lOMoAR cPSD| 32635183
HESI COMPREHENSIVE
FUNDAMENTALS OF NURSING
TEST 2024 AUG ALL 62 WELL
UPDATED QUESTIONS AND
ANSWERS GRADED A+|REAL
EXAM!!!
1. The home health nurse visits an elderly female client who had a brain
attack threemonths ago and is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for this
client's care?
• The husband, who is the caregiver, begins to weep when the nurse asks how he is
doing.
• The client tells the nurse that she does not have much of an appetite today.
• The nurse notes that there are numerous scatter rugs throughout the
house.Correct
• The client's pulse rate is 10 beats higher than it was at the last visit one
week ago. Scatter rugs (C) pose a safety hazard because the client can trip on
them when ambulating, so this finding has the greatest significance in
planning this client's care.Psychological support of the caregiver (A) is a less
acute need than that of client safety. The nurse needs to obtain more
information about (B), but this is not a safetyissue. (D) is not a significant
increase, and additional assessment might provide information about the
reason for the increase (anxiety, exercise, etc.).
2. The nurse is digitally removing a fecal impaction for a client. The nurse
should stopthe procedure and take corrective action if which client reaction is
noted?
• Temperature increases from 98.8° to 99.0° F.
• Pulse rate decreases from 78 to 52 beats/min. Correct
• Respiratory rate increases from 16 to 24 breaths/min.
• Blood pressure increases from 110/84 to 118/88 mm/Hg.
Parasympathetic reaction can occur as a result of digital stimulation of the
anal sphincter, which should be stopped if the client experiences a vagal
response, such asbradycardia (B). (A, C, and D) do not warrant stopping the
procedure.
3. The nurse is providing passive range of motion (ROM) exercises to the hip
and knee for a client who is unconscious. After supporting the client's knee
, lOMoAR cPSD| 32635183
with one hand,what action should the nurse take next?
• Raise the bed to a comfortable working level.
• Bend the client's knee.
• Move the knee toward the chest as far as it will go.
• Cradle the client's heel. Correct
Passive ROM exercise for the hip and knee is provided by supporting the
joints of theknee and ankle (D) and gently moving the limb in a slow,
smooth, firm but gentle manner. (A) should be done before the exercises are
begun to prevent injury to the nurse and client. (B) is carried out after both
, lOMoAR cPSD| 32635183
joints are supported. After the knee is
HESI COMPREHENSIVE
FUNDAMENTALS OF NURSING
TEST 2024 AUG ALL 62 WELL
UPDATED QUESTIONS AND
ANSWERS GRADED A+|REAL
EXAM!!!
1. The home health nurse visits an elderly female client who had a brain
attack threemonths ago and is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for this
client's care?
• The husband, who is the caregiver, begins to weep when the nurse asks how he is
doing.
• The client tells the nurse that she does not have much of an appetite today.
• The nurse notes that there are numerous scatter rugs throughout the
house.Correct
• The client's pulse rate is 10 beats higher than it was at the last visit one
week ago. Scatter rugs (C) pose a safety hazard because the client can trip on
them when ambulating, so this finding has the greatest significance in
planning this client's care.Psychological support of the caregiver (A) is a less
acute need than that of client safety. The nurse needs to obtain more
information about (B), but this is not a safetyissue. (D) is not a significant
increase, and additional assessment might provide information about the
reason for the increase (anxiety, exercise, etc.).
2. The nurse is digitally removing a fecal impaction for a client. The nurse
should stopthe procedure and take corrective action if which client reaction is
noted?
• Temperature increases from 98.8° to 99.0° F.
• Pulse rate decreases from 78 to 52 beats/min. Correct
• Respiratory rate increases from 16 to 24 breaths/min.
• Blood pressure increases from 110/84 to 118/88 mm/Hg.
Parasympathetic reaction can occur as a result of digital stimulation of the
anal sphincter, which should be stopped if the client experiences a vagal
response, such asbradycardia (B). (A, C, and D) do not warrant stopping the
procedure.
3. The nurse is providing passive range of motion (ROM) exercises to the hip
and knee for a client who is unconscious. After supporting the client's knee
, lOMoAR cPSD| 32635183
with one hand,what action should the nurse take next?
• Raise the bed to a comfortable working level.
• Bend the client's knee.
• Move the knee toward the chest as far as it will go.
• Cradle the client's heel. Correct
Passive ROM exercise for the hip and knee is provided by supporting the
joints of theknee and ankle (D) and gently moving the limb in a slow,
smooth, firm but gentle manner. (A) should be done before the exercises are
begun to prevent injury to the nurse and client. (B) is carried out after both
, lOMoAR cPSD| 32635183
joints are supported. After the knee is
