HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
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nswers latest update 2022/2023
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To assess the quality of an adult client’s pain, what approach should the nurse use? C
C C C C C C C C C C C C C C
A) ObserveCbodyClanguageCandCmovement.
B) Provide a numeric pain scale. C C C C
C) Ask the client to describe the pain.
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D) IdentifyCeffectiveCpainCreliefCmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The doctor
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C told me I have cancer and do not have long to live.” Which response is best for th
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e nurse to provide?
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A) “That’s correct, you do not have long to live” D
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B) “Would you like me to call your minister?”
C C C C C C C
C) “Don't give up, you still have chemotherapy to try.”
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D) “Yes, your condition is serious.”
C C C C
When performing blood pressure measurement to assess for orthostatic hy
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potension, which action should the nurse implement first?
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A) ApplyCtheCbloodCpressureCcuffCsecurely.
B) Record the client’s pulse rate C C C C C
and rhythm. C) Position the clien
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t supine for a few minutes.
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D) Assist the client to stand at bedside.
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Female unlicensed assistive personnel (UAP) are assigned to take the vital signs o
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f a client with pertussis for whom droplet precautions have been implemented. Th
C C C C C C C C C C C C
e UAP request a change in assignment, stating she has not yet been fitted for a part
C C C C C C C C C C C C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
iculate filter mask. What action should the nurse take?
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When evaluating the effectiveness of a client’s nursing care, the nurse first review
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s the expected outcomes identified in the plan of care. What action should the nurs
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e take next?
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A) Modify the nursing interventions to achieve the client’s goals.
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B) Determine if the expected outcomes were realistic.
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C) Review related professional standards of care.
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D) Obtain current client data to compare with expected outcomes.
C C C C C C C C
A policy requiring the removal of acrylic nails by all nursing personnel was implem
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ented six months ago. Which assessment measure best determines if theintended out
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come of the policy is being achieved?
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A) NumberCofCtheCstaff-inducedCskinCinjuries.
B) ClientCsatisfactionCsurvey.
C) Rate of needlestick injuries by nurses.
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D) Healthcare-associatedCinfectionCrates.
A client with limited tolerance for activity needs to walk in the hallway with as
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sistance. Which instructions should the nurse give to the unlicensed assistivepe
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rsonnel (UAP) who assisting with client’s care? (Select all that apply.)
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A) Instruct the client about signs of orthostatic hypertension
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B) Determine if the client needs to have a gait belt applied
C C C C C C C C C C
C) Measure the clients vital signs before the c
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
lient walks. C
D) Offer to assist the client to void prior to wal
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king in the hall.
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E) Report the onset of any dizziness or light headedness.
C C C C C C C C
A client has begun a long-
C C C C C
term maintenance therapy with lithium, which hasa narrow therapeutic index
C C C C C C C C C C
. Which adverse effect is most important for nurse to include in the teaching p
C C C C C C C C C C C C C C
lan?
A) Dependence.
C
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic
C C C C C C C C C C C C
health record. Which statement is most accurate regarding electronic documentation
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during an interview?
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A) TheCinterviewCprocessCisCenhancedCwithCelectronicCdocumentationCandCallowsCtheCclientCtoCs
peak at a normal pace.
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B) CompletingCtheCelectronicCrecordCduringCanCinterviewCisCaClegalCobligationCofCtheCexamining
C nurse.
C)
The nurse has limited ability to observe nonverbal co
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mmunication while entering the assessment electronically.
C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
, HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
D) The client’s comfort level is increased when the nurse breaks eye contact to type notes int
C C C C C C C C C C C C C C C C
o the record.
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A client who lives in an assisted living facility develops cognitive impairment
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following a stroke. Informed consent is needed to provide additional nursing s
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ervices. Who should nurse contact?
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A) TheCclient’sColdestClivingCchild,CaClawyer,CwhoCisCvisitingCfromCoutCofCtown.
B) ACdaughterC-in-lawCdesignatedCasCtheCclient’sCDurableCPowerCofCAttorneyC(DPOA).
C) The client’s youngest son, identified by family members as the family spokesperson.
C C C C C C C C C C C
D) TheCclient’sCspouseCwhoClivesCinCtheCindependentClivingCunitCofCtheCfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methicill
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in resistant staphylococcus aureus (MRSA). The nurse plans interventionsto prevent
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C multiple re- C
entries to the client’s room. In which order should the nurse perform the interventio
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ns?
A) ChangeCcoccyxCdressing,CperformCtracheostomyCcare,CrestartCtheCIV.
B) PerformCtracheostomyCcare,CchangeCcoccyxCdressing,CrestartCtheCIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
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D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C C C C C C C C C
What self- C
care outcome is best for the nurse to use in evaluating a client’s recoveryform a stro
C C C C C C C C C C C C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
C C C C C C C
nswers latest update 2022/2023
C C C
To assess the quality of an adult client’s pain, what approach should the nurse use? C
C C C C C C C C C C C C C C
A) ObserveCbodyClanguageCandCmovement.
B) Provide a numeric pain scale. C C C C
C) Ask the client to describe the pain.
C C C C C C
D) IdentifyCeffectiveCpainCreliefCmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The doctor
C C C C C C C C C C C C C
C told me I have cancer and do not have long to live.” Which response is best for th
C C C C C C C C C C C C C C C C C
e nurse to provide?
