HESI FUNDAMENTALS - HESI Leadership Exam 2023

1. Which action should the nurse implement when administering a prescription drug that should be given on an empty stomach? - Give one hour before or two hours after a meal. Average transit time from stomach to duodenum is 2 hours. 2. The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest 1000ml of fluid between 7am and 3pm. Which client response should the nurse document that indicates a sucessful outcome? - Drinks 240ml of fluid five times during the shift. 3. A client with metastatic cancer is preparing to make decisions about end of life issues. When the nurse explains a durable power of attorney for health care, which description is accurate? - It will identify someone that can make decisions for your health care if you are in a coma or vegetative state. 4. The nurse is caring for a client who is the daughter of a local politician. When the nurse approaches a man who is reading the names on the hall doors, he identifies himself as a reporter for the local newspaper and requests information about the client's status. Which standard of nursing practice should the nurse use to respond? - Confidentiality 5. A client with acute hemorrhagic anemia is to receive four units of packed RBC's (red blood cells) as rapidly as possible. Which intervention is most important for the nurse to implement? - Ensure the accuracy of the blood type match. 6. A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal cannula, and complains of dry mouth. Which action should the nurse implement? - Apply a water soluble lubricant to the lips, oral mucosa, and nares. Petroleum based products are flammable. 7. A client with chronic renal failure selects a scramble egg for his breakfast. Which action should the nurse take? - Commend the client for selecting a high biologic value protein. 8. The nurse is administering meds through a NG tube which is connected to suction. After ensuring correct tube placement, what action should the nurse take next? - Flush the tube with water. NGT should be flushed before, after, and in between each med adminstered. 9. The nurse notices that the mother of a 9 year old Vietnamese child always looks at the floor when she talks to the nurse. What action should the nurse take? - Continue asking the mother questions about the child. 10. When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the nurse implement first? - Loosen the right wrist restraint.