HESI - Fundamentals Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI - Fundamentals Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

Question 1: While reviewing the side effects of a newly prescribed medication, a 72-year- old client notes that one of the side effects is a reduction in sexual drive. Which is the best response by the nurse?

• "How will this affect your present sexual activity?"
• "How active is your current sex life?"
• "How has your sex life changed as you have become older?"
• "Tell me about your sexual needs as an older adult."

Correct Answer: A

Question 2: A 20-year-old female client with a noticeable body odor has refused to shower for the last 3 days. She states, "I have been told that it is harmful to bathe during my period." Which action should the nurse take first?

• Accept and document the client's wish to refrain from bathing.
• Offer to give the client a bed bath, avoiding the perineal area.
• Obtain written brochures about menstruation to give to the client.
• Teach the importance of personal hygiene during menstruation with the client.

Correct Answer: D

Question 3: The nurse is instructing a client in the proper use of a metered-dose inhaler.Which instruction should the nurse provide the client to ensure the optimal benefits from the drug?

• "Fill your lungs with air through your mouth and then compress the inhaler."

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• "Compress the inhaler while slowly breathing in through your mouth."
• "Compress the inhaler while inhaling quickly through your nose."
• "Exhale completely after compressing the inhaler and then inhale."

Correct Answer: B

Question 4: Which step(s) should the nurse take when administering ear drops to an adult client? (Select all that apply.)

• Place the client in a side-lying position.
• Pull the auricle upward and outward.
• Hold the dropper 6 cm above the ear canal.
• Place a cotton ball into the inner canal.
• Pull the auricle down and back.

Correct Answer: A, B

Question 5: When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?

• Place the chair parallel to the bed, with its back toward the head of the bed and assist

the client in moving to the chair.

• With the nurse's feet spread apart and knees aligned with the client's knees, stand and

pivot the client into the chair.

• Assist the client to a standing position by gently lifting upward, underneath the axillae.
• Stand beside the client, place the client's arms around the nurse's neck, and gently

move the client to the chair.

Correct Answer: B

Question 6: 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?

• Taking birth control pills for the past 2 years
• Taking anticoagulants for the past year
• Recently completing antibiotic therapy
• Having taken laxatives PRN for the last 6 months

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Correct Answer: B

Question 7: In completing a client's preoperative routine, the nurse finds that the operative permit is not signed. The client begins to ask more questions about the surgical procedure.Which action should the nurse take next?

• Witness the client's signature to the permit.
• Answer the client's questions about the surgery.
• Inform the surgeon that the operative permit is not signed and the client has questions

about the surgery.

• Reassure the client that the surgeon will answer any questions before the anesthesia is

administered.

Correct Answer: C

Question 8: The nurse is aware that malnutrition is a common problem among clients served by a community health clinic for the homeless. Which laboratory value is the most reliable indicator of chronic protein malnutrition?

• Low serum albumin level
• Low serum transferrin level
• High hemoglobin level
• High cholesterol level

Correct Answer: A

Question 9: The nurse identifies a potential for infection in a client with partial-thickness (second-degree) and full-thickness (third-degree) burns. What intervention has the highest priority in decreasing the client's risk of infection?

• Administration of plasma expanders
• Use of careful handwashing technique
• Application of a topical antibacterial cream
• Limiting visitors to the client with burns

Correct Answer: B

Question 10: When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety?

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• Securely grasp the client's arm and leg.
• Put bed rails up on the side of bed opposite from the nurse.
• Correctly position and use a turn sheet.
• Lower the head of the client's bed slowly.

Correct Answer: B

Question 11: The nurse is using the Glasgow Coma Scale to perform a neurologic

assessment. A comatose client winces and pulls away from a painful stimulus. Which action should the nurse take next?

• Document that the client responds to painful stimulus.
• Observe the client's response to verbal stimulation.
• Place the client on seizure precautions for 24 hours.
• Report decorticate posturing to the health care provider.

Correct Answer: A

Question 12: The nurse plans to administer diazepam, 4 mg IV push, to a client with severe anxiety. How many milliliters should the nurse administer? (Round to the nearest tenth.)

• 0.2 mL
• 0.8 mL
• 1.25 mL
• 2.0 mL

Correct Answer: B

Question 13: The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and alert. Which intervention(s) is(are) correct? (Select all that apply.)

• Place the client in a high Fowler position.
• Help the client assume a left side-lying position.
• Measure the tube from the tip of the nose to the umbilicus.
• Instruct the client to swallow after the tube has passed the pharynx.
• Assist the client in extending the neck back so the tube may enter the larynx.