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HESI Fundamentals Exam Practice Questions With Answers.
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HESI Fundamentals Exam Practice Questions With Answers.
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HESI Fundamentals Exam PracticeQuestions With Answers
A .female .nurse .who .sometimes .tries .to .save .time .by .putting .medications .in .her .uniform .pocket .to .
deliver .to .clients, .confides .that .after .arriving .home .she .found .a .hydrocodone .
(Vicodin) .tablet .in .her .pocket. .Which .possible .outcome .of .this .situation .should .be .the .nurse's .greate
st .concern?
A.) .Accused .of .diversion.
B.) .Reported .for .stealing.
C.) .Reported .for .a .HIPAA .violation.
D.) .Accused .of .unprofessional .conduct. .- .(correct .answer) .-A
Rationale: .Even .if .this .is .only .one .incident, .the .nurse .may .be .suspected .of .taking .medications .on .a .r
egular .basis .and .the .incident .could .be .interpreted .as .diversion .
(A), .or .diverting .narcotics .for .her .own .use, .which .should .be .reported .to .the .peer .review .committee .
and .to .the .State .Board .of .Nursing. .(B, .C, .and .D) .are .also .of .concern, .but .
(A) .is .the .most .serious .possible .outcome.
A .male .client .has .a .nursing .diagnosis .of ."spiritual .distress." .What .intervention .is .best .for .the .nurse .t
o .implement .when .caring .for .this .client?
A.) .Use .distraction .techniques .during .times .of .spiritual .stress .and .crisis.
B.) .Reassure .the .client .that .his .faith .will .be .regained .with .time .and .support.
,C.) .Consult .with .the .staff .chaplain .and .ask .that .the .chaplain .visit .with .the .client.
D.) .Use .reflective .listening .techniques .when .the .client .expresses .spiritual .doubts. .- .
(correct .answer) .-D
Rationale: .The .most .beneficial .nursing .intervention .is .to .use .nonjudgmental .reflective .listening .techn
iques, .to .allow .the .client .to .feel .comfortable .expressing .his .concerns .(D). .
(A .and .B) .are .not .therapeutic. .The .client .should .be .consulted .before .implementing .(C).
The .nurse .removes .the .dressing .on .a .client's .heel .that .is .covering .a .pressure .sore .one-
inch .in .diameter .and .finds .that .there .is .straw-
colored .drainage .seeping .from .the .wound. .What .description .of .this .finding .should .the .nurse .include
.in .the .client's .record?
A.) .Stage .1 .pressure .sore .draining .sero-sanguineous .drainage.
B.) .Pressure .sore .at .bony .prominence .with .exudate .noted.
C.) .One-inch .pressure .sore .draining .serous .fluid.
D.) .Pressure .sore .on .heel .with .a .small .amount .of .purulent .drainage. .- .(correct .answer) .-C
Rationale: .Serous .drainage .is .clear .watery .plasma, .so .
(C) .provides .accurate .documentation .based .on .the .information .provided. .Information .to .stage .this .p
ressure .score .(A) .is .not .provided, .and .sero-
sanguineous .drainage .is .pale .and .watery .with .a .combination .of .plasma .and .red .cells, .and .may .be .bl
ood-streaked. .Exudate .(B) .is .fluid .such .as .pus .and .serum. .Purulent .drainage .
(D) .is .thick, .yellow, .green, .or .brown .indicating .the .presence .of .dead .or .living .organisms .and .white .b
lood .cells.
The .nurse .is .preparing .to .give .a .client .dehydration .IV .fluids .delivered .at .a .continuous .rate .of .175 .m
l/hour. .Which .infusion .device .should .the .nurse .use?
A.) .Portable .syringe .pump.
B.) .Cassette .infusion .pump.
C.) .Volumetric .controller.
D.) .Nonvolumetric .controller. .- .(correct .answer) .-B
,Rationale: .A .cassette .pump .
(B) .should .be .used .to .accurately .deliver .large .volumes .of .fluid .over .longer .periods .of .time .with .extr
eme .precision, .such .as .ml/hour. .A .syringe .pump .(A) .is .accurate .for .low-
dose .continuous .infusion .of .low-
dose .medication .at .a .basal .rate, .but .not .large .fluid .volume .replacement. .Volumetric .
