HESI Fundamentals Exam
b b
1. A NURSE IN A CLINICAL IS CARING FOR A MIDDLE AGE ADULT WHO STATES, "THE DOCTO
B B B B B B B B B B B B B B B
R SAYS THAT SINCE IAM AT AN AVERAGE RISK FOR COLON CANCER, I SHOULD HAVE A R
B B B B B B B B B B B B B B B B B
OUTINE SCREENING. WHAT DOES THAT INVOLVE?" WHICH OF THE FOLLOWING RESPON
B B B B B B B B B B
SES SHOULD THE NURSE MAKE?
B B B B
A. "I'llbgetbabbloodbsamplebfrombyoubandbsendbitbforbabscreeningbtest."
B. "BEGINNING AT AGE 60, YOU SHOULD HAVE A COLONOSCOPY." B B B B B B B B
C. "youbshouldbhavebabdecalboccultbbloodbtestbeverybyear."
D. "THE RECOMMENDATION IS TO HAVE A SIGMOIDOSCOPY EVERY 10 YEARS."
B B B B B B B B B
1.1.1 "Youbshouldbhavebabfecalboccultbbloodbtestbeverybyear."
Colorectalbcancerbscreeningbforbclientsbatbaveragebriskbbeginsbatbageb50.bOneboptionbforbscreeni
ngbisbabfecalboccultbbloodbtestbannually.
2. A NURSE IS CARING FOR A CLIENT WHO IS HAVING DIFFICULTY BREATHING. THE CLIE
B B B B B B B B B B B B B
NT IS LAYING IN BEDWITH A NASAL CANNULA DELIVERING OXYGEN. WHICH OF THE
B B B B B B B B B B B B B B
FOLLOWING INTERVENTION SHOULD THE NURSE TAKE FIRST? B B B B B B
A. suctionbthebclient'sbairway
B. ADMINISTER A BRONCHODILATOR B B
C. increasebthebhumiditybinbthebclient'sbroom
D. ASSIST THE CLIENT TO AN UPRIGHT POSITION B B B B B B
1.1.2 assistbthebclientbtobanbuprightbposition
Whenbprovidingbclientbcare,bthebnursebshouldbfirstbusebthebleastbinvasivebintervention.bTherefor
e,bthebnursebshouldbelevatebthebheadbofbthebclient'sbbedbtobthebsemi-
Fowler'sborbhighbFowler'sbpositionbtobfacilitatebmaximalbchestbexpansion.bSittingbuprightbimprov
esbgasbexchangebandbpreventsbpressurebonbthebdiaphragmbfrombabdominalborgans.
3. A NURSE IS PREPARING TO ADMINISTER 0.5 ML OF ORAL SINGLE-
B B B B B B B B B B
DOSE LIQUID MEDICATION TO A CLIENT.WHICH OF THE FOLLOWING ACTIONS SHOULD
B B B B B B B B B B B
THE NURSE TAKE?
B B B
A. gentlybshakebthebcontainerbofbmedicationbpriorbtobadministration
B. TRANSFER THE MEDICATION TO A MEDICINE CUP B B B B B B
C. placebthebclientbinbabsemi-fowlersbpositionbtobmedicationbadministration
, 2
D. VERIFY THE DOSAGE BY MEASURING THE LIQUID BEFORE ADMINISTERING IT
B B B B B B B B B
1.1.3 Gentlybshakebthebcontainerbofbmedicationbpriorbtobadministration.
Thebnursebshouldbgentlybshakebthebliquidbmedicationbtobensurebthebmedicationbisbmixed.
4. A NURSE IS PLANNING CARE TO IMPROVE SELF-
B B B B B B B
FEEDING FOR A CLIENT WHO HAS VISION LOSS. WHICH OFTHE FOLLOWING INTERVEN
B B B B B B B B B B B B
TIONS SHOULD THE NURSE INCLUDE IN THE PLAN OF CARE?
B B B B B B B B B
A. tellbthebclientbwhichbfoodbshebshouldbeatbfirst
B. PROVIDE SMALL-HANDLE UTENSILS FOR THE CLIENT
B B B B B
C. thickenbliquidsbonbthebclient'sbtray
, 3
D. USE A CLOCK PATTERN TO DESCRIBE FOOD ON THE CLIENT'S PLATE
B B B B B B B B B B
1.1.4 Usebabclockbpatternbtobdescribebfoodbonbthebclient'sbplate.
Usebabclockbpatternbtobdescribebfoodbonbthebclient'sbplate.MYbANSWERDescribingbtheblocationbo
fbthebfoodbonbthebplatebbybusingbabclockbpatternballowsbthebclientbtobhavebgreaterbindependenc
ebduringbmeals.
5. A NURSE IS TEACHING AN OLDER ADULT CLIENT WHO IS AT RISK FOR OSTEOPOROSIS
B B B B B B B B B B B B B B
ABOUT BEGINNING APROGRAM OF REGULAR PHYSICAL ACTIVITY. WHICH OF THE FOL
B B B B B B B B B B B
LOWING TYPES OF ACTIVITY SHOULD THE NURSE RECOMMEND?
B B B B B B B
A. walkingbbriskly
B. RIDING A BICYCLE B B
C. performingbisometricbexercises
D. ENGAGING IN HIGH-IMPACT AEROBICS B B B
1.1.5 walkingbbriskly
Weight-
bearingbexercisesbarebessentialbforbmaintainingbbonebmass,bwhichbhelpsbtobpreventbosteoporosis.
bWalkingbengagesbolderbadultbclientsbinbthisbpreventivebandbtherapeuticbstrategy.
6. A NURSE IS ASSESSING A CLIENT'S READINESS TO LEARN ABOUT INSULIN ADMINISTRAT
B B B B B B B B B B B
ION. WHICH OF THEFOLLOWING STATEMENTS SHOULD THE NURSE IDENTIFY AS AN IN
B B B B B B B B B B B B
DICATION THAT THE CLIENT IS READY TO LEARN?
B B B B B B B
A. "Ibcanbconcentratebbestbinbthebmorning."
B. "IT IS DIFFICULT TO READ THE INSTRUCTIONS BECAUSE MY GLASSES ARE AT HOME."
B B B B B B B B B B B B
C. "I'mbwonderingbwhybIbneedbtoblearnbthis."
D. "YOU WILL HAVE TO TALK TO MY WIFE ABOUT THIS."
B B B B B B B B B
1.1.6 "Ibcanbconcentratebbestbinbthebmorning."
Thebclient'sbstatementbindicatesbabreadinessbtoblearnbbecausebhebisbverbalizingbthebbestbtimebforbhi
mbtoblearn.