he quality of an adult client’s pain, what approach should the nurse use? C
A) Observe body language and movement.
B) Provide a numeric pain scale.
C) Ask the client to describe the pain.
D) Identify effective pain relief measures.
A client who has been diagnosed with terminal cancer tells...
hesi rn fundamentals testbank exam questions and a
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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To assess the quality of an adult client’s pain, what approach should the nurse use? C
A) Observe body language and movement.
B) Provide a numeric pain scale.
C) Ask the client to describe the pain.
D) Identify effective pain relief measures.
A client who has been diagnosed with terminal cancer tells the nurse, “The doctor
told me I have cancer and do not have long to live.” Which response is best for
the nurse to provide?
A) “That’s correct, you do not have long to live” D
B) “Would you like me to call your minister?”
C) “Don't give up, you still have chemotherapy to try.”
D) “Yes, your condition is serious.”
When performing blood pressure measurement to assess for orthostatic
hypotension, which action should the nurse implement first? C
A) Apply the blood pressure cuff securely.
B) Record the client’s pulse rate
and rhythm. C) Position the
client supine for a few minutes.
D) Assist the client to stand at bedside.
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
of a client with pertussis for whom droplet precautions have been implemented.
The UAP request a change in assignment, stating she has not yet been fitted for a
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2024/2025
particulate filter mask. What action should the nurse take? D
When evaluating the effectiveness of a client’s nursing care, the nurse first
reviews the expected outcomes identified in the plan of care. What action should
the nurse take next?
A) Modify the nursing interventions to achieve the client’s goals.
B) Determine if the expected outcomes were realistic.
C) Review related professional standards of care.
D) Obtain current client data to compare with expected outcomes.
A policy requiring the removal of acrylic nails by all nursing personnel was
implemented six months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
A) Number of the staff-induced skin injuries.
B) Client satisfaction survey.
C) Rate of needlestick injuries by nurses.
D) Healthcare-associated infection rates.
A client with limited tolerance for activity needs to walk in the hallway with
assistance. Which instructions should the nurse give to the unlicensed assistive
personnel (UAP) who assisting with client’s care? (Select all that apply.)
A) Instruct the client about signs of orthostatic hypertension
B) Determine if the client needs to have a gait belt applied
C) Measure the clients vital signs before the
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2024/2025
client walks.
D) Offer to assist the client to void prior to
walking in the hall.
E) Report the onset of any dizziness or light headedness.
A client has begun a long-term maintenance therapy with lithium, which has
a narrow therapeutic index. Which adverse effect is most important for nurse
to include in the teaching plan?
A) Dependence.
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic
health record. Which statement is most accurate regarding electronic documentation
during an interview?
A) The interview process is enhanced with electronic documentation and allows the client to
speak at a normal pace.
B) Completing the electronic record during an interview is a legal obligation of the examining
nurse.
C) The nurse has limited ability to observe nonverbal
communication while entering the assessment electronically.
D) The client’s comfort level is increased when the nurse breaks eye contact to type notes
into the record.
A client who lives in an assisted living facility develops cognitive impairment
following a stroke. Informed consent is needed to provide additional nursing
services. Who should nurse contact?
A) The client’s oldest living child, a lawyer, who is visiting from out of town.
B) A daughter -in-law designated as the client’s Durable Power of Attorney (DPOA).
C) The client’s youngest son, identified by family members as the family spokesperson.
D) The client’s spouse who lives in the independent living unit of the facility.
A client is in contact isolation due to stage IV coccyx wound infected with
methicillin resistant staphylococcus aureus (MRSA). The nurse plans interventions
to prevent multiple re-entries to the client’s room. In which order should the nurse
perform the interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
What self-care outcome is best for the nurse to use in evaluating a client’s recovery
form a stroke that resulted in left- sided hemiparesis?
A) Promote independence by allowing client to perform all self-care activities.
B) Participates in self-care to optimal level of capacity.
C) Client verbalizes importance of hygienic practices in the recovery process.
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