2024 HESI Fundamentals Exam New Latest
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A 54-year-old male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is likely to be most
Refer her to support group for family members of those dying of cancer
A client who has a body mass index (BMI) of 30 is requesting information on the initial
approach to a weight loss plan. Which action should the nurse recommend?
Keep a record of food and drinks consumed daily
The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To
assess for skin damage related to the cannula, which areas should the nurse observe?
Around the nostrils
Over the cheeks
Tops of the ear
The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed
bath for a confused and lethargic client. The UAP is soaking the client's foot in a basin of
warm water placed on the bed. What action should the nurse take?
Remind the UAP to dry between the client's toes completely
The nurse in the emergency department observes a colleague viewing the electronic
health record (EHR) of a client who holds an elected position in the community. The client
is not a part of the colleague's assignment. Which action should the nurse implement?
Communicate the colleague's actions to the unit charge nurse
At 0100 on a male client's second postoperative night, the client states he is unstable to
sleep and plans to read until feeling sleepy. What action should the nurse implement?
,Bring the client a prescribed PRN sedative-hypnotic
The nursing staff in the cardiovascular intensive care unit are creating a continuous quality
improvement project on social media that addresses coronary artery disease (CAD). Which
action should the nurse implement to protect client privacy?
Remove identifying information of the clients who participated
A male client with unstable angina needs a cardiac catheterization, so the healthcare
provider explains the risks and benefits of the procedure, and then leaves to set up for the
procedure. When the nurse presents the consent form for signature, the client hesitates
and asks how the wires will keep his heart going. Which action should the nurse take?
Postpone the procedure until the client understands the risks and benefits
The nurse is teaching a client how to do active range of motion (ROM) exercises. To
exercise the hinge joints, which action should the nurse instruct the client to perform?
bend the arm by flexing the ulnar to the humerus
A postoperative client has three different PRN analgesics prescribed for different levels of
pain. The nurse inadvertently administers a dose that is not within the prescribed
parameters. What actions should the nurse take first?
Access for side effects of the medication.
When assessing a male client, the nurse finds that he is fatigue, and is experiencing
muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the
nurse plans to check the client's laboratory values to validate the existence of which?
Hypokalemia
A female client's significant other has been at her bedside providing reassurances and
support for the past 3days, as desired by the client. The client's estranged husband arrives
and demands that the significant other not be allowed to visit or be given condition
updates. Which intervention should the nurse implement?
Request a consultation with the ethics committee for resolution of the situation
, When measuring vital signs, the nurse observes that a client is using accessory neck
muscles during respirations. What follow-up action should the nurse take first?
Check for neck vein distention
To avoid nerve injury, what location should the nurse select to administer a 3 mL IM
injection?
outer upper quadrant of the buttock
Which instruction should the nurse include in the discharge teaching plan for an adult
client with hypernatremia
Review food labels for sodium content
While changing a client's post operative dressing, the nurse observes a red and swollen
wound with a moderate amount of yellow and green drainage and a foul odor. Given
there is a positive MRSA, which is the most important action for the nurse to take?
Initiate contact precautions
To prepare a client for the potential side effects of a newly prescribed medication, what
action should the nurse implement?
Assess the client for health alterations that may be impacted by the effects of the
medication
A client is 2 days post-op from a thoracic surgery and is complaining of incisional pain. The
client last received pain medication 2 hours ago. He is rating his pain a 5 on a 1-10 scale.
After calling the provider, what is the nurse's next action?
instruct the client to use guided imagery and slow rhythmic breathing
A client with cirrhosis and ascites is receiving furosemide 40 mg BID. The pharmacy
provides 20 mg tablets. How many tablets should the client receive each day? [Enter
numeric value only]
4 tablets
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