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HESI RN FUNDAMENTAL VERSION 4 EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE$25.49
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HESI RN FUNDAMENTAL VERSION 4 EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE
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Course
HESI RN FUNDAMENTAL
Institution
HESI RN FUNDAMENTAL
HESI RN FUNDAMENTAL VERSION 4
EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
HESI RN FUNDAMENTAL VERSION 4
EXAM 2024-2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
A client who has had the jaws wired begins to vomit. The nurse should first:
a) administer an antiemetic intravenously.
b) insert a nasogastric (NG) tube and connect it to suction.
c) use wire cutters to cut the wire.
d) suction the client's airway as needed.
suction the client's airway as needed.
Correct
Explanation:
The nurse's first action is to clear the client's airway as necessary. Inserting an NG tube or
administering an antiemetic may prevent future vomiting episodes, but these procedures are not
helpful when the client is actually vomiting. Cutting the wires is done only as a last resort or in case of
respiratory or cardiac arrest
The nurse is planning care for a client with a Cantor tube. Which nursing measures should be included in
the care plan? Select all that apply.
a) Inject 10 mL of air into the tube to facilitate drainage.
b) Coil extra tubing on the client's bed.
c) Apply a water-soluble lubricant to the client's nares.
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,d) Irrigate the tube with 50 mL of normal saline solution every 8 hours.
e) Provide mouth care as needed.
Inject 10 mL of air into the tube to facilitate drainage.
• Apply a water-soluble lubricant to the client's nares.
• Coil extra tubing on the client's bed.
• Provide mouth care as needed.
Explanation:
The nurse should provide mouth care as needed and apply a water-soluble lubricant to the nares.
Extra tubing can be coiled to prevent kinking. The tube can be injected with air. Intestinal tubes are
not irrigated.
A client with severe chest pain is brought to the emergency department. The client tells the nurse, "I just
have a little indigestion." How should the nurse respond?
a) "How will having chest pain change your life?"
b) "Are you confused? You are having a heart attack."
c) "We tried an antacid and it did not work. It is not indigestion."
d) "You seem concerned about your chest pain."
"You seem concerned about your chest pain."
Correct
Explanation:
During a crisis, it's common for a client to use denial, a coping mechanism exhibited by minimizing
symptoms or avoiding discussion. The nurse must respond therapeutically to the client. Confrontation
about the client's statement and asking the client if he/she is confused are not therapeutic. Asking
how having chest pain will change the client's life is not appropriate in this acute phase
A nurse is required to irrigate a client's nasogastric tube, a procedure the nurse has not performed
before. What is the most appropriate action by the nurse?
a) Irrigate the nasogastric tube by following the steps outlined in the procedure manual.
b) Contact the nurse educator for an in-service and support in performing the skill.
c) Ask another nurse to irrigate the nasogastric tube for him/her each time it is required.
d) Refuse the assignment because he/she has never irrigated a nasogastric tube.
Contact the nurse educator for an in-service and support in performing the skill.
Correct
Explanation:
The nurse has a responsibility for recognizing his/her limitations and to seek assistance when
necessary. Because the nurse has not performed this skill previously, the nurse educator is the
appropriate person to provide inservice and support so the client receives safe and competent care.
The other options are incorrect because they do not demonstrate expected behavior for a nurse who
has identified a gap in his/her learning or expertise.
The nurse-manager of an outpatient facility isn't satisfied with discharge planning policies and
procedures. Knowing other managers at similar facilities regarded as the "best" in the country, which
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,steps should the nurse-manager take as part of a continuous quality-improvement process?
a) Ask the nurse-managers at the best facilities for their policies and procedures so she can adopt them.
b) Ask the staff nurses to form a task force to review and revise discharge policies and procedures.
c) Ask her staff nurses to investigate discharge policies and procedures at other outpatient facilities and
recommend changes.
d) Contact the nurse-managers at the best facilities and compare their discharge planning policies and
procedures with those of her facility.
Contact the nurse-managers at the best facilities and compare their discharge planning policies and
procedures with those of her facility.
Correct
Explanation:
Benchmarking is a good approach for the nurse-manager to take. Benchmarking is the process of
comparing an organization's delivery of client care practices in one organization to those in the best
health care organizations. Because the nurse-manager already has contacts at the best facilities, she's
the most appropriate person to obtain the necessary information. The nurse-manager, however,
shouldn't automatically change her policies and procedures to match those of the best facilities.
Instead, she should evaluate the policies to determine which ones might be implemented at her
facility. Then she and her staff should make appropriate recommendations for change. Asking her
staff to form a task force is a good idea, but benchmarking saves time and effort and enables the
nurse-manager to obtain information from excellent resources.
The nurse instructs the unlicensed assistive personnel (UAP) on how to provide oral hygiene for clients
who cannot perform this task for themselves. Which technique should the nurse ask the UAP to
incorporate into the client's daily care?
a) Use a soft toothbrush to brush the client's teeth after each meal.
b) Swab the client's tongue, gums, and lips with a soft foam applicator every 2 hours.
c) Rinse the client's mouth with mouthwash several times a day.
d) Assess the oral cavity each time mouth care is given and record observations.
Use a soft toothbrush to brush the client's teeth after each meal.
Correct
Explanation:
A soft toothbrush should be used to brush the client's teeth after every meal and more often as
needed. Mechanical cleaning is necessary to maintain oral health, stimulate gingiva, and remove
plaque. Assessing the oral cavity and recording observations is the responsibility of the nurse, not the
UAP. Swabbing with a safe foam applicator does not provide enough friction to clean the mouth.
Mouthwash can be a drying irritant and is not recommended for frequent use.
When providing oral hygiene for an unconscious client, the nurse must perform which action?
a) Place the client in a side-lying position.
b) Clean the client's tongue with gloved fingers.
3|Page
, c) Swab the client's lips, teeth, and gums with lemon glycerin.
d) Place the client in semi-Fowler's position.
Place the client in a side-lying position.
Correct
Explanation:
An unconscious client is at risk for aspiration. To decrease this risk, the nurse should place the client in
a side-lying position when performing oral hygiene. Swabbing the client's lips, teeth, and gums with
lemon glycerin would promote tooth decay. Cleaning an unconscious client's tongue with gloved
fingers wouldn't be effective in removing oral secretions or debris. Placing the client in semi-Fowler's
position would increase the risk of aspiration
On the first day after surgery, a client has been breathing room air. Vital signs are normal and O2
saturation is 89%. The nurse should first:
a) administer oxygen by nasal cannula as prescribed at 2L per minute.
b) assist the client to take several deep breaths and cough.
c) lower the head of the bed.
d) notify the health care provider (HCP).
assist the client to take several deep breaths and cough.
Explanation:
Deep breathing and coughing help to increase lung expansion and prevent the accumulation of
secretions in postoperative clients. An O2 saturation of 89% is not an unexpected or emergent finding
immediately following surgery. Frequent coughing and deep breathing will likely quickly remedy an
O2 saturation of 89% but will also effectively help to prevent atelectasis and pneumonia in the
remainder of the postoperative period. It is not necessary to notify the HCP prior to intervening with
coughing/deep breathing, and it is not appropriate to position this client with the head of bed lower
because this would make it more difficult for the client to expectorate secretions. Oxygen may be
necessary, but the nurse should assist the client to cough and deep breath first, in an attempt to
improve his oxygenation and saturation
After a thoracotomy, the nurse instructs the client to perform deep-breathing exercises. What is an
expected outcome of these exercises?
a) The elevated diaphragm enlarges the thorax and increases the lung surface available for gas
exchange.
b) There is increased blood flow to the lungs to allow them to recover from the trauma of surgery.
c) The rate of air flow to the remaining lobe is controlled so that it will not become hyperinflated.
d) The alveoli expand and increase the lung surface available for ventilation.
Deep breathing helps prevent microatelectasis and pneumonitis and also helps force air and fluid out
of the pleural space into the chest tubes. More than half of the ventilatory process is accomplished by
the rise and fall of the diaphragm. The diaphragm is the major muscle of respiration; deep breathing
causes it to descend, not elevate, thereby increasing the ventilating surface. Deep breathing increases
blood flow to the lungs; however, the primary reason for deep breathing is to expand alveoli and
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