ALL HESI FUNDAMENTALS EXAM TEST
BANK UPDATED QUESTION WITH
RATIONALES AND ANSWERS LATEST
UPDATED
When conducting an admission assessment, the nurse should ask the client about the
use of complimentary healing practices. Which statement is accurate regarding the use
of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complimentary healing practices can be used in conjunction with
conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary
healing practices. - Conventional approaches to health care can be depersonalizing
and often fail to take into consideration all aspects of an individual, including body,
, mind, and spirit. Often complimentary healing practices can be used in conjunction
with
conventional medical practices (C), rather than interfering (A) with conventional
practices, causing adverse effects (B), or replacing conventional medical care (D).
Correct Answer: C
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first? A. Sexual
activity patterns.
B. Nutritional history.
C. Leisure activities.
D. Financial stressors. - Caffeine, sugars, and alcohol can lead to increased levels of
anxiety, so a nutritional history (C) should be obtained first so that health teaching
can be initiated if indicated. (A and C) can be used for stress management. Though
(D) can be a source of anxiety, a nutritional history should be obtained first.
Correct Answer: B
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in
time.
,B. Instruct the client that the stoma will become smaller when the initial swelling
diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his
concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the
procedure. - Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when the swelling is
diminished (B). This will help reduce the client's anxiety and promote acceptance
of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful
action, and may be taken after the nurse provides pertinent teaching. The client is
not yet demonstrating readiness to learn colostomy care (D).
Correct Answer: B
At the time of the first dressing change, the client refuses to look at her mastectomy
incision. The nurse tells the client that the incision is healing well, but the client refuses
to talk about it. What would be an appropriate response to this client's silence?
A. It is normal to feel angry and depressed, but the sooner you deal with this surgery,
the better you will feel.
B. Looking at your incision can be frightening, but facing this fear is a necessary part
of your recovery.
C. It is OK if you don't want to talk about your surgery. I will be available when you
are ready.
, D. I will ask a woman who has had a mastectomy to come by and share her experiences
with you. - (C) displays sensitivity and understanding without judging the client. (A)
is
judgmental in that it is telling the client how she feels and is also insensitive. (B) would
give the client a chance to talk, but is also demanding and demeaning. (D) displays a
positive action, but, because the nurse's personal support is not offered, this response
could be interpreted as dismissing the client and avoiding the problem.
Correct Answer: C
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility? A. The
client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment. - The nurse signs the consent form to
witness that the client voluntarily signs the consent (A), that the client's signature is
authentic, and that the client is otherwise competent to give consent. It is the
healthcare provider's responsibility to ensure the client fully understands the
procedure (B). The nurse's signature does not indicate (C or D).
Correct Answer: A
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
BANK UPDATED QUESTION WITH
RATIONALES AND ANSWERS LATEST
UPDATED
When conducting an admission assessment, the nurse should ask the client about the
use of complimentary healing practices. Which statement is accurate regarding the use
of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complimentary healing practices can be used in conjunction with
conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary
healing practices. - Conventional approaches to health care can be depersonalizing
and often fail to take into consideration all aspects of an individual, including body,
, mind, and spirit. Often complimentary healing practices can be used in conjunction
with
conventional medical practices (C), rather than interfering (A) with conventional
practices, causing adverse effects (B), or replacing conventional medical care (D).
Correct Answer: C
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first? A. Sexual
activity patterns.
B. Nutritional history.
C. Leisure activities.
D. Financial stressors. - Caffeine, sugars, and alcohol can lead to increased levels of
anxiety, so a nutritional history (C) should be obtained first so that health teaching
can be initiated if indicated. (A and C) can be used for stress management. Though
(D) can be a source of anxiety, a nutritional history should be obtained first.
Correct Answer: B
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in
time.
,B. Instruct the client that the stoma will become smaller when the initial swelling
diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his
concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the
procedure. - Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when the swelling is
diminished (B). This will help reduce the client's anxiety and promote acceptance
of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful
action, and may be taken after the nurse provides pertinent teaching. The client is
not yet demonstrating readiness to learn colostomy care (D).
Correct Answer: B
At the time of the first dressing change, the client refuses to look at her mastectomy
incision. The nurse tells the client that the incision is healing well, but the client refuses
to talk about it. What would be an appropriate response to this client's silence?
A. It is normal to feel angry and depressed, but the sooner you deal with this surgery,
the better you will feel.
B. Looking at your incision can be frightening, but facing this fear is a necessary part
of your recovery.
C. It is OK if you don't want to talk about your surgery. I will be available when you
are ready.
, D. I will ask a woman who has had a mastectomy to come by and share her experiences
with you. - (C) displays sensitivity and understanding without judging the client. (A)
is
judgmental in that it is telling the client how she feels and is also insensitive. (B) would
give the client a chance to talk, but is also demanding and demeaning. (D) displays a
positive action, but, because the nurse's personal support is not offered, this response
could be interpreted as dismissing the client and avoiding the problem.
Correct Answer: C
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility? A. The
client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment. - The nurse signs the consent form to
witness that the client voluntarily signs the consent (A), that the client's signature is
authentic, and that the client is otherwise competent to give consent. It is the
healthcare provider's responsibility to ensure the client fully understands the
procedure (B). The nurse's signature does not indicate (C or D).
Correct Answer: A
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
