HESI Fundamentals Practice Test/Final 2 (NCLEX)

An adult is now alert and oriented following abdominal surgery. What position is most appropriate for the client? A. Semi-Fowler's B. Prone C. Supine D. Sim's - Answer - A This position allows for greater thoracic expansion and puts less pressure on the suture line Following a craniotomy, the nurse positioned a client in low fowler's for which reason? A. To promote comfort B. To promote drainage from operation site C. To promote thoracic expansion D. To prevent circulatory overload - Answer - B The nurse is caring for a woman who had a CVA and has right-sided hemiplegia. Which action is least appropriate? a. Performing ROM exercise when bathing her b. Changing her position every two hours c. Suctioning the client supine and pulling the bed sheets tightly across her feet d. Placing her in the prone position for one hour three times a day - Answer - C The sheets should not be drawn tightly across the feet as this may cause foot drop The nurse is to help their client with right-sided hemiplegia get up into the wheelchair. How should the nurse place the wheelchair? a. On the left side of the bed facing the foot of the bed b. On the right side of the bed facing the head of the bed c. Perpendicular to the bed on the right side d. Facing the bed in the left side of the bed - Answer - A The client can then stand on the unaffected foot and pivot to sit down When caring for a client in hemorrhagic shock, how should the nurse position the client? a. Flat in bed with legs elevated b. Flat in bed c. Trendelenburg position d. Semi-Fowler's position - Answer - A Mr. Landon is to have a tracheostomy performed. What is the top nursing priority? a. Shave the neck b. Establish a means of communication c. Insert a Foley catheter d. Start an IV - Answer - B