HESI FUNDAMENTALS Questions with accurate answers. 100% proven pass rate. Graded A

Document Content and Description Below

HESI FUNDAMENTALS Questions with accurate answers. 100% proven pass rate. Graded A 1. A nurse isreaching a client and hisfamily how to care for the client’stracheostomy at home. Which of the foll... owing should the nurse include in the teaching? a. Use tracheostomy covers when outdoors 2. A home health nurse is performing a follow−up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea? a. The client’s care giver washed out the feeding bag once every 24 hours with warm water 3. A nurse istalking with an older adult client who is contemplating retirement. The clientstates, <I keep thinking about how much I enjoy my job. I’m not sure I want to retire.= Which of the following responses should the nurse make? a. Let’stalk about how the change in your hob status will affect you. 4. A nurse is assessing a client who reports increased pain following pt. Which of the following questions should t15he nurse ask hen assessing the quality of the client’s pain? a. Sharp & dull 5. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? a. Reassure the client that thisis an expected response to grief. 6. A nurse on a medical−surgical unitis caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? a. Pad the client’s wrist before applying the restraints 7. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observationsshould the nurse identify as propersafety protocol? a. The client uses no acetone nail polish remover. 8. Nurse caring for a client who has a respiratory infection. What technique should she use when preforming nasotracheal suctioning? a. Apply intermittentsuction when withdrawing the catheter. 9. Nurse is preparing for change ofshift. Which document ortools should the nurse use to communicate? a. SBAR 10. Nurse is planning care for a client who had a stroke. Whatshould be assigned to the assistive personal? (SATA) a. -Assist the client with a partial bed bath. b. -Measure the client’s BP afterthe nurse administers antihypertensive meds. c. -Use a communication board to ask what the client wantsfor lunch. 11. Nurse caring for a client who has dementia. What interventions should be taken to minimize risk for injury? a. Use bed exit alarm system 12. Nurse performing a skin assessmentfor a client who expresses concern aboutskin cancer. What findings should the nurse identify as a potential indication of a skin malignancy? a. A mole with an asymmetrical appearance lOMoARcPSD|499 043 4 13. Nurse is administering optic ear medication on an adult client. Which action should be done to ensure the medication reached the inner ear? a. Press gently on the tragus of the client’s ear. 14. Nurse is planning strategiesto manage time effectively for client care. Whatshould the nurse implement? a. Use the planning step of the nursing processto prioritize client care delivery. 15. Nurse caring for a client who has a sodium level of 125. Whatfindings should the nurse expect? a. Abdominal cramping 16. Nurse is preparing an education program forstaff about advocacy. Whatinformation should the nurse include? a. Advocacy ensures clients’ safety, health, and rights. 17. Nurse is preparing to administer enoxaparin subcutaneously. Which of the following actions should the nurse take? a. Administerthe medication with the needle at a 45-degree angle. 18. A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant. Which precaution should the nurse plan for this client? a. Make sure the client wears a mask when outside her room if there is construction in the area. 19. Nurse providing discharge instructionsfor client who will be using a walker. Which statement indicates an understanding of the teaching? a. I will hire someone to trim the tree that handslow over the stairs of my front porch. 20. Nurse planning to insert IV for an older adult client. What actions should the nurse plan to take? a. Place the client’s arm in a dependent position. 21. A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client’s care, when should the nurse initiate discharge planning? a. During the admission process 22. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, <What would happen if I arrived atthe ED and I had a difficulty breathing?= Which of the following responses should the nurse make? a. We would give you oxygen through a tube in your nose. 23. A nurse is caring for a client who requires an NG tube forstomach decompression. Which of the following actions should the nurse take when inserting the NG tube? a. Help the client take sips of water to promote insertion of t [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages