Exam (elaborations)
HESI Foundations Questions With Complete Solutions
- Course
- HESI Foundations
- Institution
- Galen College Of Nursing
HESI Foundations Questions With Complete Solutions
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HESI Foundations Questions With Complete SolutionsA 35-year-old female client with cancer refuses to allow the
nurse to insert an IV for a scheduled chemotherapy treatment,
and states that she is ready to go home to die. What intervention
should the nurse initiate?
A) Review the client's medical record for an advance directive.
B) Determine if a do-not-resuscitate prescription has been
obtained.
C) Document that the client is being discharged against medical
advice.
D) Evaluate the client's mental status for competence to refuse
treatment. Correct Answer D
A 4-year-old boy who is scheduled for a tonsillectomy and
adenoidectomy asks the nurse, "Will it hurt to have my tonsils
and adenoids taken out?" Which response is best for the nurse to
provide?
A) "It may hurt a little because of the incision made in your
throat."
B) "It won't hurt because you're such a big boy."
C) "It won't hurt because we put you to sleep."
D) "It may hurt but we'll give you medicine to help you feel
better." Correct Answer D
A 73-year-old Hispanic client is seen at the community health
clinic with a history of protein malnutrition. What information
should the nurse obtain first?
A) Amount of liquid protein supplements consumed daily.
B) Foods and liquids consumed during the past 24 hours.
C) Usual weekly intake of milk products and red meats.
,D) Grains and legume combinations used by the client. Correct
Answer B
A 75-year-old client who has a history of end stage renal failure
and advanced lung cancer, recently had a stroke. Two days ago
the healthcare provider discontinued the client's dialysis
treatments, stating that death is inevitable, but the client is
disoriented and will not sign a DNR directive. What is the
priority nursing intervention?
A) Review the client's most recent laboratory reports.
B) Refer the client and family members for hospice care.
C) Notify the hospital ethics committee of the client situation.
D) Determine who is legally empowered to make decisions.
Correct Answer D
A client has a nursing diagnosis of, "Spiritual distress related to
a loss of hope, secondary to impending death." What
intervention is best for the nurse to implement when caring for
this client?
A) Help the client to accept the final stage of life.
B) Assist and support the client in establishing short-term goals.
C) Encourage the client to make future plans, even if they are
unrealistic.
D) Instruct the client's family to focus on positive aspects of the
client's life. Correct Answer B
A client in hospice care develops audible gurgling sounds on
inspiration. Which nursing action has the highest priority?
A) Ensure cultural customs are observed.
B) Increase oxygen flow to 4L/minute.
C) Auscultate bilateral lung fields.
,D) Inform the family that death is imminent. Correct Answer D
A client is admitted to the hospital with intractable pain. What
instruction should the nurse provide the unlicensed assistive
personnel (UAP) who is preparing to assist this client with a bed
bath?
A) Take measures to promote as much comfort as possible.
B) Report any signs of drug addiction to the nurse immediately.
C) Wait until the client's pain is gone before assisting with
personal care.
D) This client's pain will be difficult to manage, since the cause
is unknown. Correct Answer A
A client is demonstrating a positive Chvostek's sign. What
action should the nurse take?
A) Observe the client's pupil size and response to light.
B) Ask the client about numbness or tingling in the hands.
C) Assess the client's serum potassium level.
D) Restrict dietary intake of calcium-rich foods. Correct
Answer B
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV every 24 hours
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. Correct Answer D
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for
anxiety. Alprazolam is available in 0.5 mg scored tablets. How
many tablets should the nurse administer? (Enter numeric value
only.) Correct Answer 1.5
A client provides the nurse with information about the reason for
seeking care. The nurse realizes that some information about
past hospitalizations is missing. How should the nurse obtain
this information?
A) Solicit information on hospitalization from the insurance
company.
B) Look up previous medical records from archived hospital
documents.
C) Ask the client to discuss previous hospitalizations in the last
5 years.
D) Elicit specific facts about past hospitalizations with direct
questions. Correct Answer D
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8
hours. The available form is 250 mg amoxicillin/125mg
clavulanate tablets. How many tablets should the nurse
administer for each dose? (Enter numeric value only.) Correct
Answer 2
A client who has been on bedrest for several days now has a
prescription to progress activity as tolerated. When the nurse
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