All.hesi.fundamentals.exam.test.bank.updated.2023 Questions And Correct Answers With Rationale Guaranteed Success

lOMoAR cP SD| 25 92 2 77 9 fundamentals practice questions Fundamentals of Nursing (University of North Florida)Studocu is not sponsored or endorsed by any college or university Downloaded by samuel kariuki ([email protected])ALL.HESI.Fundamentals.Exam.Test.Bank.updated.2023 QUESTIONS AND CORRECT ANSWERS WITH RATIONALE GUARANTEED SUCCESS HESI.Fundamentals.Exam,.Answered An.elderly.client.with.a.fractured.left.hip.is.on.strict.bedrest..Which.nursing.measure.is.e ssential.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..- .To.avoid.shearing.forces.when.repositioning,.the.client.should.be.lifted.gently.across.a. surface.(D)..Reddened.areas.should.not.be.massaged.(A).since.this.may.increase.the.da mage.to.already.traumatized.skin..To.control.pain.and.muscle.spasms,.active.range.of. motion.(B).may.be.limited.on.the.affected.leg..The.position.described.in.(C).is.contrain dicated.for.a.client.with.a.fractured.left.hip. Correct.Answer:.D 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. C. Administer.the.medications.as.prescribed. D. Crush.the.tablets.and.dissolve.in.sterile.water..- .The.NGT.should.be.flushed.before,.after.and.in.between.each.medication.administere d.(B)..Once.all.medications.are.administered,.the.NGT.should.be.clamped.for.20.minu tes.(A)..(C.and.D).may.be.implemented.only.after.the.tubing.has.been.flushed. Correct.Answer:.B A.client.who.is.in.hospice.care.complains.of.increasing.amounts.of.pain..The.healthcare.p rovider.prescribes.an.analgesic.every.four.hours.as.needed..Which.action.should.the.nurs e.implement? A. Give.an.around-the-clock.schedule.for.administration.of.analgesics. 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...The.most.effective.management.of.pain.is.achieved.using.an.around-the- clock.schedule.that.provides.analgesic.medications.on.a.regular.basis.(A).and.in.a.timely.manner..Analgesics.are.less.effective.if.pain.persists.until.it.is.severe,.so.an.analgesic. medication.should.be.administered.before.the.client's.pain.peaks.(B)..Providing.comfort .is.a.priority.for.the.client.who.is.dying,.but.sedation.that.impairs.the.client's.ability.to.i nteract.and.experience.the.time.before.life.ends.should.be.minimized.(C)..Offering.a.m edication- free.period.allows.the.serum.drug.level.to.fall,.which.is.not.an.effective.method.to.man age.chronic.pain.(D). Correct.Answer:.A When.assessing.a.client.with.wrist.restraints,.the.nurse.observes.that.the.fingers.on.the.rig ht.hand.are.blue..What.action.should.the.nurse.implement.first? A. Loosen.the.right.wrist.restraint. B. Apply.a.pulse.oximeter.to.the.right.hand. C. Compare.hand.color.bilaterally. D. Palpate.the.right.radial.pulse..- .The.priority.nursing.action.is.to.restore.circulation.by.loosening.the.restraint.(A),.becau se.blue.fingers.(cyanosis).indicates.decreased.circulation..(C.and.D).are.also.important. nursing.interventions,.but.do.not.have.the.priority.of.(A)..Pulse.oximetry.(B).measures. the.saturation.of.hemoglobin.with.oxygen.and.is.not.indicated.in.situations.where.the.c yanosis.is.related.to.mechanical.compression.(the.restraints). Correct.Answer:.A 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. C. A.school-aged.child.with.Type.2.diabetes. D. An.elderly.man.being.treated.for.a.peptic.ulcer..- .A.lactating.woman.(B).has.the.greatest.need.for.additional.protein.intake..(A,.C,.and. D).are.all.conditions.that.require.protein,.but.do.not.have.the.increased.metabolic.prote in.demands.of.lactation. Correct.Answer:.B A.client.is.in.the.radiology.department.at.0900.when.the.prescription.levofloxacin.(Lev aquin).500.mg.IV.q24h.is.scheduled.to.be.administered..The.client.returns.to.the.unit.at. 1300..What.is.the.best.intervention.for.the.nurse.to.implement? A. Contact.the.healthcare.provider.and.complete.a.medication.variance.form. B. Administer.the.Levaquin.at.1300.and.resume.the.0900.schedule.in.the.morning. C. Notify.the.charge.nurse.and.complete.an.incident.report.to.explain.the.missed.dose. D. Give.the.missed.dose.at.1300.and.change.the.schedule.to.administer.daily.at.1300...To.ensure.that.a.therapeutic.level.of.medication.is.maintained,.the.nurse.should.admini ster.the.missed.dose.as.soon.as.possible,.and.revise.the.administration.schedule.accordingly.to.prevent.dangerously.increasing.the.level.of.the.medication.in.the.bloodstream.