HESI FUNDAMENTALS REMEDIATION EXAM 2024/2025 NEWEST!!!
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) AND RATIONALES ALREADY GRADED A+.
The nurse is working on a client who has increased intracranial
pressure. What is the best position for the client?
A. Sims
B. Trendelenburg
C. High Fowler's
D. Dorsal recumbent - ANSWER-C. High fowlers
High fowlers will have thw client supine at 90 degrees, which will help
decrease intracranial pressure
An unconscious client is experiencing wide fluctuations in body
temperature. The nurse should suspect disease or injury to which
part of the body? A. Pituitary
B. Hypothalamus
C. Adrenal gland
D. Thermal skin receptors - ANSWER-B. Hypothalamus
The hypothalamus controls the regulation of the temperature for the
body. Alterations in thermal control can occur if there is presence of
disease or injury to the hypothalamus or spinal cord.
,What should the nurse do when describing a clients seizure activity?
Select all that apply
A. The presence of any autonomic signs
B. The time the seizure started and ended
C. The placement and type of restraints applied
D. The size of the bite guard placed on the mouth E. The clients vital
signs during the seizure - ANSWER-A.
B.
When doing an assessment of sensory nerve function, which test
should the nurse omit if the pain sensation is normal?
A. Temperature
B. Light touch
C. Vibration
D. Position - ANSWER-A. Temperature
The temp assessment is conducted to determine if an individual can
demonstrate a distinction between hot and cold and is only
appropriate to use for further evaluation of the pain test indicated any
areas of numbness or increase in sensitivity
A client describes a poorly localized pain as a squeezing and
pressure sensation. If the pain is caused by inflammation what kind of
pain is it?
,A. Somatic
B. Visceral
C. Referred
D. Parasthesia - ANSWER-B. visceral
A client has been taking a prescribed dose of 20 mg of oxycodone
every 4 hours for the past three weeks for pain relief. The client
reports that "the medicine is not working anymore." After notifying
the healthcare provider which action should the nurse anticipate?
A. The oxycodone will be increased to 30mg every 4 hrs
B. A referral should be made to a counselor for drug seeking behavior
and addiction
C. The client should be informed that this is an expected outcome and
will improve
D. The medication will be discontinued and hydromorphine will be
started - ANSWER-D.
The client may have developed a drug tolerance to the oxycodone and
it is better to change to another pain medication than to increase
dosage
A mother asks for advice on how to talk to her children about death
after she learned that her husband has approximately 6 months to
live. How should the nurse respond? Select all that apply
A. Ask the mother about her beliefs about death and dying
, B. Asses how the mother feels about the situation
C. Inform the mother that she will need to discuss this with a chaplain
D. Inquire about her children's previous experiences with death and
dying
E. Advise the mother it would be best to avoid this topic with the
children - ANSWER-A. B.
D.
A four day old infant with no family members present is crying while
lying in a bassinet in the nursery. What should the nurse do prior to
implementing therapeutic touch?
A. Asses the cultural beliefs of the infants parents
B. Verify of the infant is receptive to being touched
C. Don't touch and allow the infant to self soothe first
D. Dim the light, pick up the infant, and rock the infant slowly -
ANSWER-B. Verify the infant is receptive to being touched
The nurse is assessing a client who has a fractured ankle. Which is
the most reliable indicator of the level of pain the client is
experiencing?
A. The clients self report of the pains presence
B. The non-verbal expressions presented by the client
C. The review of the clients past requests for pain medication
D. The use and interpreted results of pain assessment tools -
ANSWER-A. The clients self report of the pains presence
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) AND RATIONALES ALREADY GRADED A+.
The nurse is working on a client who has increased intracranial
pressure. What is the best position for the client?
A. Sims
B. Trendelenburg
C. High Fowler's
D. Dorsal recumbent - ANSWER-C. High fowlers
High fowlers will have thw client supine at 90 degrees, which will help
decrease intracranial pressure
An unconscious client is experiencing wide fluctuations in body
temperature. The nurse should suspect disease or injury to which
part of the body? A. Pituitary
B. Hypothalamus
C. Adrenal gland
D. Thermal skin receptors - ANSWER-B. Hypothalamus
The hypothalamus controls the regulation of the temperature for the
body. Alterations in thermal control can occur if there is presence of
disease or injury to the hypothalamus or spinal cord.
,What should the nurse do when describing a clients seizure activity?
Select all that apply
A. The presence of any autonomic signs
B. The time the seizure started and ended
C. The placement and type of restraints applied
D. The size of the bite guard placed on the mouth E. The clients vital
signs during the seizure - ANSWER-A.
B.
When doing an assessment of sensory nerve function, which test
should the nurse omit if the pain sensation is normal?
A. Temperature
B. Light touch
C. Vibration
D. Position - ANSWER-A. Temperature
The temp assessment is conducted to determine if an individual can
demonstrate a distinction between hot and cold and is only
appropriate to use for further evaluation of the pain test indicated any
areas of numbness or increase in sensitivity
A client describes a poorly localized pain as a squeezing and
pressure sensation. If the pain is caused by inflammation what kind of
pain is it?
,A. Somatic
B. Visceral
C. Referred
D. Parasthesia - ANSWER-B. visceral
A client has been taking a prescribed dose of 20 mg of oxycodone
every 4 hours for the past three weeks for pain relief. The client
reports that "the medicine is not working anymore." After notifying
the healthcare provider which action should the nurse anticipate?
A. The oxycodone will be increased to 30mg every 4 hrs
B. A referral should be made to a counselor for drug seeking behavior
and addiction
C. The client should be informed that this is an expected outcome and
will improve
D. The medication will be discontinued and hydromorphine will be
started - ANSWER-D.
The client may have developed a drug tolerance to the oxycodone and
it is better to change to another pain medication than to increase
dosage
A mother asks for advice on how to talk to her children about death
after she learned that her husband has approximately 6 months to
live. How should the nurse respond? Select all that apply
A. Ask the mother about her beliefs about death and dying
, B. Asses how the mother feels about the situation
C. Inform the mother that she will need to discuss this with a chaplain
D. Inquire about her children's previous experiences with death and
dying
E. Advise the mother it would be best to avoid this topic with the
children - ANSWER-A. B.
D.
A four day old infant with no family members present is crying while
lying in a bassinet in the nursery. What should the nurse do prior to
implementing therapeutic touch?
A. Asses the cultural beliefs of the infants parents
B. Verify of the infant is receptive to being touched
C. Don't touch and allow the infant to self soothe first
D. Dim the light, pick up the infant, and rock the infant slowly -
ANSWER-B. Verify the infant is receptive to being touched
The nurse is assessing a client who has a fractured ankle. Which is
the most reliable indicator of the level of pain the client is
experiencing?
A. The clients self report of the pains presence
B. The non-verbal expressions presented by the client
C. The review of the clients past requests for pain medication
D. The use and interpreted results of pain assessment tools -
ANSWER-A. The clients self report of the pains presence
