HESI FUNDAMENTALS NURSING V1-V2 EXAM NEWEST ACTUAL
EXAM COMPLETE 250 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
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1. The nursing staff in the cardiovascular intensive care unit are creating a
continuous quality improvement project on social media that addresses coronary
artery disease (CAD). Which action should the nurses implement to protect client
privacy?
a. Remove identifying information of the clients who participated
b. Recall that authored content may be legally discoverable
c. Share material from credible, peer reviewed sources only
d. Respect all copyright laws when adding website content
a. Remove identifying information of the clients who participated
2. A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains consent form for signature, the client hesitates and
asks how the wires will keep his heart going. Which actionshould the nurse take?
a. Answer the client's specific questions with a short understandable explanation
b. Postpone the procedure until the client understands the risks and benefits
c. Call the client's next of kin and ask them to provide verbal consent
d. Page the healthcare provider to return and provide additional explanation
b. Postpone the procedure until the client understands the risks and benefits
3. The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise the hinge joints, which action should the nurse instruct the client to
perform?
a.Tilt the pelvis forwards and backwards
b. bend the arm by flexing the ulnar to the humerus
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, HESI Fundamentals Nursing V1-V2 EXAM NEWEST ACTUAL EXAM
c. Turn the head to the right and left
d. Extend the arm at the ide and rotate in circles
b. bend the arm by flexing the ulnar to the humerus
4. A postoperative client has three different PRN analgesics prescribed for
different levels of pain. The nurse inadvertently administers a dose that is not
within the prescribed parameters. What actions should the nurse take first?
a.Access for side effects of the medication
b. Document the client's responses.
c. completes a medication error report. d. Determine if the pain was relieved
a.Access for side effects of the medication
5. When assessing a male client, the nurse finds that he is fatigue, and is
experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on
these findings, the nurse plans to check the client's laboratory values to validate
the existence of which?
a. Hyperphosphatemia
b. Hypocalcemia
c. Hypermagnesemia
d. Hypokalemia
d. Hypokalemia
6. A female client's significant other has been at her bedside providing
reassurances and support for the past 3days, as desired by the client. The client's
estranged husband arrives and demands that the significant other not be allowed
to visit or be given condition updates. Which intervention should the nurse
implement?
a. Obtain a perception from the healthcare provider regarding visitation privileges
b. Request a consultation with the ethics committee for resolution of the situation
c. Encourage the client to speak with her husband regarding his disruptive
behavior
d. Communicate the client's wishes to all members of the multidisciplinary team
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, HESI Fundamentals Nursing V1-V2 EXAM NEWEST ACTUAL EXAM
b. Request a consultation with the ethics committee for resolution of the situation
7. When measuring vital signs, the nurse observes that a client is using accessory
neck muscles during respirations. What follow-up action should the nurse take
first?
a. Determine pulse pressure
b. Auscultate heart sounds
c. Measure oxygen saturation
d. Check for neck vein distention
d. Check for neck vein distention
8. To avoid nerve injury, what location should the nurse select to administer a 3
mL IM injection?
a. Ventrogluteal
b. outer upper quadrant of the buttock
c. Two inches below the acromion process
d. Vastus lateralis
b. outer upper quadrant of the buttock
9. Which instruction should the nurse include in the discharge teaching plan for an
adult client with hypernatremia?
a. Monitor daily urine output volume
b. Drink plenty of water whenever thirsty
c. Use salt tablets for sodium content
d. Review food labels for sodium content
d. Review food labels for sodium content
10. While changing a client's post operative dressing, the nurse observes a red and
swollen wound with a moderate amount of yellow and green drainage and a foul
odor. Given there is a positive MRSA, which is the most important action for the
nurse to take?
A. Force oral fluids
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, HESI Fundamentals Nursing V1-V2 EXAM NEWEST ACTUAL EXAM
B. Request a nutrition consult
C. Initiate contact precautions
D. Limit visitors to immediate family only
C. Initiate contact precautions
11. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
C. Health Care-associated Infection Rate
12. The nurse is preparing to assist a newly admitted client with personal hygiene
measures. The client...the client's gag reflex. Which action should the nurse
include?
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
B. Place tongue blade on back half of tongue
14. The nurse explains to an older adult male the procedure for collecting a 24-
hour urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
C. Empty the urinal contents into the 24-hour collection container
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