HESI FUNDAMENTALS RN EXIT V1 TEST BANK

HESI FUNDAMENTALS RN EXIT V1 TEST BANK

WITH NGN (ACTUAL 2024 EXAM) QUESTIONS AND

CORRECT DETAILED ANSWERS AGRADE

RATED

• Wheezing is often associated with asthma - ANSWER✔✔assess breathing

patterns and learn about any precipitating factors that caused the onset of the wheezing

• A male client with limited mobility is discharged with home health services. When

the home health nurse arrives, the client asks what he does for the swelling in his leg. Which should the nurse implement? - ANSWER✔✔instruct the client to flex both of his feet several times a day

• A client at an outpatient clinic submits a clean-catch midstream urine specimen

for a routine urinalysis. In later review of the client's medical record, which data indicates to the nurse that the specimen collection should be repeated? - ANSWER✔✔the urine specimen shows multiple organisms in low colony counts

• During the admission assessment of a terminally ill male client, the client states

that he is an agnostic. What is the best nursing action in response to this statement? - ANSWER✔✔document the statement in the client's spiritual assessment

• The nurse observes a newly admitted older adult female take short stems and

walk very slowly while pushing a walker in front of her. What action should the nurse take in response to these observations? - ANSWER✔✔complete a full fall risk assessment of the client 1 / 2

• The nurse notes that a client has cyanosis of the toes and fingertips. Which vital

signs should the nurse obtain first? - ANSWER✔✔respiratory rate

• A middle-aged male client tells the nurse that two weeks ago he began

exercising four times a week to lose weight and to help him sleep better. He states that it still takes him an hour to fall asleep at night. Which action should the nurse implement? - ANSWER✔✔ask the client to describe the exercise schedule that he has been following

• While suctioning a client's nasopharynx, the nurse observes that the patient's

oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. What action should the nurse take in response to this finding? - ANSWER✔✔complete the intermittent suction of nasopharynx *suctioning can be continued if the client's oxygen saturation remains above 90% or does not decrease 5% from the initial baseline

• An older male client returns to the clinic for chronic pain management after taking

morphine sulfate (MS Contin) 25 mg every 12 hours. He states he took the medication only when the pain was too severe to sleep. What action should the nurse implement? - ANSWER✔✔instruct the client to take the MS Contin every 12 hours as prescribed

• A female unlicensed assistive personnel (UAP) is assigned to take the vital signs

of a client with pertussis for whom droplet precautions have been implemented.The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. What action should the nurse take first? - ANSWER✔✔ instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned client

• The community health nurse is making a home visit when the client, who is sitting

at the kitchen table, begins to have a seizure. What action should the nurse take first? - ANSWER✔✔assist the client to the floor

• A client is in contact isolation due to a stage IV coccyx wound infected with

methicillin resistant staphylococcus aureus (MRSA). The nurse plans interventions to prevent multiple re-entries to the client's room. In which order

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