HESI FUNDAMENTAL EXAMS 2022/26 TEST BANK CORRECTLY
ANSWERED QUESTIONS GRADED A+
What action by the nurse demonstrated culturally sensitive care?
A. explains the differences between western medical care and cultural folk remedies
B. applies knowledge of a cultural group unless a client embraces western customs
C. avoids questions about male-female relationship
D. asks permission before touching a client - CORRECT ANSWERS-D. asks permission before
touching a client
A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a
hospitalized client. What action should the nurse implement to cope with these feelings of frustration?
A. allow the situation to continue until a family member's action may harm the client
B. explain to the family that multiple visitors are exhausting to the client
C. explain one's own culturally based values, beliefs, attitudes and practices
D. suggest that other cultural practices be substituted by the family members - CORRECT
ANSWERS-C. explain one's own culturally based values, beliefs, attitudes and practices
Which technique is most important for the nurse to implement when performing a physical assessment?
A. the medical systems model
B. an approach related to a nursing model
C. a consistent, systemic approach
D. a head-to-toe approach - CORRECT ANSWERS-C. a consistent, systemic approach
a 73 year old Hispanic client is seen at the community health clinic with a history of protein malnutrition.
What information should the nurse obtain first?
A. foods and liquids consumed during the past 24 hours
B. amount of liquid protein supplements consumed daily
C. grains and legume combinations used by the client
, D. usual weekly intake of milk products and red meats - CORRECT ANSWERS-A. foods and
liquids consumed during the past 24 hours
When caring for an immobile client, what nursing diagnosis has the highest priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity - CORRECT ANSWERS-B. impaired gas exchange
The nurse assess an immobile, elderly male client and determines that his blood pressure is 138/60, his
temperature is 95.8F, and his output is 100 mL of concentrated urine during the last hour. He has wet-
sounding lung sounds, and increased respiratory secretions. Based on these assessment findings, what
nursing action is the most important for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription - CORRECT ANSWERS-C. turn the patient
Q2
The home health nurse visits an elderly female client who had a brain attack three months ago and is
now able to ambulate with the assistance of a quad cane. Which assessment finding has the greatest
implications for this client's case?
A. The client's pulse rate is 10 beats higher than it was at the last visit one week ago
B. the client tells the nurse that she does not have much of an appetite today
C. the husband, who is the caregiver, begins to weep when you ask how he is doing
D. the nurse notes that there are numerous scatter rubs throughout the house - CORRECT
ANSWERS-D. the nurse notes that there are numerous scatter rubs throughout the house
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter
and finds that there is straw-colored drainage seeping from the wound. What description of this finding
should the nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous drainage
ANSWERED QUESTIONS GRADED A+
What action by the nurse demonstrated culturally sensitive care?
A. explains the differences between western medical care and cultural folk remedies
B. applies knowledge of a cultural group unless a client embraces western customs
C. avoids questions about male-female relationship
D. asks permission before touching a client - CORRECT ANSWERS-D. asks permission before
touching a client
A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a
hospitalized client. What action should the nurse implement to cope with these feelings of frustration?
A. allow the situation to continue until a family member's action may harm the client
B. explain to the family that multiple visitors are exhausting to the client
C. explain one's own culturally based values, beliefs, attitudes and practices
D. suggest that other cultural practices be substituted by the family members - CORRECT
ANSWERS-C. explain one's own culturally based values, beliefs, attitudes and practices
Which technique is most important for the nurse to implement when performing a physical assessment?
A. the medical systems model
B. an approach related to a nursing model
C. a consistent, systemic approach
D. a head-to-toe approach - CORRECT ANSWERS-C. a consistent, systemic approach
a 73 year old Hispanic client is seen at the community health clinic with a history of protein malnutrition.
What information should the nurse obtain first?
A. foods and liquids consumed during the past 24 hours
B. amount of liquid protein supplements consumed daily
C. grains and legume combinations used by the client
, D. usual weekly intake of milk products and red meats - CORRECT ANSWERS-A. foods and
liquids consumed during the past 24 hours
When caring for an immobile client, what nursing diagnosis has the highest priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity - CORRECT ANSWERS-B. impaired gas exchange
The nurse assess an immobile, elderly male client and determines that his blood pressure is 138/60, his
temperature is 95.8F, and his output is 100 mL of concentrated urine during the last hour. He has wet-
sounding lung sounds, and increased respiratory secretions. Based on these assessment findings, what
nursing action is the most important for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription - CORRECT ANSWERS-C. turn the patient
Q2
The home health nurse visits an elderly female client who had a brain attack three months ago and is
now able to ambulate with the assistance of a quad cane. Which assessment finding has the greatest
implications for this client's case?
A. The client's pulse rate is 10 beats higher than it was at the last visit one week ago
B. the client tells the nurse that she does not have much of an appetite today
C. the husband, who is the caregiver, begins to weep when you ask how he is doing
D. the nurse notes that there are numerous scatter rubs throughout the house - CORRECT
ANSWERS-D. the nurse notes that there are numerous scatter rubs throughout the house
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter
and finds that there is straw-colored drainage seeping from the wound. What description of this finding
should the nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous drainage
