Funds HESI Questions with Verified Answers Graded A+
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Funds HESI
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Funds HESI
Funds HESI Questions with Verified Answers Graded A+
1. C
2. B
3. D
The home health nurse visits an elderly female client who
had a brain attack three months ago and is now able
to ambulate with the assistance of a quad cane. Which
assessment finding has the greatest implications for this
c...
Funds HESI Questions with Verified Answers Graded A+
1. C The home health nurse visits an elderly female client who
had a brain attack three months ago and is now able
to ambulate with the assistance of a quad cane. Which
assessment finding has the greatest implications for this
client's care?
a.) The husband, who is the caregiver, begins to weep
when the nurse asks how he is doing.
b.) The client tells the nurse that she does not have much
of an appetite today.
c.) The nurse notes that there are numerous scatter rugs
throughout the house.
d. ) The client's pulse rate is 10 beats higher than it was at
the last visit one week ago.
2. B The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take cor-
rective action if which client reaction is noted?
a.) Temperature increases from 98.8° to 99.0° F.
b.) Pulse rate decreases from 78 to 52 beats/min.
c.) Respiratory rate increases from 16 to 24 breaths/min.
d.) Blood pressure increases from 110/84 to 118/88
mm/Hg
3. D The nurse is providing passive range of motion (ROM)
exercises to the hip and knee for a client who is uncon-
scious. After supporting the client's knee with one hand,
what action should the nurse take next?
a.) Raise the bed to a comfortable working level.
b.) Bend the client's knee.
, Funds HESI Questions with Verified Answers Graded A+
c.) Move the knee toward the chest as far as it will go.
d.) Cradle the client's heel.
4. A A client who has moderate, persistent, chronic neuro-
pathic pain due to diabetic neuropathy takes gabapentin
(Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of
the World Health Organization (WHO) pain relief ladder is
prescribed, which drug protocol should be implemented?
a.) Continue gabapentin.
b.) Discontinue ibuprofen.
c.) Add aspirin to the protocol.
d.) Add oral methadone to the protocol.
5. B The nurse is preparing to irrigate a client's indwelling
urinary catheter using an open technique. What action
should the nurse take after applying gloves?
a.) Empty the client's urinary drainage bag.
b.) Draw up the irrigating solution into the syringe.
c.) Secure the client's catheter to the drainage tubing.
d.) Use aseptic technique to instill the irrigating solution.
6. D Which client care requires the nurse to wear barrier gloves
as required by the protocol for Standard Precautions?
• Removing the empty food tray from a client with a urinary
catheter.
• Washing and combing the hair of a client with a fractured
leg in traction.
, Funds HESI Questions with Verified Answers Graded A+
• Administering oral medications to a cooperative client
with a wound infection.
• Emptying the urinary catheter drainage bag for a client
with Alzheimer's disease.
7. B What action should the nurse implement to prevent the
formation of a sacral ulcer for a client who is immobile?
• Maintain in a lateral position using protective wrist and
vest devices.
• Position prone with a small pillow below the diaphragm.
• Raise the head and knee gatch when lying in a supine
position.
• Transfer into a wheelchair close to the nurse's station for
observation.
8. A What intervention should the nurse include in the plan of
care for a client who is being treated with an Unna's paste
boot for leg ulcers due to chronic venous insufficiency?
• Check capillary refill of toes on lower extremity with
Unna's paste boot.
• Apply dressing to wound area before applying the Unna's
paste boot.
• Wrap the leg from the knee down towards the foot.
• Remove the Unna's paste boot q8h to assess wound
healing.
9. B The nurse is administering an intermittent infusion of an
antibiotic to a client whose intravenous (IV) access is an
antecubital saline lock. After the nurse opens the roller
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