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HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

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HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Terms in this set (90) Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems? Counselor As a counselor, the nurse helps clients identify and clarify health problems and choose appropriate courses of action to solve those problems. As an educator, the nurse teaches clients and their families to assume responsibility for their own health care. A nurse acts as a change agent within a family system or as a mediator for problems within a client's community; this involves identifying and implementing new and more effective approaches to problems. As a case manager, the nurse establishes an appropriate plan of care on the basis of assessment findings and coordinates needed resources and services for the client's well-being along a continuum of care. The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation? Advocate The nurse acts as a client advocate by speaking to the primary health care provider on behalf of the client. The nurse acts as an educator while teaching the client facts about health and the need for routine care activities. The nurse manager uses appropriate leadership styles to create a nursing environment for client-centered care. The nurse administrator manages client care and delivery of specific nursing services within a health care agency. Which definition is involved in the caring process called knowing according to Swanson's theory of caring? Striving to understand an event as it has meaning in the life of the other In Swanson's theory of caring process, knowing involves striving to understand an event as it has meaning in the life of another. The definition of being emotionally present for the other is related to the caring process called being with. The definition of sustaining faith in the other's capacity to get through an event or transition is related to the caring process called maintaining belief. The definition of facilitating the other's passage through life transitions and unfamiliar events is related to the caring process called enabling. A nursing student is examining the health services pyramid. Keeping in mind that care services begin at the bottom of this pyramid, in which order should care services be arranged? 1. Population based services 2. Clinical preventative services 3. Primary health care 4. Secondary health care 5. Tertiary health care According to the health services pyramid, population-based health care services come first. Clinical preventive services form the next level of the pyramid. A nurse should then address the primary health care needs of clients; these needs include prenatal and baby care and nutrition counseling. The next level of health care is secondary health care services, which include emergency care and acute medical- surgical care. Tertiary health care forms the highest level of health care; these needs include intensive care and subacute care. A nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty? Advocacy The nurse has a professional duty to advocate for a client by promoting what is best for the client. This is accomplished by ensuring that the client's needs are met and by protecting the client's rights. Caring is a behavioral characteristic of the nurse. Veracity relates to the habitual observance of truth, fact, and accuracy. Confidentiality is an ethical principle and legal right that the nurse will hold secret all information relating to the client unless the client gives consent to permit disclosure. A nurse is assessing a client's nails and finds a slight convex curve at the angle from the skin to nail base of about 160 degrees. Which condition does the nurse suspect? Normal Finding The client's nail, which has a slight convex curve at the angle from the skin to nail base of about 160 degrees, is normal. In clubbing, there is a change in the angle between the nail and the nail base that is larger than 180 degrees. Paronychia is the inflammation of the skin at the base of nail. Koilonychia is the concave curves on the nail. When assessing a client's fluid and electrolyte status, the nurse recalls that the regulator of extracellular osmolarity is what? Sodium Sodium is the most abundant extracellular fluid cation and regulates serum (extracellular) osmolarity, as well as nerve impulse transmission and acid-base balance. Potassium is the major intracellular osmolarity regulator, and it also regulates metabolic activities, transmission and conduction of nerve impulses, cardiac conduction, and smooth and skeletal muscle contraction. Chloride is a major extracellular fluid anion and follows sodium. Calcium is an extracellular cation necessary for bone and teeth formation, blood clotting, hormone secretion, cardiac conduction, transmission of nerve impulses, and muscle contraction.

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3/29/25, 8:21 Hesi Fundamentals Flashcards |
AM
HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (90)


Counselor


As a counselor, the nurse helps clients identify and clarify health problems and
choose appropriate courses of action to solve those problems. As an educator, the
Which role does a nurse play when helping
nurse teaches clients and their families to assume responsibility for their own health
clients to identify and clarify health
care. A nurse acts as a change agent within a family system or as a mediator for
problems and to choose appropriate
problems within a client's community; this involves identifying and implementing new
courses of action to solve those problems?
and more effective approaches to problems. As a case manager, the nurse
establishes an appropriate plan of care on the basis of assessment findings and
coordinates needed resources and services for the client's well-being along a
continuum of care.




Advocate

The nurse is caring for a client who is in
The nurse acts as a client advocate by speaking to the primary health care
pain following surgery. The nurse informs
provider on behalf of the client. The nurse acts as an educator while teaching the
the primary health care provider about the
client facts about health and the need for routine care activities. The nurse
client's request for pain medication. What is
manager uses
the role of the nurse in this situation?
appropriate leadership styles to create a nursing environment for client-centered
care. The nurse administrator manages client care and delivery of specific
nursing
services within a health care agency.




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,3/29/25, 8:21 Hesi Fundamentals Flashcards |
AM




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, 3/29/25, 8:21 Hesi Fundamentals Flashcards |
AM
Striving to understand an event as it has meaning in the life of the other


In Swanson's theory of caring process, knowing involves striving to understand
Which definition is involved in the caring an event as it has meaning in the life of another. The definition of being
process called knowing according to emotionally
Swanson's theory of caring? present for the other is related to the caring process called being with. The
definition of sustaining faith in the other's capacity to get through an event or
transition is
related to the caring process called maintaining belief. The definition of facilitating
the other's passage through life transitions and unfamiliar events is related to the
caring process called enabling.




1. Population based services
2. Clinical preventative services
3. Primary health care
4. Secondary health care
A nursing student is examining the health 5. Tertiary health care
services pyramid. Keeping in mind that care
services begin at the bottom of this According to the health services pyramid, population-based health care services
pyramid, in which order should care come first. Clinical preventive services form the next level of the pyramid. A
services be arranged? nurse should then address the primary health care needs of clients; these needs
include prenatal and baby care and nutrition counseling. The next level of
health care is
secondary health care services, which include emergency care and acute medical-
surgical care. Tertiary health care forms the highest level of health care; these
needs include intensive care and subacute care.
Advocacy


The nurse has a professional duty to advocate for a client by promoting what is best
A nurse speaking in support of the best
for the client. This is accomplished by ensuring that the client's needs are met and by
interest of a vulnerable client reflects which
protecting the client's rights. Caring is a behavioral characteristic of the nurse.
nursing duty?
Veracity relates to the habitual observance of truth, fact, and accuracy.
Confidentiality is an ethical principle and legal right that the nurse will hold secret
all information relating to the client unless the client gives consent to permit
disclosure.
Normal Finding

A nurse is assessing a client's nails and
The client's nail, which has a slight convex curve at the angle from the skin to nail
finds a slight convex curve at the angle
base of about 160 degrees, is normal. In clubbing, there is a change in the angle
from the skin to nail base of about 160
between the nail and the nail base that is larger than 180 degrees. Paronychia is the
degrees.
inflammation of the skin at the base of nail. Koilonychia is the concave curves on the
Which condition does the nurse suspect?
nail.




Sodium


Sodium is the most abundant extracellular fluid cation and regulates serum
When assessing a client's fluid and (extracellular) osmolarity, as well as nerve impulse transmission and acid-base
electrolyte status, the nurse recalls that the balance. Potassium is the major intracellular osmolarity regulator, and it also
regulator of extracellular osmolarity is regulates metabolic activities, transmission and conduction of nerve
what? impulses,
cardiac conduction, and smooth and skeletal muscle contraction. Chloride is a major
extracellular fluid anion and follows sodium. Calcium is an extracellular cation
necessary for bone and teeth formation, blood clotting, hormone secretion, cardiac
conduction, transmission of nerve impulses, and muscle contraction.


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