HESI PN FUNDAMENTALS PROCTORED EXAM
VERSION 2
- The nurse is caring for an older adult with mild dementia with heart failure. What nursing
- Reorient frequently to time, place and situation.
- Put the client in a quiet room furthest from the nursing station.
- Perform the necessary procedures quickly.
- Arrange for familiar pictures or special items at bedside.
- Limit the client’s visitors.
- Spend time with the client, establishing a trusting relationship.
care will be helpful for this client in reducing potential confusion related to hospitalization and change in routine? Select all that apply.
- Which would be most helpful when coaching a client to stop smoking?
- Review the negative effects of smoking on the body.
- Discuss the effects of passive smoking on environmental pollution.
- Establish the client’s daily smoking pattern.
- Explain how smoking worsens high blood pressure.
- A nurse is helping a suspected choking victim. The nurse should perform the Heimlich
maneuver when the victim:
- Starts to become cyanotic
- Cannot speak due to airway obstruction
- Can make only minimal vocal noises
- Is coughing vigorously
- While the nurse is providing preoperative teaching for a client with peripheral vascular
disease who is to have a below-the-knee amputation, the client says. “I hate the idea of being an invalid after they cut off my leg.” The nurse’s most therapeutic response should
be:
- “Focusing on using your one good leg will make your recovery easier.”
- “Tell me more about how you are feeling.”
- “We will talk more about this after your surgery.”
- “You are fortunate to have a wife who can take care of you.”
- Which indicates that a client has achieved the goal of correctly demonstrating deep
breathing for an upcoming splenectomy? The client:
- Breathes in through the nose and out through the mouth
- Breathes in through the mouth and out through the nose
- Uses diaphraphragmatic breathing in the lying, sitting, and standing positions.
- Takes a deep breath in through the nose, holds it for seconds, and blows it out
through pursed lips
- Which nursing action is most important in preventing cross-contamination?
- Changing gloves immediately after use
- Standing 2 feet (61cm) from the client
- Speaking minimally when in the room
- Wearing protective coverings
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