{"id":115085,"date":"2023-08-23T11:50:25","date_gmt":"2023-08-23T11:50:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115085"},"modified":"2023-08-23T11:50:27","modified_gmt":"2023-08-23T11:50:27","slug":"hesi-fundamentals-exit-exam-version-1-questions-and-answers-with-rationales","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/hesi-fundamentals-exit-exam-version-1-questions-and-answers-with-rationales\/","title":{"rendered":"HESI FUNDAMENTALS EXIT EXAM VERSION 1. QUESTIONS AND ANSWERS WITH RATIONALES."},"content":{"rendered":"\n<p>HESI FUNDAMENTALS V1<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A policy requiring the removal of acrylic nails by all nursing personnel was<br>implemented 6 months ago. Which assessment measure best determines if the<br>intended outcome of the policy is being achieved?<br>a. Number of staff induced injury<br>b. Client satisfaction survey<br>c. Health care-associated infection rate.<br>d. Rate of needle-stick injuries by nurse.<br>Rationale:<br>Acrylic nails are known to carry loads of bacteria and increase the risk of healthcareassociated infections. Therefore, by banning the wearing of acrylic nails, you would<br>expect the prevalence of healthcare-associated infections to decrease. Acrylic nails<br>have nothing to do with staff induced injuries, needle-stick injuries, or patient<br>satisfaction scores.<\/li>\n\n\n\n<li>Which assessment data would provide the most accurate determination of proper<br>placement of a nasogastric tube?<br>A) Aspirating gastric contents to assure a pH value of 4 or less.<br>-This is a method used to determine proper placement of NG tubing, but not the most<br>accurate.<br>B) Hearing air pass in the stomach after injecting air into the tubing.<br>-This is a method used to determine proper placement of NG tubing, but not the most<br>accurate.<br>C) Examining a chest x-ray obtained after the tubing was inserted.<br>-After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is the<br>most accurate way to ensure the tube has not been placed in the lungs, which would<br>pose an aspiration risk.<\/li>\n<\/ol>\n\n\n\n<p>D) Checking the remaining length of tubing to ensure that the correct length was<br>inserted.<br>-This is not an indicator of proper placement. You could very well be in a lung.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>The father of an 11-year-old client reports to the nurse that the client has been<br>\u201cwetting the bed\u201d since the passing of his mother and is concerned. Which action is<br>most important for the nurse to enact?<br>A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty<br>lOMoARcPSD|17616083<br>B. Inform the father that nocturnal emissions are abnormal and his son is<br>developmentally delayed<br>C. Inform the father that it is most important to let the son know that nocturnal emissions<br>are normal after trauma<br>D. Refer the father and the client to a psychologist<br>Rationale:<br>It is common for adolescents to regress in their biological progression after experiencing<br>a severe trauma, like losing a parent, sibling, or friend. While uncomfortable for the<br>adolescent and parent, it is nothing to be concerned for. Often times, as the patient<br>grieves or comes to terms with the trauma, the nocturnal emissions will cease.<\/li>\n\n\n\n<li>The nurse explains to an older adult male the procedure for collecting a 24-hour urine<br>specimen for creatinine clearance. Which action is most important for the nurse to<br>include in their care plan for the shift?<br>A. Assess the client for confusion and reteach the procedure<br>B. Check the urine for color and texture<br>C. Empty the urinal contents into the 24-hour collection container<br>D. Discard the contents of the urinal<br>Rationale:<\/li>\n<\/ol>\n\n\n\n<p>An \u201colder adult male\u201d in the question may imply that the patient may have an altered<br>mental status or be demented. While suggesting, it is not directly stated, therefore (A) is<br>inappropriate. (B) is incorrect because the lab will be assessing the collection specimen<br>after the test is complete. (C) is correct because the nurse should first discard the first<br>specimen, then begin to collect and record the time the first urine specimen was<br>collected. It is important to have strict documentation for output, and to collect every<br>urine specimen within that 24 hour period, otherwise the test must be restarted. (D)<br>defeats the purpose of the 24-hour urine collection test.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>A 54-year-old male client and his wife were informed this morning that he has<br>terminal cancer. Which nursing intervention is likely to most beneficial?<br>A. Ask her how she would like to participate in the client\u2019s care.<br>B. Provide the wife with information about hospice<br>C. Encourage the wife to visit after painful treatments are completed<br>D. Refer her to support group for family members of those dying of cancer<br>Rationale:<br>While the client\u2019s wife may be grieving and need support, the priority for the client and<br>client\u2019s wife is to make sure the wife feels comfortable participating in the client\u2019s care, if<br>at all. Most people have an easier time coming to terms with the death of a loved one<br>when they are involved in their care. (D) is a nice gesture, but will be more appropriate<br>at a later time.<\/li>\n\n\n\n<li>A client who has a body mass index (BMI) of 30 is requesting information on the<br>initial approach to a weight loss plan. Which action should the nurse recommend first?<br>A. Plan low carbohydrate and high protein meals<br>B. Engage in strenuous activity for an hour daily<br>C. Keep a record of food and drinks consumed daily<br>D. Participated in a group exercise class 3 times a week<br>Rationale:<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>HESI FUNDAMENTALS V1 D) Checking the remaining length of tubing to ensure that the correct length wasinserted.-This is not an indicator of proper placement. You could very well be in a lung. An \u201colder adult male\u201d in the question may imply that the patient may have an alteredmental status or be demented. While suggesting, it [&hellip;]<\/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-115085","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115085","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=115085"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115085\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}