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Exam (elaborations)

HESI Fundamentals Practice Exam

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HESI Fundamentals Practice Exam A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a) Thread the IV catheter so that the hub rests at the insertion site b)...

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  • September 29, 2022
  • 12
  • 2022/2023
  • Exam (elaborations)
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HESI Fundamentals Exam
A policy required the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
(ANS- health care-associated infection rate


The nurse is preparing to assist a newly admitted client with person hygiene
measures. The client... the client's gag reflex. Which action should the nurse
include?
(ANS- place tongue blade on back half of tongue




The nurse explains to an older adult male the procedure for collecting a 24-hr urine
specimen for creatinine clearance.
(ANS- empty the urinal contents into the 24-hr collection container


A 54 yo male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is most appropriate for the wife?
(ANS- refer her to support group for family members of those dying of cancer


A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend?
(ANS- keep a record of food and drinks consumed daily

, The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
(ANS- top of the ear
around the nostrils
over the checks


The nurse observes an unlicensed assistive personnel (UAP) who is providing a
total bed bath for a confused and lethargic client. The UAP is soaking the clients
foot in a basin of warm water placed on the bed. What action should the nurse
take? (ANS- remind the UAP to dry between the clients toes completely


The nurse in the emergency department observes a colleague viewing the
electronic health record of a client who holds an elected position in the community.
The client is not a part of the colleagues assignment. Which action should the nurse
implement?
(ANS- communicate the colleagues action to the unit. charge nurse


At 0100 on a male clients second postoperative night, the client states he is unable
to sleep and plans to read until feeling sleepy. What action should the nurse
implement?
(ANS- bring the client a prescribed PRN sedative-hypnotic


The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvement project on social media that addresses coronary artery
disease. Which action should the nurse implement to protect client privacy?
(ANS- remove identifying information of the clients who participated

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