HESI FUNDAMENTALS EXAM 2020
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(Detail Solutions and Resource for the test)
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1. A policy requiring the removal of acrylic nails by all nursin
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g personnel was implemented 6 months ago. Which assessment m
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easure best determines if the intended outcome of the policy is bei
m m m m m m m m m m m
ng achieved.
m
a. Number of staff induced injury m m m m
b. Client satisfaction survey m m
c. Health care-associated infection rate. m m m
d. Rate of needle-stick injuries by nurse. m m m m m
2. The nurse is preparing to assist a newly admitted client wit
m m m m m m m m m m
h personal hygiene measures. The client...the client’s gag reflex.
m m m m m m m m m
Which action should the nurse include?
m m m m m
A. Offer small m
s sips of water thr m m m m
ough a straw B. Pl m m m m
ace tongue blade o m m m
n back half of tong m m m m
ue
C.
Use a penlight to observe back m m m m m
mof oral cavity D.
m m m
Auscultate breath sounds after m m m m
client swallows 3. The father of an 11-year-
m m m m m m m
old boy…. inform the father that it is most importa
m m m m m m m m m
nt to let the son that nocturnal emissions are norm
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al
4. The nurse explains to an older adult male the procedure for
m m m m m m m m m m m
collecting a 24- m m
hour urine specimen for creatinine clearance.
m m m m m
A. Assess the client for confusion and reteach th m m m m m m m
e procedure m
B. Check the urine for color and texture m m m m m m
C. Empty the urinal contents into the 24- m m m m m m
hour collection container m m
D. Discard the contents of the urinal m m m m m
5. A 54-year-
m
old male client and his wife were informed this morning that he
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has terminal cancer. Which nursing intervention is likely to be
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most
A. Ask her how she would like to participate in th m m m m m m m m m
e client’s care m m
,B. Provide the wife with information about hospice
m m m m m m
, C.
Encourage the wife to visit after painfu m m m m m m
l treatments are completed m m m
D. Refer her to support group for family member m m m m m m m
s of those dying of cancer m m m m m
6. A client who has a body mass index (BMI) of 30 is requesting
m m m m m m m m m m m m m
information on the initial approach to a weight loss plan. Whic
m m m m m m m m m m
h action should the nurse recommend?
m m m m m
A. Plan low carbohydrate and high protein meal m m m m m m
s Engage in strenuous activity for an hour dai
m m m m m m m m
ly
B. Keep a record of food and drinks consume m m m m m m m
d daily m
C. Participated in a group exercise class 3 times m m m m m m m m
a week m
7. The nurse assesses a client who has a nasal cannula deliverin
m m m m m m m m m m
g oxygen at 2 L/min. To assess for skin damage related to th
m m m m m m m m m m m m
e cannula, which areas should the nurse observe?
m m m m m m m
A. Tops of the ear m m m
B. Bridge of the nose m m m
C. Around the nostrils m m
D. Over the cheeks m m
E. Across the forehead m m
8. The nurse observes an unlicensed assistive personnel (UAP) wh
m m m m m m m m
o is providing a total bed bath for a confused and lethargic clien
m m m m m m m m m m m m
t. The UAP is soaking the client’s foot in a basin of warm water
m m m m m m m m m m m m m
m placed on the bed. What action should the nurse take?
m m m m m m m m m
a. Remove the basin of water from the client’s be m m m m m m m m
d immediately m
b. Remind the UAP to dry between the client’s toe m m m m m m m m
s completely m
c. Advise the UAP that this procedure is damagin m m m m m m m
g to the skin m m m
d. Add skin cream to the basin of water while th m m m m m m m m m
e foot is soaking m m m
9. The nurse in the emergency department observes a colleague vi
m m m m m m m m m
ewing the electronic health record (EHR) of a client who holds
m m m m m m m m m m m
an elected position in the community. The client is not a part of
m m m m m m m m m m m m
m the colleague’s assignment. Which action should the nurse imp
m m m m m m m m
lement?
a. Communicate the colleague’s actions to the uni m m m m m m
t charge nurse m m
, b.
