HESI FUNDAMENTALS EX AM

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HESI FUNDAMENTALS EX AM

GRADED A+

(a) Question: When turning an immobile bedridden client

without assistance, which action by the nurse best ensures client safety?

• Securely grasp the client's arm and leg.
• Put bed rails up on the side of bed opposite from the

nurse.

• Correctly position and use a turn sheet.
• Lower the head of the client's bed slowly.

Correct answer: B

(b) Question: The nurse identifies a potential for infection

in a client with partial-thickness (second-degree) and full- thickness (third-degree) burns. What intervention has the highest priority in decreasing the client's risk of infection?

• Administration of plasma expanders
• Use of careful handwashing technique
• Application of a topical antibacterial cream
• Limiting visitors to the client with burns

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Correct answer: B

(c) Question: The nurse is aware that malnutrition is a

common problem among clients served by a community health clinic for the homeless. Which laboratory value is the most reliable indicator of chronic protein malnutrition?

• Low serum albumin level
• Low serum transferrin level
• High hemoglobin level
• High cholesterol level

Correct answer: A

(d) Question: In completing a client's preoperative

routine, the nurse finds that the operative permit is not signed. The client begins to ask more questions about the surgical procedure. Which action should the nurse take next?

• Witness the client's signature to the permit.
• Answer the client's questions about the surgery.

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• Inform the surgeon that the operative permit is not

signed and the client has questions about the surgery.

• Reassure the client that the surgeon will answer any

questions before the anesthesia is administered.

Correct answer: C

(e) Question: The nurse is assessing several clients prior

to surgery. Which factor in a client's history poses the greatest threat for complications to occur during surgery?

• Taking birth control pills for the past 2 years
• Taking anticoagulants for the past year
• Recently completing antibiotic therapy
• Having taken laxatives PRN for the last 6 months

Correct answer: B

(f) Question: When assisting a client from the bed to a

chair, which procedure is best for the nurse to follow?

• Place the chair parallel to the bed, with its back toward

the head of the bed and assist the client in moving to the chair.

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• With the nurse's feet spread apart and knees aligned

with the client's knees, stand and pivot the client into the chair.

• Assist the client to a standing position by gently lifting

upward, underneath the axillae.

• Stand beside the client, place the client's arms around

the nurse's neck, and gently move the client to the chair.

Correct answer: B

(g) Question: Which step(s) should the nurse take when

administering ear drops to an adult client? (Select all that apply.)

• Place the client in a side-lying position.
• Pull the auricle upward and outward.
• Hold the dropper 6 cm above the ear canal.
• Place a cotton ball into the inner canal.
• Pull the auricle down and back.

Correct answer: A, B