HESI Fundamentals Exam
A policy required the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
(ANS- health care-associated infection rate
The nurse is preparing to assist a newly admitted client with person hygiene
measures. The client... the client's gag reflex. Which action should the nurse
include?
(ANS- place tongue blade on back half of tongue
The nurse explains to an older adult male the procedure for collecting a 24-hr urine
specimen for creatinine clearance.
(ANS- empty the urinal contents into the 24-hr collection container
A 54 yo male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is most appropriate for the wife?
(ANS- refer her to support group for family members of those dying of cancer
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 should the nurse recommend?
(ANS- keep a record of food and drinks consumed daily
, The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
(ANS- top of the ear
around the nostrils
over the checks
The nurse observes an unlicensed assistive personnel (UAP) who is providing a
total bed bath for a confused and lethargic client. The UAP is soaking the clients
foot in a basin of warm water placed on the bed. What action should the nurse
take? (ANS- remind the UAP to dry between the clients toes completely
The nurse in the emergency department observes a colleague viewing the
electronic health record of a client who holds an elected position in the community.
The client is not a part of the colleagues assignment. Which action should the nurse
implement?
(ANS- communicate the colleagues action to the unit. charge nurse
At 0100 on a male clients second postoperative night, the client states he is unable
to sleep and plans to read until feeling sleepy. What action should the nurse
implement?
(ANS- bring the client a prescribed PRN sedative-hypnotic
The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvement project on social media that addresses coronary artery
disease. Which action should the nurse implement to protect client privacy?
(ANS- remove identifying information of the clients who participated
A policy required the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
(ANS- health care-associated infection rate
The nurse is preparing to assist a newly admitted client with person hygiene
measures. The client... the client's gag reflex. Which action should the nurse
include?
(ANS- place tongue blade on back half of tongue
The nurse explains to an older adult male the procedure for collecting a 24-hr urine
specimen for creatinine clearance.
(ANS- empty the urinal contents into the 24-hr collection container
A 54 yo male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is most appropriate for the wife?
(ANS- refer her to support group for family members of those dying of cancer
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 should the nurse recommend?
(ANS- keep a record of food and drinks consumed daily
, The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
(ANS- top of the ear
around the nostrils
over the checks
The nurse observes an unlicensed assistive personnel (UAP) who is providing a
total bed bath for a confused and lethargic client. The UAP is soaking the clients
foot in a basin of warm water placed on the bed. What action should the nurse
take? (ANS- remind the UAP to dry between the clients toes completely
The nurse in the emergency department observes a colleague viewing the
electronic health record of a client who holds an elected position in the community.
The client is not a part of the colleagues assignment. Which action should the nurse
implement?
(ANS- communicate the colleagues action to the unit. charge nurse
At 0100 on a male clients second postoperative night, the client states he is unable
to sleep and plans to read until feeling sleepy. What action should the nurse
implement?
(ANS- bring the client a prescribed PRN sedative-hypnotic
The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvement project on social media that addresses coronary artery
disease. Which action should the nurse implement to protect client privacy?
(ANS- remove identifying information of the clients who participated
