HESI Fundamentals Practice Exam #1 Questions With Correct Answers Latest Update
4 views 0 purchase
Course
HESI Fundamentals Practice
Institution
HESI Fundamentals Practice
HESI Fundamentals Practice Exam #1 Questions With Correct Answers Latest Update
A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? - ANSWER-Evaluate the client's mental st...
HESI Fundamentals Practice
Exam #1 Questions With
Correct Answers Latest
Update
A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled
chemo & states that she's ready to go home to die. What intervention should the
nurse initiate? - ✔✔✔ANSWER-Evaluate the client's mental status for competence
to refuse treatment
Rationale: Competent clients have the right to refuse treatment. The nurse cannot
document until the HCP is notified of the patient's wishes & a d/c RX is obtained.
Advance directives & DNR are not necessary for competent client to refuse care.
A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy asks the nurse,
"Will it hurt to have my tonsils & adenoids taken out?" Which response is best for
,the nurse to provide? - ✔✔✔ANSWER-"It may hurt, but we'll give you medicine
to help you feel better."
A 73y/o Hispanic client is seen with a history of protein malnutrition. What
information should the nurse obtain first? - ✔✔✔ANSWER-Foods & liquids
consumed during past 24 hrs
Rationale: Client's dietary habits should be determined first through dietary recall
before suggesting protein sources or supplements as options in client's diet.
A 75y/o client who has a history of end stage renal failure & advancing lung
cancer, recently had a stroke. 2 days ago, the HCP d/c the client's dialysis
treatments, stating that death is inevitable, but the client is disoriented & will not
sign a DNR directive. What is the priority nursing intervention? - ✔✔✔ANSWER-
Determine who is legally empowered to make decisions
To obtain the most complete assessment for a client with chronic pain, which
information should the nurse obtain? - ✔✔✔ANSWER-Which activities during a
routine day are impacted by your pain?
What action by the nurse demonstrates culturally sensitive care? -
✔✔✔ANSWER-Asks permission before touching a client
What action should the nurse implement to prevent the formation of a sacral ulcer
for a client who is immobile? - ✔✔✔ANSWER-Position prone with a small pillow
below the diaphragm
, What action should the nurse implement when adding sterile liquids to a sterile
field? - ✔✔✔ANSWER-Consider the sterile field contaminated if it becomes wet
during the procedure
What activity should the nurse use in the evaluation phase of the nursing process? -
✔✔✔ANSWER-Examine the effectiveness of nursing interventions toward
meeting client outcomes
What client statement indicates to the nurse that the client requires assistance with
bathing? - ✔✔✔ANSWER-"I don't understand why I'm so weak & tired."
What intervention should the nurse include in the care plan for a client who is
being treated with an Unna's paste boot for leg ulcers due to chronic venous
insufficiency? - ✔✔✔ANSWER-Check capillary refill of toes on lower extremity
with Unna's paste boot
Rationale: Boot becomes rigid after it dries, so it is important to check distally for
adequate circulation. No bandage should be put under it. Should be applied from
foot & wrapped towards knee. Acts as a sterile dressing & should not be removed
q8h. Weekly removal is reasonable.
What is most important for the nurse to implement when placing a client in the
Sim's position? - ✔✔✔ANSWER-Raise the bed to a wasit-high working level
What is the rationale in using the nursing process in planning care for clients? -
✔✔✔ANSWER-As a tool to organize thinking & clinical decision making about
clients' healthcare needs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSING2EXAM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
