Exam (elaborations)
HESI FUNDAMENTAL PRACTICE QUESTIONS ANSWERED CORRECTLY ,GRADED A+
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HESI FUNDAMENTAL PRACTICE QUESTIONS ANSWERED CORRECTLY ,GRADED A+
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HESI FUNDAMENTAL PRACTICEQUESTIONS ANSWERED
CORRECTLY ,GRADED A+
Nursing bbassistant bbcannot bbdo bbanything bbwith: bb- bbAnswer bbassessing, bbchange
bbdressing bbor bbwounds, bbno
teaching
Which bbpatient bbwould bbyou bbassess bbfirst: bb- bbAnswer bb1st-Which bbpatient bbcan bbI
bblook bbat bband bbthey bbwill bbdie bbif bbI bbdon't bbdo bbsomething
2nd-Most bbcritical bbstate
3rd-ABC
4th-SOB bbyou bbshould bbbe bbvery bbconcerned
Triaging bbcolors: bbGreen, bbYellow, bbRed, bbBlack bb- bbAnswer bb-(not bburgent, bbcan
bbget bbup bband bbwalk)
-(not bblife bbthreatening, bbcan bbbe bbtreated bbwithin bb30min-2hours)
-(highest bbpriority, bbrespiratory bbissues, bbLoss bbof bbconsciousness)
bb-(dead)
1. bbA bbpolicy bbrequiring bbthe bbremoval bbof bbacrylic bbnails bbby bball bbnursing
bbpersonnel bbwas bbimplemented bb6 bb
months bbago. bbWhich bbassessment bbmeasure bbbest bbdetermines bbif bbthe bbintended
bboutcome bbof bbthe bbpolicy bbis
being bbachieved? bb
a. bbNumber bbof bbstaff bbinduced bbinjury bb
b. bbClient bbsatisfaction bbsurvey bb
c. bbHealth bbcare-associated bbinfection bbrate. bb
d. bbRate bbof bbneedle-stick bbinjuries bbby bbnurse. bb- bbAnswer bb(C)--Acrylic bbnails bbare
bbknown bbto bbcarry bbloads bbof bbbacteria bband bbincrease bbthe bbrisk bbof bbhealthcare-
associated bb
infections. bbTherefore, bbby bbbanning bbthe bbwearing bbof bbacrylic bbnails, bbyou bbwould
bbexpect bbthe bbprevalence bb
of bbhealthcare-associated bbinfections bbto bbdecrease. bbAcrylic bbnails bbhave bbnothing
bbto bbdo bbwith bbstaff bb
induced bbinjuries, bbneedle-stick bbinjuries, bbor bbpatient bbsatisfaction bbscores.
2. bbWhich bbassessment bbdata bbwould bbprovide bbthe bbmost bbaccurate bbdetermination
bbof bbproper bbplacement bbof
a bbnasogastric bbtube?
,A) bbAspirating bbgastric bbcontents bbto bbassure bba bbpH bbvalue bbof bb4 bbor bbless.
B) bbHearing bbair bbpass bbin bbthe bbstomach bbafter bbinjecting bbair bbinto bbthe bbtubing.
C) bbExamining bba bbchest bbx-ray bbobtained bbafter bbthe bbtubing bbwas bbinserted.
D) bbChecking bbthe bbremaining bblength bbof bbtubing bbto bbensure bbthat bbthe bbcorrect
bblength bbwas bbinserted. bb
A) bbAspirating bbgastric bbcontents bbto bbassure bba bbpH bbvalue bbof bb4 bbor bbless. bb-
bbAnswer bb(c)--This bbis bba bbmethod bbused bbto bbdetermine bbproper bbplacement bbof
bbNG bbtubing, bbbut bbnot bbthe bbmost bbaccurate.
B) bbHearing bbair bbpass bbin bbthe bbstomach bbafter bbinjecting bbair bbinto bbthe bbtubing.
This bbis bba bbmethod bbused bbto bbdetermine bbproper bbplacement bbof bbNG bbtubing,
bbbut bbnot bbthe bbmost bbaccurate.
C) bbExamining bba bbchest bbx-ray bbobtained bbafter bbthe bbtubing bbwas bbinserted.
After bbplacing bban bbNG-tube, bbthe bbplacement bbof bbthe bbtube bbis bbconfirmed bbvia
bbx-ray bbsince bbit bbis bbthe bbmost bb
accurate bbway bbto bbensure bbthe bbtube bbhas bbnot bbbeen bbplaced bbin bbthe bblungs,
bbwhich bbwould bbpose bban bbaspiration bb
risk.
D) bbChecking bbthe bbremaining bblength bbof bbtubing bbto bbensure bbthat bbthe bbcorrect
bblength bbwas bbinserted. bb
This bbis bbnot bban bbindicator bbof bbproper bbplacement. bbYou bbcould bbvery bbwell bbbe
bbin bba bblung.
