NURSING 201 - KEY FUNDAMENTALS SKILLS HESI EXAM

NURSING 201 - KEY FUNDAMENTALS SKILLS HESI EXAM
1. 1.ID: 310989309
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to
the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. Correct
2. 2.ID: 311018751
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water. Correct
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
3. 3.ID: 310953495
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics. Correct
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
4. 4.ID: 310965989
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand
are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint. Correct
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
5. 5.ID: 310959857
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant. Correct
C. A school-aged child with Type 2 diabetes.

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