HESI Fundamentals Exam Questions & Verified
Answers Updated, .
Terms in this set (50)
a 35 year old female client A. evaluate the client's mental status for competence to
with cancer refuses to allow refuse treatment
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'smental status for
competence to refuse
treatment
B. review the
client'smedical 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
,A client with chronic renal D. serum albumin
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
What client statement C. "I don't understand why I'm so weak and tired"
indicates to the nurse that
the client requires
assistance with bathing? A.
"I only bathe every other
day"
B. "I left my eyeglasses
athome"
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"
,How should a nurse D. place an isolation hamper in the client's room and discard the
handle linens that are linens in it
soiled with incontinent
feces?
A. Place the soiled
linensin a pillow case and
deposit them in the dirty
linen hamper
B. put the soiled linens
inan isolation bag, then
place it in the dirty linen
hamper
C. Ask the
housekeepingstaff to pick
up the soiled linen from the
dirty utility
room
D. place an
isolationhamper in the
client's room and discard
the
linens in it
When caring for an B. impaired gas exchange
immobile client, what
nursing diagnosis has the
highest priority?
A. altered tissue
perfusion
B. impaired gas
exchangeC. risk for fluid
volume deficit
D. risk for impaired skin
integrity
, The nurse assess an C. turn the patient Q2
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
Answers Updated, .
Terms in this set (50)
a 35 year old female client A. evaluate the client's mental status for competence to
with cancer refuses to allow refuse treatment
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'smental status for
competence to refuse
treatment
B. review the
client'smedical 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
,A client with chronic renal D. serum albumin
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
What client statement C. "I don't understand why I'm so weak and tired"
indicates to the nurse that
the client requires
assistance with bathing? A.
"I only bathe every other
day"
B. "I left my eyeglasses
athome"
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"
,How should a nurse D. place an isolation hamper in the client's room and discard the
handle linens that are linens in it
soiled with incontinent
feces?
A. Place the soiled
linensin a pillow case and
deposit them in the dirty
linen hamper
B. put the soiled linens
inan isolation bag, then
place it in the dirty linen
hamper
C. Ask the
housekeepingstaff to pick
up the soiled linen from the
dirty utility
room
D. place an
isolationhamper in the
client's room and discard
the
linens in it
When caring for an B. impaired gas exchange
immobile client, what
nursing diagnosis has the
highest priority?
A. altered tissue
perfusion
B. impaired gas
exchangeC. risk for fluid
volume deficit
D. risk for impaired skin
integrity
, The nurse assess an C. turn the patient Q2
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
