HESI FUNDAMENTALS EXAM 2024
ACTUAL EXAM 3 VERSIONS WITH 100
QUESTIONS AND DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
VERSION A
The client has been prescribed vaginal cream for a
yeast infection to be administered via a vaginal
applicator. In which position would the nurse
instruct the client to take for appropriate
administration?
a) Low Fowler's position
b) Supine position
c) Sim's position
d) Dorsal recumbent position - ....ANSWER...Dorsal
recumbent position
,Explanation:
The dorsal recumbent position (supine with the hips
and knees bent) allows easy access to the vaginal
orifice and proper placement for the medication. The
other positions do not allow access to the vaginal
orifice as the legs are closed.
A physician orders supplemental oxygen for a client
with a respiratory problem. Which oxygen delivery
device should the nurse use to provide the highest
possible oxygen concentration?
a) Simple mask
b) Nasal cannula
c) Nonrebreather mask
d) Venturi mask - ....ANSWER...Nonrebreather mask
Explanation:
A nonrebreather mask provides the highest possible
oxygen concentration — up to 95%. A nasal cannula
doesn't deliver concentrations above 40%. A Venturi
mask delivers precise concentrations of 24% to 44%,
regardless of the client's respiratory pattern,
because the same amount of room air always enters
,the mask opening. A simple mask delivers 2 to 10
L/minute of oxygen in uncontrollable concentrations.
Which action is contraindicated for a client who
develops a temperature of 102° F (38.9° C)?
a) Monitoring his temperature every 4 hours
b) Covering the client with a light blanket
c) Increasing fluid intake
d) Providing a low-calorie diet -
....ANSWER...Providing a low-calorie diet
Correct
Explanation:
Because a client with a fever has an increased basal
metabolism rate, he needs additional calories in his
diet, not fewer calories. Monitoring the client's
temperature, increasing his fluid intake, and
covering him with a light blanket are therapeutic
interventions for a fever
, A client returned from surgery eight hours ago and
has not voided. Which action should the nurse take
first?
a) Catheterize the client with a straight catheter.
b) Call the physician to report the client's condition.
c) Palpate over the synthesis pubis for fullness.
d) Tell the client to bear down and try to void. -
....ANSWER...Palpate over the synthesis pubis for
fullness.
Explanation:
Before taking any action, the nurse must palpate
over the client's synthesis pubis. If the client's is
retaining urine there will be fullness over the
bladder. Urine retention is a common adverse effect
of anesthesia. After confirming retention, the nurse
should call the physician and expect an order to
catheterize the client. Telling the client to bear down
and try to void is inappropriate
On the first day after abdominal surgery, the nurse
auscultates a client's abdomen for bowel sounds;
there are none. The nurse should:
ACTUAL EXAM 3 VERSIONS WITH 100
QUESTIONS AND DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
VERSION A
The client has been prescribed vaginal cream for a
yeast infection to be administered via a vaginal
applicator. In which position would the nurse
instruct the client to take for appropriate
administration?
a) Low Fowler's position
b) Supine position
c) Sim's position
d) Dorsal recumbent position - ....ANSWER...Dorsal
recumbent position
,Explanation:
The dorsal recumbent position (supine with the hips
and knees bent) allows easy access to the vaginal
orifice and proper placement for the medication. The
other positions do not allow access to the vaginal
orifice as the legs are closed.
A physician orders supplemental oxygen for a client
with a respiratory problem. Which oxygen delivery
device should the nurse use to provide the highest
possible oxygen concentration?
a) Simple mask
b) Nasal cannula
c) Nonrebreather mask
d) Venturi mask - ....ANSWER...Nonrebreather mask
Explanation:
A nonrebreather mask provides the highest possible
oxygen concentration — up to 95%. A nasal cannula
doesn't deliver concentrations above 40%. A Venturi
mask delivers precise concentrations of 24% to 44%,
regardless of the client's respiratory pattern,
because the same amount of room air always enters
,the mask opening. A simple mask delivers 2 to 10
L/minute of oxygen in uncontrollable concentrations.
Which action is contraindicated for a client who
develops a temperature of 102° F (38.9° C)?
a) Monitoring his temperature every 4 hours
b) Covering the client with a light blanket
c) Increasing fluid intake
d) Providing a low-calorie diet -
....ANSWER...Providing a low-calorie diet
Correct
Explanation:
Because a client with a fever has an increased basal
metabolism rate, he needs additional calories in his
diet, not fewer calories. Monitoring the client's
temperature, increasing his fluid intake, and
covering him with a light blanket are therapeutic
interventions for a fever
, A client returned from surgery eight hours ago and
has not voided. Which action should the nurse take
first?
a) Catheterize the client with a straight catheter.
b) Call the physician to report the client's condition.
c) Palpate over the synthesis pubis for fullness.
d) Tell the client to bear down and try to void. -
....ANSWER...Palpate over the synthesis pubis for
fullness.
Explanation:
Before taking any action, the nurse must palpate
over the client's synthesis pubis. If the client's is
retaining urine there will be fullness over the
bladder. Urine retention is a common adverse effect
of anesthesia. After confirming retention, the nurse
should call the physician and expect an order to
catheterize the client. Telling the client to bear down
and try to void is inappropriate
On the first day after abdominal surgery, the nurse
auscultates a client's abdomen for bowel sounds;
there are none. The nurse should:
