HESI Fundamentals Exam
Which laboratory test indicates the client's protein status for the longest length of time? -
ANSSerum albumin.
Has a long half-life and is the best long-term indicator of the body's entry into a catabolic state
following protein depletion from malnutrition or stress of chronic illness.
Normal serum protein range - ANS6.4-8.3
ABCs of client care - ANSA-Airway
B-Breathing
C-Circulation
When caring for an immobile client, what nursing diagnosis has the highest priority?
A. Risk for fluid volume deficit
B. Impaired gas exchange
C. Risk for impaired skin integrity
D. Altered tissue perfusion - ANSB. Impaired gas exchange
Serous drainage - ANSClear watery plasma
Sero-sanguineous drainage - ANSPale and watery, with plasma & RBCs
Exudate - ANSFluid such as pus and serum
Purulent drainage - ANSThick, yellow, green, or brown
Indicates the presence of dead or living organisms and WBCs
Which client is likely to tolerate a higher level of pain? - ANSA client who experiences the same
type of pain that has successfully been relieved makes it easier for a client to interpret the pain
sensation, as a result the client is better prepared to take steps to relieve the pain.
The nurse working in the emergency department is assessing 4 clients' ability to tolerate pain.
Which client is likely to tolerate a higher level of pain?
A. A 10 yr old who was burned by a camp fire earlier today.
B. A 70 yr old who has a postoperative infection from a surgery one week ago.
C. A 23 yr old woman who sprained her knee bicycling
Which laboratory test indicates the client's protein status for the longest length of time? -
ANSSerum albumin.
Has a long half-life and is the best long-term indicator of the body's entry into a catabolic state
following protein depletion from malnutrition or stress of chronic illness.
Normal serum protein range - ANS6.4-8.3
ABCs of client care - ANSA-Airway
B-Breathing
C-Circulation
When caring for an immobile client, what nursing diagnosis has the highest priority?
A. Risk for fluid volume deficit
B. Impaired gas exchange
C. Risk for impaired skin integrity
D. Altered tissue perfusion - ANSB. Impaired gas exchange
Serous drainage - ANSClear watery plasma
Sero-sanguineous drainage - ANSPale and watery, with plasma & RBCs
Exudate - ANSFluid such as pus and serum
Purulent drainage - ANSThick, yellow, green, or brown
Indicates the presence of dead or living organisms and WBCs
Which client is likely to tolerate a higher level of pain? - ANSA client who experiences the same
type of pain that has successfully been relieved makes it easier for a client to interpret the pain
sensation, as a result the client is better prepared to take steps to relieve the pain.
The nurse working in the emergency department is assessing 4 clients' ability to tolerate pain.
Which client is likely to tolerate a higher level of pain?
A. A 10 yr old who was burned by a camp fire earlier today.
B. A 70 yr old who has a postoperative infection from a surgery one week ago.
C. A 23 yr old woman who sprained her knee bicycling
