Hesi RN Fundamentals Exams Study Bundle With Complete Solutions Graded A+ 2024.

The nurse observes that a male client has removed the covering form an ice pack applied to his knee. What action should the nurse take first? -Answer Observe the appearance of the skin under the ice pack. The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution at...

the purpose of therapeutic interaction - Answer to allow the client to autonomy to make choices when appropriate. keep statements value-free, advice free, and reassurance-free what action should the nurse take in a psychiatric situation when the client describes a physical problem? - Answer ...

Which laboratory test indicates the client's protein status for the longest length of time? - Answer Serum albumin. Has a long half-life and is the best long-term indicator of the body's entry into a catabolic state following protein depletion from malnutrition or stress of chronic illness. ...

A spouse of a client appears to be in spiritual distress over the anticipated death of the client and is crying "Why is this happening to me?" What is the nurse's most therapeutic response? 1- Remain with the spouse and listen empathetically. 2- Explain to the spouse the steps of the grievi...

*********** - Answer (HESI is meant to ensure entry level nursing behaviors - NEED to know basic fundamentals, how to set priorities, and how to appropriately use nursing judgment) - Biggest sections: Management of Care and Infection Control measures. HESI also loves crutch, cane, walker, and p...

An elderly client who requires frequent monitoring fell and fractured a hip. Which nurse is at greatest risk for a malpractice judgment? A) A nurse who worked the 7 to 3 shift at the hospital and wrote poor nursing notes. B) The nurse assigned to care for the client who was at lunch at the tim...

PICOT Format Answer - -Population/Patient Problem -Intervention -Comparison of Interest -Outcome of Interest -Time frame suggested for intervention Thrill Answer - Vibration felt on palpation; felt by touching the body over an area of turmoil in blood flow (as a blocked artery) Bruit A...

patient had stage 5 mets, wife feels like it is a mistake. What stage of grieving is this? -Answer Denial The practical nurse (PN) is preparing a client for discharge who was recently diagnosed with (chronic gastritis), which diet teaching should the PN reinforce prior to the clients discharge...

1. In comparing the American Nurses Association (ANA) and the International Council of Nurses (ICN) definitions of nursing, what component does the ICN mention that is not included in ANA's definition and is indicative of a more global focus? a. Advocacy b. Health promotion c. Shaping health pol...

An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." The nurse's best initial response is - Answer Your parent is: Working through acceptance of the situation." During the beginning phase of a therapeutic relations...

64.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 noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that...

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 ...

When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely grasp the client's arm and leg. B. Put bed rails up on the side of bed opposite from the nurse. C. Correctly position and use a turn sheet. D. Lower the head of...

A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated inf...

The nurse observes a newly admitted older adult female take short steps and walk very slowly while pushing a walker in front of her. What action should the nurse take in response to these observations? A) Complete a full fall risk assessment of the client. B) Teach the client to take longer step...

A nurse makes a home-care visit for a client who had total hip replacement surgery 1 week ago. During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved? 1. Implementation 2. Evaluation 3. Planning 4. Analysis - Answer 1. During th...

Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems? - Answer Counselor As a counselor, the nurse helps clients identify and clarify health problems and choose appropriate courses of action...

normal WBC count - Answer 4,000-10,000 normal Creatinine - adult - Answer 0.7-1.3 mg/dL normal hemoglobin - Answer Male: 14-18 Female: 12-16 normal sodium levels - adult - Answer 135-145 correct deep breathing technique - Answer inhale deeply through nose and exhale through mo...

An older adult male comes into the hospital with a red painful rash and has been trying over the counter ointments that have not been working. What should the nurse do first? a. Put a mask on the patient b. Ask if he's been near children c. Put on a mask and gloves and continue to evaluate d. D...

A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional assessment finding should the nurse expect? a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min" - Answer ANS: A A nurse assesses ...

A hospital nurse transcribing a health care providers prescriptions for a client is unable to read a prescribed dosage because the health care providers handwriting is unclear. Which action should the nurse take? 1. Calling the health care provider 2. Asking the client about the usual dosage of ...

In assisting an older adult client prepare to take a tub bath, which nursing action is most important? - Answer Check the bath water temperature. By rolling contaminated gloves inside-out, the nurse is affecting which step in the chain of infection? - Answer Mode of transmission The nurse-...

The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client response should the nurse evaluate to determine cyanosis in this particular client? A. Cyanosis in a client with dark skin is seen in the sclera B. Abnormal skin color changes in a client with dark skin c...

What position should keep a dysphagia pt during eating? - Answer High Fowler's during eating keep elevated at least 1h after eating A UAP is going to fee a dysphagia pt ice tea. - Answer Need to add thickening agent to all liquids. No need to be at room temperature. Blanching occurs whe...

The nurse encounters resistance when inserting the tubing into a client's rectum for a tap water enema. What action should the nurse implement? - Answer Ask the client to relax and run a small amount of fluid into the rectum. The nurse is discussing dietary preferences with a client who adhere...

While preparing to insert a rectal suppository in a male adult client, the nurse observes that the client is holding his breath while bearing down. What action should the nurse implement? - Answer Instruct the client to take slow deep breaths and stop bearing down. The nurse assesses an immobil...

Which area of the hands requires special attention before you begin a surgical hand scrub? A) The area under each fingernail B) The back of the hands C) The area between each finger D) The palm of each hand - Answer B When opening a sterile pack, which of the following actions would compr...

During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of my weight." Which is the best response by the nurse? A. Reassure the client that many obese people have concerns about sex. B. Remind the client that sexual relationships need not be affected by...

During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate? -Answer The nurse provi...

A client with acute hemorrhagic anemia is to receive four units of packed red blood cells (RBCs) as rapidly as possible. Which intervention is most important for the nurse to implement? - Answer Ensure the accuracy of the blood type match An older client with a fractured left hip is on strict ...

Post surgery, monitor for thrombophlebitis especially in clients who were in the ______ position during surgery - Answer lithotomy Post surgery, maintain NPO status until - Answer gag reflex and peristalsis has returned If the client does not have a urinary catheter, the client is expected...

*A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?* A. Tell the client that the blood pressure is high and that the reading needs to be verified by another nurse. B. Contact the health care provider to report the reading and obtain a prescription for a...

.What is the rationale for using the nursing process in planning care for clients? A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems. B. To establish nursing theory that incorporates the biopsychosocial nature of humans. C. As a tool to organize thinking ...