HESI FUNDAMENTALS PRACTICE
EXAM 2024 WITH 400+ QUESTIONS AND
CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW!)
When assessing a client with an indwelling urinary catheter, which observation requires the most immediate intervention by the nurse?
The drainage tubing is secured over the siderail.The clamp on the urinary drainage bag is open.There are no dependent loops in the drainage tubing.The urinary drainage bag is attached to the bed frame. - ANSWER-The clamp on the urinary drainage bag is open.
A 35-year-old female client with cancer refuses to allow the nurse to insert an IV for a scheduled chemotherapy treatment, and states that she is ready to go home to die. What intervention should the nurse initiate?
Review the client's medical record for an advance directive.Determine if a do-not-resuscitate prescription has been obtained.Document that the client is being discharged against medical advice.Evaluate the client's mental status for competence to refuse treatment. - ANSWER- Evaluate the client's mental status for competence to refuse treatment.
A female nurse who sometimes tries to save time by putting medications in her uniform pocket to deliver to clients, confides that after arriving home she found a 1 / 4
hydrocodone (Vicodin) tablet in her pocket. Which possible outcome of this situation should be the nurse's greatest concern?
Accused of diversion.Reported for stealing.Reported for a HIPAA violation.Accused of unprofessional conduct. - ANSWER-Accused of diversion.
The nurses determines a client's IV solution is infusing at 250 ml/hr. The prescribed rate is 125 ml/hr. What action should the nurse take first?
Determine when the IV solution was started.Slow the IV infusion to keep vein open rate.Assess the IV insertion site for swelling.Report the finding to the healthcare provider. - ANSWER-Slow the IV infusion to keep vein open rate.
A 75-year-old client who has a history of end stage renal failure and advanced lung cancer, recently had a stroke. Two days ago the healthcare provider discontinued the client's dialysis treatments, stating that death is inevitable, but the client is disoriented and will not sign a DNR directive. What is the priority nursing intervention?
Review the client's most recent laboratory reports.Refer the client and family members for hospice care.Notify the hospital ethics committee of the client situation.Determine who is legally empowered to make decisions. - ANSWER-Determine who is legally empowered to make decisions. 2 / 4
When teaching a female client to perform intermittent self-catheterization, the nurse should ensure the client's ability to perform which action?
Locate the perineum.Transfer to a commode.Attach the catheter to a drainage bag.Manipulate a syringe to inflate the balloon. - ANSWER-Locate the perineum.
When preparing to administer an intravenous medication through a central venous catheter, the nurse aspirates a blood return in one of the lumens of the triple lumen catheter. Which action should the nurse implement?
Flush the lumen with the saline solution and administer the medication through the lumen.Determine if a PRN prescription for a thrombolytic agent is listed on the medication record.Clamp the lumen and obtain a syringe of a dilute heparin solution to flush through the tubing.Withdraw the aspirated blood into the syringe and use a new syringe to administer the medication. - ANSWER-Flush the lumen with the saline solution and administer the medication through the lumen.
Prior to administering a newly prescribed medication to a client, the nurse reviews the adverse effects of the medication listed in a drug reference guide and determines the priority risks to the client. While performing this action, the nurse is engaged in which step of the nursing process?
Assessment. 3 / 4
Analysis.Implementation.Evaluation. - ANSWER-Analysis.
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?
Continue gabapentin.Discontinue ibuprofen.Add aspirin to the protocol.Add oral methadone to the protocol. - ANSWER-Continue gabapentin.
A client provides the nurse with information about the reason for seeking care. The nurse realizes that some information about past hospitalizations is missing. How should the nurse obtain this information?
Solicit information on hospitalization from the insurance company.Look up previous medical records from archived hospital documents.Ask the client to discuss previous hospitalizations in the last 5 years.Elicit specific facts about past hospitalizations with direct questions. - ANSWER- Elicit specific facts about past hospitalizations with direct questions.
When making the bed of a client who needs a bed cradle, which action should the nurse include?
Teach the client to call for help before getting out of bed.
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