Send an email to facility administration m m m m m
reporting the action m m m
c. Write an anonymous complaint to a professiona m m m m m m
l website m
d. Post a comment about the action on a staf m m m m m m m m
f discussion board m m
10. At 0100 on a male client’s second postoperative night, the
m m m m m m m m m m
client states he is unstable to sleep and plans to read until feelin
m m m m m m m m m m m m
g sleepy. What action should the nurse implement?
m m m m m m m
a. Leave the room and close the door to the client’ m m m m m m m m m
s room m
b. Assess the appearance of the client’s surgica m m m m m m
l dressing m
c. Bring the client a prescribed PRN sedative m m m m m m
- hypnotic m
d. Discuss symptoms of sleep deprivation with th m m m m m m
e client m
11. The nursing staff in the cardiovascular intensive care unit ar
m m m m m m m m m
e creating a continuous quality improvement project on social m
m m m m m m m m m
edia that addresses coronary artery disease (CAD). Which action
m m m m m m m m
should the nurse implement to protect client privacy?
m m m m m m m m
a. b. Remove identifying information m m
c. Share material from
m of the clients who participated credible, peer
m m m m m m m
reviewed sources only Recall that authored content
m m m m m
d. may be legally discoverable Respect all
m m m m m
copyright laws when adding website content m m m m m
12. A male client with unstable angina needs a cardiac cathete
m m m m m m m m m
rization, so the healthcare provider explains the risks and benef
m m m m m m m m m
its of the procedure, and then leaves to set up for the procedure
m m m m m m m m m m m m
. When the nurse presents the consent form for signature, the cl
m m m m m m m m m m m
ient hesitates and asks how the wires will keep his heart going.
m m m m m m m m m m m
Which action should the nurse take?
m m m m m m
a.
Answer the client’s specific questions m m m m
b. c. Postpone
with a short
the understandable
procedure until the
explanation
client
m m m m m
m m mm m m
understands the risks and benefits m m m m
Call the client’s next of kin and ask t m m m m m m m m
hem to provide verbal consent m m m m
m m m
(Detail Solutions and Resource for the test)
m m m m m m
1. A policy requiring the removal of acrylic nails by all nursin
m m m m m m m m m m
g personnel was implemented 6 months ago. Which assessment m
m m m m m m m m m
easure best determines if the intended outcome of the policy is bei
m m m m m m m m m m m
ng achieved.
m
a. Number of staff induced injury m m m m
b. Client satisfaction survey m m
c. Health care-associated infection rate. m m m
d. Rate of needle-stick injuries by nurse. m m m m m
2. The nurse is preparing to assist a newly admitted client wit
m m m m m m m m m m
h personal hygiene measures. The client...the client’s gag reflex.
m m m m m m m m m
Which action should the nurse include?
m m m m m
A. Offer small m
s sips of water thr m m m m
ough a straw B. Pl m m m m
ace tongue blade o m m m
n back half of tong m m m m
ue
C.
Use a penlight to observe back m m m m m
mof oral cavity D.
m m m
Auscultate breath sounds after m m m m
client swallows 3. The father of an 11-year-
m m m m m m m
old boy…. inform the father that it is most importa
m m m m m m m m m
nt to let the son that nocturnal emissions are norm
m m m m m m m m m
al
4. The nurse explains to an older adult male the procedure for
m m m m m m m m m m m
collecting a 24- m m
hour urine specimen for creatinine clearance.
m m m m m
A. Assess the client for confusion and reteach th m m m m m m m
e procedure m
B. Check the urine for color and texture m m m m m m
C. Empty the urinal contents into the 24- m m m m m m
hour collection container m m
D. Discard the contents of the urinal m m m m m
5. A 54-year-
m
old male client and his wife were informed this morning that he
m m m m m m m m m m m
has terminal cancer. Which nursing intervention is likely to be
m m m m m m m m m m m
most
A. Ask her how she would like to participate in th m m m m m m m m m
e client’s care m m
,B. Provide the wife with information about hospice
m m m m m m
, C.
