lOMoAR cPSD| 44700223
HESI PN Fundamentals Exam Test Bank
2024-2025
Verified Exam Sets
Actual Exam Questions
STUDY GUIDE INCLUDED
(100% Verified)
, lOMoAR cPSD| 44700223
HESI PN Fundamentals
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted
gently across a surface (D). Reddened areas should not be massaged (A)
since this may increase the damage to already traumatized skin. To
control pain and muscle spasms, active range of motion (B) may be
limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
, lOMoAR cPSD| 44700223
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.
B. Flush the tube with 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.
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.
A. Give an around-the-clock schedule for administration of analgesics.
, lOMoAR cPSD| 44700223
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).
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.
A. Loosen the right wrist restraint.
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).
HESI PN Fundamentals Exam Test Bank
2024-2025
Verified Exam Sets
Actual Exam Questions
STUDY GUIDE INCLUDED
(100% Verified)
, lOMoAR cPSD| 44700223
HESI PN Fundamentals
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted
gently across a surface (D). Reddened areas should not be massaged (A)
since this may increase the damage to already traumatized skin. To
control pain and muscle spasms, active range of motion (B) may be
limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
, lOMoAR cPSD| 44700223
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.
B. Flush the tube with 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.
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.
A. Give an around-the-clock schedule for administration of analgesics.
, lOMoAR cPSD| 44700223
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).
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.
A. Loosen the right wrist restraint.
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).
