HESI Fundamentals Practice Exam
2023, ATI RN Fundamentals Proctored
Exam, ATI RN Fundamentals Online
Practice 2019 B w. NGN, ATI RN
Fundamentals Online Practice 2019 A
with NGN, RN Fundamentals Online
Practice 2019 A with NGN
The nurse encounters resistance when inserting the tubing into a client's rectum for a
tap water enema. What action should the nurse implement? - ANSWER Ask the
client to relax and run a small amount of fluid into the rectum.
The nurse is discussing dietary preferences with a client who adheres to a vegan
diet. Which dietary supplement should the nurse encourage the client to include in
the dietary plan? - ANSWER Vitamin B12.
An older client who is able to stand but not to ambulate receives a prescription to be
mobilized into a chair as tolerated during each day.What is the best action for the
nurse to implement when assisting the client from the bed to the chair? - ANSWER
Place a transfer belt around the client, assist to stand, and pivot to a chair that is
placed at a right angle to the bed.
A male client with an infected wound tells the nurse that he follows a macrobiotic
diet. Which type of foods should the nurse recommend that the client select from the
hospital menu? - ANSWER Combination of plant proteins to provide essential
amino acids.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is
best for the nurse to provide? - ANSWER "It may hurt but we'll give you medicine
to help you feel better."
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond? -
ANSWER "What is concerning you this morning?"
Which statement correctly identifies a written learning objective for a client with
peripheral vascular disease? - ANSWER Upon discharge, the client will list three
ways to protect the feet from injury.
,The nurse is providing passive range of motion (ROM) exercises to the hip and knee
for a client who is unconscious.
After supporting the client's knee with one hand, what action should the nurse take
next? - ANSWER Cradle the client's heel.
While preparing to insert a rectal suppository in a male adult client, the nurse
observes that the client is holding his breath while bearing down. What action should
the nurse implement? - ANSWER Instruct the client to take slow deep breaths and
stop bearing down.
What action should the nurse implement when adding sterile liquids to a sterile field?
- ANSWER Consider the sterile field contaminated if it becomes wet during the
procedure.
When assessing a client with a nursing diagnosis of fluid volume deficit, the nurse
notes that the client's skin over the sternum "tents" when gently pinched. Which
action should the nurse implement? - ANSWER Continue the planned nursing
interventions to restore the client's fluid volume.
A client is admitted to the hospital with intractable pain. What instruction should the
nurse provide the unlicensed assistive personnel (UAP) who is preparing to assist
this client with a bed bath? - ANSWER Take measures to promote as much
comfort as possible.
The nurse is preparing to irrigate a client's indwelling urinary catheter using an open
technique. What action should the nurse take after applying gloves? - ANSWER
Draw up the irrigating solution into the syringe.
The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the roller
clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction.
What action should the nurse take first? - ANSWER Reposition the client's arm.
What intervention should the nurse include in the plan of care for a client who is
being treated with an Unna's paste boot for leg ulcers due to chronic venous
insufficiency? - ANSWER Check capillary refill of toes on lower extremity with
Unna's paste boot.
A client is admitted with a stage four pressure ulcer that has a black, hardened
surface and a light-pink wound bed with a malodorous green drainage. Which
dressing is best for the nurse to use first? - ANSWER Wet to moist dressing.
A female client informs the nurse that she uses herbal therapies to supplement her
diet and manage common ailments. What information should the nurse offer the
client about general use of herbal supplements? - ANSWER Herbs should be
obtained from manufacturers with a history of quality control of their supplements.
The nurse removes the dressing on a client's heel that is covering a pressure sore
one-inch in diameter and finds that there is straw-colored drainage seeping from the
,wound. What description of this finding should the nurse include in the client's
record? - ANSWER One-inch pressure sore draining serous fluid.
The charge nurse assigns a nursing procedure to a new staff nurse who has not
previously performed the procedure. What action is most important for the new staff
nurse to take? - ANSWER Refuse to perform the task that is beyond the nurse's
experience.
