HESI Fundamentals of Nursing Study Guide & Practice Questions & Labvalue.pdf

HESI FUNDAMENTALS EXAM 2020
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(Detail Solutions and Resource for the test)
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1. A policy requiring the removal of acrylic nails by all nursin
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g personnel was implemented 6 months ago. Which assessment m
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easure best determines if the intended outcome of the policy is bei
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ng achieved.
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a. Number of staff induced injury m m m m


b. Client satisfaction survey m m


c. Health care-associated infection rate. m m m


d. Rate of needle-stick injuries by nurse. m m m m m


2. The nurse is preparing to assist a newly admitted client wit
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h personal hygiene measures. The client...the client’s gag reflex.
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Which action should the nurse include?
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A. Offer small m


s sips of water thr m m m m


ough a straw B. Pl m m m m


ace tongue blade o m m m


n back half of tong m m m m


ue
C.
Use a penlight to observe back m m m m m


mof oral cavity D.
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Auscultate breath sounds after m m m m


client swallows 3. The father of an 11-year-
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old boy…. inform the father that it is most importa
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nt to let the son that nocturnal emissions are norm
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al
4. The nurse explains to an older adult male the procedure for
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collecting a 24- m m


hour urine specimen for creatinine clearance.
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A. Assess the client for confusion and reteach th m m m m m m m


e procedure m


B. Check the urine for color and texture m m m m m m


C. Empty the urinal contents into the 24- m m m m m m


hour collection container m m


D. Discard the contents of the urinal m m m m m


5. A 54-year-
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old male client and his wife were informed this morning that he
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has terminal cancer. Which nursing intervention is likely to be
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most
A. Ask her how she would like to participate in th m m m m m m m m m


e client’s care m m

,B. Provide the wife with information about hospice
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, C.
Encourage the wife to visit after painfu m m m m m m


l treatments are completed m m m


D. Refer her to support group for family member m m m m m m m


s of those dying of cancer m m m m m


6. A client who has a body mass index (BMI) of 30 is requesting
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information on the initial approach to a weight loss plan. Whic
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h action should the nurse recommend?
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A. Plan low carbohydrate and high protein meal m m m m m m


s Engage in strenuous activity for an hour dai
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ly
B. Keep a record of food and drinks consume m m m m m m m


d daily m


C. Participated in a group exercise class 3 times m m m m m m m m


a week m


7. The nurse assesses a client who has a nasal cannula deliverin
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g oxygen at 2 L/min. To assess for skin damage related to th
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e cannula, which areas should the nurse observe?
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A. Tops of the ear m m m


B. Bridge of the nose m m m


C. Around the nostrils m m


D. Over the cheeks m m


E. Across the forehead m m


8. The nurse observes an unlicensed assistive personnel (UAP) wh
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o is providing a total bed bath for a confused and lethargic clien
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t. The UAP is soaking the client’s foot in a basin of warm water
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m placed on the bed. What action should the nurse take?
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a. Remove the basin of water from the client’s be m m m m m m m m


d immediately m


b. Remind the UAP to dry between the client’s toe m m m m m m m m


s completely m


c. Advise the UAP that this procedure is damagin m m m m m m m


g to the skin m m m


d. Add skin cream to the basin of water while th m m m m m m m m m


e foot is soaking m m m


9. The nurse in the emergency department observes a colleague vi
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ewing the electronic health record (EHR) of a client who holds
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an elected position in the community. The client is not a part of
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m the colleague’s assignment. Which action should the nurse imp
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lement?
a. Communicate the colleague’s actions to the uni m m m m m m


t charge nurse m m

, b.
Send an email to facility administration m m m m m


reporting the action m m m


c. Write an anonymous complaint to a professiona m m m m m m


l website m


d. Post a comment about the action on a staf m m m m m m m m


f discussion board m m


10. At 0100 on a male client’s second postoperative night, the
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client states he is unstable to sleep and plans to read until feelin
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g sleepy. What action should the nurse implement?
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a. Leave the room and close the door to the client’ m m m m m m m m m


s room m


b. Assess the appearance of the client’s surgica m m m m m m


l dressing m


c. Bring the client a prescribed PRN sedative m m m m m m


- hypnotic m


d. Discuss symptoms of sleep deprivation with th m m m m m m


e client m


11. The nursing staff in the cardiovascular intensive care unit ar
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e creating a continuous quality improvement project on social m
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edia that addresses coronary artery disease (CAD). Which action
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should the nurse implement to protect client privacy?
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a. b. Remove identifying information m m


c. Share material from
m of the clients who participated credible, peer
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reviewed sources only Recall that authored content
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d. may be legally discoverable Respect all
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copyright laws when adding website content m m m m m


12. A male client with unstable angina needs a cardiac cathete
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rization, so the healthcare provider explains the risks and benef
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its of the procedure, and then leaves to set up for the procedure
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. When the nurse presents the consent form for signature, the cl
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ient hesitates and asks how the wires will keep his heart going.
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Which action should the nurse take?
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a.
Answer the client’s specific questions m m m m


b. c. Postpone
with a short
the understandable
procedure until the
explanation
client
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understands the risks and benefits m m m m


Call the client’s next of kin and ask t m m m m m m m m


hem to provide verbal consent m m m m