness
or tingling in the hands.
, HESI Fundamentals Assignment Latest
Quiz
A client provides the nurse with information about the reason for seeking care. The nurse realizes
that some information about past hospitalizations is missing. How should the nurse obtain this
information?
A. Solicit information on hospitalization from the insurance company.
B. Look up previous medical records from archived hospital documents.
C. Ask the client to discuss previous hospitalizations in the last 5 years.
D. Elicit specific facts about past hospitalizations with direct questions. - ANSWER D. Elicit
specific facts about past hospitalizations with direct questions.
A client who has been on bedrest for several days now has a prescription to progress activity as
tolerated. When the nurse assists the client out of bed for the first time, the client becomes dizzy.
What action should the nurse implement?
A. Encourage the client to take several slow, deep breaths while ambulating.
B. Help the client to remain standing by the bedside until the dizziness is relieved.
C. Instruct the client to remain on bedrest until the healthcare provider is contacted.
D. Advise the client to sit on the side of the bed for a few minutes before standing again. -
ANSWER D. Advise the client to sit on the side of the bed for a few minutes before standing
again.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes
gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health
Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?
A. Continue gabapentin.
B. Discontinue ibuprofen.
C. Add aspirin to the protocol.
D. Add oral methadone to the protocol. - ANSWER A. Continue gabapentin.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicates the client's protein status for the longest length of time?
A. Transferrin.
B. Prealbumin.
C. Serum albumin.
D. Urine urea nitrogen. - ANSWER C. Serum albumin.
A client with Raynaud's disease asks the nurse about using biofeedback for self-management of
symptoms. What response is best for the nurse to provide?
Quiz
A 35-year-old female client with cancer refuses to allow the nurse to insert an IV for a scheduled
chemotherapy treatment, and states that she is ready to go home to die. What intervention should
the nurse initiate?
Review the client's medical record for an advance directive.
Determine if a do-not-resuscitate prescription has been obtained.
Document that the client is being discharged against medical advice.
Evaluate the client's mental status for competence to refuse treatment. - ANSWER D.
Evaluate the client's mental status for competence to refuse treatment.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the nurse, "Will it
hurt to have my tonsils and adenoids taken out?" Which response is best for the nurse to provide?
A. "It may hurt a little because of the incision made in your throat."
B. "It won't hurt because you're such a big boy."
C. "It won't hurt because we put you to sleep."
D. "It may hurt but we'll give you medicine to help you feel better." - ANSWER D. "It may
hurt but we'll give you medicine to help you feel better."
A 73-year-old Hispanic client is seen at the community health clinic with a history of protein
malnutrition. What information should the nurse obtain first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client. - ANSWER B. Foods and liquids
consumed during the past 24 hours.
A 75-year-old client who has a history of end stage renal failure and advanced lung cancer, recently
had a stroke. Two days ago the healthcare provider discontinued the client's dialysis treatments,
stating that death is inevitable, but the client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
A. Review the client's most recent laboratory reports.
B. Refer the client and family members for hospice care.
C. Notify the hospital ethics committee of the client situation.
D. Determine who is legally empowered to make decisions. - ANSWER D. Determine who is
legally empowered to make decisions.
A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this client?
,HESI Fundamentals Assignment Latest
Quiz
A. Help the client to accept the final stage of life.
B. Assist and support the client in establishing short-term goals.
C. Encourage the client to make future plans, even if they are unrealistic.
D. Instruct the client's family to focus on positive aspects of the client's life. - ANSWER B.
Assist and support the client in establishing short-term goals.
A client in hospice care develops audible gurgling sounds on inspiration. Which nursing action has
the highest priority?
A. Ensure cultural customs are observed.
B. Increase oxygen flow to 4L/minute.
C. Auscultate bilateral lung fields.
D. Inform the family that death is imminent. - ANSWER D. Inform the family that death is
imminent.
A client is admitted to the hospital with intractable pain. What instruction should the nurse provide
the unlicensed assistive personnel (UAP) who is preparing to assist this client with a bed bath?
A. Take measures to promote as much comfort as possible.
B. Report any signs of drug addiction to the nurse immediately.
C. Wait until the client's pain is gone before assisting with personal care.
D. This client's pain will be difficult to manage, since the cause is unknown. - ANSWER A.
Take measures to promote as much comfort as possible.
A client is admitted with a stage four pressure ulcer that has a black, hardened surface and a light-
pink wound bed with a malodorous green drainage. Which dressing is best for the nurse to use first?
A. Hydrogel.
B. Exudate absorber.
C. Wet to moist dressing.
D. Transparent adhesive film. - ANSWER C. Wet to moist dressing.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
A. Observe the client's pupil size and response to light.
B. Ask the client about numbness or tingling in the hands.
C. Assess the client's serum potassium level.
D. Restrict dietary intake of calcium-rich foods. - ANSWER B. Ask the client about numbness
or tingling in the hands.
, HESI Fundamentals Assignment Latest
Quiz
A client provides the nurse with information about the reason for seeking care. The nurse realizes
that some information about past hospitalizations is missing. How should the nurse obtain this
information?
A. Solicit information on hospitalization from the insurance company.
B. Look up previous medical records from archived hospital documents.
C. Ask the client to discuss previous hospitalizations in the last 5 years.
D. Elicit specific facts about past hospitalizations with direct questions. - ANSWER D. Elicit
specific facts about past hospitalizations with direct questions.
A client who has been on bedrest for several days now has a prescription to progress activity as
tolerated. When the nurse assists the client out of bed for the first time, the client becomes dizzy.
What action should the nurse implement?
A. Encourage the client to take several slow, deep breaths while ambulating.
B. Help the client to remain standing by the bedside until the dizziness is relieved.
C. Instruct the client to remain on bedrest until the healthcare provider is contacted.
D. Advise the client to sit on the side of the bed for a few minutes before standing again. -
ANSWER D. Advise the client to sit on the side of the bed for a few minutes before standing
again.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes
gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health
Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?
A. Continue gabapentin.
B. Discontinue ibuprofen.
C. Add aspirin to the protocol.
D. Add oral methadone to the protocol. - ANSWER A. Continue gabapentin.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicates the client's protein status for the longest length of time?
A. Transferrin.
B. Prealbumin.
C. Serum albumin.
D. Urine urea nitrogen. - ANSWER C. Serum albumin.
A client with Raynaud's disease asks the nurse about using biofeedback for self-management of
symptoms. What response is best for the nurse to provide?