C C C
A) “That’s correct, you do not have long to live” D
C C C C C C C C
B) “Would you like me to call your minister?”
C C C C C C C
C) “Don't give up, you still have chemotherapy to try.”
C C C C C C C C
D) “Yes, your condition is serious.”
C C C C
When performing blood pressure measurement to assess for orthostatic hy
C C C C C C C C C
potension, which action should the nurse implement first?
C C C C C C C C
A) ApplyCtheCbloodCpressureCcuffCsecurely.
B) Record the client’s pulse rate C C C C C
and rhythm. C) Position the clien
C C C C C
t supine for a few minutes.
C C C C C
D) Assist the client to stand at bedside.
C C C C C C C
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs o
C C C C C C C C C C C C
f a client with pertussis for whom droplet precautions have been implemented. Th
C C C C C C C C C C C C
e UAP request a change in assignment, stating she has not yet been fitted for a part
C C C C C C C C C C C C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
iculate filter mask. What action should the nurse take?
C C C C C C C C D
When evaluating the effectiveness of a client’s nursing care, the nurse first review
C C C C C C C C C C C C
s the expected outcomes identified in the plan of care. What action should the nurs
C C C C C C C C C C C C C C
e take next?
C C
A) Modify the nursing interventions to achieve the client’s goals.
C C C C C C C C
B) Determine if the expected outcomes were realistic.
C C C C C C
C) Review related professional standards of care.
C C C C C
D) Obtain current client data to compare with expected outcomes.
C C C C C C C C
A policy requiring the removal of acrylic nails by all nursing personnel was implem
C C C C C C C C C C C C C
ented six months ago. Which assessment measure best determines if theintended out
C C C C C C C C C C C C
come of the policy is being achieved?
C C C C C C
A) NumberCofCtheCstaff-inducedCskinCinjuries.
B) ClientCsatisfactionCsurvey.
C) Rate of needlestick injuries by nurses.
C C C C C
D) Healthcare-associatedCinfectionCrates.
A client with limited tolerance for activity needs to walk in the hallway with as
C C C C C C C C C C C C C C
sistance. Which instructions should the nurse give to the unlicensed assistivepe
C C C C C C C C C C C
rsonnel (UAP) who assisting with client’s care? (Select all that apply.)
C C C C C C C C C C
A) Instruct the client about signs of orthostatic hypertension
C C C C C C C
B) Determine if the client needs to have a gait belt applied
C C C C C C C C C C
C) Measure the clients vital signs before the c
C C C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
lient walks. C
D) Offer to assist the client to void prior to wal
C C C C C C C C C
king in the hall.
C C C
E) Report the onset of any dizziness or light headedness.
C C C C C C C C
A client has begun a long-
C C C C C
term maintenance therapy with lithium, which hasa narrow therapeutic index
C C C C C C C C C C
. Which adverse effect is most important for nurse to include in the teaching p
C C C C C C C C C C C C C C
lan?
A) Dependence.
C
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic
C C C C C C C C C C C C
health record. Which statement is most accurate regarding electronic documentation
C C C C C C C C C C
during an interview?
C C
A) TheCinterviewCprocessCisCenhancedCwithCelectronicCdocumentationCandCallowsCtheCclientCtoCs
peak at a normal pace.
C C C C
B) CompletingCtheCelectronicCrecordCduringCanCinterviewCisCaClegalCobligationCofCtheCexamining
C nurse.
C)
The nurse has limited ability to observe nonverbal co
C C C C C C C C
mmunication while entering the assessment electronically.
C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
, HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
D) The client’s comfort level is increased when the nurse breaks eye contact to type notes int
C C C C C C C C C C C C C C C C
o the record.
C C
A client who lives in an assisted living facility develops cognitive impairment
C C C C C C C C C C C C
following a stroke. Informed consent is needed to provide additional nursing s
C C C C C C C C C C C
ervices. Who should nurse contact?
C C C C
A) TheCclient’sColdestClivingCchild,CaClawyer,CwhoCisCvisitingCfromCoutCofCtown.
B) ACdaughterC-in-lawCdesignatedCasCtheCclient’sCDurableCPowerCofCAttorneyC(DPOA).
C) The client’s youngest son, identified by family members as the family spokesperson.
C C C C C C C C C C C
D) TheCclient’sCspouseCwhoClivesCinCtheCindependentClivingCunitCofCtheCfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methicill
C C C C C C C C C C C C C C
in resistant staphylococcus aureus (MRSA). The nurse plans interventionsto prevent
C C C C C C C C C C
C multiple re- C
entries to the client’s room. In which order should the nurse perform the interventio
C C C C C C C C C C C C C
ns?
A) ChangeCcoccyxCdressing,CperformCtracheostomyCcare,CrestartCtheCIV.
B) PerformCtracheostomyCcare,CchangeCcoccyxCdressing,CrestartCtheCIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
C C C C C C C C
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C C C C C C C C C
What self- C
care outcome is best for the nurse to use in evaluating a client’s recoveryform a stro
C C C C C C C C C C C C C C C C
HESI RN FUNDAMENTALS TESTBANK Exam Questions and A
C C C C C C C
nswers latest update 2022/2023
C C C
