NUR 601 (HESI Fundamentals) QUESTIONS AND
ANSWERS COMPLETE RATED A AND VERIFIED
CHAMBERLAIN UNIVERSITY
, lOMoAR cPSD| 22891787
1. The nurse receives a report that a client with an indwelling urinary catheter has an output of
150 mL, for the previous 6 hour shift. Which intervention should the nurse implement first?
a. Check the drainage tubing for a kink
b. Review the intake and output record.
c. Notify the healthcare provider
d. Give the client 8 oz of water to drink
The minimum amount of output a patient should have for one hour is 30mL. In 6 hours, it should
at least be 180mL. Since it is under, the first thing to do is check the equipment, in this case the
foley tubing! Kinks can prevent adequate output to be in the bag. (B) doesn’t help the situation.
(C) not necessary unless the tubing is not kinked, the patient has sufficient PO intake, and there
are no issues with the foley. (D) giving water would be the last step if the patient is not fluid
overloaded.
2. The nurse is conducting an initial admission assessment for a woman who is Mexican-
American and who is scheduled to deliver a baby by C-section in the next 24 hours. What should
the nurse include in the assessment?
a. Provider an interpreter to convey the meaning of words and messages in translation
b. Commend the client for her patience after a long wait in the admission process
c. Arrange for the hospital chaplain to visit the client during her hospital stay
d. Rely on cultural norms as the basis for providing nursing care for this client
, lOMoAR cPSD| 22891787
Whenever Elsevier points out the ethnicity or race of a patient, there are key cultural aspects you
should look for in your answer (D). Don’t assume (A) is correct because she could very well
speak English!
3. During the admission assessment of a terminally ill male client that he is an agnostic. What is
the best nursing action in response to this statement?
a. Provide information about the hours and location of the chapel
b. Document the statement of the client’s spiritual assessment
c. Invite the client to a healing service for people of all religions
d. Offer to contact a spiritual advisor of the client’s choice
, lOMoAR cPSD| 22891787
You should always respect a patient’s religious or lack of, values and document it. (A) is
inappropriate because the client is Agnostic. (C) is also inappropriate. (D) also inappropriate.
4. The nurse is reviewing the signed operative consent with a client who is admitted for the
removal of a lipoma on the left leg. The client states that the consent form should say the
removal of a lipoma on the right leg. Which intervention should the nurse implement?
A. Notify the OR staff of the client’s confusion
B. Have the client sign a new surgical consent
C. Add the additional information to the consent
D. Inform the surgeon about the client’s concern
If there are any discrepencies or concerns from the patient prior to signing the surgery consent,
then the RN needs to call the surgeon to come speak to the patient to clear any confusion. (A)
this client is not confused, never assume they are. (B) You will do this after the proper leg is
discussed with the surgeon. (C) never add information to a consent! That is not your job and is
only done with the surgeon’s knowledge.
5. The nurse plans to assist a male client out of bed for the first time since his surgery
yesterday. His wife objects and tells the nurse to get out of the room because her husband is too
ill to get out of bed.
A. Administer nasal oxygen at a rate of 5 L/min
B. Help the client to lie back down in the bed
C. Quickly pivot the client to the chair and elevate the legs
D. Check the client’s blood pressure and pulse deficit
(A) is incorrect because it does not say that the patient has a decrease in O2 stats. (B) is incorrect
because you assume the patient is already laying down and you have a task at hand. (C) MOVE
SLOW after surgery! Never quickly move a patient. You could injury yourself and the client. (D)
is correct; make sure they are physiologically stable first before moving them.
6. When entering the room of an adult male, the nurse finds that the client is very anxious.
Before providing care, what action should the nurse take first?
a. Divert the client’s attention
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