HESI Fundamentals Studyguide
Exam 2023 150 QUESTIONS AND
ANSWERS
the child/adolescent's lack of remorse about antisocial behavior represents a
malfunction of the superego - Answer the id functions on the basic instinct level
and strives to meet immediate needs. the ego is in touch with external reality and
is the part of personality that makes decisions
provide consistent interventions for children - Answer this helps to prevent
manipulation because inconsistency does not help the client develop self control
What type of procedures should be assigned to professional nurses? - Answer
Inform the health care provider or physician; record that the health care
provider or physician was informed and the health care provider's or physician's
response to such information; inform the nursing supervisor; refuse to carry out
the prescription
Describe the nurse's legal responsibility when asked to perform a task for which
he or she is unprepared. - Answer Inform the health care provider or physician
or person asking the nurse to perform the task that he or she is unprepared to
carry out the task; refuse to perform the task
Describe nursing care for a restrained client. - Answer Apply restraints properly;
check restraints frequently to see that they are not causing injury and record
such monitoring; remove restraints as soon as possible; use restraints only as a
last resort.
Describe six patient rights guaranteed under HIPAA regulations that nurses
must be aware of in practice. - Answer a. A patient must give written consent
before health care providers can use or disclose personal health information
b. Health care providers and physicians must give patients notice about
,providers' responsibilities regarding patient confidentiality
c. Patient's must have access to their medication records; Providers who restrict
access must explain why and must offer patients a description of the complaint
process
,d. Patients have the right to request that changes be made in their medical
records to correct inaccuracies
e. Health care providers must follow specific tracking procedures for any
disclosures made that ensure accountability for maintenance of patient
confidentiality
f. Patients have the right to request that health care providers and physicians
restrict the use and disclosure of their personal health information, though the
provider may decline to do so.
A UAP may perform care that falls within which component of the nursing
process? - Answer Implementation
What are the five rights of delegation? - Answer A. Right task
B. Right circumstance
C. Right person
D. Right direction or communication
E. Right supervision
Common causes of fluid volume deficit: - Answer a. Gastrointestinal causes
b. Vomiting
c. Diarrhea
d. GI suctioning
e. Decrease in fluid intake
f. Increase in fluid output such as sweating
g. Massive edema
h. Ascites
Common causes of fluid volume overload: - Answer a. Heart failure
, b. Renal failure
c. Cirrhosis
d. Excess ingestion of table salt
e. Overhydration with sodium containing fluids
Identify two examples of isotonic IV fluids. - Answer a. Ringers lactate
b. Normal saline
List three systems that maintain acid base balance. - Answer a. Lungs
b. Kidneys
c. Chemical buffers
normal ABGs - Answer a. pH: 7.35-7.45
b. PaCO2: 35-45
c. HCO3: 22-26
Variables that increase surgical risk. - Answer a. Age: very young and very old
b. Obesity
c. Malnutrition
d. Preoperative dehydration/hypovolemia
e. Preoperative infection
f. Use of anticoagulants (aspirin) preoperatively
Why is a client with liver disease at increased risk of operative complications? -
Answer a. Impairs ability to detoxify medications used during surgery
b. Impairs ability to produce prothrombin to reduce hemorrhage
Exam 2023 150 QUESTIONS AND
ANSWERS
the child/adolescent's lack of remorse about antisocial behavior represents a
malfunction of the superego - Answer the id functions on the basic instinct level
and strives to meet immediate needs. the ego is in touch with external reality and
is the part of personality that makes decisions
provide consistent interventions for children - Answer this helps to prevent
manipulation because inconsistency does not help the client develop self control
What type of procedures should be assigned to professional nurses? - Answer
Inform the health care provider or physician; record that the health care
provider or physician was informed and the health care provider's or physician's
response to such information; inform the nursing supervisor; refuse to carry out
the prescription
Describe the nurse's legal responsibility when asked to perform a task for which
he or she is unprepared. - Answer Inform the health care provider or physician
or person asking the nurse to perform the task that he or she is unprepared to
carry out the task; refuse to perform the task
Describe nursing care for a restrained client. - Answer Apply restraints properly;
check restraints frequently to see that they are not causing injury and record
such monitoring; remove restraints as soon as possible; use restraints only as a
last resort.
Describe six patient rights guaranteed under HIPAA regulations that nurses
must be aware of in practice. - Answer a. A patient must give written consent
before health care providers can use or disclose personal health information
b. Health care providers and physicians must give patients notice about
,providers' responsibilities regarding patient confidentiality
c. Patient's must have access to their medication records; Providers who restrict
access must explain why and must offer patients a description of the complaint
process
,d. Patients have the right to request that changes be made in their medical
records to correct inaccuracies
e. Health care providers must follow specific tracking procedures for any
disclosures made that ensure accountability for maintenance of patient
confidentiality
f. Patients have the right to request that health care providers and physicians
restrict the use and disclosure of their personal health information, though the
provider may decline to do so.
A UAP may perform care that falls within which component of the nursing
process? - Answer Implementation
What are the five rights of delegation? - Answer A. Right task
B. Right circumstance
C. Right person
D. Right direction or communication
E. Right supervision
Common causes of fluid volume deficit: - Answer a. Gastrointestinal causes
b. Vomiting
c. Diarrhea
d. GI suctioning
e. Decrease in fluid intake
f. Increase in fluid output such as sweating
g. Massive edema
h. Ascites
Common causes of fluid volume overload: - Answer a. Heart failure
, b. Renal failure
c. Cirrhosis
d. Excess ingestion of table salt
e. Overhydration with sodium containing fluids
Identify two examples of isotonic IV fluids. - Answer a. Ringers lactate
b. Normal saline
List three systems that maintain acid base balance. - Answer a. Lungs
b. Kidneys
c. Chemical buffers
normal ABGs - Answer a. pH: 7.35-7.45
b. PaCO2: 35-45
c. HCO3: 22-26
Variables that increase surgical risk. - Answer a. Age: very young and very old
b. Obesity
c. Malnutrition
d. Preoperative dehydration/hypovolemia
e. Preoperative infection
f. Use of anticoagulants (aspirin) preoperatively
Why is a client with liver disease at increased risk of operative complications? -
Answer a. Impairs ability to detoxify medications used during surgery
b. Impairs ability to produce prothrombin to reduce hemorrhage
