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HESI Fundamentals Practice Test Vocabulary NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+$15.99
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HESI Fundamentals Practice Test Vocabulary NEWEST
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
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 nurse determines that the client has
been noncompliant with the diet, based on which
report from the 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. -
✔✔ANSWER✔✔-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.
,Correct Answer: A, B, C, E
What intervention should the nurse include in the
plan of care for a client who is being treated with an
Unna's paste boot for leg ulcers due to chronic
venous insufficiency?
A. Check capillary refill of toes on lower extremity
with Unna's paste boot.
B. Apply dressing to wound area before applying the
Unna's paste boot.
C. Wrap the leg from the knee down towards the
foot.
D. Remove the Unna's paste boot q8h to assess
wound healing. - ✔✔ANSWER✔✔-The Unna's paste
boot becomes rigid after it dries, so it is important to
check distally for adequate circulation (A). Kerlix is
often wrapped around the outside of the boot and an
ace bandage may be used to cover both, but no
bandage should be put under it (B). The Unna's
paste boot should be applied from the foot and
wrapped towards the knee (C). The Unna's paste
boot acts as a sterile dressing, and should not be
removed q8h. Weekly removal is reasonable (D).
Correct Answer: A
A 75-year-old client who has a history of end stage
renal failure and advanced lung cancer, recently had
a stroke. Two days ago the healthcare provider
,discontinued the client's dialysis treatments, stating
that death is inevitable, but the client is disoriented
and will not sign a DNR directive. What is the priority
nursing intervention?
A. Review the client's most recent laboratory reports.
B. Refer the client and family members for hospice
care.
C. Notify the hospital ethics committee of the client
situation.
D. Determine who is legally empowered to make
decisions. - ✔✔ANSWER✔✔-When death is
impending, it is essential for the nurse to determine
who is legally empowered to make decisions
regarding the use of life-saving measures for the
client (D). (A) will be abnormal and will worsen
without dialysis, so are not of immediate concern.
(B) may help improve the client's quality of life prior
to death, but is of less immediacy than determining
whether actions should be taken to save a client's
life. If the nurse remains unable to determine who is
empowered to make decisions in this situation, the
nurse may choose to contact the ethics committee
(C) for a resolution.
Correct Answer: D
The charge nurse assigns a nursing procedure to a
new staff nurse who has not previously performed
, the procedure. What action is most important for the
new staff nurse to take?
A. Review the steps in the procedure manual.
B. Ask another nurse to assist while implementing
the procedure.
C. Follow the agency's policy and procedure.
D. Refuse to perform the task that is beyond the
nurse's experience. - ✔✔ANSWER✔✔-According to
states' nurse practice acts, it is the responsibility of
the nurse to function within the scope of competency
(D), and in this case safe nursing practice
constitutes refusal to perform the procedure
because of a lack of experience. Although state
mandates, agency policies, and continued education
and experience identify tasks that are within the
scope of nursing practice, nurses should first refuse
to perform tasks that are beyond their proficiency,
and then pursue opportunities to enhance their
competency (A, B, and C).
Correct Answer: D
Before administering a client's medication, the nurse
assesses a change in the client's condition and
decides to withhold the medication until consulting
with the healthcare provider. After consultation with
the healthcare provider, the dose of the medication
is changed and the nurse administers the newly
prescribed dose an hour later than the originally
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