2023mHESImRNmFUNDAMENTALSmOFmNURSIN
G
2023 HESI RN FUNDAMENTALS OF
m m m m m
NURSING FINAL EXAM ACCURATE m m m
SUMMER QTR 100% PASS (2019 RE
m m m m m m
VIEW)
1. Ammalemclientmwithmstomachmcancermreturnsmtomthemunitmfollowingmamtotalmgastrectomy.mHem
hasmamnasogastricmtubemtomsuctionmandmismreceivingmLactatedmRinger’smsolutionmatm75mmL/ho
urmIV.mOnemhourmaftermadmissionmtomthemunit,mthemnursemnotesm300mmLmof mbloodminmthe msuc
tionmcanister,mthemclient’smheartmratemism155mbeats/minute,mandmhismbloodmpressuremism78/48
m mmHg. mInm additionm tom reportingmthe mfindingm tom the msurgeon.m Whichm actionmshould m them nur
se mimplementmfirst?
a. Measure mandmdocumentmthe mclient’smurinarymoutput.
b. Requestmthe mclient’smreservedmunitmifmpackedmredmbloodmcells.
c. Prepare mthe m placementm of mam centralmvenousm catheter.
d. Increase mthe minfusionmrate mofmLactatedmRinger’smsolution.
2. anmadultmmalemwhomfellm20mfeetmfrommthemroof mofmthismhomemhasmmultiple minjuries,mincludingma
m rightmpneumothorax.m Chestm tubesmwere m insertedm inm the memergencym departmentm priorm tom hism t
ransfermtomthemintensivemcaremunitm(ICU).mthe mnursemnotesmthatmthe msuctionmcontrolmchambermism
bubblingmatmthe
- 10mcmmH2Ommark,mwithmfluctuationminmthemwatermseal,mandmovermthe mpastmhourm75mmlmofmbrig
htmredmbloodmismmeasuredminmthe mcollectionmchamber.mWhichminterventionmshouldmthemnursemi
mplement?
a. Addmsterile mwatermtomthe msuctionmcontrolmchamber.
b. Give mbloodmfrommthe mcollectionmchambermasmautotransfusion
c. Manipulate mbloodminmtubingmtomdrainmintom chamber.
d. Increase mwallmsuctionmtomeliminate mfluctuationminmwatermseal.
,2023mHESImRNmFUNDAMENTALSmOFmNURSIN
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3. Amclientmwhomreceivedmhemodialysismyesterdaymismexperiencingmambloodmpressure mofm200/100m
mmHg,mheartmratem110mbeats/minute,mandmrespiratorymrate m36mbreaths/minute.mThemclientmism
manifestingmshortnessmof mbreath,mbilateralm2+mpedalmedema,mandmanmoxygenmsaturationmonmroo
mmairmofm89%.mWhichmactionmshouldmthe mnurse mtake mfirst?
a. Elevate mthe mfootmofmthe mbed.
b. Restrictm the m client’sm fluid.
c. Beginmsupplementalmoxygen.
d. Prepare mthe mclientmformhemodialysis.
,2023mHESImRNmFUNDAMENTALSmOFmNURSIN
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4. AmclientmwithmAddison’smcrisismismadmittedmformtreatmentmwithmadrenalmcorticalmsupplementatio
n.mBasedmonmthemclient’smadmittingmdiagnosis,mwhichmfindingsmrequire mimmediatemactionmbymthem
nurse?m(Selectmallmthatmapply)
a. Headache mandmtremors
b. Irregularmheartmrate
c. Skinmhyperpigmentation
d. Posturalmhypotension
e. Pallormandmdiaphoresis
5. Anmoldermclientmismadmittedmwithmfluidmvolumemdeficitmandmdehydration.mWhichmassessmentmfin
dingmismthe mbestmindicatormofmhydrationmthatmthe mnurse mshouldmreportmtomthemhealthcare mprovi
der?
a. Urine mspecificmgravitymism1.040
b. Systolicmbloodmpressure mdecreasesm10mpointsmwhenmstanding.
c. The mclientmdeniesmbeingmthirsty.
d. Skinmtentingmoccursmwhenmthe mclient’smforearmmismpinched.
6. Aftermanminservice maboutmelectronicmhealthmrecordm(EHR) msecuritymandmsafeguardingmcli
entminformation, mthemnursemobservesmamcolleaguemgoingmhomemwithmprintedmcopiesmof
m clientm information m inm am uniformm pocket. m Whichm action m should m the m nurse m take?
a. File mamdetailedmincidentmreportmwithmthe mspecificmhiringmfacility.
b. Warnmthe mcolleague mthatmtheirmactionsmare munprofessional.
c. Commentmanonymouslymaboutmthe mactionmof mamstaff mdiscussionmboard.
d. Communicate mthe mcolleague’smactionsmtomthe munitmcharge mnurse.
