HESI RN Fundamentals Exam

HESI RN Fundamentals Exam

VERSION 8

• A nurse is providing teaching to a client who has a new med prescription. Which of the following

manifestations of a mild allergic reaction should the nurse include?

• Ptosis
• Hematuria
• Urticaria
• Nausea
• A nurse is providing teaching to a client who has diabetes mellitus about performing a capillary blood glucose

test. Which of hte following instructions should the nurse include in the teaching?

• Don sterile gloves prior to puncturing the site
• Puncture site after cleansing and before antiseptic dries.
• Gently squeeze the puncture site until a large droplet of blood forms
• Hold the finger to puncture above the level of the heart
• A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following

statements by the client indicates an understanding of the teaching?

• I will perform ankle and knee exercises every hour- ROM is needed to prevent contractures .
• I will hold my breath when rising from a sitting position
• I will remove my antiembolic stockings while I am in bed
• I will have my partner help me change positions every 4 hours
• A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left

forearm. Which of the following findings indicates that the client has developed phelbitisat the IV site?

• Erythema along the path of the vein
• Pitting edema at the insertion site- infiltration since water is probably displaced.
• Coolness of the client‟s left forearm - infiltration
• Pallor of the client‟s left forearm
• A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse

perform shortly before bedtime?

• Provide a late supper
• Offer a wet washcloth for the client to wash her face
• Perform range of motion excercise
• Prepare a hot cocoa or tea for the client
• A nurse is providing teaching to a newly licensed nurse about the care of a client who has MRSA. Which of the

following statements by the newly licensed nurse indicates an understanding of teaching? 1 / 2

• I will place the client in a private room
• I will tell the client‟s visitors to wear a mask when they are within 3 feet of the client
• I will remove my gown after leaving the client‟s room
• I will wear an N95 respirator mask when caring for the client
• A nurse is teaching a client who requires maximal support about how to use a two wheeled walker. Which of the

following actions by the client indicates an understanding of teaching.

• The client moves the walker ahead 25.4cm with each step
• The client picks up the walker with each step
• The client stands with her elbow slightly while holding the walker
• The client stoops slightly forward when moving the walker
• A nurse in a provider‟s office is caring for a client who states “I always have trouble sleeping”. Which of the

following actions should the nurse take first?

• Teach the client stress reduction techniques
• Recommend that the client avoid caffeine intake in the evening
• Identify the client typical bedtime routine
• Encourage the client to exercise regularly during day time hours.
• A nurse is admitting an older adult client who is Hispanic. Which of the following cultural should the

nurse include when developing the plan of care?

• The hispanic culture views late adulthood as a negative time in the client‟s life
• The hispanic culture identifies the eldest female family member as the decision maker
• The Hispanic culture expects individuals to make their own decisions when death is imminent.
• The hispanic culture expects adult children to care for older adult parents.
• A nurse is teaching about home safety with a client. Which of the following instructions should the nurse

include?

• Unplug electronics by grasping the cord
• Use electrical tape to secure extension cords next to baseboards on the floor
• To use a fire extinguisher, aim high at the top of the flames.
• Replace carpeted floors with tile

• A nurse is preparing to perform an admission assessment for a client who reports abdominal pain. Which of the

following actions should the nurse take?a.) Perform deep palpation at the end of the admission assessment b.) Auscultate the client‟s abdomen before palpation c.) Begin palpation of the abdomen at the site of pain d.) Assess the client‟s bowel sounds using the bell of the stethoscope

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