Hesi Fundamentals Practice Exam 2023 Solved 100% Correct

The nurse notes that a client consistently coughs while eating and drinking. Which nursing diagnosis is most important for the nurse to include in this client's plan of care? {Ans: Risk for aspiration.}An older client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus enteral feedings through a gastrostomy tube (GT). What is the best position for the client for administration of the bolus tube feedings? {Ans: Fowler's.}Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? {Ans: Assess for bladder distention.}A client who has a sinus infection is receiving a prescription for amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8 hours. The available form is 250 mg amoxicillin/125mg clavulanate tablets. How many tablets should the nurse administer for each dose? (Enter numeric value only.) {Ans: 2}The nurse plans to obtain health assessment information from a primary source. Which option is a primary source for the completion of the health assessment? {Ans: Client.}The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter and finds that there is straw-colored drainage seeping from the wound. What description of