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Exam (elaborations) HESI FUNDAMENTALS Questions With Answers (HESI)

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Exam (elaborations) HESI FUNDAMENTALS Questions With Answers (HESI)

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HESI FUNDAMENTALS
Questions With Answers




1




A nurse is teaching staf members about the legal terminology used in child
abuse. What definition of battery should the nurse include in the teaching?
1


a person's character while threatening to do bodily harm.
2 Maligning


A legal wrong committed by one personCorrect
against property of another.
3

The application of force to another person without lawful justification.
4


Behaving in a way that a reasonable person with the same education would not.
Battery means touching in an ofensive manner or actually injuring another person.
Battery refers to actual bodily harm rather than threats of physical or psychological
harm. Battery refers to harm against persons instead of property. Behaving in a way
that a reasonable person with the same education would not is the definition of

65% of students nationwide answered this question correctly.
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Which nursing interventions require a nurse to wear gloves? (Select all
that apply.)
1


Giving a back rub.

, Correct2


Cleaning a newborn immediately after delivery.
Correct3


Emptying a portable wound drainage system.

, 4


Interviewing a client in the emergency department.
5

Obtaining the blood pressure of a client who is human immunodeficiency virus (HIV) positive

Personal protective equipment (PPE) should be used because the newborn is
covered with amniotic fluid and maternal blood. PPE should be used because the
nurse may be exposed to blood and fluid that are contained in the portable wound
drainage system. PPE is not required for a back rub; there is no indication that the
nurse is in contact with body secretions. PPE is not necessary when conducting an
interview because it is unlikely that the nurse will come in contact with the client's
body fluids. PPE is not necessary when obtaining the blood pressure of a client,
60% of students nationwide answered this question correctly.
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A nurse is caring for a client with hemiplegia who is frustrated. How can the
nurse motivate the client toward independence?
1


long-range goals for the client.
2 Establish


Identify errors that the client can correct.
Correct3


Reinforce success in tasks accomplished.
4


Demonstrate ways to promote self-reliance.
Success is a basic motivation for learning. People receive satisfaction when a goal
is reached. Progress toward long-range goals often is not apparent readily and
may be discouraging. Constructive criticism is an important aspect of client
teaching, but if it is not tempered with praise, it is discouraging. Demonstrating
ways to promote self-reliance is an important part of teaching, but it probably will
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, A health care provider prescribes a standard walker (pick-up walker with
rubber tips on all four legs). The nurse identifies what clinical findings that
indicate the client is capable of using a standard walker?
1


upper arm strength and impaired stamina
2 Weak


bearing as tolerated and unilateral paralysis
3 Weight


Partial weight bearing on the afected extremity
Correct4
and kyphosis


Strong upper arm strength and non–weight bearing on the affected extremity
A walker with four rubber tips on the legs requires more upper body strength than a
rolling walker. A client who is non–weight bearing on the afected extremity is able
to use
a standard walker. A rolling walker is more appropriate for a client with weak
upper arm strength and impaired stamina who is less able to lift up and move a
walker with four rubber tips. A client with unilateral paralysis is not a candidate for
a standard walker; the client must be able to grip and lift the walker with both
upper extremities and move the walker forward. A rolling walker is more

62% of students nationwide answered this question correctly.
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To prevent footdrop in a client with a leg cast, the nurse should:
1

Encourage complete bed rest to promote healing of the foot.
2

Place the foot in traction.
Correct3


Support the foot with 90 degrees of flexion.
4

Place an elastic stocking on the foot to provide support.

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