HESI Fundamentals · NurseQuizzes

HESI RN · HESI Fundamentals

Question 1 of 54

When assisting an older adult client in preparing to take a tub bath, which nursing action is most important?

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HESI RN · HESI Fundamentals

Question 2 of 54

A client with a diagnosis of coronary artery disease is receiving atorvastatin (Lipitor). Which laboratory test should the nurse monitor to evaluate the effectiveness of this medication?

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HESI RN · HESI Fundamentals

Question 3 of 54

A client with a suspected kidney infection is admitted to the hospital for observation. Which action should the nurse implement to assess the client's kidney function?

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HESI RN · HESI Fundamentals

Question 4 of 54

When suctioning a tracheostomy, which action is most appropriate for the nurse to take?

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HESI RN · HESI Fundamentals

Question 5 of 54

When a client has suffered severe burns all over his body, the most effective method of monitoring the cardiovascular system is:

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HESI RN · HESI Fundamentals

Question 6 of 54

A client has an elevated AST 24 hours following chest pain and shortness of breath. This is suggestive of which of the following?

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HESI RN · HESI Fundamentals

Question 7 of 54

When turning an immobile bedridden client without assistance, which action best ensures client safety?

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HESI RN · HESI Fundamentals

Question 8 of 54

When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?

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HESI RN · HESI Fundamentals

Question 9 of 54

The client, who is newly diagnosed with arteriosclerosis and is obese, is being educated by the nurse on reducing the risk of a heart attack or stroke. Which health promotion brochure should the nurse provide to this client?

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HESI RN · HESI Fundamentals

Question 10 of 54

During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake until midnight playing and is then very difficult to awaken in the morning for school. Which assessment data should the nurse obtain in response to the mother's report?

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HESI RN · HESI Fundamentals

Question 11 of 54

What is the most important instruction for the nurse to provide to a 65-year-old client who attends an adult daycare program, is wheelchair-mobile, and has redness in the sacral area?

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HESI RN · HESI Fundamentals

Question 12 of 54

At a motor vehicle collision site, a nurse applies pressure to a groin wound that is bleeding profusely until emergency personnel arrive. Subsequently, the client undergoes leg amputation and sues the nurse for malpractice. What is the most likely outcome of this lawsuit?

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HESI RN · HESI Fundamentals

Question 13 of 54

When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is the first time the client has voided in 4 hours. Which action should the nurse take next?

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HESI RN · HESI Fundamentals

Question 14 of 54

Which nonverbal action should be implemented to demonstrate active listening?

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HESI RN · HESI Fundamentals

Question 15 of 54

The client is 5 feet from the bathroom door when he states, 'I feel faint.' Before the nurse can get the client to a chair, the client starts to fall. What is the priority action for the nurse to take?

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HESI RN · HESI Fundamentals

Question 16 of 54

When caring for an older incontinent client at risk for infection, which intervention is best for the nurse to implement based on the nursing diagnosis of risk for infection?

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HESI RN · HESI Fundamentals

Question 17 of 54

Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse take next?

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HESI RN · HESI Fundamentals

Question 18 of 54

A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and restless. Which action by the nurse is best?

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HESI RN · HESI Fundamentals

Question 19 of 54

When bathing an uncircumcised boy older than 3 years, which action should the nurse take?

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HESI RN · HESI Fundamentals

Question 20 of 54

While conducting an intake assessment of an adult male at a community mental health clinic, the nurse notes that his affect is flat, he responds to questions with short answers, and he reports problems with sleeping. He reports that his life partner recently died from pneumonia. Which action is most important for the nurse to implement?

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HESI RN · HESI Fundamentals

Question 21 of 54

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?

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HESI RN · HESI Fundamentals

Question 22 of 54

The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement?

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HESI RN · HESI Fundamentals

Question 23 of 54

An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?

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HESI RN · HESI Fundamentals

Question 24 of 54

A client being discharged with a prescription for the bronchodilator theophylline is instructed to take three doses of the medication each day. Since timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow?

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HESI RN · HESI Fundamentals

Question 25 of 54

A client is receiving external radiation therapy for lung cancer. Which intervention is most important for the nurse to include in the client's plan of care?

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HESI RN · HESI Fundamentals

Question 26 of 54

A client is admitted with a diagnosis of right-sided heart failure. What assessment finding should the nurse anticipate?

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HESI RN · HESI Fundamentals

Question 27 of 54

A client with a diagnosis of hyperthyroidism is being discharged. Which instruction should the nurse include in the discharge teaching?

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HESI RN · HESI Fundamentals

Question 28 of 54

The client has a chest tube. What is the most important action for the nurse to take?

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HESI RN · HESI Fundamentals

Question 29 of 54

A client with a history of heart failure is admitted with a diagnosis of pulmonary edema. Which intervention should the nurse implement first?

