HESI FUNDAMENTALS V12 [CHAPTER 1/58] CORRECT QUESTIONS AND ANSWERS

A policy requiring 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. • Number of staff induced injury • Client satisfaction survey • Health care-associated infection rate. • Rate of needle-stick injuries by nurse. • The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag reflex. Which actionshould the nurse include? • Offer smalls sips of water through astraw • Place tongue blade on back half oftongue • Use a penlight to observe back of oral cavity • Auscultate breath sounds after client swallows • The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for creatinine clearance. • Assess the client for confusion and reteach the procedure • Check the urine for color and texture • Empty the urinal contents into the 24-hour collection container • Discard the contents of the urinal • A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to bemost • Ask her how she would like to participate in the client’s care • Provide the wife with information about hospice • Encourage the wife to visit after painful treatments are completed • 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? • Plan low carbohydrate and high proteinmeals • Engage in strenuous activity for an hourdaily • Keep a record of food and drinks consumed daily • Participated in a group exercise class 3 times a week • The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess for skin damage related to the cannula, whichareas should the nurse observe? • Tops of the ear • Bridge of the nose • Around the nostrils • Over the cheeks • Across the forehead