HESI Fundamentals Practice Exam 2023
Study online at https://quizlet.com/_d358w0
The nurse encounters resistance when
inserting the tubing into a client's rec- Ask the client to relax and run a small
tum for a tap water enema. What action amount of fluid into the rectum.
should the nurse implement?
The nurse is discussing dietary prefer-
ences with a client who adheres to a
vegan diet. Which dietary supplement Vitamin B12.
should the nurse encourage the client to
include in the dietary plan?
An older client who is able to stand but
not to ambulate receives a prescription
Place a transfer belt around the client,
to be mobilized into a chair as tolerated
assist to stand, and pivot to a chair that
during each day.What is the best action
is placed at a right angle to the bed.
for the nurse to implement when assist-
ing the client from the bed to the chair?
A male client with an infected wound tells
the nurse that he follows a macrobiot-
Combination of plant proteins to provide
ic diet. Which type of foods should the
essential amino acids.
nurse recommend that the client select
from the hospital menu?
A 4-year-old boy who is scheduled for
a tonsillectomy and adenoidectomy asks
"It may hurt but we'll give you medicine to
the nurse, "Will it hurt to have my ton-
help you feel better."
sils and adenoids taken out?" Which re-
sponse is best for the nurse to provide?
When the nurse enters a client's room
to do an initial assessment, the client
shouts, "Get out of my room! I'm tired of "What is concerning you this morning?"
being bothered!" How should the nurse
respond?
Which statement correctly identifies a
Upon discharge, the client will list three
written learning objective for a client with
ways to protect the feet from injury.
peripheral vascular disease?
The nurse is providing passive range of
motion (ROM) exercises to the hip and Cradle the client's heel.
knee for a client who is unconscious.
, HESI Fundamentals Practice Exam 2023
Study online at https://quizlet.com/_d358w0
After supporting the client's knee with
one hand, what action should the nurse
take next?
While preparing to insert a rectal sup-
pository in a male adult client, the nurse
Instruct the client to take slow deep
observes that the client is holding his
breaths and stop bearing down.
breath while bearing down. What action
should the nurse implement?
What action should the nurse implement
Consider the sterile field contaminated if
when adding sterile liquids to a sterile
it becomes wet during the procedure.
field?
When assessing a client with a nurs-
ing diagnosis of fluid volume deficit, the
nurse notes that the client's skin over Continue the planned nursing interven-
the sternum "tents" when gently pinched. tions to restore the client's fluid volume.
Which action should the nurse imple-
ment?
A client is admitted to the hospital with
intractable pain. What instruction should
Take measures to promote as much
the nurse provide the unlicensed assis-
comfort as possible.
tive personnel (UAP) who is preparing to
assist this client with a bed bath?
The nurse is preparing to irrigate a
client's indwelling urinary catheter using Draw up the irrigating solution into the
an open technique. What action should syringe.
the nurse take after applying gloves?
The nurse is administering an intermit-
tent infusion of an antibiotic to a client
whose intravenous (IV) access is an
antecubital saline lock. After the nurse
Reposition the client's arm.
opens the roller clamp on the IV tubing,
the alarm on the infusion pump indicates
an obstruction. What action should the
nurse take first?
What intervention should the nurse in-
clude in the plan of care for a client who
, HESI Fundamentals Practice Exam 2023
Study online at https://quizlet.com/_d358w0
is being treated with an Unna's paste
Check capillary refill of toes on lower ex-
boot for leg ulcers due to chronic venous
tremity with Unna's paste boot.
insufficiency?
A client is admitted with a stage four
pressure ulcer that has a black, hard-
ened surface and a light-pink wound
Wet to moist dressing.
bed with a malodorous green drainage.
Which dressing is best for the nurse to
use first?
A female client informs the nurse that
she uses herbal therapies to supplement
Herbs should be obtained from manufac-
her diet and manage common ailments.
turers with a history of quality control of
What information should the nurse offer
their supplements.
the client about general use of herbal
supplements?
The nurse removes the dressing on a
client's heel that is covering a pressure
sore one-inch in diameter and finds that
One-inch pressure sore draining serous
there is straw-colored drainage seeping
fluid.
from the wound. What description of this
finding should the nurse include in the
client's record?
The charge nurse assigns a nursing pro-
cedure to a new staff nurse who has
Refuse to perform the task that is beyond
not previously performed the procedure.
the nurse's experience.
What action is most important for the
new staff nurse to take?
A female client who has breast cancer
with metastasis to the liver and spine is
admitted with constant, severe pain de-
spite around-the-clock use of oxycodone Sensory pattern, area, intensity, and na-
(Percodan) and amitriptyline (Elavil) for ture of the pain.
pain control at home. During the admis-
sion assessment, which information is
most important for the nurse to obtain?
What action by the nurse demonstrates
Asks permission before touching a client.
culturally sensitive care?
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