A female client who has breast cancer with metastasis to the liver and spine is
admitted with constant, severe pain despite around-the-clock use of oxycodone
(Percodan) and amitriptyline (Elavil) for pain control at home. During the admission
assessment, which information is most important for the nurse to obtain? -
ANSWER Sensory pattern, area, intensity, and nature of the pain.
What action by the nurse demonstrates culturally sensitive care? - ANSWER Asks
permission before touching a client.
A client in hospice care develops audible gurgling sounds on inspiration. Which
nursing action has the highest priority? - ANSWER Inform the family that death is
imminent.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic
neuropathy takes gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step
2 of the World Health Organization (WHO) pain relief ladder is prescribed, which
drug protocol should be implemented? - ANSWER Continue gabapentin.
When preparing to administer an intravenous medication through a central venous
catheter, the nurse aspirates a blood return in one of the lumens of the triple lumen
catheter. Which action should the nurse implement? - ANSWER Flush the lumen
with the saline solution and administer the medication through the lumen.
How should the nurse handle linens that are soiled with incontinent feces? -
ANSWER Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper..
An older female client with rheumatoid arthritis is complaining of severe joint pain
that is caused by the weight of the linen on her legs. What action should the nurse
implement first? - ANSWER Drape the sheets over the footboard of the bed.
A healthcare provider is performing a sterile procedure at a client's bedside. Near the
end of the procedure, the nurse observes the healthcare provider contaminate a
sterile glove and the sterile field. What is the best action for the nurse to implement?
- ANSWER Identify the break in surgical asepsis and provide another set of sterile
supplies.
The nurse notes that a client consistently coughs while eating and drinking. Which
nursing diagnosis is most important for the nurse to include in this client's plan of
care? - ANSWER Risk for aspiration.
, In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement? - ANSWER Document the presence and volume of the pulse palpated.
A male nurse is assigned to care for a female Muslim client. When the nurse offers
to bathe the client, the client requests that a female nurse perform this task. How
should the male nurse respond? - ANSWER "I will ask one of the female nurses to
bathe you."
Which client care activity requires the nurse to wear barrier gloves as required by the
protocol for Standard Precautions? - ANSWER Emptying the urinary catheter
drainage bag for a client with Alzheimer's disease.
A male client has a nursing diagnosis of "spiritual distress." What intervention is best
for the nurse to implement when caring for this client? - ANSWER Use reflective
listening techniques when the client expresses spiritual doubts.
During a visit to the outpatient clinic, the nurse assesses a client with severe
osteoarthritis using a goniometer. Which finding should the nurse expect to
measure? - ANSWER Degree of flexion and extension of the client's knee joint.
The nurse is assisting an 82-year-old client to ambulate. Which is the center of
gravity for an elderly person? - ANSWER Upper torso.
An older client who is a resident in a long term care facility has been bedridden for a
week. Which finding should the nurse identify as a client risk factor for pressure
ulcers? - ANSWER Rashes in the axillary, groin, and skin fold regions.
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse? - ANSWER Instruct the client that the
stoma will become smaller when the initial swelling diminishes.
The nurse observes an unlicensed assistive personnel (UAP) checking a client's
blood pressure with a cuff that is too small, but the blood pressure reading obtained
is within the client's usual range. Which action is most important for the nurse to
implement? - ANSWER Reassess the client's blood pressure using a larger cuff.
A client with type 2 diabetes is receiving metformin (Glucophage) 1 gram PO twice
daily. The medication is available in 500 mg tablets. How many tablets should the
nurse administer? (Enter numeric value only.) - ANSWER 2
A postoperative client will need to perform daily dressing changes after discharge.
Which outcome response best demonstrates the client's readiness to manage wound
care after discharge? - ANSWER Demonstrating the wound care procedure
correctly.
A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days.