3. bbThe bbfather bbof bban bb11-year-old bbclient bbreports bbto bbthe bbnurse bbthat bbthe
bbclient bbhas bbbeen bb"wetting bbthe
bed" bbsince bbthe bbpassing bbof bbhis bbmother bband bbis bbconcerned. bbWhich bbaction
bbis bbmost bbimportant bbfor bbthe bb
nurse bbto bbenact? bb
A. bbReassure bbthe bbfather bbthat bbit bbis bbnormal bbfor bba bbpre-teen bbto bbwet bbthe
bbbed bbduring bbpuberty
B. bbInform bbthe bbfather bbthat bbnocturnal bbemissions bbare bbabnormal bband bbhis bbson
bbis bbdevelopmentally bb
delayed
C. bbInform bbthe bbfather bbthat bbit bbis bbmost bbimportant bbto bblet bbthe bbson bbknow bbthat
bbnocturnal bbemissions bbare bb
normal bbafter bbtrauma
D. bbRefer bbthe bbfather bband bbthe bbclient bbto bba bbpsychologist bb- bbAnswer bb(c) bb--It
bbis bbcommon bbfor bbadolescents bbto bbregress bbin bbtheir bbbiological bbprogression
bbafter bbexperiencing bba bbsevere bb
trauma, bblike bblosing bba bbparent, bbsibling, bbor bbfriend. bbWhile bbuncomfortable bbfor
bbthe bbadolescent bband bb
parent, bbit bbis bbnothing bbto bbbe bbconcerned bbfor. bbOften bbtimes, bbas bbthe bbpatient
bbgrieves bbor bbcomes bbto bbterms bb
with bbthe bbtrauma, bbthe bbnocturnal bbemissions bbwill bbcease.
4. bbThe bbnurse bbexplains bbto bban bbolder bbadult bbmale bbthe bbprocedure bbfor
bbcollecting bba bb24-hour bburine bb
,specimen bbfor bbcreatinine bbclearance. bbWhich bbaction bbis bbmost bbimportant bbfor bbthe
bbnurse bbto bbinclude bbin
their bbcare bbplan bbfor bbthe bbshift? bb
A. bbAssess bbthe bbclient bbfor bbconfusion bband bbreteach bbthe bbprocedure
B. bbCheck bbthe bburine bbfor bbcolor bband bbtexture
C. bbEmpty bbthe bburinal bbcontents bbinto bbthe bb24-hour bbcollection bbcontainer
D. bbDiscard bbthe bbcontents bbof bbthe bburinal bb- bbAnswer bb(c)--An bb"older bbadult
bbmale" bbin bbthe bbquestion bbmay bbimply bbthat bbthe bbpatient bbmay bbhave bban bbaltered
bbmental bb
status bbor bbbe bbdemented. bbWhile bbsuggesting, bbit bbis bbnot bbdirectly bbstated,
bbtherefore bb(A) bbis bbinappropriate.
(B) bbis bbincorrect bbbecause bbthe bblab bbwill bbbe bbassessing bbthe bbcollection
bbspecimen bbafter bbthe bbtest bbis
complete. bb(C) bbis bbcorrect bbbecause bbthe bbnurse bbshould bbfirst bbdiscard bbthe bbfirst
bbspecimen, bbthen bbbegin bbto bb
collect bband bbrecord bbthe bbtime bbthe bbfirst bburine bbspecimen bbwas bbcollected. bbIt bbis
bbimportant bbto bbhave bbstrict bb
documentation bbfor bboutput, bband bbto bbcollect bbevery bburine bbspecimen bbwithin bbthat
bb24 bbhour bbperiod, bb
otherwise bbthe bbtest bbmust bbbe bbrestarted. bb(D) bbdefeats bbthe bbpurpose bbof bbthe
bb24-hour bburine bbcollection bbtest.
5. bbA bb54-year-old bbmale bbclient bband bbhis bbwife bbwere bbinformed bbthis bbmorning
bbthat bbhe bbhas bbterminal bb
cancer. bbWhich bbnursing bbintervention bbis bblikely bbto bbmost bbbeneficial? bb
A. bbAsk bbher bbhow bbshe bbwould bblike bbto bbparticipate bbin bbthe bbclient's bbcare.
B. bbProvide bbthe bbwife bbwith bbinformation bbabout bbhospice
C. bbEncourage bbthe bbwife bbto bbvisit bbafter bbpainful bbtreatments bbare bbcompleted
D. bbRefer bbher bbto bbsupport bbgroup bbfor bbfamily bbmembers bbof bbthose bbdying bbof
bbcancer bb- bbAnswer bb(a)--While bbthe bbclient's bbwife bbmay bbbe bbgrieving bband bbneed
bbsupport, bbthe bbpriority bbfor bbthe bbclient bband bbclient's
wife bbis bbto bbmake bbsure bbthe bbwife bbfeels bbcomfortable bbparticipating bbin bbthe
bbclient's bbcare, bbif bbat bball. bbMost
people bbhave bban bbeasier bbtime bbcoming bbto bbterms bbwith bbthe bbdeath bbof bba bbloved
bbone bbwhen bbthey bbare bbinvolved bb
in bbtheir bbcare. bb(D) bbis bba bbnice bbgesture, bbbut bbwill bbbe bbmore bbappropriate bbat bba
bblater bbtime.