(C) .and .nonvolumetric .
(D) .controllers .count .drops/minute .to .administer .fluid .volume .and .are .inherently .inaccurate .because
.of .variation .in .drop .size.
How .should .the .nurse .handle .linens .that .are .soiled .with .incontinent .feces?
A.) .Put .the .soiled .linens .in .an .isolation .bag, .then .place .it .in .the .dirty .linen .hamper.
B.) .Place .an .isolation .hamper .in .the .client's .room .and .discard .the .linens .in .it.
C.) .Place .the .soiled .linens .in .a .pillow .case .and .deposit .them .in .the .dirty .linen .hamper.
D.) .Ask .the .housekeeping .staff .to .pick .up .the .soiled .linen .from .the .dirty .utility .room. .- .
(correct .answer) .-C
Rationale: .The .nurse .should .be .careful .to .keep .the .soiled .linens .from .contaminating .the .fresh .linens
, .and .should .handle .the .soiled .linens .like .any .other .dirty .linen .(C). .(A, .B, .and .D) .are .not .indicated.
A .low-sodium, .low-protein .diet .is .prescribed .for .a .45-year-
old .client .with .renal .insufficiency .and .hypertension, .who .gained .3 .pounds .in .the .last .month. .The .nu
rse .determines .that .the .client .has .been .noncompliant .with .the .diet, .based .on .which .report .from .th
e .24-hour .dietary .recall? .(Select .all .that .apply.)
A.) .Snack .of .potato .chips, .and .diet .soda.
B.) .Lunch .of .tuna .fish .sandwich, .carrot .sticks, .fresh .fruit, .and .coffee.
C.) .Breakfast .of .eggs, .bacon, .toast, .and .coffee.
D.) .Dinner .of .vegetable .lasagna, .tossed .salad, .sherbet, .and .iced .tea.
E.) .Bedtime .snack .of .crackers .and .milk. .- .(correct .answer) .-A, .B, .C, .E
, Rationale: .Potato .chips .(A) .are .high .in .sodium. .Tuna .(B) .is .high .in .protein. .Bacon .(C) .and .crackers .
(E) .are .high .in .sodium. .Only .(D) .is .a .meal .that .is .in .compliance .with .a .low .sodium, .low .protein .diet.
Which .technique .is .most .important .for .the .nurse .to .implement .when .performing .a .physical .assessm
ent?
A.) .A .head-to-toe .approach.
B.) .The .medical .systems .model.
C.) .A .consistent, .systematic .approach.
D.) .An .approach .related .to .a .nursing .model. .- .(correct .answer) .-C
Rationale: .The .most .important .factor .in .performing .a .physical .assessment .is .following .a .consistent .a
nd .systematic .technique .
(C) .each .time .an .assessment .is .performed .to .minimize .variation .in .sequence .which .may .increase .th
e .likelihood .of .omitting .a .step .or .exam .of .an .isolated .area. .The .method .of .completing .a .physical .ass
essment .
(A, .B, .and .D) .may .be .at .the .discretion .of .the .examiner, .but .a .consistent .sequence .by .the .examiner .
provides .a .reliable .method .to .ensure .thorough .review .of .the .clients' .history, .complaints, .or .body .sy
stems.
The .nurse .is .evaluating .client .learning .about .a .low-
sodium .diet. .Selection .of .which .meal .would .indicate .to .the .nurse .that .this .client .understands .the .di
etary .restrictions?
A.) .Tossed .salad, .low-sodium .dressing, .bacon .and .tomato .sandwich.
B.) .New .England .clam .chowder, .no-salt .crackers, .fresh .fruit .salad.
C.) .Skim .milk, .turkey .salad, .roll, .and .vanilla .ice .cream.
D.) .Macaroni .and .cheese, .diet .Coke, .a .slice .of .cherry .pie. .- .(correct .answer) .-C
Rationale: .Skim .milk, .turkey, .bread, .and .ice .cream, .while .containing .some .sodium, .are .considered .lo
w-
sodium .foods. .Bacon, .canned .soups, .especially .those .with .seafood, .hard .cheeses, .macaroni, .and .mo
st .diet .drinks .are .very .high .in .sodium.
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