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HESI FUNDAMENTALS PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS.
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HESI FUNDAMENTALS PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS.
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HESI FUNDAMENTALS PRACTICE EXAMQUESTIONS WITH COMPLETE
ANSWERS
The nnnurse nnis nnassessing nna nnclient nnwith nndark nnskin nnwho nnis nnin nnRespiratory
nnDistress. nnWhich nnclient nnresponse nnshould nnthe nnnurse nnevaluate nnto nndetermine
nncyanosis nnin nnthis nnparticular nnclient?
A. nnCyanosis nnin nna nnclient nnwith nndark nnskin nnis nnseen nnin nnthe nnsclera
B. nnAbnormal nnskin nncolor nnchanges nnin nna nnclient nnwith nndark nnskin nncannot nnbe
nndetermined
C. nnThe nnlips nnand nnmucus nnmembranes nnof nna nnclient nnwith nndark nnskin nnare
nndusky nnin nncolor
D. nnBlanching nnthe nnsoles nnof nnthe nnfeet nnin nna nnclient nnwith nndark nnskin nnreveals
nncyanosis nn- nnAnswer nnC. nnThe nnlips nnand nnmucus nnmembranes nnof nna nnclient
nnwith nndark nnskin nnare nndusky nnin nncolor
Causes nnof nncyanosis nninclude nnhypoxemia nnand nndecreased nncardiac nnoutput,
nnwhich nnprovides nnclues nnto nnrespiratory nnstatus nnwith nnchanges nnin nnskin nncolor
nnand nnmucous nnmembranes. nnCyanosis, nna nnlate nnsign nnof nnhypoxemia, nnis nnbest
nnobserved nnin nntissue nnthat nnhas nnsuperficial nncapillary nnsupply, nnsuch nnas nnmucous
nnmembranes, nnthe nnconjunctiva, nnlips, nnpalms, nnand nnunder nnthe nntongue, nnwhich
nnis nnreadily nnvisible nnin nndark nnskin
Which nntechnique nnshould nnthe nnPN nnuse nnto nnmost nnaccurately nnassess nna nnclient's
nnbaseline nnBP nnduring nna nnroutine nnhealth nnexam?
A. nnMeasure nnthe nnpressure nnin nneach nnarm nnwhile nnthe nnclient nnsits nnwith nnboth
nnarms nnsupported nnat nnheart nnlevel
B. nnCalculate nnavg nnBP nnusing nnreadings nnobtained nnin nnboth nnarms
C. nnObtain nnBP nnfirst nnwith nnclient nnlying nnsupine nnand nnthen nnwhen nnstanding
D. nnTake nnadditional nnmeasurements nnfor nnreadings nnwith nna nn10 nnmm nnHg
nndifference nn- nnAnswer nnA. nnMeasure nnthe nnpressure nnin nneach nnarm nnwhile nnthe
nnclient nnsits nnwith nnboth nnarms nnsupported nnat nnheart nnlevel
BP nnshould nnbe nntaken nninitially nnin nnboth nnarms nnwhile nnthe nnclient nnis nnseated nnor
nnsupine nnwith nnthe nnarm nnbared, nnsupported, nnand nnpositioned nnat nnthe nnlevel nnof
nnthe nnheart
,A nnclient nnwith nngastroenteritis, nnnausea, nnand nnvomiting nnis nncurrently nnon nnNothing
nnby nnmouth nn(NPO) nnstatus. nnThe nnhealthcare nnprovider nnprescribes nnoral nnintake
nnto nnbe nnadvanced nnas nntolerated. nnWhich nnfluid nnshould nnthe nnpractical nnnurse
nnoffer nnfirst?
A. nnTea
B. nnBroth
C. nnWater
D. nnSoda nn- nnAnswer nnC. nnWater
Water nnor nnice nnchips nnare nnthe nnfirst nnchoices nnof nnclear nnfluids nnfor nnrehydration
nnby nnmouth
An nnolder nnclient nnwho nnis nnadmitted nnto nnthe nnhospital nnwith nndehydration nnand
nnelectrolyte nnimbalance nnis nnconfused nnand nnincontinent nnof nnurine. nnWhich nnaction
nnprovides nnthe nnbest nnstrategy nnfor nnthe nnpractical nnnurse nn(PN) nnto nnimplement
nnfor nnthe nnclient's nnincontinence?
A. nnInsert nnan nnindwelling nnurinary nncatheter
B. nnApply nnabsorbent nnincontinence nnpads
C. nnRestrict nnfluids nnafter nnthe nnevening nnmeal
D. nnEstablish nna nn2-hour nnvoiding nnschedule nn- nnAnswer nnD. nnEstablish nna nn2-hour
nnvoiding nnschedule
A nn2 nnhour nnvoiding nnschedule nnis nnthe nnbest nnstrategy nnfor nnurinary nnincontinence
nnmanagement nnb/c nnit nnprovides nnthe nnclient nnwho nnis nnconfused nnan nnopportunity
nnto nnempty nnthe nnbladder nnwhich nnminimizes nnincontinence nndue nnto nnoverfilling
Which nnintervention nnshould nnthe nnpractical nnnurse nn(PN) nnimplement nnto nnreduce
nnthe nnincidence nnof nnurinary nntract nninfections nnin nna nnclient nnwith nnan nnindwelling
nncatheter?
