Exam (elaborations)
HESI PN FUNDAMENTALS PROCTORED EXAM (9 VERSIONS / 2021 / Questions and answers/ Grade A+ )
- Course
- Institution
HESI PN FUNDAMENTALS PROCTORED EXAM (9 VERSIONS / 2021 / Questions and answers/ Grade A+ ) Pages 149
[Show more]
Seller
Follow
NurseGrades
Reviews received
Content preview
HESI PN FUNDAMENTALS PROCTORED EXAMVERSION 1
1. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the bathrooms
2. The nurse should use which type of precautions for a client being admitted to the hospital
with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which instruction is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as treatment for a
fractured mandible. The client is in stable condition. The nurse in instructing the
unlicensed assistive personnel (UAP) on how to properly position the client. Which
instructions about positioning would be appropriate for the nurse to give to the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
,6. The nurse’s best explanation for why the severely neutropenic client is placed in reverse
isolation is that reverse isolation helps prevent the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and personal items
D. By using special techniques to dispose of contaminated materials
7. Which statement indicated to the nurse that a client has understood the discharge
instructions provided after nasal surgery?
A. “I should not shower until my packing is removed.”
B. “I will take stool softeners and modify my diet to prevent constipation.”
C. “Coughing every 2 hours is important to prevent respiratory complications.”
D. “It is important to blow my nose each day to remove the dried secretions.”
8. The nurse is suctioning a client who had a laryngectomy. What is the maximum amount
of time the nurse should suction the client?
A. 10 seconds
B. 20 seconds
C. 25 seconds
D. 30 seconds
9. A client with a history of asthma is admitted to the emergency department. The nurse
notes that the client is dyspneic, with a respiratory rate of 35 breaths/min, nasal flaring,
and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished
breath sounds. What should the nurse do first?
A. Initiate oxygen therapy as prescribed, and reassess the client in 10 mintues
B. Draw blood for arterial blood gas
C. Encourage the client to relax and breath slowly through the mouth
D. Administer bronchodilators as prescribed
10. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the bathrooms
11. The nurse should use which type of precautions for a client being admitted to the hospital
with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
, C. Droplet precautions
D. Airborne precautions
12. The nurse is teaching a client with stomatitis about mouth care. Which instruction is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
13. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
14. A client has returned from surgery during which the jaws were wired as treatment for a
fractured mandible. The client is in stable condition. The nurse in instructing the
unlicensed assistive personnel (UAP) on how to properly position the client. Which
instructions about positioning would be appropriate for the nurse to give to the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
15. The nurse is caring for an older adult with mild dementia with heart failure. What nursing
care will be helpful for this client in reducing potential confusion related to hospitalization
and change in routine? Select all that apply.
A. Reorient frequently to time, place and situation.
B. Put the client in a quiet room furthest from the nursing station.
C. Perform the necessary procedures quickly.
D. Arrange for familiar pictures or special items at bedside.
E. Limit the client’s visitors.
F. Spend time with the client, establishing a trusting relationship.
16. Which would be most helpful when coaching a client to stop smoking?
A. Review the negative effects of smoking on the body.
B. Discuss the effects of passive smoking on environmental pollution.
C. Establish the client’s daily smoking pattern.
D. Explain how smoking worsens high blood pressure.
, 17. A nurse is helping a suspected choking victim. The nurse should perform the Heimlich
maneuver when the victim:
A. Starts to become cyanotic
B. Cannot speak due to airway obstruction
C. Can make only minimal vocal noises
D. Is coughing vigorously
18. While the nurse is providing preoperative teaching for a client with peripheral vascular
disease who is to have a below-the-knee amputation, the client says. “I hate the idea of
being an invalid after they cut off my leg.” The nurse’s most therapeutic response should
be:
A. “Focusing on using your one good leg will make your recovery easier.”
B. “Tell me more about how you are feeling.”
C. “We will talk more about this after your surgery.”
D. “You are fortunate to have a wife who can take care of you.”
19. Which indicates that a client has achieved the goal of correctly demonstrating deep
breathing for an upcoming splenectomy? The client:
A. Breathes in through the nose and out through the mouth
B. Breathes in through the mouth and out through the nose
C. Uses diaphraphragmatic breathing in the lying, sitting, and standing positions.
D. Takes a deep breath in through the nose, holds it for seconds, and blows it out
through pursed lips
20. Which nursing action is most important in preventing cross-contamination?
A. Changing gloves immediately after use
B. Standing 2 feet (61cm) from the client
C. Speaking minimally when in the room
D. Wearing protective coverings
21. The nurse’s best explanation for why the severely neutropenic client is placed in reverse
isolation is that reverse isolation helps prevent the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and personal items
D. By using special techniques to dispose of contaminated materials
22. Which statement indicated to the nurse that a client has understood the discharge
instructions provided after nasal surgery?
A. “I should not shower until my packing is removed.”
B. “I will take stool softeners and modify my diet to prevent constipation.”
C. “Coughing every 2 hours is important to prevent respiratory complications.”
D. “It is important to blow my nose each day to remove the dried secretions.”
23. The nurse is suctioning a client who had a laryngectomy. What is the maximum amount
of time the nurse should suction the client?
A. 10 seconds
B. 20 seconds
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $24.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now