Encourage the wife to visit after painfu m m m m m m
l treatments are completed m m m
D. Refer her to support group for family member m m m m m m m
s of those dying of cancer m m m m m
6. A client who has a body mass index (BMI) of 30 is requesting
m m m m m m m m m m m m m
information on the initial approach to a weight loss plan. Whic
m m m m m m m m m m
h action should the nurse recommend?
m m m m m
A. Plan low carbohydrate and high protein meal m m m m m m
s Engage in strenuous activity for an hour dai
m m m m m m m m
ly
B. Keep a record of food and drinks consume m m m m m m m
d daily m
C. Participated in a group exercise class 3 times m m m m m m m m
a week m
7. The nurse assesses a client who has a nasal cannula deliverin
m m m m m m m m m m
g oxygen at 2 L/min. To assess for skin damage related to th
m m m m m m m m m m m m
e cannula, which areas should the nurse observe?
m m m m m m m
A. Tops of the ear m m m
B. Bridge of the nose m m m
C. Around the nostrils m m
D. Over the cheeks m m
E. Across the forehead m m
8. The nurse observes an unlicensed assistive personnel (UAP) wh
m m m m m m m m
o is providing a total bed bath for a confused and lethargic clien
m m m m m m m m m m m m
t. The UAP is soaking the client’s foot in a basin of warm water
m m m m m m m m m m m m m
m placed on the bed. What action should the nurse take?
m m m m m m m m m
a. Remove the basin of water from the client’s be m m m m m m m m
d immediately m
b. Remind the UAP to dry between the client’s toe m m m m m m m m
s completely m
c. Advise the UAP that this procedure is damagin m m m m m m m
g to the skin m m m
d. Add skin cream to the basin of water while th m m m m m m m m m
e foot is soaking m m m
9. The nurse in the emergency department observes a colleague vi
m m m m m m m m m
ewing the electronic health record (EHR) of a client who holds
m m m m m m m m m m m
an elected position in the community. The client is not a part of
m m m m m m m m m m m m
m the colleague’s assignment. Which action should the nurse imp
m m m m m m m m
lement?
a. Communicate the colleague’s actions to the uni m m m m m m
t charge nurse m m
, b.
Send an email to facility administration m m m m m
reporting the action m m m
c. Write an anonymous complaint to a professiona m m m m m m
l website m
d. Post a comment about the action on a staf m m m m m m m m
f discussion board m m
10. At 0100 on a male client’s second postoperative night, the
m m m m m m m m m m
client states he is unstable to sleep and plans to read until feelin
m m m m m m m m m m m m
g sleepy. What action should the nurse implement?
m m m m m m m
a. Leave the room and close the door to the client’ m m m m m m m m m
s room m
b. Assess the appearance of the client’s surgica m m m m m m
l dressing m
c. Bring the client a prescribed PRN sedative m m m m m m
- hypnotic m
d. Discuss symptoms of sleep deprivation with th m m m m m m
e client m
11. The nursing staff in the cardiovascular intensive care unit ar
m m m m m m m m m
e creating a continuous quality improvement project on social m
m m m m m m m m m
edia that addresses coronary artery disease (CAD). Which action
m m m m m m m m
should the nurse implement to protect client privacy?
m m m m m m m m
a. b. Remove identifying information m m
c. Share material from
m of the clients who participated credible, peer
m m m m m m m
reviewed sources only Recall that authored content
m m m m m
d. may be legally discoverable Respect all
m m m m m
copyright laws when adding website content m m m m m
12. A male client with unstable angina needs a cardiac cathete
m m m m m m m m m
rization, so the healthcare provider explains the risks and benef
m m m m m m m m m
its of the procedure, and then leaves to set up for the procedure
m m m m m m m m m m m m
. When the nurse presents the consent form for signature, the cl
m m m m m m m m m m m
ient hesitates and asks how the wires will keep his heart going.
m m m m m m m m m m m
Which action should the nurse take?
m m m m m m
a.
Answer the client’s specific questions m m m m
b. c. Postpone
with a short
the understandable
procedure until the
explanation
client
m m m m m
m m mm m m
understands the risks and benefits m m m m
Call the client’s next of kin and ask t m m m m m m m m
hem to provide verbal consent m m m m
