1|Page
HESI RN Fundamentals Exit Exam| Latest
Questions With Answers
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 - correct-answer -C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing
practice. Options A and D define the client's rights. Option B provides ethical
guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
,2|Page
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - correct-answer -A, D,
F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining
selections are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
,3|Page
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline - correct-answer -B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for
an 80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed to
flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake - correct-answer -B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should
follow a low-fat diet, such as option B. Option A is a high-protein diet, and options
C and D contain high-fat foods, which are contraindicated for this client.
, 4|Page
A 65-year-old client who attends an adult daycare program and is wheelchair
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair." - correct-answer -B
Rationale: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure
ulcers. Increased vitamin and fluid intake may also be beneficial and promote
healing and reduce further risk. Option D is an intervention of last resort because
this will be very expensive for the client.
Which nonverbal action should the nurse implement to demonstrate active
listening?
A.
Sit facing the client.
B.
HESI RN Fundamentals Exit Exam| Latest
Questions With Answers
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 - correct-answer -C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing
practice. Options A and D define the client's rights. Option B provides ethical
guidelines for nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
,2|Page
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - correct-answer -A, D,
F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining
selections are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
,3|Page
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline - correct-answer -B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for
an 80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed to
flush the line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake - correct-answer -B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should
follow a low-fat diet, such as option B. Option A is a high-protein diet, and options
C and D contain high-fat foods, which are contraindicated for this client.
, 4|Page
A 65-year-old client who attends an adult daycare program and is wheelchair
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair." - correct-answer -B
Rationale: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure
ulcers. Increased vitamin and fluid intake may also be beneficial and promote
healing and reduce further risk. Option D is an intervention of last resort because
this will be very expensive for the client.
Which nonverbal action should the nurse implement to demonstrate active
listening?
A.
Sit facing the client.
B.