Azithromycin is available as 250 mg scored tablets. How many tablets should the
nurse administer per dose? (Enter the numerical value only.) - ANSWER 2
2023, ATI RN Fundamentals Proctored
Exam, ATI RN Fundamentals Online
Practice 2019 B w. NGN, ATI RN
Fundamentals Online Practice 2019 A
with NGN, RN Fundamentals Online
Practice 2019 A with NGN
The nurse encounters resistance when inserting the tubing into a client's rectum for a
tap water enema. What action should the nurse implement? - ANSWER Ask the
client to relax and run a small amount of fluid into the rectum.
The nurse is discussing dietary preferences with a client who adheres to a vegan
diet. Which dietary supplement should the nurse encourage the client to include in
the dietary plan? - ANSWER Vitamin B12.
An older client who is able to stand but not to ambulate receives a prescription to be
mobilized into a chair as tolerated during each day.What is the best action for the
nurse to implement when assisting the client from the bed to the chair? - ANSWER
Place a transfer belt around the client, assist to stand, and pivot to a chair that is
placed at a right angle to the bed.
A male client with an infected wound tells the nurse that he follows a macrobiotic
diet. Which type of foods should the nurse recommend that the client select from the
hospital menu? - ANSWER Combination of plant proteins to provide essential
amino acids.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is
best for the nurse to provide? - ANSWER "It may hurt but we'll give you medicine
to help you feel better."
When the nurse enters a client's room to do an initial assessment, the client shouts,
"Get out of my room! I'm tired of being bothered!" How should the nurse respond? -
ANSWER "What is concerning you this morning?"
Which statement correctly identifies a written learning objective for a client with
peripheral vascular disease? - ANSWER Upon discharge, the client will list three
ways to protect the feet from injury.
,The nurse is providing passive range of motion (ROM) exercises to the hip and knee
for a client who is unconscious.
After supporting the client's knee with one hand, what action should the nurse take
next? - ANSWER Cradle the client's heel.
While preparing to insert a rectal suppository in a male adult client, the nurse
observes that the client is holding his breath while bearing down. What action should
the nurse implement? - ANSWER Instruct the client to take slow deep breaths and
stop bearing down.
What action should the nurse implement when adding sterile liquids to a sterile field?
- ANSWER Consider the sterile field contaminated if it becomes wet during the
procedure.
When assessing a client with a nursing diagnosis of fluid volume deficit, the nurse
notes that the client's skin over the sternum "tents" when gently pinched. Which
action should the nurse implement? - ANSWER Continue the planned nursing
interventions to restore the client's fluid volume.
A client is admitted to the hospital with intractable pain. What instruction should the
nurse provide the unlicensed assistive personnel (UAP) who is preparing to assist
this client with a bed bath? - ANSWER Take measures to promote as much
comfort as possible.
The nurse is preparing to irrigate a client's indwelling urinary catheter using an open
technique. What action should the nurse take after applying gloves? - ANSWER
Draw up the irrigating solution into the syringe.
The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the roller
clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction.
What action should the nurse take first? - ANSWER Reposition the client's arm.
What intervention should the nurse include in the plan of care for a client who is
being treated with an Unna's paste boot for leg ulcers due to chronic venous
insufficiency? - ANSWER Check capillary refill of toes on lower extremity with
Unna's paste boot.
A client is admitted with a stage four pressure ulcer that has a black, hardened
surface and a light-pink wound bed with a malodorous green drainage. Which
dressing is best for the nurse to use first? - ANSWER Wet to moist dressing.
A female client informs the nurse that she uses herbal therapies to supplement her
diet and manage common ailments. What information should the nurse offer the
client about general use of herbal supplements? - ANSWER Herbs should be
obtained from manufacturers with a history of quality control of their supplements.
The nurse removes the dressing on a client's heel that is covering a pressure sore
one-inch in diameter and finds that there is straw-colored drainage seeping from the
,wound. What description of this finding should the nurse include in the client's
record? - ANSWER One-inch pressure sore draining serous fluid.
The charge nurse assigns a nursing procedure to a new staff nurse who has not
previously performed the procedure. What action is most important for the new staff
nurse to take? - ANSWER Refuse to perform the task that is beyond the nurse's
experience.
