HESI Fundamentals Practice Exam #1
QUESTIONS AND ANSWERS
1. A 35y/o client with most cancers refuses to allow a nurse to insert an IV for scheduled
chemo & states that she's equipped to go home to die. What intervention ought to the
nurse provoke? - ANSWER-Evaluate the customer's intellectual status for
competence to refuse remedy
Rationale: Competent customers have the proper to refuse remedy. The nurse can
not report until the HCP is notified of the patient's wishes & a d/c RX is acquired.
Advance directives & DNR aren't vital for capable customer to refuse care.
2. A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy asks the nurse, "Will it
hurt to have my tonsils & adenoids taken out?" Which response is great for the nurse to
provide? - ANSWER-"It can also harm, however we'll provide you with medicine to
help you experience higher."
3. A 73y/o Hispanic customer is seen with a history of protein malnutrition. What facts must
the nurse achieve first? - ANSWER-Foods & drinks ate up at some stage in beyond
24 hrs
Rationale: Client's dietary habits ought to be decided first via dietary recollect
earlier than suggesting protein sources or supplements as alternatives in
consumer's weight loss program.
4. A 75y/o patron who has a records of stop level renal failure & advancing lung cancer,
recently had a stroke. 2 days ago, the HCP d/c the purchaser's dialysis remedies,
declaring that death is inevitable, however the customer is disoriented & will no longer
sign a DNR directive. What is the priority nursing intervention? - ANSWER-Determine
who is legally empowered to make decisions
5. A consumer arrives for scheduled needle aspiration. He tells the nurse he has already
given verbal consent to the HCP. What motion need to the nurse put into effect? -
ANSWER-Witness the customer's signature on the consent shape
6. A patron is admitted to the health center with intractable pain. What coaching should the
nurse offer the UAP who's supporting with a bed bath? - ANSWER-Take measures to
sell as a lot comfort as feasible
7. A purchaser is admitted with a stage 4 strain ulcer that has a black, hardened surface &
a light purple wound bed with malodorous inexperienced drainage. Which dressing is
satisfactory for the nurse to use first? - ANSWER-Wet to moist
8. A customer provides the nurse with records about the motive for searching for care.
Nurse realizes some data approximately past hospitalizations is missing. How have to
the nurse achieve this records? - ANSWER-Elicit precise fats approximately beyond
hospitalizations with direct questions
, 9. A consumer who has been on bedrest for numerous days now has a prescription to
development daily interest as tolerated. When nurse assists purchaser out of bed for the
first time, the consumer will become dizzy. What action have to the nurse put in force? -
ANSWER-Advise the consumer to sit down at the side of the mattress for a couple
of minutes earlier than standing again.
10.A client with chronic renal disorder is admitted to the health center for evaluation prior to
a surgical procedure. Which laboratory test suggests consumer's protein fame for the
longest period of time? - ANSWER-Serum albumin
Rationale: Serum albumin has a long half of-lifestyles.
11.A low-sodium, low-protein weight loss plan is prescribed for a 45y/o client with renal
insufficiency & HTN, who won 3lbs inside the ultimate month. The nurse determines that
the client has been noncompliant with the weight-reduction plan, based on which file
from the 24hr diet recollect? - ANSWER-1. Snack of potato chips & food plan soda
2. Lunch of tuna, carrots, fruit & coffee
three. Breakfast of eggs, bacon, toast & coffee
four. Bedtime snack of crackers & milk
12.A nurse is becoming an increasing number of annoyed by way of the family individuals'
efforts to participate in the care of a hospitalized patron. What action need to the nurse
implement to address those emotions of frustration? - ANSWER-Examine one's
personal culturally based values, beliefs, attitudes & practices.
Rationale: Cultural sensitivity begins with analyzing one's own cultural values.
13.A nurse is making ready to insert a rectal suppository & observes a small quantity of
rectal bleeding. What movement must the nurse put in force? - ANSWER-Withhold the
management of the suppository until contacting the HCP
14.A nurse observes a scholar nurse taking a duplicate of a purchaser's medication
management document. What response should the nurse offer first? -
ANSWER-Explain that the data are medical institution assets & won't be removed.
15.A signed consent shape indicated a patron have to have an electromyogram, by way of
a myelogram changed into accomplished instead. Thought the myelogram found out the
motive of the patron's back pain, the client filed a lawsuit towards the nurse & HCP for
appearing the wrong manner. The court is possibly to rule in favor of the plaintiff because
those occasions constitute which infraction? - ANSWER-Assault & battery with
planned reason to deviate from the consent shape
16.After a purchaser has been premedicated for surgery with an opioid analgesic, the nurse
discovers that the operative permit has now not been signed. What motion must the
nurse put into effect? - ANSWER-Notify the health practitioner that the consent
shape has not been signed
QUESTIONS AND ANSWERS
1. A 35y/o client with most cancers refuses to allow a nurse to insert an IV for scheduled
chemo & states that she's equipped to go home to die. What intervention ought to the
nurse provoke? - ANSWER-Evaluate the customer's intellectual status for
competence to refuse remedy
Rationale: Competent customers have the proper to refuse remedy. The nurse can
not report until the HCP is notified of the patient's wishes & a d/c RX is acquired.
