HESI PN FUNDAMENTAL 2023/FUNDAMENTALS HESI EXIT 2023 ACTUAL EXAM TEST BANK COMPLETE 450 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| ALREADY GRADED A+||BRAND NEW • A nurse discusses the philosophy of Alcoholics Anonymous (AA) with the client who has a history of alcoholism. What need must self -help groups such as AA meet to be successful? o Belonging Rationale Self-help groups are successful because they support a basic human need for acceptance. A feeling of comfort and safety and a sense of belonging may be achieved in a nonjudgmental, supportive, sharing experience with others. AA meets dependency needs rather than focusing on independence, trust, and growth. • The registered nurse is explaining basic rules for documentation to a licensed practical nurse (LPN). Which statements made by the LPN indicate effective learning? Select all that apply. o "I will document the details when observed." o "I will record in the chart using black ink pen." Rationale The LPN should document the details when they are observed, but the details should not be written based on opinions. Black ink pen should be used to record in the chart. The LPN should not include generalized empty phrases in the details. The LPN should never leave empty lines in the chart b ecause another person may enter additional or incorrect information. The LPN should not wait until end of shift to record important changes that occurred several hours earlier,but record the events when they occur. • The nurse resolves a conflict with anothe r nurse by using accommodation. In what situations is accommodation appropriate for resolving conflict? Select all that apply. o When facing trivial issues o When the other person's solutions appear better o When harmonious relationships have to be preserved Rationale Appropriate reasons for accommodating to resolve conflict include when the issues are trivial or not important, when the other person's ideas or solutions are better, or when harmonious relationships have to be preserved. Avoiding defensiveness is not an appropriate reason to accommodate when resolving conflict. Gathering more information is not an appropriate reason to accommodate when resolving conflicts, unless that additional information has shown that the nurse has made a mistake . • What does the nurse plan to do before administering preoperative medication to a client? o Verifying consent Rationale Consent must be acquired when the client is fully oriented and in a clear mental state. Although important, having the client void can be implemented before surgery even if the client has received medication. Although important, checking the vital signs can be implemented before surgery even if the client has received medication. Although important, removing the client's dentures can be implemented before surgery even if the client has received medication. • A nursing student is recalling the order of priority for giving consent to perform an autopsy in case s where a medical examiner review is not needed. Which person receives the highest priority for giving consent? o The client in writing before death Rationale If a medical examiner's review is not necessary, the highest priority is given to the client. The client may provide the consent in writing before death. If the client or the surviving spouse is unable to give consent for the autopsy, a surviving child may be requested to give consent. The surviving parent may give consent for an autopsy if the client, the surviving spouse, and the surviving child are unable to do so. In case the client has not provided written consent before death, the nurse may obtain consent from the surviving spouse. • A registered nurse delegates a task to a licensed practical nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources available for the LPN to complete the task?" Which right of delegation is the nurse manager preserving? o Right Circumstance Rationale Questions such as, "Is the environment conducive to completing the task safely?" and, "Are the equipment and resources available to complete the task?" ensure the right circumstance for delegation. Right task is ensured with a question such as, "Is the task appropriate to the delegate, according to institutional policies and procedures?" Delegation is taking the right direction if the answer to a question such as, "Do the delegator and delegatee understand a common work -related language?" is positive. Right supervision is evaluated with a question such as, "Is the delegator able to monitor and evaluate the client appropriately?" • Which organization acts as the guiding force in the development of practical nurse education? o National Association for Practical Nurse Education and Service (NAPNES) Rationale Currently, the National Association for Practical Nurse Education and Service is regarded as the guiding force in the development of practical nursing education. Though not considered the guiding force in practical nursing education, the other organizations make contributions to nursing education as well. The National League for Nursing accredits nursing programs. The Young Women’s Christian Association established the first school of practical nursing in Brooklyn, New York. The National Federation of Licensed Practical Nurses is the official membership organization for licensed practical nurses and licensed vocational nurses. • Two nurses are planning to help a client with one-sided weakness to move up in bed. What should the nurses do to conform to proper body mechanics? o Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client. Rationale Positioning the nurses on either side of the bed with their feet apart, gathering the pull sheet close to the client, turning toward the head of the bed, and then moving the client places both nurses in a stable position in functional alignment, thereby minimizing stress on muscles, joints, ligam ents, and tendons. The client should be instructed to fold the arms across the chest; this keeps the client's weight toward the center of the mass being moved and keeps the arms safe during the move up in bed. The nurses should assist the client in flexing the knees and placing the feet flat on the bed; this enables the client to push the body upward using a major muscle group. The client's assistance to the best of his or her ability reduces physical stress on the nurses as they move the client up in bed. On the count of three, weight should be shifted from the back to the front leg, not the front to the back leg. This action generates movement in the direction that the client is being moved. • The nurse introduces himself or herself to the client while measuring the client’s body temperature. What is the reason for this introduction? o To decrease the client’s anxiety Rationale When the nurse introduces herself or himself to the client, this action decreases anxiety in the client. Explaining the procedure to the client will help to gain the client’s cooperation. Identifying a client by his or her identification band will help to ensure the correct client is receiving the correct procedure. Assembling the thermometer, providing soft disposable tissues, having a lubricant pen and note pad, having disposable gloves, and having a plastic sleeve will promote an efficiently completed procedure.
