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HESI Fundamentals Practice Test B What is the rationale for using the nursing process in planning care for clients? A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems. B. To establish nursing theory that incorporates the biopsychosocial nature of humans. C. As a tool to organize thinking and clinical decision making about clients' healthcare needs. D. To promote the management of client care in collaboration with other healthcare professionals. ...

HESI Fundamentals Test Bank updated Spring 2022. Hesi Fundamentals 2022 exam answered. An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. - To avoid shearing forc...

HESI Med Surg Exam An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)? A. A carotid bruit B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes. D. Decreased bowel sounds A) A carotid bruit. Rationale: the carotid...

HESI PN Comprehensive Exam 1 A client with deep partial-thickness and full-thickness burns of the face and chest is receiving wound care using the open method. The plan of care includes the Nsg Dx, "Risk for infection R/T impaired tissue integrity." Based on the expected outcome, "Client remains free of infections," which nursing interventions should the PN implement? A. Wear gown, cap, mask, and gloves during direct client care. B. Restrict visitors in order to prevent wound contamin...

HESI PN Comprehensive Exam 2 A newborn with apnea is being discharged from the hospital with home monitoring. What information concerning the infant's care should the practical nurse review with the parents? A. Cardiopulmonary resuscitation (CPR). B. Administration of intravenous antibiotics. C. Reassurance that the infant cannot be electrocuted during monitoring. D. Advise that the infant not be left with caretakers, such as babysitters. (ANS- A. Cardiopulmonary resuscitation (CPR). R...

HESI PN FUNDAMENTALS An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. (ANS- D. Gently lift the client when moving into a desired position. To avoid shearing for...

HESI PN Practice Exam The nurse is planning care for the client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softner B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal sprays. (ANS- A. Administer Prescribed stool softner The nurse is palpating the...

HESI RN Exit Exam Version 2 After receiving IV fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. The client is receiving 0.9% normal saline at 125 mL/hour via saline lock and has a bounding pulse, tachycardia, and pedal edema. When contacting the healthcare provider, the nurse anticipates a prescription what intervention? A. Remove the saline lock from the client's arm B. Increase the rate of the normal salin...

HESI Fundamentals Practice Exam A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a) Thread the IV catheter so that the hub rests at the insertion site b) Shave excess hair from around the insertion site c) Cleanse the site with hydrogen peroxide before IV catheter insertion d) Palpate the site carefully just before inserting the IV catheter (ANS - ...

HESI RN FUNDAMENTALS EXAM.. The nurse selects the best site for insertion of an IV catheter in the client's right arm. Which documentation should the nurse use to identify placement of the IV access? A.Left brachial vein B.Right cephalic vein C.Dorsal side of the right wrist D.Right upper extremity (ANS- B Rationale: The cephalic vein is large and superficial and identifies the anatomic name of the vein that is accessed, which should be included in the documentation (B). The basilic...