HESI Fundamentals Exam 2025 Update
a 35 year old female client with cancer refuses to allow the nurse to insert an IV for a scheduled chemotherapy treatment, and states that she is ready to go home and die. What intervention should the nurse initiate?
A. evaluate the client's mental status for co...
a 35 year old female client with cancer refuses to allow the nurse to insert an IV for
a scheduled chemotherapy treatment, and states that she is ready to go home and
die. What intervention should the nurse initiate?
A. evaluate the client's mental status for competence to refuse treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice -
✔✔✔ANSWER-A. evaluate the client's mental status for competence to refuse
treatment
,A 4-year old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, " will it hurt to have my tonsils and adenoids taken out?" Which response is
best for the nurse to provide?
a. "It won't hurt because you're such a big boy"
b. "It may hurt a little because of the incision made in your throat"
c. "It won't hurt because we put you to sleep"
d. "It may hurt but we'll give you medicine to help you feel better" -
✔✔✔ANSWER-d. "It may hurt but we'll give you medicine to help you feel
better"
a 73 year old Hispanic client is seen at the community health clinic with a history
of protein malnutrition. What information should the nurse obtain first?
A. foods and liquids consumed during the past 24 hours
B. amount of liquid protein supplements consumed daily
C. grains and legume combinations used by the client
D. usual weekly intake of milk products and red meats - ✔✔✔ANSWER-A. foods
and liquids consumed during the past 24 hours
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, starting the death is inevitable, but the client is
discontinues and will not sign a DNR directive.
A. review the client's most recent laboratory reports
B. determine who is legally empowered to make decisions
C. refer the client and family members for hospice
D. notify the patient ethics committee of the client situation - ✔✔✔ANSWER-B.
determine who is legally empowered to make decisions
, The nurse working in the emergency department is assessing four client's ability to
tolerate pain. Which client is likely to tolerate a higher level of pain.
A. A 23-year-old woman who sprained her knee while biking
B. a 55-year-old woman who has had moderate low back pain for three months
C. A 10-year-old who was burned by a camp fire earlier today
D. A 70 year-old who has a postoperative infection from a surgery one week ago -
✔✔✔ANSWER-B. a 55-year-old woman who has had moderate low back pain for
three months
What action by the nurse demonstrated culturally sensitive care?
A. explains the differences between western medical care and cultural folk
remedies
B. applies knowledge of a cultural group unless a client embraces western customs
C. avoids questions about male-female relationship
D. asks permission before touching a client - ✔✔✔ANSWER-D. asks permission
before touching a client
What activity should the nurse use in the evaluation phase of the nurse process?
A. ask a client to evaluate the nursing care provided
B. examine the effectiveness of nursing interventions toward meeting client
outcomes
C. determine whether a client's health problems have been alleviated
D. document the nursing care plan in the progress notes - ✔✔✔ANSWER-B.
examine the effectiveness of nursing interventions toward meeting client outcomes
What client statement indicates to the nurse that the client requires assistance with
bathing?
A. "I only bathe every other day"
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