HESI RN Fundamentals Exam

HESI RN Fundamentals Exam

VERSION 6

• A nurse is reaching a client and his family how to care for the client’s tracheostomy at home.

Which of the following should the nurse include in the teaching?

• Use tracheostomy covers when outdoors
• A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube

through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea?

• The client’s care giver washed out the feeding bag once every 24 hours with warm

water

• A nurse is talking with an older adult client who is contemplating retirement. The client states, “I

keep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which of the following responses should the nurse make?

• Let’s talk about how the change in your hob status will affect you.
• A nurse is assessing a client who reports increased pain following pt. Which of the following

questions should t15he nurse ask hen assessing the quality of the client’s pain?

• Sharp & dull
• A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer.

Which of the following actions should the nurse take?

• Reassure the client that this is an expected response to grief.
• A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist

restraints. Which of the following actions should the nurse take?

• Pad the client’s wrist before applying the restraints
• A nurse is performing a home safety assessment for a client who is receiving supplemental

oxygen. Which of the following observations should the nurse identify as proper safety protocol?

• The client uses no acetone nail polish remover.
• Nurse caring for a client who has a respiratory infection. What technique should she use when

preforming nasotracheal suctioning?

• Apply intermittent suction when withdrawing the catheter.
• Nurse is preparing for change of shift. Which document or tools should the nurse use to

communicate?

• SBAR
• Nurse is planning care for a client who had a stroke. What should be assigned to the assistive

personal? (SATA)

• -Assist the client with a partial bed bath.
• -Measure the client’s BP after the nurse administers antihypertensive meds.
• -Use a communication board to ask what the client wants for lunch.
• Nurse caring for a client who has dementia. What interventions should be taken to minimize risk

for injury?

• Use bed exit alarm system
• Nurse performing a skin assessment for a client who expresses concern about skin cancer. What

findings should the nurse identify as a potential indication of a skin malignancy?

• A mole with an asymmetrical appearance
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