, 2023mHESImRNmFUNDAMENTALSmOFmNURSIN
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7. The mnurse mismevaluatingmamtertiarympreventionmprogrammformclientsmwithmcardiovascularmdis
ease mimplementedminmamruralmhealthmclinic.mWhichmoutcomemindicate mthemprogrammismeffec
tive?
a. At-riskmclientsmreceivedmanmincreasedmnumbermof mroutine mhealthmscreenings.
b. Clientsmreportedmhavingmnewmconfidence minmmakingmhealthymfoodmchoices.
c. Clientsmwhomincurredmdisease mcomplicationsmpromptlymreceivedmrehabilitation.
d. Clientmrelapse mrate mof m30%minmam5-yearmcommunity-wide manti-smokingmcampaign.
8. The mnurse mismcaringmformamclientmwithmchronicmobstructivempulmonarymdisease m(COPD) mwhom
usesmoxygenmatm2mL/minutempermnasalmcannulamcontinuously. mThemnursemobservesmthatmthe
m clientm ism havingm increased mshortness mof mbreathmwithmrespirations matm 23m breaths/minute. m
Whichmactionmshouldmthe mnurse mimplementmfirst?
a. Determine mif mthe mclientmismexperiencingmanymanxiety.
b. Auscultate mthe mclient’smbilateralmlungmsoundsmandmoxygenmsaturation.
c. Notifymthe mhealthcare mprovidermaboutmthe mclient’smdistress.
d. Assessmthe mdeliverymmechanismmofmthe moxygenmtank,mtubing,mandmcannula.
9. Whichmstatementmbymamclientmwhomism24mhoursmpost-
subtotalmthyroidectomymrequiresmanmimmediate minvestigationmbymthe mnurse?
a. “WhenmImgetmoutmofmbedmquickly,mImfeelmamlittle mdizzy.”
b. “The mdressingmovermmymincisionmfeelsmlike mitmismtoomtight.”
c. “I’mmmostmcomfortable mwhenmthe mheadmofmthe mbedmismraised.”
d. “ThismIV minfusionmmakesmme murinate mmore moftenmthanmusual.”
G
2023 HESI RN FUNDAMENTALS OF
m m m m m
NURSING FINAL EXAM ACCURATE m m m
SUMMER QTR 100% PASS (2019 RE
m m m m m m
VIEW)
1. Ammalemclientmwithmstomachmcancermreturnsmtomthemunitmfollowingmamtotalmgastrectomy.mHem
hasmamnasogastricmtubemtomsuctionmandmismreceivingmLactatedmRinger’smsolutionmatm75mmL/ho
urmIV.mOnemhourmaftermadmissionmtomthemunit,mthemnursemnotesm300mmLmof mbloodminmthe msuc
tionmcanister,mthemclient’smheartmratemism155mbeats/minute,mandmhismbloodmpressuremism78/48
m mmHg. mInm additionm tom reportingmthe mfindingm tom the msurgeon.m Whichm actionmshould m them nur
se mimplementmfirst?
a. Measure mandmdocumentmthe mclient’smurinarymoutput.
b. Requestmthe mclient’smreservedmunitmifmpackedmredmbloodmcells.
c. Prepare mthe m placementm of mam centralmvenousm catheter.
d. Increase mthe minfusionmrate mofmLactatedmRinger’smsolution.
2. anmadultmmalemwhomfellm20mfeetmfrommthemroof mofmthismhomemhasmmultiple minjuries,mincludingma
m rightmpneumothorax.m Chestm tubesmwere m insertedm inm the memergencym departmentm priorm tom hism t
ransfermtomthemintensivemcaremunitm(ICU).mthe mnursemnotesmthatmthe msuctionmcontrolmchambermism
bubblingmatmthe
- 10mcmmH2Ommark,mwithmfluctuationminmthemwatermseal,mandmovermthe mpastmhourm75mmlmofmbrig
htmredmbloodmismmeasuredminmthe mcollectionmchamber.mWhichminterventionmshouldmthemnursemi
mplement?
a. Addmsterile mwatermtomthe msuctionmcontrolmchamber.
b. Give mbloodmfrommthe mcollectionmchambermasmautotransfusion
c. Manipulate mbloodminmtubingmtomdrainmintom chamber.
d. Increase mwallmsuctionmtomeliminate mfluctuationminmwatermseal.
