HESI RN Fundamentals Practice Quiz |
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LATEST UPDATE|2024-2025 WITH 100
QUESTIONS
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother
and his family, which includes the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery was recommended for the client. What is
the best plan to obtain surgery for this client?
A. Obtain an interpreter to explain the procedure to the client
B. Encourage the client to make her own decision regarding surgery
C. Ask the family member's to provide a clarification of the surgeon's explanation to the client
D. Tell the surgeon that the brother-in-law will decided after explanation of the proposed
surgery is provided to him and the widow
- ANSWERS-Tell the surgeon that the brother-in-law will decided after explanation of the
proposed surgery is provided to him and the widow
Customary law in Sub-Saharan countries encompasses wife inheritance and polygamy; the
widow becomes the inherited wife of the husband's brother. In those rural areas women live in
a patriarchal family where decisions are made by men. Most likely the brother-in-law will make
decisions for his inherited wife. The answer B is tempting for a western culture viewpoint but
may be seen as culturally insensitive to both client and family
During the admission interview, which technique is most efficient for the nurse to use when
obtaining information about signs and symptoms of a client's primary health problem?
A. Restatement of responses
B. Open-ended questions
,C. Closed-ended questions
D. Problem-seeking questions
- ANSWERS-Closed-ended questions
Lay descriptors of health problems can be vague and nonspecific. To efficiently obtain
information, the nurse should used closed-ended questions that focus on common signs and
symptoms about a client's health problem. The other options are more suited to therapeutic
interaction and may be used after obtaining specific information from the client in the
admission interview
A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the nurse
implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
- ANSWERS-Give an around-the-clock schedule for administration of analgesics
The most effective management of pain is achieved using an around-the-clock schedule that
provides an analgesic medication on a regular basis
During the daily nursing assessment, a client begins to cry and states that the majority of family
and friends have stopped calling and visiting. What action should the nurse take?
A. Listen and show interest as the client expresses these feelings
B. Reinforce that this behavior means they were not true friends
C. Ask the healthcare provider for a psychiatric consult
D. Continue with the assessment and tell the client not to worry
- ANSWERS-Listen and show interest as the client expresses these feelings
,When a client begins to cry and express feelings, a therapeutic nursing intervention is to listen
and show interest as the client expresses these feelings
While instructing a male client's wife in the performance of passive range-of-motion exercises
to his contracted shoulder, the nurse observes that she is holding his arm above and below the
elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
- ANSWERS-Acknowledge that she is supporting the arm correctly
The wife is performing the passive ROM correctly, therefore the nurse should acknowledge this
fact
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
- ANSWERS-Flush the tube with water
The NGT should be flushed before, after, and in-between each medication
An older client who is a resident in a long term care facility has been bedridden for a week.
Which finding should the nurse identify as a client risk factor for pressure ulcers?
A. Generalized dry skin
B. Localized dry skin on lower extremities
, C. Red flush over entire skin surface
D. Rashes in the axillary, groin, and skin fold regions
- ANSWERS-Rashes in the axillary, groin, and skin fold regions
Immobility, constant contact with bed clothing, and excessive heat and moisture in areas where
air flow is limited contributes to bacterial and fungal growth, which increases the risk for
rashes, skin breakdown, and ulcer development
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first.
- ANSWERS-Keep gloved hands above the elbows
Gloved hands held below waist level are considered unsterile
The nurse is using a genogram while conducting a client's health assessment and past medical
history. What information should the genogram provide?
A. Genetic and familial health disorders
B. Chronic health problems
C. Reason for seeking care
D. Undetected disorders
- ANSWERS-Genetic and familial health disorders
A genogram used during the the health assessment process identifies genetic and familial
health disorders
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