2024 HESI RN Fundam ental Exam New Recent Version Best Studying M aterial with All Questions and Answers In assisting an older adult client prepare to take a tub bath, which nursing action is most important? A. Check the bath water temperature. B.Shut the bathroom door. C. Ensure that the client has voided. D. Provide extra towels. ----------- Correct Answer ----------- Check the bath water temperature. During the daily nursing assessment, a client begins to cry and states that the majority of family and friends have stopped calling and visiting. What action should the nurse take? A. Listen and show interest as the client expresses these feelings B. Reinforce that this behavior means they were not true friends C. Ask the healthcare provider for a psychiatric consult D. Continue with the assessment and tell the client not to worry ---------- Correct Answer ------------ Listen and show interest as the client expresses these feelings When a client begins to cry and express feelings, a therapeutic nursing intervention is to listen and show interest as the client expresses these feelings While instructing a male client's wife in the performance of passive range -of-motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the nurse implement? A. Acknowledge that she is supporting the arm correctly. B. Encourage her to keep the joint covered to maintain warmth. C. Reinforce the need to grip directly under the joint for better support. D. Instruct her to grip directly over the joint for better motion. ---------- Correct Answer ---
--------- Acknowledge that she is supporting the arm correctly The wife is performing the passive ROM correctly, therefore the nurse should acknowledge this fact The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, what action should the nurse take next? A. Clamp the tube for 20 minutes. B. Flush the tube with water. C. Administer the medications as prescribed. D. Crush the tablets and dissolve in sterile water. ---------- Correct Answer ------------ Flush the tube with water The NGT should be flushed before, after, and in -between each medication In completing a client's preoperative routine, the nurse finds that the operative permitis not signed. The client begins to ask more questions about the surgical procedure. Which action should the nurse take next? A.Witness the client's signature to the permit. B.Answer the client's questions about the surgery. C.Inform the surgeon that the operative permit is not signed and the client has questions about the surgery. D.Reassure the client that the surgeon will answer any questions before the anesthesia is administered. ----------- Correct Answer ----------- Inform the surgeon that the operative permit is not signed and the client has questions about the surgery. An older client who had abdominal surgery 3 days earlier was given a barbituratefor sleep and is now requesting to go to the bathroom. Which action should the nurse implement? A. Assist the client to walk to the bathroom and do not leave the client alone. B. Requested that the UAP assist the client onto a bedpan. C. Ask if the client needs to have a bowel movement or void. D. Assess the client's bladder to determine if the client needs to urinate. ----------- Correct Answer ----------- Assist the client to walk to the bathroom and do not leave the client alone. One week after being told that she has terminal cancer with a life expectancy of 3 weeks, a female client tells the nurse, "I think I will plan a big party for all my friends." How should the nurse respond? A."You may not have enough energy before long to hold a big party." B."Do you mean to say that you want to plan your funeral and wake?" C." Planning a party and thinking about all your friends sounds like fun." D."You should be thinking about spending your last days with your family." ----------- Correct Answer ----------- " Planning a party and thinking about all your friends sounds like fun." A seriously ill female client tells the nurse, "I am so tired and in so much pain! Please help me to die." Which is the best response for the nurse to provide? A. Administer the prescribed maximum dose of pain medication. B. Talk with the client about her feelings related to her own death. C. Collaborate with the health care provider about initiating antidepressant therapy. D. Refer the client to the ethics committee of her local health care facility. ----------- Correct Answer ----------- Talk with the client about her feelings related to her own death. In taking a client's history, the nurse asks about the stool characteristics. Which description should the nurse report to the health care provider as soon as possible? A.Daily black, sticky stool B.Daily dark brown stool C.Firm brown stool every other day D.Soft light brown stool twice a day ----------- Correct Answer ----------- Daily black, sticky stool A male client is laughing at a television program with his wife when the evening nurse enters the room. He says his foot is hurting and he would like a pain pill. How should the nurse respond? A.Ask him to rate his pain on a scale of 1 to 10. B.Encourage him to wait until bedtime so the pill can help him sleep. C.Attend to an acutely ill client's needs first because this client is laughing. D.Instruct him in the use of deep breathing exercises for pain control. ----------- Correct Answer ----------- Ask him to rate his pain on a scale of 1 to 10. The mental health nurse plans to discuss a client's depression with the health care provider in the emergency department. There are two clients sitting across from the emergency department desk. Which nursing action is best? A.Only refer to the client by gender. B.Identify the client only by age. C.Avoid using the client's name. D.Discuss the client another time. ----------- Correct Answer ----------- Discuss the client another time. he nurse assesses a 2 -year-old who is admitted for dehydration and finds that the peripheral IV rate by gravity has slowed, even though the venous access site is healthy. What should the nurse do next? A.Apply a warm compress proximal to the site. B.Check for kinks in the tubing and raise the IV pole. C.Adjust the tape that stabilizes the needle. D.Flush with normal saline and recount the drop rate. ----------- Correct Answer ----------- Check for kinks in the tubing and raise the IV pole. The nurse determines that a postoperative client's respiratory rate has increased from 18 to 24 breaths/min. Based on this assessment finding, which intervention is most important for the nurse to implement? A.Encourage the client to increase ambulation in the room. B.Offer the client a high -carbohydrate snack for energy. C.Force fluids to thin the client's pulmonary secretions. D.Determine if pain is causing the client's tachypnea. ----------- Correct Answer ----------- Determine if pain is causing the client's tachypnea. The nurse finds a client crying behind a locked bathroom door. The client will not open the door. Which action should the nurse implement first? A.Instruct an unlicensed assistive personnel (UAP) to stay and keep talking to the client. B.Sit quietly in the client's room until the client leaves the bathroom.
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