51. The nurse is conducting an initial admission assessment for a woman who is Mexican- American and who is scheduled to deliver a baby by C-section in the next 24 hours. What should the nurse include in the assessment? a. Provider an interpreter to convey the meaning of words and messages in translation b. Commend the client for her patience after a long wait in the admission process c. Arrange for the hospital chaplain to visit the client during her hospital stay d. Rely on cultural no...

HESI Fundamentals Practice Test/Final 2 NCLEX/ Questions &Answers/ Guaranteed A+ Guide

61. Which nonverbal action should the nurse implement to demonstrate active listening? A. Sit facing the client. B. Cross arms and legs. C. Avoid eye contact. D. Lean back in the chair. Correct Answer: A Active listening is conveyed using attentive verbal and nonverbal communication techniques. To facilitate therapeutic communication and attentiveness, the nurse should sit facing the client (A), which lets the client know that the nurse is there to listen. Active listening skills include p...

HESI Fundamentals Exam Version 1 (V1,2) (2022/2023) (All 75 Q&A) (100% Verified Q&A) Graded A++

HESI Fundamentals Version 1 |Best Rated Questions and Answers 1. The nurse is providing wound care to a client with stage 3 pressure ulcer that has a large amount of eschar. The wound care prescription states “clean the wound and then apply collagenase. ” collagenase is a debriding agent. The prescription does not specify a cleaning method. Which technique should the nurse cleanse the pressure ulcer? A. Lightly coat the wound with povidone-iodine solution B. Irrigate the wound with...

HESI Fundamentals Version |Best Rated Questions and Answers| 2022/2023 1. UAP has lowered the head of the bed to change the lines for a client who is bedless. Which observation. . . most immediate intervention by the nurse? A. A feeding is infusing at 40 mL/hr through an enteral feeding tube B. The urine meter attached to the urinary drainage bag is completely full C. There is a large dependent loop in the client’s urinary drainage tubing D. Purulent drainage is present around the in...

HESI FUNDAMENTALS PROCTORED EXAM 2022/2023. The nurse is admitting an older patient from a nursing home. During the assessment, the nurse notes a shallow open reddish, pink ulcer without slough on the right heel of the patient. How will the nurse stage this pressure ulcer? a. Stage I b. Stage II c. Stage III d. Stage IV ANS: B This would be a Stage II pressure ulcer because it presents as partial-thickness skin loss involving epidermis and dermis. The ulcer presents clinically as an ab...

HESI Fundamentals Practice Test B | Verified 1. What is the rationale for using the nursing process in planning care for clients? A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems. B. To establish nursing theory that incorporates the biopsychosocial nature of humans. C. As a tool to organize thinking and clinical decision making about clients' healthcare needs. D. To promote the management of client care in collaboration with other healthcare professio...