HESI FUNDAMENTALS V2 QUESTIONS AND ANSWERS 2023 GUARANTEED GRADE A+
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Course
HESI FUNDAMENTALS V2
Institution
HESI FUNDAMENTALS V2
HESI FUNDAMENTALS V2 QUESTIONS AND ANSWERS 2023 GUARANTEED GRADE A+
1. A policy requiring 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?
a. Number of staff ind...
HESI FUNDAMENTALS V2 QUESTIONS
AND ANSWERS 2023 GUARANTEED
GRADE A+
PAGE 1
,1. A policy requiring 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?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
Rationale : Acrylic nails are known to carry loads of bacteria and increase the risk of
healthcare-associated infections. Therefore, by banning the wearing of acrylic nails, you would
expect the prevalence of healthcare-associated infections to decrease. Acrylic nails have
nothing to do with staff induced injuries, needle-stick injuries, or patient satisfaction scores.
2. Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was inserted.
Rationale : After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is
the most accurate way to ensure the tube has not been placed in the lungs, which would pose
an aspiration risk.
3. The father of an 11-year-old client reports to the nurse that the client has been “wetting
the bed” since the passing of his mother and is concerned. Which action is most
important for the nurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is developmentally
delayed
C. Inform the father that it is most important to let the son know that nocturnal emissions
are normal after trauma
PAGE 2
, D. Refer the father and the client to a psychologist
Rationale : It is common for adolescents to regress in their biological progression after
experiencing a severe trauma, like losing a parent, sibling, or friend. While uncomfortable for the
adolescent and parent, it is nothing to be concerned for. Often times, as the patient grieves or
comes to terms with the trauma, the nocturnal emissions will cease.
4. The nurse explains to an older adult male the procedure for collecting a 24-hour urine
specimen for creatinine clearance. Which action is most important for the nurse to
include in their care plan for the shift?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
Rationale : An “older adult male” in the question may imply that the patient may have an altered
mental status or be demented. While suggesting, it is not directly stated, therefore
(A) is inappropriate.
(B) is incorrect because the lab will be assessing the collection specimen after the test is
complete.
(C) is correct because the nurse should first discard the first specimen, then begin to collect and
record the time the first urine specimen was collected. It is important to have strict
documentation for output, and to collect every urine specimen within that 24 hour period,
otherwise the test must be restarted.
(D) defeats the purpose of the 24-hour urine collection test.
5. A 54-year-old male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client’s care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer
PAGE 3
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