HESI Fundamentals Practice Exam

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HESI Fundamentals Practice Exam An elderly client who requires frequent monitoring fell and fractured a hip. Which nurse is at greatest risk for a malpractice judgment? A. A nurse who worked the 7 to ... 3 shift at the hospital and wrote poor nursing notes. B. The nurse assigned to care for the client who was at lunch at the time of the fall. C. The nurse who transferred the client to the chair when the fall occurred. D. The charge nurse who completed rounds 30 minutes before the fall occurred. The nurse observes an UAP taking a clients blood pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement. Reassess the clients BP using a larger cuff An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? Gently lift the client when moving into a desired position The UAPs working on a chronic neuro unit ask the nurse to help then determine the safest way to transfer an elderly client with a left sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client? Move the chair parallel to the right side of the bed, and stand the client on the right foot. An elderly resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. The resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. What action should the nurse implement first? A. Reaffirm the client's desire for no resuscitative efforts. B. Transfer the client to a hospice inpatient facility. C. Prepare the family for the client's impending death. D. Notify the healthcare provider of the family's request. After completing an assessment and determining that a client has a problem, which action should the nurse perform next? A. Determine the etiology of the problem. B. Prioritize nursing care interventions. C. Plan appropriate interventions. D. Collaborate with the client to set goals. What is the most important reason for starting IV infusions in the upper extremities rather than the lower extremities of adults? A decreased flow rate could result in the formation of a thrombosis. 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? Flush the tube with water. A client is in the radiology department at 0900 when the presciption Lovofloxacin 500mg IV q24hr is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? Give the missed dose at 1300 and change the schedule to administer daily at 1300 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. The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein? A lactating woman nursing her 3 day old infant. A client who is a Jehovah’s witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs? Blood transfusions are forbidden Judaism prohibits Autopsy Buddhism forbids use of Alcohol in any form When conducting an admission assessment, the nurse should ask the client about the use of complimentary healing practices. Which statement is accurate regarding the use of these practices? A. Complimentary healing practices interfere with the efficacy of the medical model of treatment. B. Conventional medications are likely to interact with folk remedies and cause adverse effects. C. Many complimentary healing practices can be used in conjunction with conventional practices. [Show More]

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