HESI Fundamentals Exam Questions and
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a 35 year old female client with cancer refuses to allow the nurse to
insert an IV for a scheduled chemotherapy treatment, and states
that she is ready to go home and die. What intervention should the
nurse initiate?
A. evaluate the client's mental status for competence to refuse
treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical
advice
Ans: A. evaluate the client's mental status for competence to refuse
treatment
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A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicated the client's protein status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin
Ans: D. serum albumin
What client statement indicates to the nurse that the client requires
assistance with bathing?
A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital"
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Ans: C. "I don't understand why I'm so weak and tired"
How should a nurse handle linens that are soiled with incontinent
feces?
A. Place the soiled linens in a pillow case and deposit them in the
dirty linen hamper
B. put the soiled linens in an isolation bag, then place it in the dirty
linen hamper
C. Ask the housekeeping staff to pick up the soiled linen from the
dirty utility room
D. place an isolation hamper in the client's room and discard the
linens in it
Ans: D. place an isolation hamper in the client's room and discard the
linens in it
When caring for an immobile client, what nursing diagnosis has the
highest priority?
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A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity
Ans: B. impaired gas exchange
The nurse assess an immobile, elderly male client and determines
that his blood pressure is 138/60, his temperature is 95.8F, and his
output is 100 mL of concentrated urine during the last hour. He has
wet-sounding lung sounds, and increased respiratory secretions.
Based on these assessment findings, what nursing action is the most
important for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription