{"id":115081,"date":"2023-08-23T11:48:49","date_gmt":"2023-08-23T11:48:49","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115081"},"modified":"2023-08-23T11:48:51","modified_gmt":"2023-08-23T11:48:51","slug":"hesi-fundamentals-practice-exam-1-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/hesi-fundamentals-practice-exam-1-questions-and-answers\/","title":{"rendered":"HESI FUNDAMENTALS PRACTICE EXAM 1. QUESTIONS AND ANSWERS."},"content":{"rendered":"\n

HESI FUNDAMENTALS
PRACTICE EXAM 1<\/p>\n\n\n\n

    \n
  1. A 35 year old client with cancer refuses to allow a nurse to insert an IV for scheduled
    chemo & states that she’s ready to go home to die. What intervention should the nurse
    initiate?
    Evaluate the client’s mental status for competence to refuse treatment
    Rationale:
    Competent clients have the right to refuse treatment. The nurse cannot document until
    the HCP is notified of the patient’s wishes & a d\/c RX is obtained. Advance directives &
    DNR are not necessary for competent client to refuse care.<\/li>\n\n\n\n
  2. A client with chronic renal disease is admitted to the hospital for evaluation prior to a
    surgical procedure. Which laboratory test indicates client’s protein status for the longest
    length of time?
    Serum albumin
    Rationale:
    Serum albumin has a long half-life.<\/li>\n\n\n\n
  3. What client statement indicates to the nurse that the client requires assistance with
    bathing?
    “I don’t understand why I’m so weak & tired.”<\/li>\n\n\n\n
  4. How should the nurse handle linens that are soiled with incontinent feces?
    Place the soiled linens in a pillow case & deposit them in the dirty linen hamper<\/li>\n\n\n\n
  5. When caring for an immobile client, what nursing diagnosis has the highest priority?
    Impaired gas exchange<\/li>\n\n\n\n
  6. The nurse assesses an immobile, elderly male client & determines that his blood
    pressure is 138\/60, his temperature is 95.8F & his output is 100 mL of concentrated
    urine during the last hour. He has wet sounding lungs & increased respiratory
    secretions. Based on these assessment findings , what nursing action is most important
    for the nurse to implement?
    Turn the client q2h
    Rationale:
    It will help move & drain respiratory secretions & prevent pneumonia from occurring.<\/li>\n\n\n\n
  7. The home health nurse visits an elderly female client who had a brain attack 3
    months ago & is now able to ambulate with the assistance of a quad cane. Which
    assessment finding has the greatest implications for this client’s care?
    The nurse notes there are numerous scatter rugs throughout the house<\/li>\n\n\n\n
  8. The nurse removes the dressing on a client’s heel that is cover a pressure sore 1″ in
    diameter & 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?
    One-inch pressure sore draining serous fluid<\/li>\n\n\n\n
  9. Medication is prescribed to be given QID. What schedule should the nurse use to
    administer this Rx?
    0800, 1200, 1600, 2000<\/li>\n\n\n\n
  10. The nurse working in the ED is assessing 4 clients’ ability to tolerate pain. Which
    client is likely to tolerate a higher level of pain?
    1 55year old woman who has had moderate low back pain for 3 months<\/li>\n<\/ol>\n\n\n\n

    Rationale:
    Experiences with the same type of pain that has successfully been relieved makes it
    easier for the client to interpret the pain sensation and, as a result, the client is better
    prepared to take steps to relieve the pain. All other clients are having new experiences
    with pain.<\/p>\n\n\n\n

      \n
    1. A 4year o boy who is scheduled for a tonsillectomy & adenoidectomy asks the
      nurse, “Will it hurt to have my tonsils & adenoids taken out?” Which response is best for
      the nurse to provide?
      “It may hurt, but we’ll give you medicine to help you feel better.”<\/li>\n\n\n\n
    2. A low-sodium, low-protein diet is prescribed for a 45y\/o client with renal insufficiency
      & HTN, who gained 3lbs in the last month. The nurse determines that the client has
      been noncompliant with the diet, based on which report from the 24hr diet recall?<\/li>\n\n\n\n
    3. Snack of potato chips & diet soda<\/li>\n\n\n\n
    4. Lunch of tuna, carrots, fruit & coffee<\/li>\n\n\n\n
    5. Breakfast of eggs, bacon, toast & coffee<\/li>\n\n\n\n
    6. Bedtime snack of crackers & milk<\/li>\n\n\n\n
    7. What intervention should the nurse include in the care plan for a client who is being
      treated with an Unna’s paste boot for leg ulcers due to chronic venous insufficiency?
      Check capillary refill of toes on lower extremity with Unna’s paste boot
      Rationale:
      Boot becomes rigid after it dries, so it is important to check distally for adequate
      circulation. No bandage should be put under it. Should be applied from foot & wrapped
      towards knee. Acts as a sterile dressing & should not be removed q8h. Weekly removal
      is reasonable.<\/li>\n\n\n\n
    8. Male client with nursing diagnosis of “spiritual distress”. What intervention is best for
      the nurse to implement when caring for this client?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      HESI FUNDAMENTALSPRACTICE EXAM 1 Rationale:Experiences with the same type of pain that has successfully been relieved makes iteasier for the client to interpret the pain sensation and, as a result, the client is betterprepared to take steps to relieve the pain. All other clients are having new experienceswith pain.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115081","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115081"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115081\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}