fundamentals hesi (3) Questions and
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. A policy requiring the removal of acrylic nails by all nursing
personnel was implemented 6 months ago. Which assessment
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measure best
determines if the intended outcome of the policy is being
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achieved.
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A. number of staff induced injuries
Client satisfaction survey
C. health care associated infection rate
D. Rate of needle stick injuries by nurse Ans: C. health care
associated infection rate
2. The nurse is preparing to assist a newly admitted client with
personal hygiene measures. The client asseses the client's gag
reflex. Which action should the nurse include?
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
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D. Auscultate breath sounds after client swallows Ans: B.
place tongue blade on back half of tongue
4. The nurse explains to an older adult male the procedure for
collecting a 24-hour urine specimen for creatinine clearance.
what should the nurse include?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
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C. empty the urinal contents into the 24 hour specimen
collection container
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D. Discard the contents of the urinal Ans: C. empty the urinal
contents into the 24 hour specimen collection container
5. A 54-year-old male client and his wife were informed this
morning that he has terminal cancer. Which nursing
intervention is likely to be most appropriate?
A.ask her how she would like to participate in client care
B.provide the wife info about hospice
C.encourage the wife to visit after painful treatment
D.refer her to support group for family members of those who
are dying Ans: D.refer her to support group for family
members of those who are dying
. A client who has a body mass index (BMI) of 30 is requesting
information on the initial approach to a weight loss plan.
Which action
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should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week Ans:
C. Keep a record of food and drinks consumed daily
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7. The nurse assesses a client who has a nasal cannula
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delivering oxygen at 2 L/min. To assess for skin damage
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related to the cannula, which
areas should the nurse observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead Ans: A. Tops of the ear
C. Around the nostrils
D. Over the cheeks
8. The nurse observes an unlicensed assistive personnel (UAP)
who is providing a total bed bath for a confused and lethargic