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EXIT HESI PRACTICE: FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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EXIT HESI PRACTICE: FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (15) When performing sterile wound care in the acute care setting, the practical nurse (PN) obtains a bottle of normal saline from the bedside table that is labeled opened and is dated 48 hours before the current date. What is the best action for the PN to take? A. Use the normal saline solution once more and then discard. B. Obtain a new sterile syringe to draw up the labeled saline solution. C. Use the saline solution, then relabel the bottle with the current date. D. Discard the saline solution and obtain a new and unopened bottle. D. Solutions labeled within 24 hours may be used for clean procedures, but only newly opened solutions are considered sterile. This solution is not newly opened and is out of date, so it should be discarded. Which intervention is most important for the practical nurse (PN) to implement for a client who is experiencing urinary retention? A. Placing client's hands in water. B. Apply a skin protectant. C. Encourage increased fluid intake. D. Assess for bladder distention. D. Urinary retention is the inability to void all urine collected in the bladder, which leads to uncomfortable bladder distention therefore it is vital to assess for bladder distention. An elderly client in a wheelchair wants to return to bed after eating breakfast. What assessment is most important for the practical nurse (PN) to consider before assisting this client? A. Blood pressure of 86/54 mm Hg B. 30% of diet eaten C. Oriented to person only D. Inelastic skin turgor A. Hypotension places the client at risk for falls because it can cause dizziness. To ensure client safety, it is most important for the PN to be aware of the client's low blood pressure before transfer. The practical nurse (PN) is observing a new unlicensed assistive personnel (UAP) perform indwelling catheter care for a female client who is incontinent of feces. What action should the PN suggest the UAP to change? A. Frequently rinses the washcloth used to clean the perineum B. Wipes the perineum from front to back C. Applies a skin barrier ointment to irritated perianal areas D. Places the client in a lateral Sims position with the opposite bed rails elevated A. Even though the washcloth is rinsed frequently, it remains contaminated with fecal materials, and the PN should recommend the use of disposable wipes or separate washcloths, which are less likely to bring fecal flora to the urethral opening.

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3/29/25, 8:17 Exit HESI Practice: Fundamentals |
AM
EXIT HESI PRACTICE: FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (15)


When performing sterile wound care in the D.
acute care setting, the practical nurse (PN)
obtains a bottle of normal saline from the Solutions labeled within 24 hours may be used for clean procedures, but only newly
bedside table that is labeled opened and is opened solutions are considered sterile. This solution is not newly opened and is out
dated 48 hours before the current date. of date, so it should be discarded.
What is the best action for the PN to take?


A. Use the normal saline solution once
more and then discard.
B.Obtain a new sterile syringe to draw up
the labeled saline solution.
C. Use the saline solution, then relabel
the bottle with the current date.
D.Discard the saline solution and obtain
a new and unopened bottle.


Which intervention is most important D.
for the practical nurse (PN) to implement
for a client who is experiencing urinary Urinary retention is the inability to void all urine collected in the bladder, which
retention? leads to uncomfortable bladder distention therefore it is vital to assess for
bladder distention.
A. Placing client's hands in water.
B. Apply a skin protectant.
C. Encourage increased fluid intake.
D.Assess for bladder distention.

An elderly client in a wheelchair wants to A.
return to bed after eating breakfast. What
assessment is most important for the Hypotension places the client at risk for falls because it can cause dizziness. To
practical nurse (PN) to consider before ensure client safety, it is most important for the PN to be aware of the client's low
assisting this client? blood pressure before transfer.


A. Blood pressure of 86/54 mm Hg
B. 30% of diet eaten
C. Oriented to person only
D. Inelastic skin turgor




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5

, 3/29/25, 8:17 Exit HESI Practice: Fundamentals |
AM
The practical nurse (PN) is observing a new A.
unlicensed assistive personnel (UAP)
perform indwelling catheter care for a Even though the washcloth is rinsed frequently, it remains contaminated with fecal
female client who is incontinent of feces. materials, and the PN should recommend the use of disposable wipes or separate
What action should the PN suggest the washcloths, which are less likely to bring fecal flora to the urethral opening.
UAP to change?



A. Frequently rinses the washcloth used to
clean the perineum
B. Wipes the perineum from front to back
C. Applies a skin barrier ointment to
irritated perianal areas
D. Places the client in a lateral Sims position
with the opposite bed rails elevated


When reading a prescription, what should D.
the practical nurse (PN) verify in addition to
the "five rights" of medication A legal medication prescription must include the prescriber's signature.
administration?


A. Anticipated adverse effects
B. Required client teaching
C. Client's allergies
D. Prescriber's signature

The practical nurse (PN) is administering a C.
rectal suppository to a client. What action
should be implemented to prevent Allowing the suppository to soften slightly before insertion will decrease the
discomfort during administration? possibility of causing trauma or discomfort to the client.


A. Place the suppository high in the rectum.
B. Freeze the suppository before insertion.
C. Allow the suppository soften
before insertion.
D. Avoid use of a lubricant with insertion.




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