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HESI FUNDAMENTALS
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1. Awpolicywrequiringwthewremovalwofwacrylicwnailswbywallwnursingwpersonnelwwaswimplementedw6wmonthswago.wWhichwassessmentwme
asurewbestw determineswifwthewintendedwoutcomewofwthewpolicywiswbeingwachieved.
a. Numberwofwstaffwinducedwinjury
b. Clientwsatisfactionwsurvey
c. wHealthwcare-associatedwinfectionrate.
d. Ratewofwneedle-stickwinjurieswbynurse.
2. Thewnursewiswpreparingwtowassistwawnewlywadmittedwclientwwithwpersonalwhygienewmeasures.wThewclient...thewclient’swgagwreflex.wWhi
chwactionw shouldwthewnursewinclude?
A. Offerwsmallswsipswofwwaterwthroughwastraw
B. Placewtonguewbladewonwbackwhalfwoftongue
C. Usewawpenlightwtowobservewbackwofworalwcavity
D. Auscultatewbreathwsoundswafterwclientwswallows
3. Thewnursewexplainswtowanwolderwadultwmalewthewprocedurewforwcollectingwaw24-hourwurinewspecimenwforwcreatininewclearance.
A. Assesswthewclientwforwconfusionwandwreteachwthewprocedure
B. Checkwthewurinewforwcolorwandwtexture
C. Emptywthewurinalwcontentswintowthew24-hourwcollectionwcontainer
D. Discardwthewcontentswofwthewurinal
4. Aw54-year-
oldwmalewclientwandwhiswwifewwerewinformedwthiswmorningwthatwhewhaswterminalwcancer.wWhichwnursin
gwinterventionwiswlikelywtowbew most
A. Askwherwhowwshewwouldwlikewtowparticipatewinwthewclient’swcare
B. Providewthewwifewwithwinformationwaboutwhospice
C. Encouragewthewwifewtowvisitwafterwpainfulwtreatmentswarewcompleted
D. Referwherwtowsupportwgroupwforwfamilywmemberswofwthosewdyingwofwcancerw
5. Awclientwwhowhaswawbodywmasswindexw(BMI)wofw30wiswrequestingwinformationwonwthewinitialwapproachwtowawweightwlosswplan.wW
hichwactionw shouldwthewnursewrecommend?
A. Planwlowwcarbohydratewandwhighwproteinmeals
B. Engagewinwstrenuouswactivitywforwanwhourdaily
C. Keepwawrecordwofwfoodwandwdrinkswconsumedwdaily
D. Participatedwinwawgroupwexercisewclassw3wtimeswawweek
6. Thewnursewassesseswawclientwwhowhaswawnasalwcannulawdeliveringwoxygenwatw2wL/min.wTowassesswforwskinwdamagewrelatedwtowthewcan
nula,wwhichw areaswshouldwthewnursewobserve?
A. Topswofwthewear
B. Bridgewofwthewnose
C. Aroundwthewnostrils
D. Overwthewcheeks
E. Acrosswthewforehead
7. Thewnursewobserveswanwunlicensedwassistivewpersonnelw(UAP)wwhowiswprovidingwawtotalwbedwbathwforwawconfusedwandwlethargicwc
lient.wThew UAPwiswsoakingwthewclient’swfootwinwawbasinwofwwarmwwaterwplacedwonwthewbed.wWhatwactionwshouldwthewnursetake?
a. Removewthewbasinwofwwaterwfromwthewclient’swbedwimmediately
b. RemindwthewUAPwtowdrywbetweenwthewclient’swtoeswcompletelyw
c. AdvisewthewUAPwthatwthiswprocedurewiswdamagingwtowthewskin
d. Addwskinwcreamwtowthewbasinwofwwaterwwhilewthewfootwiswsoaking
8. Thewnursewinwthewemergencywdepartmentwobserveswawcolleaguewviewingwthewelectronicwhealthwrecordw(EHR)wofwawclientwwhowholdsw
anwelectedw positionwinwthewcommunity.wThewclientwiswnotwawpartwofwthewcolleague’swassignment.wWhichwactionwshouldwthewnurseimple
ment?
a. Communicatewthewcolleague’swactionswtowthewunitwchargewnurse
b. Sendwanwemailwtowfacilitywadministrationwreportingwthewaction
c. Writewanwanonymouswcomplaintwtowawprofessionalwwebsite
d. Postwawcommentwaboutwthewactionwonwawstaffwdiscussionwboard
9. Atw0100wonwawmalewclient’swsecondwpostoperativewnight,wthewclientwstateswhewiswunstablewtowsleepwandwplanswtowreadwuntilwfeelingwsl
eepy.wWhatw actionwshouldwthewnursewimplement?
a. Leavewthewroomwandwclosewthewdoorwtowthewclient’swroom
b. Assesswthewappearancewofwthewclient’swsurgicalwdressing
c. BringwthewclientwawprescribedwPRNwsedative-hypnotic
d. Discusswsymptomswofwsleepwdeprivationwwithwthewclient
10. Thewnursingwstaffwinwthewcardiovascularwintensivewcarewunitwarewcreatingwawcontinuouswqualitywimprovementwprojectwonwsocialwm
ediawthatw addresseswcoronarywarterywdiseasew(CAD).wWhichwactionwshouldwthewnursewimplementwtowprotectwclientwprivacy?
a. Removewidentifyingwinformationwofwthewclientswwhowparticipated
b. Recallwthatwauthoredwcontentwmaywbewlegallywdiscoverable
c. Sharewmaterialwfromwcredible,wpeerwreviewedwsourceswonly
d. Respectwallwcopyrightwlawswwhenwaddingwwebsitewcontent
11. Awmalewclientwwithwunstablewanginawneedswawcardiacwcatheterization,wsowthewhealthcarewproviderwexplainswthewriskswandwbenefitswo
fwthew procedure,wandwthenwleaveswtowsetwupwforwthewprocedure.wWhenwthewnursewpresentswthewconsentwformwforwsignature,wthewclientw
hesitateswandwasksw howwthewwireswwillwkeepwhiswheartwgoing.wWhichwactionwshouldwthewnursewtake?
a. Answerwthewclient’swspecificwquestionswwithwawshortwunderstandablewexplanation
b. Postponewthewprocedurewuntilwthewclientwunderstandswthewriskswandwbenefits
c. Callwthewclient’swnextwofwkinwandwaskwthemwtowprovidewverbalwconsent
d. Pagewthewhealthcarewproviderwtowreturnwandwprovidewadditionalwexplanation
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12. Thewnursewiswteachingwawclientwhowwtowdowactivewrangewofwmotionw(ROM)wexercises.wTowexercisewthewhingewjoints,wwhichwactionw
shouldwthew nursewinstructwthewclientwtowperform?
a. Tiltwthewpelviswforwardswandwbackwards