2024 Test Bank Fundamentals HESI Exam 1 – 3 | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 Test Bank Fundamentals HESI Exam 1 – 3 | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 Hesi RN Fundamentals Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. Which role does a nurse play when helping clients to identify and clarify
   health problems and to choose appropriate courses of action to solve those
   problems?:
   Answer:
   Counselor
   As a counselor, the nurse helps clients identify and clarify health problems and
   choose appropriate courses of action to solve those problems. As an educator,
   the nurse teaches clients and their families to assume responsibility for their own
   health care. A nurse acts as a change agent within a family system or as a mediator
   for problems within a client’s community; this involves identifying and
   implementing new and more effective approaches to problems. As a case manager,
   the nurse establishes an appropriate plan of care on the basis of assessment
   findings and coordinates needed resources and services for the client’s well-being
   along a continuum of care.
2. The nurse is caring for a client who is in pain following surgery. The nurse
   informs the primary health care provider about the client’s request for pain
   medication. What is the role of the nurse in this situation?:
   Answer:
   Advocate
   The nurse acts as a client advocate by speaking to the primary health care provider
   on behalf of the client. The nurse acts as an educator while teaching the client
   facts about health and the need for routine care activities. The nurse manager uses
   appropriate leadership styles to create a nursing environment for client-centered
   care. The nurse administrator manages client care and delivery of specific nursing
   services within a health care agency.
3. Which definition is involved in the caring process called knowing according
   to Swanson’s theory of caring?:
   Answer:
   Striving to understand an event as it has meaning in the life of the other
   In Swanson’s theory of caring process, knowing involves striving to understand an
   event as it has meaning in the life of another. The definition of being emotionally
   present for the other is related to the caring process called being with. The
   definition of sustaining faith in the other’s capacity to get through an event or

transition is related to the caring process called maintaining belief. The definition
of facilitating the other’s passage through life transitions and unfamiliar events is
related to the caring process called enabling.

4. A nursing student is examining the health services pyramid. Keeping in
   mind that care services begin at the bottom of this pyramid, in which order
   should care services be arranged?:
   Answer:
5. Population based services
   2.Clinical preventative services
   3.Primary health care
   4.Secondary health care
   5.Tertiary health care
   According to the health services pyramid, population-based health care services
   come first. Clinical preventive services form the next level of the pyramid. A nurse
   should then address the primary health care needs of clients; these needs include
   prenatal and baby care and nutrition counseling. The next level of health care
   is secondary health care services, which include emergency care and acute
   medical-surgical care. Tertiary health care forms the highest level of health care;
   these needs include intensive care and subacute care.
6. A nurse speaking in support of the best interest of a vulnerable client
   reflects which nursing duty?:
   Answer:
   Advocacy
   The nurse has a professional duty to advocate for a client by promoting what is
   best for the client. This is accomplished by ensuring that the client’s needs are
   met and by protecting the client’s rights. Caring is a behavioral characteristic of
   the nurse. Veracity relates to the habitual observance of truth, fact, and accuracy.
   Confidentiality is an ethical principle and legal right that the nurse will hold secret
   all information relating to the client unless the client gives consent to permit
   disclosure.
7. A nurse is assessing a client’s nails and finds a slight convex curve at the
   angle from the skin to nail base of about 160 degrees. Which condition does
   the nurse suspect?:
   Answer:
   Normal Finding
   The client’s nail, which has a slight convex curve at the angle from the skin to nail

base of about 160 degrees, is normal. In clubbing, there is a change in the angle
between the nail and the nail base that is larger than 180 degrees. Paronychia is
the inflammation of the skin at the base of nail. Koilonychia is the concave curves
on the nail.

7. When assessing a client’s fluid and electrolyte status, the nurse recalls
   that the regulator of extracellular osmolarity is what?:
   Answer:
   Sodium
   Sodium is the most abundant extracellular fluid cation and regulates serum
   (extracellular) osmolarity, as well as nerve impulse transmission and acid-base
   balance. Potassium is the major intracellular osmolarity regulator, and it also
   regulates metabolic activities, transmission and conduction of nerve impulses,
   cardiac conduction, and smooth and skeletal muscle contraction. Chloride is a
   major extracellular fluid anion and follows sodium. Calcium is an extracellular
   cation necessary for bone and teeth formation, blood clotting, hormone secretion,
   cardiac conduction, transmission of nerve impulses, and muscle contraction.
8. Which intervention reflects the nurse’s approach of “family as a context”?-:
   Answer:
   Trying to meet the client’s comfort
   In the “family as context” approach, the focus is on the client. The nursing care
   aims at meeting the client’s comfort, hygiene, and nutritional needs. The “family
   as a client” approach focuses on the family’s needs as a whole to determine their
   coping skills. This approach also includes assessment of the family’s energy level
   to determine if the family would be able to meet the client’s needs. In addition, the
   approach “family as a client” involves assessment of the family’s nutritional needs.
9. A registered nurse is educating a nursing student about the process of
   resolving an ethical dilemma. What information should the nurse provide
   regarding negotiation of outcomes?:
   Answer:
   “A nurse should provide a personal point of view.”
   During the process of negotiating outcomes, the nurse is required to provide
   a personal point of view. Negotiations may take place informally at the client’s
   bedside or in a formal setting. After gathering relevant information regarding an
   ethical dilemma, the nurse is required to examine his or her own values and
   formulate an opinion regarding the matter. When verbalizing the problem, the
   group agrees to a statement of the problem to begin discussions. This step is
   get pdf at https://learnexams.com/search/study?query=hesi

2024 Test Bank Fundamentals HESI Exam 2
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. Presence of yellow purulent drainage during a wound dressing change
   means:
   Answer:
   Indicative of infection and health care provider must be notified prior to
   any other actions
2. A nurse cannot irrigate a wound without:
   Answer:
   a prescribed order
3. 1 tablespoon is how many ml:
   Answer:
   15 ml
4. When administering oral meds through a gastrostomy tube:
   Answer:
   crush meds, dilute in water, let meds flow by gravity, and flush with 30 ml of water
5. When caring for a patient with TB what should you do when you enter the
   client’s room:
   Answer:
   apply a respirator prior to entering
6. IM injection of 1.5 what location do you use:
   Answer:
   ventrogluteal because it is preferred site and free of major nerves and can hold
   large volumes
7. Max ml to administer IM medication in deltoid:

Answer:
< 1 ml

8. A client has brought in their own radio to a hospital room what do you do:
   Answer:
   Ask them not to use it until it can be checked by environmental services
9. When evaluating outcomes of care look at:
   Answer:
   the goals established in nursing diagnosis
10. When evaluating if the plan of care has been followed look at:
    Answer:
    the actions implemented in care
11. When brushing teeth of an unconscious patient if they start to choke you
    should:
    Answer:
    suction
12. Always instruct patients to prescribe topical medication when:
    Answer:
    after showering or bathing because damp skin absorbs better
13. If a patient who is terminally ill asks for no more treatment and says
    they want to go home to die you should:
    Answer:
    contact the physician about patient’s decision
14. Patient with obstructive sleep apnea (chronic) has low PaO2 and high
    PCO2 what intervention should you implement:

Answer:
demonstrate how to use a positive airway pressure to device in order to prevent the
airways from collapsing during sleep and maintains airflow through the night

15. If patient is demonstrating sundowning behavior (confused) during
    evening shifts what should you do:
    Answer:
    stay with patient and reorient his location
16. When ambulating down the hall your patient frequently stops to talk or
    adjusts clothing before walking again what is this a sign of:
    Answer:
    activity intolerance
17. Normal serum potassium levels are:
    Answer:
    3.5-5.0
18. What technique should be used to reposition a client with spinal injury
    or recovering from spinal surgery:
    Answer:
    logrolling with other staff members to assist
19. To assess for residual urine the technique used it:
    Answer:
    a bladder scan
20. to expel residual from the bladder what technique is used:
    Answer:
    Crede method (it will not provide accurate assessment of amount of urinary
    retention)
21. Patient is scheduled to have sutures removed but is not due for another
    dose of pain meds for hours what pain control method can you use to help
    the patient:
    Answer:
    progressive relaxation or guided imagery
22. 1 oz is how many mL:
    Answer:
    30 ml
23. After inserting an indwelling catheter into a male client and the flow of
    urine has started and you have inserted the length of tubing through client’s
    meatus what should you do ?:
    Answer:
    Inflate the balloon with 10 ml of sterile water; after this step you can tap the
    catheter to client’s leg
24. After a patient bathes you notice the saline lock on their arm is partially
    separated from the skin and the patient says the insertion site is sore what
    should you do?:
    Answer:
    Remove saline lock and prepare to insert a new one at a different site prior to the
    next medication dose
25. Saline locks must be inserted using which technique:
    Answer:
    sterile
26. When there is a dislodged saline lock do you need to notify the physician?:
    Answer:
    No just prepare to insert a new one during next meds
    get pdf at https://learnexams.com/search/study?query=hesi

2024 HESI RN Fundamentals Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. A 20-year-old female client with a noticeable body odor has refused to
   shower for the last 3 days. She states, “I have been told that it is harmful to
   bathe during my period.” Which action should the nurse take first?
   A. Accept and document the client’s wish to refrain from bathing.
   B. Offer to give the client a bed bath, avoiding the perineal area.
   C. Obtain written brochures about menstruation to give to the client.
   D.Teach the importance of personal hygiene during menstruation with the
   client.:
   Answer:
   Teach the importance of personal hygiene during menstruation with the
   client.
2. A 65-year-old client who attends an adult daycare program and is wheelchairmobile has redness in the sacral area. Which instruction is most important
   for the nurse to provide?
   A. Take a vitamin supplement tablet once a day.
   B. Change positions in the chair at least every hour.
   C. Increase daily intake of water or other oral fluids.
   D.Purchase a newer model wheelchair:
   Answer:
   Change positions in the chair at least every hour.
3. After a needle stick occurs while removing the cap from a sterile needle,
   which action should the nurse implement?
   A. Complete an incident report.
   B. Select another sterile needle.
   C.Disinfect the needle with an alcohol swab.
   D. Notify the supervisor of the department immediately.:
   Answer:
   Select another sterile needle.
4. After receiving written and verbal instructions from a clinic nurse about
   a newly prescribed medication, a client asks the nurse what to do if questions
   arise about the medication after getting home. How should the nurse
   respond?
   A. Provide the client with a list of Internet sites that answer frequently asked

questions about medications.
B. Advise the client to obtain a current edition of a drug reference book from
a local bookstore or library.
C.Reassure the client that information about the medication is included in
the written instructions.
D. Encourage the client to call the clinic nurse or health care provider if
any questions arise.:
Answer:
Encourage the client to call the clinic nurse or health care provider if any questions
arise.

5. After the nurse tells an older client that an IV line needs to be inserted, the
   client becomes very apprehensive, loudly verbalizing a dislike for all health
   care providers and nurses. How should the nurse respond?
   A. Ask the client to remain quiet so the procedure can be performed safely.
   B. Concentrate on completing the insertion as efficiently as possible.
   C. Calmly reassure the client that the discomfort will be temporary.
   D. Tell the client a joke as a means of distraction from the procedure.:
   Answer:
   Calmly reassure the client that the discomfort will be temporary.
6. Based on the nursing diagnosis of risk for infection, which intervention is
   best for the nurse to implement when providing care for an older incontinent
   client?
   A. Maintain standard precautions.
   B. Initiate contact isolation measures.
   C.Insert an indwelling urinary catheter
   D. Instruct client in the use of adult diapers.:
   Answer:
   Maintain standard precautions.
7. By rolling contaminated gloves inside-out, the nurse is
   affecting which
   step in the chainof infection?
   A.Mode of transmission
   B.Portal of entry
   C.Reservoir
   D.Portal of exit:

Answer:
Mode of transmission

8. A client becomes angry while waiting for a supervised break to smoke a
   cigarette outsideand states, “I want to go outside now and smoke. It takes
   forever to get anything done here!” Which intervention is best for the nurse
   to implement?
   A. Encourage the client to use a nicotine patch.
   B. Reassure the client that it is almost time for another break.
   C. Have the client leave the unit with another staff member.
   D. Review the schedule of outdoor breaks with the client.:
   Answer:
   Review the schedule of outdoor breaks with the client.
9. A client has a nasogastric tube connected to low intermittent suction.
   When administering medications through the nasogastric tube, which action
   should the nurse dofirst?
   A. Clamp the nasogastric tube.
   B. Confirm placement of the tube.
   C. Use a syringe to instill the medications.
   D. Turn off the intermittent suction device.:
   Answer:
   Turn off the intermittent suction device.
10. A client has a nursing diagnosis of Altered sleep patterns related to
    nocturia. Which client instruction is important for the nurse to provide?
    A. Decrease intake of fluids after the evening meal.
    B. Drink a glass of cranberry juice every day.
    C. Drink a glass of warm decaffeinated beverage at bedtime.
    D. Consult the health care provider about a sleeping pill.:
    Answer:
    Decrease intake of fluids after the evening meal.
11. A client in a long-term care facility reports to the nurse that he has not had
    a bowel movement in 2 days. Which intervention should the nurse implement
    first?
    A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
    B. Notify the health care provider and request a prescription for a large-volume
    get pdf at https://learnexams.com/search/study?query=hesi