A. nnIrrigate nncath nnwith nnsterile nndistilled nnwater nn
B. nnDilute nnan nnantiseptic nnsolution nnin nnthe nnperineal nnwash
C. nnCleanse nnperineal nnarea nnwith nnsoap nnand nnwater nnBID nnand nnPRN
D. nnApply nnan nnantibiotic nnointment nnaround nnurinary nnmeatus nnBID nn- nnAnswer nnC.
nnCleanse nnperineal nnarea nnwith nnsoap nnand nnwater nnBID nnand nnPRN
Daily nnperineal nncare nnBID nnand nnPRN nnshould nninclude nncleansing nnof nnthe
nnmeatus nnand nncatheter nnjunction nnwith nnsoap nnand nnwater
A nnmale nnclient nnis nnupset nnwith nnthe nnhealthcare nnprovider's nnrecommendation nnthat
nnhe nnshould nnconsent nnto nnan nnabove-knee nnamputation. nnHe nntells nnthe nnpractical
nnnurse nn(PN), nnif nnthey nnwant nnto nncut nnoff nnmy nnleg, nnthey nnshould nnjust nnshoot
nnme nninstead. nnHow nnshould nnthe nnPN nnrespond?
, A. nnAsk nnthe nnclient nnhow nnthe nnsurgery nnmight nneffect nnhis nnlifestyle
B. nnOffer nnto nnstay nnwith nnthe nnclient nnwile nnhe nnmakes nnhis nndecision
C. nnExpress nnsympathy nnthat nnthere nnis nnno nnother nnchoice nnpossible
D. nnExplain nnhow nnmany nnothers nnfunction nnwell nnwith nna nnprosthesis nn- nnAnswer
nnA. nnAsk nnthe nnclient nnhow nnthe nnsurgery nnmight nneffect nnhis nnlifestyle
Limb nnamputation nnalters nnbody nnimage nnand nnchanges nnthe nnclient's nnADLs, nnwork,
nnand nnrecreational nnactivities, nnwhich nntriggers nna nngrieving nnprocess nnfor nnthe
nnclient. nnDetermining nnthe nnclient's nnperception nnof nnthe nnprocedure's nnimpact nnon
nnhis nnlifestyle nnis nntherapeutic nnand nnallows nnthe nnclient nnto nnexplore nnand nndiscuss
nnfeelings
A nnclient nnwith nncancer nnwho nnhas nnbeen nntaking nnopioid nnanalgesics nnfor nntwo
nnyears nnnow nnrequires nnincreased nndoses nnto nnobtain nnpain nnrelief. nnhe nnclient
nnexpresses nnfear nnabout nnbecoming nnaddicted nnto nnthese nndrugs. nnWhat
nninformation nnshould nnthe nnpractical nnnurse nn(PN) nnprovide?
A. nnOpioid nnuse nnwith nncancer nndoes nnnot nncause nnaddiction
B. nnAddiction nnis nneasily nnreversed nnif nnit nnoccurs nnduring nnpain nnmanagement
C. nnPrescribed nnopiates nnfor nncancer nnpain nnrelief nnimproves nnquality nnof nnlife
D. nnOpiate nndosages nncan nnbe nntapered nnis nna nnclient nnfears nnaddiction nn- nnAnswer
nnC. nnPrescribed nnopiates nnfor nncancer nnpain nnrelief nnimproves nnquality nnof nnlife
The nngoal nnof nnpain nnmanagement nnfor nnclients nnwith nncancer nnusing nnopiates nnis
nnto nnminimize nnpain nnand nnimprove nnquality nnof nnlife, nnmaking nnpain nnrelief nnrather
nnthan nnaddiction, nnthe nnprimary nngoal
Which nnintervention nnshould nnthe nnpractical nnnurse nn(PN) nnimplement nnto nnhelp nna
nnclient nncope nneffectively nnwith nnchronic nnpain?
A. nnAdminister nnaround nnthe nnclock nnopiate nndrugs
B. nnGive nnscheduled nndoses nnof nnbenzodiazapines nn
C. nnRecommend nnavoiding nnpainful nnactivities
D. nnEncourage nnusing nnrelaxation nntechniques nn- nnAnswer nnD. nnEncourage nnusing
nnrelaxation nntechniques nn
They nncan nnbe nnan nneffective nnlong-term nnstrategy nnto nnhelp nnthe nnclient nncontrol
nntension, nnanxiety, nnand nncope nnwith nnchronic nnpain
A nnyoung nnwoman, nnwho nnis nnthe nnprimary nncaregiver nnfor nnher nnmother nnwho nnhas
nnAlzheimer's nndisease, nntells nnthe nnpractical nnnurse nn(PN), nn"Sometimes nnI nnhate
nnmy nnmother nnfor nnliving nnthis nnlong nnand nnmy nnDad nnfor nndying nnand nnnot nncaring
nnfor nnher." nnWhat nnresponse nnshould nnthe nnPN nnoffer?
A. nnWhat nnyou nndo nnto nncope nnwith nnthese nnfeelings? nn
B. nnHave nnyou nntold nnyour nnfamily nnhow nnyou nnfeel? nn
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