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HESI RN · HESI Fundamentals

Question 30 of 54

A client is receiving total parenteral nutrition (TPN). Which assessment finding is most concerning to the nurse?

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HESI RN · HESI Fundamentals

Question 31 of 54

A client with a diagnosis of renal failure is receiving hemodialysis. Which assessment finding should the nurse report to the healthcare provider immediately?

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HESI RN · HESI Fundamentals

Question 32 of 54

The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for creatinine clearance. Which action is most important for the nurse to include in their care plan for the shift?

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HESI RN · HESI Fundamentals

Question 33 of 54

At 0100 on a male client's second postoperative night, the client states he is unable to sleep and plans to read until feeling sleepy. What action should the nurse implement?

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HESI RN · HESI Fundamentals

Question 34 of 54

When assessing a male client, the nurse finds that he is fatigued and experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the client's laboratory values to validate the existence of which condition?

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HESI RN · HESI Fundamentals

Question 35 of 54

While changing a client's post-operative dressing, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given a positive MRSA result, what is the most important action for the nurse to take?

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HESI RN · HESI Fundamentals

Question 36 of 54

While interviewing a client, the nurse records the assessment in the electronic health record. Which statement is most accurate regarding electronic documentation during an interview?

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HESI RN · HESI Fundamentals

Question 37 of 54

The healthcare professional retrieves hydromorphone 4mg/mL from the Pyxis MedStation, an automated dispensing system, for a client who is receiving hydromorphone 3 mg IM 6 hours PRN for severe pain. How many mL should the healthcare professional administer to the client? (Enter the numerical value only. If rounding is required, round to the nearest tenth)

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HESI RN · HESI Fundamentals

Question 38 of 54

The healthcare provider attaches a pulse oximeter to a client's fingers and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?

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HESI RN · HESI Fundamentals

Question 39 of 54

UAP has lowered the head of the bed to change the linens for a client who is bedbound with a foley catheter and enteral tube feeds. Which change from the client warrants the most immediate intervention by the nurse?

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HESI RN · HESI Fundamentals

Question 40 of 54

Earlier this morning, an elderly Hispanic female was discharged to a LTC facility. The family members are now gathered in the hallway outside her room. What is the best action?

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HESI RN · HESI Fundamentals

Question 41 of 54

The healthcare provider is conducting an initial admission assessment for a woman who is Mexican-American and who is scheduled to deliver a baby by C-section in the next 24 hours. What should the healthcare provider include in the assessment?

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HESI RN · HESI Fundamentals

Question 42 of 54

A healthcare professional is teaching a new colleague about the correct administration of subcutaneous (subQ) injections. Which instruction should the healthcare professional include?

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HESI RN · HESI Fundamentals

Question 43 of 54

A client is scheduled for a colonoscopy. What instruction should the nurse provide to prepare the client for the procedure?

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HESI RN · HESI Fundamentals

Question 44 of 54

During a home visit, an elderly female client who had a brain attack three months ago and can now ambulate with a quad cane is assessed by the nurse. Which assessment finding has the greatest implications for this client's care?

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HESI RN · HESI Fundamentals

Question 45 of 54

Which client care task requires the nurse to wear barrier gloves as mandated by the Standard Precautions protocol?

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Question 46 of 54

A male client is on contact precautions due to an infected draining wound and is being discharged home. The client lives at home with his wife and their adolescent daughter. What discharge instruction should the nurse include for the client?

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HESI RN · HESI Fundamentals

Question 47 of 54

When making the bed of a client who needs a bed cradle, which action should the nurse include?

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HESI RN · HESI Fundamentals

Question 48 of 54

The healthcare provider obtains a BP reading of 100/88 in the right arm of a client whose blood pressure is typically 120/60 in the same arm. What action should the healthcare provider implement first?

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HESI RN · HESI Fundamentals

Question 49 of 54

A client is admitted with a stage four pressure ulcer that has a black, hardened surface and a light-pink wound bed with malodorous green drainage. Which dressing is best for the nurse to use first?

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HESI RN · HESI Fundamentals

Question 50 of 54

When culturing a wound, the nurse should obtain the sample from which part of the wound?

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HESI RN · HESI Fundamentals

Question 51 of 54

What action should be taken when adding sterile liquids to a sterile field?

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Question 52 of 54

The patient had a CVA and developed right-sided hemiplegia. Which action is least appropriate for the nurse to take?

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HESI RN · HESI Fundamentals

Question 53 of 54

What type of technique should the nurse observe when preparing to insert an indwelling catheter?

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HESI RN · HESI Fundamentals

Question 54 of 54

The healthcare provider plans to foster a therapeutic relationship with the patient utilizing therapeutic techniques of communication. It is most important that the provider:

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