Advance directives & DNR aren't vital for capable customer to refuse care.
2. A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy asks the nurse, "Will it
hurt to have my tonsils & adenoids taken out?" Which response is great for the nurse to
provide? - ANSWER-"It can also harm, however we'll provide you with medicine to
help you experience higher."
3. A 73y/o Hispanic customer is seen with a history of protein malnutrition. What facts must
the nurse achieve first? - ANSWER-Foods & drinks ate up at some stage in beyond
24 hrs
Rationale: Client's dietary habits ought to be decided first via dietary recollect
earlier than suggesting protein sources or supplements as alternatives in
consumer's weight loss program.
4. A 75y/o patron who has a records of stop level renal failure & advancing lung cancer,
recently had a stroke. 2 days ago, the HCP d/c the purchaser's dialysis remedies,
declaring that death is inevitable, however the customer is disoriented & will no longer
sign a DNR directive. What is the priority nursing intervention? - ANSWER-Determine
who is legally empowered to make decisions
5. A consumer arrives for scheduled needle aspiration. He tells the nurse he has already
given verbal consent to the HCP. What motion need to the nurse put into effect? -
ANSWER-Witness the customer's signature on the consent shape
6. A patron is admitted to the health center with intractable pain. What coaching should the
nurse offer the UAP who's supporting with a bed bath? - ANSWER-Take measures to
sell as a lot comfort as feasible
7. A purchaser is admitted with a stage 4 strain ulcer that has a black, hardened surface &
a light purple wound bed with malodorous inexperienced drainage. Which dressing is
satisfactory for the nurse to use first? - ANSWER-Wet to moist
8. A customer provides the nurse with records about the motive for searching for care.
Nurse realizes some data approximately past hospitalizations is missing. How have to
the nurse achieve this records? - ANSWER-Elicit precise fats approximately beyond
hospitalizations with direct questions
, 9. A consumer who has been on bedrest for numerous days now has a prescription to
development daily interest as tolerated. When nurse assists purchaser out of bed for the
first time, the consumer will become dizzy. What action have to the nurse put in force? -
ANSWER-Advise the consumer to sit down at the side of the mattress for a couple
of minutes earlier than standing again.
10.A client with chronic renal disorder is admitted to the health center for evaluation prior to
a surgical procedure. Which laboratory test suggests consumer's protein fame for the
longest period of time? - ANSWER-Serum albumin
Rationale: Serum albumin has a long half of-lifestyles.
11.A low-sodium, low-protein weight loss plan is prescribed for a 45y/o client with renal
insufficiency & HTN, who won 3lbs inside the ultimate month. The nurse determines that
the client has been noncompliant with the weight-reduction plan, based on which file
from the 24hr diet recollect? - ANSWER-1. Snack of potato chips & food plan soda
2. Lunch of tuna, carrots, fruit & coffee
three. Breakfast of eggs, bacon, toast & coffee
four. Bedtime snack of crackers & milk
12.A nurse is becoming an increasing number of annoyed by way of the family individuals'
efforts to participate in the care of a hospitalized patron. What action need to the nurse
implement to address those emotions of frustration? - ANSWER-Examine one's
personal culturally based values, beliefs, attitudes & practices.
Rationale: Cultural sensitivity begins with analyzing one's own cultural values.
13.A nurse is making ready to insert a rectal suppository & observes a small quantity of
rectal bleeding. What movement must the nurse put in force? - ANSWER-Withhold the
management of the suppository until contacting the HCP
14.A nurse observes a scholar nurse taking a duplicate of a purchaser's medication
management document. What response should the nurse offer first? -
ANSWER-Explain that the data are medical institution assets & won't be removed.
15.A signed consent shape indicated a patron have to have an electromyogram, by way of
a myelogram changed into accomplished instead. Thought the myelogram found out the
motive of the patron's back pain, the client filed a lawsuit towards the nurse & HCP for
appearing the wrong manner. The court is possibly to rule in favor of the plaintiff because
those occasions constitute which infraction? - ANSWER-Assault & battery with
planned reason to deviate from the consent shape
16.After a purchaser has been premedicated for surgery with an opioid analgesic, the nurse
discovers that the operative permit has now not been signed. What motion must the
nurse put into effect? - ANSWER-Notify the health practitioner that the consent
shape has not been signed
