HESI RN Fundamentals Exam

HESI RN Fundamentals Exam

VERSION 12

• Before donning gloves to perform a procedure, proper hand hygiene is essential. The nurse understands that

the most important aspect of had hygiene is the amount of friction

• A nurse is demonstrating postoperative deep breathing and coughing exercise to a client about to undergo

emergency abdominal surgery for appendicitis. The nurse realizes the client may be unprepared to learn if the client  reports severe pain

• A client comes to the emergency department reporting that he has had diarrhea for 4 days and is urinating less

than usual. When assessing the client‟s skin turgor, the nurse should  grasp a fold of the skin on the chest under the clavicle, release it, and not the depth of the impression

• A nurse is planning interventions for a group of clients who are obese. What can the nurse do to improve their

commitment to a long-term goal of weight loss? attempt to develop the client‟s self-motivation

• When admitting a client, the nurse records which information in the client‟s record first?  assessment of the

client

• A nurse tells a client that the provider has prescribed IV fluids. The client appears to be upset about the IV

catheter insertion, but says nothing to the nurse. Which of the following is an appropriate nursing response? 1 / 2

 Is there something about this procedure that concerns you?

• A client who is unstable and requires frequent vital signs has an electronic blood pressure machine

automatically measuring his blood pressure every 15 min. However, the machine is reading the client‟s blood pressure at more frequent intervals, and the readings are not similar. The nurse checks the machine settings and observes the additional readings, but the problem continues. Which of the following is the appropriate nursing action?--> Disconnect the machine, and measure the blood pressure manually every 15 min.

• A nurse is caring for a client just diagnosed with type 1 diabetes mellitus. The client is resistant to learning

self-injection of insulin and asks the nurse to administer all the injections. The nurse explains the importance of learning self-care and appropriately adds which of the following statements? Tell me what I can do to help you overcome your fear of giving yourself injections.

• An assistive personnel says to the nurse, “This client is incontinent of stool three or four times a day. I get

angry, and I think that the client is doing it just to get attention. I think we should put adult diapers on her.” Which is the appropriate nursing response? It is very upsetting to see an adult client regress.

• A nurse‟s neighbor is scheduled for elective surgery. The neighbor‟s provider indicated that a moderate

amount of blood loss is expected during the surgery, and the neighbor is anxious about acquiring an infection from a blood transfusion. Which of the following is appropriate for the nurse to suggest? donating autologous blood before the surgery

• At a mobile screening clinic, a nurse is assessing a client who reports a history of a heart murmur due to aortic

stenosis. To auscultate the aortic valve, the nurse should place the stethoscope at which location?Second intercostals space to the right of the sternum

• A client is admitted to the hospital with decreased circulation in the left leg. During the admission assessment,

which is the most important nursing action initially? evaluate the pedal pulses

• A nurse is caring for a client who requires rectal temperature monitoring. Available at the client‟s bedside is a

thermometer is with a long, slender tip. Which of the following is the appropriate action for the nurse to take?

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