6. bbA bbclient bbwho bbhas bba bbbody bbmass bbindex bb(BMI) bbof bb30 bbis bbrequesting
bbinformation bbon bbthe bbinitial bb
approach bbto bba bbweight bbloss bbplan. bbWhich bbaction bbshould bbthe bbnurse
bbrecommend bbfirst? bb
A. bbPlan bblow bbcarbohydrate bband bbhigh bbprotein bbmeals
B. bbEngage bbin bbstrenuous bbactivity bbfor bban bbhour bbdaily
C. bbKeep bba bbrecord bbof bbfood bband bbdrinks bbconsumed bbdaily
, D. bbParticipated bbin bba bbgroup bbexercise bbclass bb3 bbtimes bba bbweek bb- bbAnswer
bb(c)--BMI bbof bb30 bbindicates bbthe bbpatient bbis bbobese. bb(A) bbWhile bba bbgood bbstep,
bbit bbis bbnot bbwhat bbshould bbbe bb
completed bbfirst. bb(B) bbWhile bba bbgood bbstep, bbit bbis bbnot bbwhat bbshould bbbe
bbcompleted bbfirst. bb(C) bbThe bbbest bb
thing bbto bbrecommend bbis bbto bbhave bbthe bbpatient bbkeep bba bbfood bbjournal bbto bbbe
bbable bbto bbgo bbback bband bbtrack bb
their bbcalorie bbintake; bbit bbmay bbbe bbhelpful bbwhen bbmeal bbplanning bbor bbcreating bba
bbworkout bbroutine bbplan. bb(D) bb
Would bbbe bbappropriate bblater.
7. bbThe bbnurse bbassesses bba bbclient bbwho bbhas bba bbnasal bbcannula bbdelivering
bboxygen bbat bb2 bbL/min. bbTo bbassess bb
for bbskin bbdamage bbrelated bbto bbthe bbcannula, bbwhich bbareas bbshould bbthe bbnurse
bbobserve? bb(Select bball bbthat bb
apply). bb
A. bbTops bbof bbthe bbear
B. bbBridge bbof bbthe bbnose
C. bbAround bbthe bbnostrils
D. bbOver bbthe bbcheeks
E. bbAcross bbthe bbforehead bb- bbAnswer bb(a,c,d)--This bbis bbproper bbplacement bbof bba
bbnasal bbcannula. bbConstant bbpressure bbfrom bbthe bbtubing bbmay bbcreate bbskin bb
damage bbto bbthe bbareas bbof bbskin bband bbbony bbprominences bbthe bbnasal bbcannula
bbwill bbbe bbresting bbon.
8. bbThe bbnurse bbobserves bban bbunlicensed bbassistive bbpersonnel bb(UAP) bbwho bbis
bbproviding bba bbtotal bbbed bbbath bb
for bba bbconfused bband bblethargic bbclient. bbThe bbUAP bbis bbsoaking bbthe bbclient's
bbfoot bbin bba bbbasin bbof bbwarm bbwater bb
placed bbon bbthe bbbed. bbWhat bbaction bbshould bbthe bbnurse bbtake? bb
a. bbRemove bbthe bbbasin bbof bbwater bbfrom bbthe bbclient's bbbed bbimmediately bb
b. bbRemind bbthe bbUAP bbto bbdry bbbetween bbthe bbclient's bbtoes bbcompletely bb
c. bbAdvise bbthe bbUAP bbthat bbthis bbprocedure bbis bbdamaging bbto bbthe bbskin bb
d. bbAdd bbskin bbcream bbto bbthe bbbasin bbof bbwater bbwhile bbthe bbfoot bbis bbsoaking bb-
bbAnswer bb(B) bbis bbespecially bbimportant bbin bbmaking bbsure bbthe bbpatient bbdoes bbnot
bbexperience bbskin bbbreakdown bbdue bbto
excessive bbmoisture. bbKeeping bbthe bbclient's bbfeet bbclean bbis bbnecessary, bbbut
bbkeeping bbthe bbclient's bbfeet bbdry
is bbextremely bbimportant bbin bbskin bbmaintenance.
9. bbThe bbnurse bbin bbthe bbemergency bbdepartment bbobserves bba bbcolleague bbviewing
bbthe bbelectronic bbhealth bb
record bb(EHR) bbof bba bbclient bbwho bbholds bban bbelected bbposition bbin bbthe
bbcommunity. bbThe bbclient bbis bbnot bba bbpart bb
of bbthe bbcolleague's bbassignment. bbWhich bbaction bbshould bbthe bbnurse bbimplement?
bb
a. bbCommunicate bbthe bbcolleague's bbactions bbto bbthe bbunit bbcharge bbnurse bb
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