HESI FUNDAMENTALS PRACTICE EXAM With Correct Answers 2024 Update
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HESI FUNDAMENTALS PRACTICE
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HESI FUNDAMENTALS PRACTICE
HESI FUNDAMENTALS PRACTICE EXAM With Correct Answers 2024 Update
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching ...
HESI FUNDAMENTALS
PRACTICE EXAM With Correct
Answers 2024 Update
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to
a fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan?
A. "In 8 weeks you will be able to bend at the waist to reach items on the floor."
B. "Place a pillow between your knees while lying in bed to prevent hip
dislocation."
C. "It is safe to use a walker to get out of bed, but you need assistance when
walking."
D. "Take pain medication 30 minutes after your physical therapy sessions." -
✔✔✔ANSWER-B. "Place a pillow between your knees while lying in bed to
prevent hip dislocation."
,(The client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow between
the knees to maintain abduction of the hips (B). Clients should be instructed to
avoid bending at the waist (A), to seek assistance for both standing and walking
until they are stable on a walker or cane (C), and to take pain medication 20 to 30
minutes prior to physical therapy sessions, rather than waiting until the pain level
is high after their therapy.)
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return. What
action should the nurse implement next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again. - ✔✔✔ANSWER-
D. Re-oxygenate the client before attempting to suction again.
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation - ✔✔✔ANSWER-B. During the inhalation.
(The client should be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should remove the
mouthpiece, keeping his/her lips closed and breath held for several seconds to
allow for distribution of the medication. The client should not deliver the dose as
started in (A or D), and should deliver no more than two inhalations at a time (C).)
,The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in this teaching plan?
A. Avoid any types of sprays, powders, and perfumes.
B. Wearing a mask while cleaning will not help to avoid allergens.
C. Purchase any type of clothing, but be sure it is washed before wearing it.
D. Pollen count is related to hay fever, not to allergens. - ✔✔✔ANSWER-A. Avoid
any type of sprays, powders, and perfumes.
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the
solution at a rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor
of 60 gtt/mL, how many drops per minute should the client receive? -
✔✔✔ANSWER-124 gtt/min
The nurse notices that the Hispanic parents of a toddler who returns from surgery
offer the child only the broth that comes on the clear liquid tray. Other liquids,
including gelatin, popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior?
A. The belief is held that the "evil eye" enters the child if anything cold is ingested.
B. After surgery the child probably has refused all foods except broth.
C. Eating broth strengthens the child's innate energy called "chi."
D. "Hot" remedies restore balance after surgery, which is considered a "cold"
condition. - ✔✔✔ANSWER-D. "Hot" remedies restore balance after surgery,
which is considered a "cold" condition.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 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. - ✔✔✔ANSWER-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
administer dose as soon as possible, and revise the administration schedule
accordingly to prevent dangerously increasing the level of medication in the
bloodstream (D). The nurse should document the reason for the late dose, but (A
and C) are not warranted. (B) could result in increased blood levels of the drug.)
A client is receiving a cephalosporin antibiotic IV and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a red
streak along the vessel above the IV access site. Which action should the nurse take
at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the HCP before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. -
✔✔✔ANSWER-B. Initiate an alternate site for the IV infusion of the medication.
(A cephalosporin antibiotic that is administered IV may cause vessel irritation.
Rotating the infusion site minimizes the risk of thrombophlebitis, so an alternate
infusion site should be initiated (B) before administering the next dose. Rapid
administration (A) of intravenous cephalosporins can potentiate vessel irritation
and increase the risk of thrombophlebitis. (C) is not necessary to initiate an
alternate IV site. Although aspirin has antiinflammatory actions, (D) is not
indicated.)
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