( D)..The.nurse.should.document.the.reason.for.the.late.dose,.but.(A.and.C).are.not.warra nted..(B).could.result.in.increased.blood.levels.of.the.drug. Correct.Answer:.D While.instructing.a.male.client's.wife.in.the.performance.of.passive.range-ofmotion.exercises.to.his.contracted.shoulder,.the.nurse.observes.that.she.is.holding.hi s.arm.above.and.below.the.elbow..What.nursing.action.should.the.nurse.implement? A. Acknowledge.that.she.is.supporting.the.arm.correctly. B. Encourage.her.to.keep.the.joint.covered.to.maintain.warmth. C. Reinforce.the.need.to.grip.directly.under.the.joint.for.better.support. D. Instruct.her.to.grip.directly.over.the.joint.for.better.motion..- .The.wife.is.performing.the.passive.ROM.correctly,.therefore.the.nurse.should.acknowl edge.this.fact.(A)..The.joint.that.is.being.exercised.should.be.uncovered.(B).while.the.r est.of.the.body.should.remain.covered.for.warmth.and.privacy..(C.and.D).do.not.provi de.adequate.support.to.the.joint.while.still.allowing.for.joint.movement. Correct.Answer:.A What.is.the.most.important.reason.for.starting.intravenous.infusions.in.the.upper.extremiti es.rather.than.the.lower.extremities.of.adults? A. It.is.more.difficult.to.find.a.superficial.vein.in.the.feet.and.ankles.B. A.decreased.flow.rate.could.result.in.the.formation.of.a.thrombosis. C. A.cannulated.extremity.is.more.difficult.to.move.when.the.leg.or.foot.is.used. D. Veins.are.located.deep.in.the.feet.and.ankles,.resulting.in.a.more.painful.procedure...Venous.return.is.usually.better.in.the.upper.extremities..Cannulation.of.the.veins.in.the. lower.extremities.increases.the.risk.of.thrombus.formation.(B).which,.if.dislodged,.coul d.be.life- threatening..Superficial.veins.are.often.very.easy.(A).to.find.in.the.feet.and.legs..Handli ng.a.leg.or.foot.with.an.IV.(C).is.probably.not.any.more.difficult.than handling.an.arm.or.hand..Even.if.the.nurse.did.believe.moving.a.cannulated.leg.was. more.difficult,.this.is.not.the.most.important.reason.for.using.the.upper.extremities.. Pain.(D).is.not.a.consideration. Correct.Answer:.B The.nurse.observes.an.unlicensed.assistive.personnel.(UAP).taking.a.client's.blood.pres sure.with.a.cuff.that.is.too.small,.but.the.blood.pressure.reading.obtained.is.within.the.cl ient's.usual.range..What.action.is.most.important.for.the.nurse.to.implement? A. Tell.the.UAP.to.use.a.larger.cuff.at.the.next.scheduled.assessment. B. Reassess.the.client's.blood.pressure.using.a.larger.cuff. C. Have.the.unit.educator.review.this.procedure.with.the.UAPs. D. Teach.the.UAP.the.correct.technique.for.assessing.blood.pressure..-.The.most.important.action.is.to.ensure.that.an.accurate.BP.reading.is.obtained..The.nur se.should.reassess.the.BP.with.the.correct.size.cuff.(B)..Reassessment.should.not.be.pos tponed.(A)..Though.(C.and.D).are.likely.indicated,.these.actions.do.not.have.the.priority .of.(B). Correct.Answer:.B A.client.is.to.receive.cimetidine.(Tagamet).300.mg.q6h.IVPB..The.preparation.arrives.f rom.the.pharmacy.diluted.in.50.ml.of.0.9%.NaCl..The.nurse.plans.to.administer.the.IV PB.dose.over.20.minutes..For.how.many.ml/hr.should.the.infusion.pump.be.set.to.deliv er.the.secondary.infusion?.- .The.infusion.rate.is.calculated.as.a.ratio.proportion.problem,.i.e.,.50.ml/.20.min.:.x.ml/. 60.min..Multiply.extremes.and.means.50..60./20x.1=.300/20=150 Correct.Answer:.150 Twenty.minutes.after.beginning.a.heat.application,.the.client.states.that.the.heating.pad. no.longer.feels.warm.enough..What.is.the.best.response.by.the.nurse? A. That.means.you.have.derived.the.maximum.benefit,.and.the.heat.can.be.removed. B. Your.blood.vessels.are.becoming.dilated.and.removing.the.heat.from.the.site. C. We.will.increase.the.temperature.5.degrees.when.the.pad.no.longer.feels.warm. D. The.body's.receptors.adapt.over.time.as.they.are.exposed.to.heat..- .(D).describes.thermal.adaptation,.which.occurs.20.to.30.minutes.after.heat.applicat