HESI RN FUNDAMENTALS OF NURSING FINAL EXAM LATEST EXAM TEST BANK AND ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
HESI RN FUNDAMENTALS OF NURSING FINAL EXAM
LATEST 2023 EXAM CONTAINS 55 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
The nurse should plan care knowing that which client is at risk for fluid
volume deficit? – ANSWER- The client with a colostomy
rationale:
Causes of a fluid volume deficit include vomiting, diarrhea,
conditions that cause increased respirations or increased urinary
output, insufficient intravenous fluid replacement, draining fistulas,
ileostomy, and colostomy. A client with cirrhosis, HF, or decreased
kidney function is at risk for fluid volume excess.
The nurse is caring for a client who has been taking diuretics on a longterm basis. Which finding should the nurse expect to note as a result of
this long-term use? – ANSWER- Increased specific gravity of the urine
The nurse reviews electrolyte values and notes a sodium level of 130
mEq/L. The nurse expects that this sodium level would be noted in a
client with which condition? – ANSWER- The client with the syndrome
of inappropriate secretion of antidiuretic hormone (SIADH)
rationale:
Hyponatremia is a serum sodium level less than 135 mEq/L.
Hyponatremia can occur secondary to SIADH. The client with an
inadequate daily water intake, watery diarrhea, or diabetes
insipidus is at risk for hypernatremia.
The nurse is caring for a client with leukemia and notes that the client
has poor skin turgor and flat neck and hand veins. The nurse suspects
hyponatremia. Which additional signs/symptoms should the nurse
expect to note in this client if hyponatremia is present? – ANSWERPostural blood pressure changes
Rationale:
Postural blood pressure changes occur in the client with
hyponatremia. Intense thirst and dry mucous membranes are seen
in clients with hypernatremia. A slow, bounding pulse is not
indicative of hyponatremia. In a client with hyponatremia, a rapid,
thready pulse is noted.
The nurse is caring for a client with a diagnosis of hyperparathyroidism.
Laboratory studies are performed, and the serum calcium level is 12.0
mg/dL. Based on this laboratory value, the nurse should take which
action? – ANSWER- Inform the registered nurse of the laboratory value.
Rationale:
The normal serum calcium level ranges from 8.6 to 10.0 mg/dL. The
client is experiencing hypercalcemia, and the nurse would inform
the registered nurse of the laboratory value. Because the client is
experiencing hypercalcemia, the remaining options are incorrect
actions.
The nurse reviews the client’s serum calcium level and notes that the
level is 8.0 mg/dL. The nurse understands which condition causes this
serum calcium level? – ANSWER- Prolonged bed rest
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. A client with a
serum calcium level of 8.0 mg/dL is experiencing hypocalcemia. The
excessive ingestion of vitamin D, adrenal insufficiency, and
hyperparathyroidism are causative factors associated with
hypercalcemia. Although immobilization can initially cause
hypercalcemia, the long-term effect of prolonged bedrest is
hypocalcemia.
The nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which sign/symptom is an indication of this electrolyte
imbalance? – ANSWER- Generalized muscle weakness
Rationale:
Generalized muscle weakness is seen in clients with hypercalcemia.
Twitching, positive Trousseau’s sign, and hyperactive bowel sounds
are signs of hypocalcemia.
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HESI RN FUNDAMENTALS OF NURSING FINAL EXAM
LATEST 2022-2023 EXAM TEST BANK CONTAINS 450
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
HESI RN FUNDAMENTALS OF NURSING FINAL EXAM 2023
The client asks the nurse to recommend foods that might be included in a diet for
diverticular disease. Which foods would be appropriate to include in the teaching
plan? Select all that apply.
A) Whole grains
B) Cooked fruit and vegetables
C) Nuts and seeds
D) Lean red meats
E) Milk and eggs – ANSWER- Correct Answer: A,B,E
A nurse is obtaining a health history from the newly admitted client who has
chronic pain in the knee. What should the nurse include in the pain assessment?
Select all that apply.
A) Pain history, including location, intensity, and quality of pain
B) Client’s purposeful body movement in arranging the papers on the bedside table
C) Pain pattern, including precipitating and alleviating factors
D) Vital signs such as increased blood pressure and heart rate
E) The client’s family statement about increases in pain with ambulation –
ANSWER- Correct Answer: A,C
While undergoing a soapsuds enema, the client reports abdominal cramping. What
action should the nurse take?
A) Immediately stop the infusion.
B) Lower the height of the enema bag.
C) Advance the enema tubing 2 to 3 inches.
D) Clamp the tube for 2 minutes, then restart the infusion. – ANSWER- Correct
Answer: B
During the initial physical assessment of a newly admitted client with a pressure
ulcer, a nurse observes that the client’s skin is dry and scaly. The nurse applies
emollients and reinforces the dressing on the pressure ulcer. Legally, were the
nurse’s actions adequate?
A) The nurse also should have instituted a plan to increase activity.
B) The nurse provided supportive nursing care for the well-being of the client.
C) Debridement of the pressure ulcer should have been done before the dressing
was applied.
D) Treatment should not have been instituted until the health care provider’s
prescriptions were received. – ANSWER- Correct Answer: B
A visitor comes to the nursing station and tells the nurse that a client and his
relative had a fight and that the client is now lying unconscious on the floor. What
is the most important action the nurse needs to take?
A) Ask the client if he is okay.
B) Call security from the room.
C) Find out if there is anyone else in the room.
D) Ask security to make sure the room is safe – ANSWER- Correct Answer: D
To ensure the safety of a client who is receiving a continuous intravenous normal
saline infusion, the nurse should change the administration set every:
A) 4 to 8 hours
B) 12 to 24 hours
C) 24 to 48 hours
D) 72 to 96 hours – ANSWER- Correct Answer: D
A nurse is taking care of a client who has severe back pain as a result of a work
injury. What nursing considerations should be made when determining the client’s
plan of care? Select all that apply.
A) Ask the client what is the client’s acceptable level of pain.
B) Eliminate all activities that precipitate the pain.
C) Administer the pain medications regularly around the clock.
D) Use a different pain scale each time to promote patient education.
E) Assess the client’s pain every 15 minutes – ANSWER- Correct Answer: A,C
The nurse is preparing to administer eardrops to a client that has impacted
cerumen. Before administering the drops, the nurse will assess the client for which
contraindications? Select all that apply.
A) Allergy to the medication
B) Itching in the ear canal
C) Drainage from the ear canal
D) Tympanic membrane rupture
E) Partial hearing loss in the affected ear – ANSWER- Correct Answer: A,C,D
What clinical indicators should the nurse expect a client with hyperkalemia to
exhibit? Select all that apply.
A) Tetany
B) Seizures
C) Diarrhea
D) Weakness
E) Dysrhythmias – ANSWER- Correct Answer: C,D,E
A health care provider has prescribed isoniazid (Laniazid) for a client. Which
instruction should the nurse give the client about this medication?
A) Prolonged use can cause dark concentrated urine.
B) The medication is best absorbed when taken on an empty stomach.
C) Take the medication with aluminum hydroxide to minimize GI upset.
D) Drinking alcohol daily can cause drug-induced hepatitis – ANSWER- Correct
Answer: D
To minimize the side effects of the vincristine (Oncovin) that a client is receiving,
what does the nurse expect the dietary plan to include?
A) Low in fat
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