HESI - Fundamentals practice questions
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When turning an immobile bedrid-
den client without assistance, which B
action by the nurse best ensures client Rationale: Because the nurse can only
safety? stand on one side of the bed, bed rails
A. Securely grasp the client's arm and should be up on the opposite side to
leg. ensure that the client does not fall out
B. Put bed rails up on the side of bed of bed. Option A can cause client in-
opposite from the nurse. jury to the skin or joint. Options C and
C. Correctly position and use a turn D are useful techniques while turning
sheet. a client but have less priority in terms
D. Lower the head of the client's bed of safety than use of the bed rails.
slowly.
The nurse identifies a potential for in-
B
fection in a client with partial-thick-
Rationale: Careful handwashing tech-
ness (second-degree) and full-thick-
nique is the single most effective in-
ness (third-degree) burns. What in-
tervention for the prevention of con-
tervention has the highest priority in
tamination to all clients. Option A re-
decreasing the client's risk of infec-
verses the hypovolemia that initially
tion?
accompanies burn trauma but is not
A. Administration of plasma ex-
, HESI - Fundamentals practice questions
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panders
related to decreasing the proliferation
B. Use of careful handwashing tech-
of infective organisms. Options C and
nique
D are recommended by various burn
C. Application of a topical antibacterial
centers as possible ways to reduce
cream
the chance of infection. Option B is a
D. Limiting visitors to the client with
proven technique to prevent infection.
burns
A
Rationale: Long-term protein defi-
The nurse is aware that malnutrition
ciency is required to cause significant-
is a common problem among clients
ly lowered serum albumin levels. Albu-
served by a community health clinic
min is made by the liver only when ad-
for the homeless. Which laboratory
equate amounts of amino acids (from
value is the most reliable indicator of
protein breakdown) are available. Al-
chronic protein malnutrition?
bumin has a long half-life, so acute
A. Low serum albumin level
protein loss does not significantly al-
B. Low serum transferrin level
ter serum levels. Option B is a serum
C. High hemoglobin level
protein with a half-life of only 8 to
D. High cholesterol level
10 days, so it will drop with an acute
protein deficiency. Options C and D
, HESI - Fundamentals practice questions
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are not clinical measures of protein
malnutrition.
In completing a client's preoperative
routine, the nurse finds that the oper- C
ative permit is not signed. The client Rationale: The surgeon should be in-
begins to ask more questions about formed immediately that the permit
the surgical procedure. Which action is not signed. It is the surgeon's re-
should the nurse take next? sponsibility to explain the procedure
A. Witness the client's signature to the to the client and obtain the client's
permit. signature on the permit. Although the
B. Answer the client's questions about nurse can witness an operative per-
the surgery. mit, the procedure must first be ex-
C. Inform the surgeon that the opera- plained by the health care provider
tive permit is not signed and the client or surgeon, including answering the
has questions about the surgery. client's questions. The client's ques-
D. Reassure the client that the sur- tions should be addressed before the
geon will answer any questions be- permit is signed.
fore the anesthesia is administered.
The nurse is assessing several clients B
prior to surgery. Which factor in a Rationale:
, HESI - Fundamentals practice questions
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Anticoagulants increase the risk for
client's history poses the greatest
bleeding during surgery, which can
threat for complications to occur dur-
pose a threat for the development
ing surgery?
of surgical complications. The health
A. Taking birth control pills for the past
care provider should be informed that
2 years
the client is taking these drugs. Al-
B. Taking anticoagulants for the past
though clients who take birth control
year
pills may be more susceptible to the
C. Recently completing antibiotic ther-
development of thrombi, such prob-
apy
lems usually occur postoperatively. A
D. Having taken laxatives PRN for the
client with option C or D is at less of a
last 6 months
surgical risk than with option B.
B
When assisting a client from the bed
Rationale: Option B describes the cor-
to a chair, which procedure is best for
rect positioning of the nurse and af-
the nurse to follow?
fords the nurse a wide base of sup-
A. Place the chair parallel to the bed,
port while stabilizing the client's knees
with its back toward the head of the
when assisting to a standing position.
bed and assist the client in moving to
The chair should be placed at a 45-de-
the chair.
gree angle to the bed, with the back of
B. With the nurse's feet spread apart
the chair toward the head of the bed.
Study online at https://quizlet.com/_ihf2ww
When turning an immobile bedrid-
den client without assistance, which B
action by the nurse best ensures client Rationale: Because the nurse can only
safety? stand on one side of the bed, bed rails
A. Securely grasp the client's arm and should be up on the opposite side to
leg. ensure that the client does not fall out
B. Put bed rails up on the side of bed of bed. Option A can cause client in-
opposite from the nurse. jury to the skin or joint. Options C and
C. Correctly position and use a turn D are useful techniques while turning
sheet. a client but have less priority in terms
D. Lower the head of the client's bed of safety than use of the bed rails.
slowly.
The nurse identifies a potential for in-
B
fection in a client with partial-thick-
Rationale: Careful handwashing tech-
ness (second-degree) and full-thick-
nique is the single most effective in-
ness (third-degree) burns. What in-
tervention for the prevention of con-
tervention has the highest priority in
tamination to all clients. Option A re-
decreasing the client's risk of infec-
verses the hypovolemia that initially
tion?
accompanies burn trauma but is not
A. Administration of plasma ex-
, HESI - Fundamentals practice questions
Study online at https://quizlet.com/_ihf2ww
panders
related to decreasing the proliferation
B. Use of careful handwashing tech-
of infective organisms. Options C and
nique
D are recommended by various burn
C. Application of a topical antibacterial
centers as possible ways to reduce
cream
the chance of infection. Option B is a
D. Limiting visitors to the client with
proven technique to prevent infection.
burns
A
Rationale: Long-term protein defi-
The nurse is aware that malnutrition
ciency is required to cause significant-
is a common problem among clients
ly lowered serum albumin levels. Albu-
served by a community health clinic
min is made by the liver only when ad-
for the homeless. Which laboratory
equate amounts of amino acids (from
value is the most reliable indicator of
protein breakdown) are available. Al-
chronic protein malnutrition?
bumin has a long half-life, so acute
A. Low serum albumin level
protein loss does not significantly al-
B. Low serum transferrin level
ter serum levels. Option B is a serum
C. High hemoglobin level
protein with a half-life of only 8 to
D. High cholesterol level
10 days, so it will drop with an acute
protein deficiency. Options C and D
, HESI - Fundamentals practice questions
Study online at https://quizlet.com/_ihf2ww
are not clinical measures of protein
malnutrition.
In completing a client's preoperative
routine, the nurse finds that the oper- C
ative permit is not signed. The client Rationale: The surgeon should be in-
begins to ask more questions about formed immediately that the permit
the surgical procedure. Which action is not signed. It is the surgeon's re-
should the nurse take next? sponsibility to explain the procedure
A. Witness the client's signature to the to the client and obtain the client's
permit. signature on the permit. Although the
B. Answer the client's questions about nurse can witness an operative per-
the surgery. mit, the procedure must first be ex-
C. Inform the surgeon that the opera- plained by the health care provider
tive permit is not signed and the client or surgeon, including answering the
has questions about the surgery. client's questions. The client's ques-
D. Reassure the client that the sur- tions should be addressed before the
geon will answer any questions be- permit is signed.
fore the anesthesia is administered.
The nurse is assessing several clients B
prior to surgery. Which factor in a Rationale:
, HESI - Fundamentals practice questions
Study online at https://quizlet.com/_ihf2ww
Anticoagulants increase the risk for
client's history poses the greatest
bleeding during surgery, which can
threat for complications to occur dur-
pose a threat for the development
ing surgery?
of surgical complications. The health
A. Taking birth control pills for the past
care provider should be informed that
2 years
the client is taking these drugs. Al-
B. Taking anticoagulants for the past
though clients who take birth control
year
pills may be more susceptible to the
C. Recently completing antibiotic ther-
development of thrombi, such prob-
apy
lems usually occur postoperatively. A
D. Having taken laxatives PRN for the
client with option C or D is at less of a
last 6 months
surgical risk than with option B.
B
When assisting a client from the bed
Rationale: Option B describes the cor-
to a chair, which procedure is best for
rect positioning of the nurse and af-
the nurse to follow?
fords the nurse a wide base of sup-
A. Place the chair parallel to the bed,
port while stabilizing the client's knees
with its back toward the head of the
when assisting to a standing position.
bed and assist the client in moving to
The chair should be placed at a 45-de-
the chair.
gree angle to the bed, with the back of
B. With the nurse's feet spread apart
the chair toward the head of the bed.
