HESI RN FUNDAMENTALS 2024<\/p>\n\n\n\n
In taking a client’s history, the nurse asks about the stool characteristics.
Which description should the nurse report to the health care provider as
soon as possible?
A.Daily black, sticky stool
B.Daily dark brown stool
C.Firm brown stool every other day
D.Soft light brown stool twice a day – ANSWER- Daily black, sticky
stool
A male client is laughing at a television program with his wife when the
evening nurse enters the room. He says his foot is hurting and he would
like a pain pill. How should the nurse respond?
A.Ask him to rate his pain on a scale of 1 to 10.
B.Encourage him to wait until bedtime so the pill can help him sleep.
C.Attend to an acutely ill client’s needs first because this client is
laughing.
D.Instruct him in the use of deep breathing exercises for pain control. –
ANSWER- Ask him to rate his pain on a scale of 1 to 10<\/p>\n\n\n\n
The mental health nurse plans to discuss a client’s depression with the
health care provider in the emergency department. There are two clients
sitting across from the emergency department desk. Which nursing
action is best?
A.Only refer to the client by gender.
B.Identify the client only by age.
C.Avoid using the client’s name.
D.Discuss the client another time. – ANSWER- Discuss the client
another time.
he nurse assesses a 2-year-old who is admitted for dehydration and finds
that the peripheral IV rate by gravity has slowed, even though the
venous access site is healthy. What should the nurse do next?
A.Apply a warm compress proximal to the site.
B.Check for kinks in the tubing and raise the IV pole.
C.Adjust the tape that stabilizes the needle.
D.Flush with normal saline and recount the drop rate. – ANSWER\u0002Check for kinks in the tubing and raise the IV pole.
The nurse determines that a postoperative client’s respiratory rate has
increased from 18 to 24 breaths\/min. Based on this assessment finding,
which intervention is most important for the nurse to implement?
A.Encourage the client to increase ambulation in the room.
B.Offer the client a high-carbohydrate snack for energy.
C.Force fluids to thin the client’s pulmonary secretions.<\/p>\n\n\n\n
D.Determine if pain is causing the client’s tachypnea. – ANSWER\u0002Determine if pain is causing the client’s tachypnea.
The nurse finds a client crying behind a locked bathroom door. The
client will not open the door. Which action should the nurse implement
first?A.Instruct an unlicensed assistive personnel (UAP) to stay and keep
talking to the client.
B.Sit quietly in the client’s room until the client leaves the bathroom.
C.Allow the client to cry alone and leave the client in the bathroom.
D.Talk to the client and attempt to find out why the client is crying. –
ANSWER- Talk to the client and attempt to find out why the client is
crying.
The nurse identifies a potential for infection in a client with partial\u0002thickness (second- degree) and full-thickness (third-degree) burns. What
intervention has the highest priority in decreasing the client’s risk of
infection?
A.Administration of plasma expanders
B.Use of careful handwashing technique
C.Application of a topical antibacterial cream
D.Limiting visitors to the client with burns – ANSWER- Use of careful
handwashing technique
The nurse is administering the 0900 medications to a client who was
admitted during the night. Which client statement indicates that the
nurse should further assess the medication order?
A.”At home I take my pills at 8:00 am.”<\/p>\n\n\n\n
B.”It costs a lot of money to buy all of these pills.”
C.”I get so tired of taking pills every day.”
D.”This is a new pill I have never taken before.” – ANSWER- “This is a
new pill I have never taken before.”
The nurse is assessing several clients prior to surgery. Which factor in a
client’s history poses the greatest threat for complications to occur
during surgery?
A.Taking birth control pills for the past 2 years
B.Taking anticoagulants for the past year
C.Recently completing antibiotic therapy
D.Having taken laxatives PRN for the last 6 months – ANSWER\u0002Taking anticoagulants for the past year
A nurse is assigned to care for a close friend in the hospital setting.
Which action should the nurse take first when given the assignment?
A.Notify the friend that all medical information will be kept
confidential.
B.Explain the relationship to the charge nurse and ask for reassignment.
C.Approach the client and ask if the assignment is uncomfortable.
D.Accept the assignment but protect the client’s confidentiality. –
ANSWER- Explain the relationship to the charge nurse and ask for
reassignment.
The nurse is assisting a client to the bathroom. When the client is 5 feet
from the bathroom door, he states, “I feel faint.” Before the nurse can get<\/p>\n\n\n\n