A female client who has breast cancer with metastasis to the liver and spine is
admitted with constant, severe pain despite around-the-clock use of oxycodone
(Percodan) and amitriptyline (Elavil) for pain control at home. During the admission
assessment, which information is most important for the nurse to obtain? -
ANSWER Sensory pattern, area, intensity, and nature of the pain.
What action by the nurse demonstrates culturally sensitive care? - ANSWER Asks
permission before touching a client.
A client in hospice care develops audible gurgling sounds on inspiration. Which
nursing action has the highest priority? - ANSWER Inform the family that death is
imminent.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic
neuropathy takes gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step
2 of the World Health Organization (WHO) pain relief ladder is prescribed, which
drug protocol should be implemented? - ANSWER Continue gabapentin.
When preparing to administer an intravenous medication through a central venous
catheter, the nurse aspirates a blood return in one of the lumens of the triple lumen
catheter. Which action should the nurse implement? - ANSWER Flush the lumen
with the saline solution and administer the medication through the lumen.
How should the nurse handle linens that are soiled with incontinent feces? -
ANSWER Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper..
An older female client with rheumatoid arthritis is complaining of severe joint pain
that is caused by the weight of the linen on her legs. What action should the nurse
implement first? - ANSWER Drape the sheets over the footboard of the bed.
A healthcare provider is performing a sterile procedure at a client's bedside. Near the
end of the procedure, the nurse observes the healthcare provider contaminate a
sterile glove and the sterile field. What is the best action for the nurse to implement?
- ANSWER Identify the break in surgical asepsis and provide another set of sterile
supplies.
The nurse notes that a client consistently coughs while eating and drinking. Which
nursing diagnosis is most important for the nurse to include in this client's plan of
care? - ANSWER Risk for aspiration.
, In assessing a client's femoral pulse, the nurse must use deep palpation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement? - ANSWER Document the presence and volume of the pulse palpated.
A male nurse is assigned to care for a female Muslim client. When the nurse offers
to bathe the client, the client requests that a female nurse perform this task. How
should the male nurse respond? - ANSWER "I will ask one of the female nurses to
bathe you."
Which client care activity requires the nurse to wear barrier gloves as required by the
protocol for Standard Precautions? - ANSWER Emptying the urinary catheter
drainage bag for a client with Alzheimer's disease.
A male client has a nursing diagnosis of "spiritual distress." What intervention is best
for the nurse to implement when caring for this client? - ANSWER Use reflective
listening techniques when the client expresses spiritual doubts.
During a visit to the outpatient clinic, the nurse assesses a client with severe
osteoarthritis using a goniometer. Which finding should the nurse expect to
measure? - ANSWER Degree of flexion and extension of the client's knee joint.
The nurse is assisting an 82-year-old client to ambulate. Which is the center of
gravity for an elderly person? - ANSWER Upper torso.
An older client who is a resident in a long term care facility has been bedridden for a
week. Which finding should the nurse identify as a client risk factor for pressure
ulcers? - ANSWER Rashes in the axillary, groin, and skin fold regions.
Three days following surgery, a male client observes his colostomy for the first time.
He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse? - ANSWER Instruct the client that the
stoma will become smaller when the initial swelling diminishes.
The nurse observes an unlicensed assistive personnel (UAP) checking a client's
blood pressure with a cuff that is too small, but the blood pressure reading obtained
is within the client's usual range. Which action is most important for the nurse to
implement? - ANSWER Reassess the client's blood pressure using a larger cuff.
A client with type 2 diabetes is receiving metformin (Glucophage) 1 gram PO twice
daily. The medication is available in 500 mg tablets. How many tablets should the
nurse administer? (Enter numeric value only.) - ANSWER 2
A postoperative client will need to perform daily dressing changes after discharge.
Which outcome response best demonstrates the client's readiness to manage wound
care after discharge? - ANSWER Demonstrating the wound care procedure
correctly.
A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days.
Azithromycin is available as 250 mg scored tablets. How many tablets should the
nurse administer per dose? (Enter the numerical value only.) - ANSWER 2