,2023mHESImRNmFUNDAMENTALSmOFmNURSIN
G
3. Amclientmwhomreceivedmhemodialysismyesterdaymismexperiencingmambloodmpressure mofm200/100m
mmHg,mheartmratem110mbeats/minute,mandmrespiratorymrate m36mbreaths/minute.mThemclientmism
manifestingmshortnessmof mbreath,mbilateralm2+mpedalmedema,mandmanmoxygenmsaturationmonmroo
mmairmofm89%.mWhichmactionmshouldmthe mnurse mtake mfirst?
a. Elevate mthe mfootmofmthe mbed.
b. Restrictm the m client’sm fluid.
c. Beginmsupplementalmoxygen.
d. Prepare mthe mclientmformhemodialysis.
,2023mHESImRNmFUNDAMENTALSmOFmNURSIN
G
4. AmclientmwithmAddison’smcrisismismadmittedmformtreatmentmwithmadrenalmcorticalmsupplementatio
n.mBasedmonmthemclient’smadmittingmdiagnosis,mwhichmfindingsmrequire mimmediatemactionmbymthem
nurse?m(Selectmallmthatmapply)
a. Headache mandmtremors
b. Irregularmheartmrate
c. Skinmhyperpigmentation
d. Posturalmhypotension
e. Pallormandmdiaphoresis
5. Anmoldermclientmismadmittedmwithmfluidmvolumemdeficitmandmdehydration.mWhichmassessmentmfin
dingmismthe mbestmindicatormofmhydrationmthatmthe mnurse mshouldmreportmtomthemhealthcare mprovi
der?
a. Urine mspecificmgravitymism1.040
b. Systolicmbloodmpressure mdecreasesm10mpointsmwhenmstanding.
c. The mclientmdeniesmbeingmthirsty.
d. Skinmtentingmoccursmwhenmthe mclient’smforearmmismpinched.
6. Aftermanminservice maboutmelectronicmhealthmrecordm(EHR) msecuritymandmsafeguardingmcli
entminformation, mthemnursemobservesmamcolleaguemgoingmhomemwithmprintedmcopiesmof
m clientm information m inm am uniformm pocket. m Whichm action m should m the m nurse m take?
a. File mamdetailedmincidentmreportmwithmthe mspecificmhiringmfacility.
b. Warnmthe mcolleague mthatmtheirmactionsmare munprofessional.
c. Commentmanonymouslymaboutmthe mactionmof mamstaff mdiscussionmboard.
d. Communicate mthe mcolleague’smactionsmtomthe munitmcharge mnurse.
, 2023mHESImRNmFUNDAMENTALSmOFmNURSIN
G
7. The mnurse mismevaluatingmamtertiarympreventionmprogrammformclientsmwithmcardiovascularmdis
ease mimplementedminmamruralmhealthmclinic.mWhichmoutcomemindicate mthemprogrammismeffec
tive?
a. At-riskmclientsmreceivedmanmincreasedmnumbermof mroutine mhealthmscreenings.
b. Clientsmreportedmhavingmnewmconfidence minmmakingmhealthymfoodmchoices.
c. Clientsmwhomincurredmdisease mcomplicationsmpromptlymreceivedmrehabilitation.
d. Clientmrelapse mrate mof m30%minmam5-yearmcommunity-wide manti-smokingmcampaign.
8. The mnurse mismcaringmformamclientmwithmchronicmobstructivempulmonarymdisease m(COPD) mwhom
usesmoxygenmatm2mL/minutempermnasalmcannulamcontinuously. mThemnursemobservesmthatmthe
m clientm ism havingm increased mshortness mof mbreathmwithmrespirations matm 23m breaths/minute. m
Whichmactionmshouldmthe mnurse mimplementmfirst?
a. Determine mif mthe mclientmismexperiencingmanymanxiety.
b. Auscultate mthe mclient’smbilateralmlungmsoundsmandmoxygenmsaturation.
c. Notifymthe mhealthcare mprovidermaboutmthe mclient’smdistress.
d. Assessmthe mdeliverymmechanismmofmthe moxygenmtank,mtubing,mandmcannula.
9. Whichmstatementmbymamclientmwhomism24mhoursmpost-
subtotalmthyroidectomymrequiresmanmimmediate minvestigationmbymthe mnurse?
a. “WhenmImgetmoutmofmbedmquickly,mImfeelmamlittle mdizzy.”
b. “The mdressingmovermmymincisionmfeelsmlike mitmismtoomtight.”
c. “I’mmmostmcomfortable mwhenmthe mheadmofmthe mbedmismraised.”
d. “ThismIV minfusionmmakesmme murinate mmore moftenmthanmusual.”
