HESI RN Fundamentals Exam Latest Update
Actual Exam 2024-2025 Questions and 100%
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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 - CORRECT
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" - CORRECT
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 - CORRECT 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 - CORRECT ANSWER: B.
determine who is legally empowered to make decisions
A client has a nursing diagnosis of "Spiritual distress related to loss of hope, secondary
to impending death." What intervention is best for the nurse to implement when caring
for this client?
A. instruct the client's family to focus on positive aspect of the client's life
B. assist and support the client in establishing short-term goals
C. encourage the client to make future plans, even if they are unrealistic
D. help the client to accept the final stage of life - CORRECT ANSWER: B. assist and
support the client in establishing short-term goals
A client is admitted to the hospital with intractable pain. When instruction should the
nurse provide the unlicensed assistive personnel (UAP) who is preparing to assist this
client with a bed bath?
A. a client's pain will be difficult to manage, since the cause is still unknown
B. take measures to promote as much comfort as possible
C. report any signs of drug addiction to the nurse immediately
D. wait until the client's pain is gone before assisting with personal care - CORRECT
ANSWER: B. take measures to promote as much comfort as possible
A client who has been on bedrest for several days now has a prescription to progress
activity as tolerated. When the nurse assists the client out of bed for the first time, the
client becomes dizzy. What action should the nurse implement?
,A. Instruct the patient to remain on bedrest until the healthcare provider is contracted
B. encourage the client to take several slow, deep breaths while ambulating
C. advise the client to sit on the side of the bed for a few minutes before standing again
D. help the client to remain standing by the bedside until the dizziness is relieved -
CORRECT ANSWER: C. advise the client to sit on the side of the bed for a few minutes
before standing again
A client with chronic renal disease is admitted to the hospital for evaluation prior to a
surgical procedure. Which laboratory test indicated the client's protein status for the
longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin - CORRECT ANSWER: D. serum albumin
A client with raynaud's disease asks the nurse about using biofeedback for self-
management of symptoms. What response is best for the nurse to provide?
A. although biofeedback is easily learned, it is mostly often used to manage
exacerbation of symptoms
B. biofeedback allows the client to control voluntary responses to promote peripheral
vasodilation
C. the responses to biofeedback have not been well established and may be a waste of
time and money
D. biofeedback requires extensive training to retain voluntary muscles, not involuntary -
CORRECT ANSWER: B. biofeedback allows the client to control voluntary responses to
promote peripheral vasodilation
A female client informs the nurse that she uses herbal therapies to supplement her diet
and manage common ailments. What information should the nurse offer the client about
general use of herbal supplements?
A. herbal therapies may mask the symptoms of serious disease, so frequent medical
evaluation is requiring during use
, B. herbs should be obtained from manufacturers with a history of quality control of their
supplements
C. there is no evidence that herbs are safe or effective as compared to conventional
supplements in maintaining health
D. most herbs are toxic of carcinogenic and should be used only when proven effective
- CORRECT ANSWER: B. herbs should be obtained from manufacturers with a history
of quality control of their supplements
A female nurse who sometimes tries to save time by putting medications in her uniform
to clients, confides that after arriving home she found hydrocodone (Vicodin) tablet in
her pocket. Which possible outcome of this situation should be the nurse's greatest
concern?
a. accused of unprofessional conduct
b. accused of diversion
c. reported for stealing
d. reported for a HIPAA violation - CORRECT ANSWER: b. accused of diversion
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 non compliant with the diet, based on which report
from the 24-hour dietary recall? (select all that apply)
A. bedtime snack of crackers and milk
B. breakfast of eggs, bacon, toast, and coffee
C. lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee
D. dinner of vegetable lasagna, tossed salad, sherbet, and iced tea
E. snack of potato chips, and diet soda - CORRECT ANSWER: A, B, C & E
A male client arrives at the out patient surgery center for a scheduled needle aspiration
of the knee. He tells the nurse that he has already given verbal consent for the
procedure to the health care provider. What action should the nurse implement?
A. verify the client's consent with the health care provider
B. document that the client has given consent for the needle aspiration
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