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HESI FUNDEMENTALS 2024 EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -28 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein?
Answer:
A lactating woman nursing her 3-day-old infant Question 2: A client is receiving alprazolam 0.75 mg PO bid for anxiety. Alprazolam is available in 0.5 mg scored tablets. How many tablets should the nurse administer? (Enter numeric value only.)
Answer:
1.5 Question 3: During shift change report, the nurse receives reports that a client has abnormal heart sounds. Which placement of the stethoscope should the nurse use to hear the client's heart sounds?
Answer:
Use the stethoscope bell over the valvular areas of the anterior chest.
Question 4: Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention?
Answer:
Assess for bladder distention.Question 5: An older client who is a resident in a long-term care facility has been bedridden for a week. Which finding should the nurse identify as a client risk factor for pressure ulcers?
Answer:
Rashes in the axillary, groin, and skin fold regions.Question 6: A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. Which action is best for the nurse to take?
Answer:
After clearing the tube with 30 ml of air, check the pH of the fluid withdrawn from the tube Question 7: The nurse is instructing a client with high cholesterol about diet and lifestyle modification. Which comment from the client indicates that the teaching has been effective?
Answer:
I will limit my intake of beef to 4 ounces per week." Question 8: A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. Which action should the nurse take?
Answer:
Commend the client for selecting a high biologic value protein Question 9: An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with "miseries." Based on this statement, which focused assessment should the nurse conduct?
Answer:
Inquire about the source and type of pain.Question 10: An older client with a fractured left hip is on strict bed rest. Which nursing measure is essential to the client's nursing care?
Answer:
Gently lift the client when moving into a desired position
Question 11: A client's daily PO prescription for aripiprazole is increased from 15 mg to 30 mg.The medication is available in 15 mg tablets, and the client already received one tablet today.How many additional tablets should the nurse administer so the client receives the total newly prescribed dose for the day? (Enter numeric value only.)
Answer:
1 Question 12: A male client being discharged with a prescription for the bronchodilator albuterol tells the nurse that he understands he is to take two doses of the extended-release medication each day. Which dosing schedule should the nurse advise the client to follow?
Answer:
- a.m. and 8 p.m.
Question 13: A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled for surgery the next day. Which question is most important for the nurse to include during the preoperative assessment?
Answer:
What vitamin and mineral supplements do you take?" Question 14: Secobarbital 150 mg is prescribed at bedtime for a male client who is scheduled for surgery in the morning. The scored tablets are labled 0.1 gram/tablet. How many tablets should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
Answer:
1.5 Question 15: An unlicensed assistive personnel (UAP) places a client in a right lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?
Answer:
Reposition in a modified left lateral recumbent position with the client's weight on the anterior ilium.Question 16: A client's spouse is learning passive range of motion for the client's contracted shoulder. The nurse observes that the spouse is holding the client's arm above and below the elbow. Which nursing action should the nurse implement?
Answer:
Acknowledge that the spouse is supporting the arm correctly.
Question 17: When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action should the nurse implement first?
Answer:
Note which actions were not implemented.Question 18: During the admission interview, which technique is most efficient for the nurse to use when obtaining information about signs and symptoms of a client's primary health problem?
Answer:
Closed-ended questions Question 19: A male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. Which should be the nurse's first response?
Answer:
It is important that you continue your medication while learning to meditate." Question 20: What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults?
Answer:
A decreased flow rate could result in the formation of thrombosis.Question 21: A client who is in hospice care reports increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement?
Answer:
Give an around-the-clock schedule for the administration of analgesics.Question 22: An older resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. The resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. Which action should the nurse implement first?
Answer:
Notify the healthcare provider of the family's request.
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