HESI RN FUNDAMENTAL 2023/FUNDAMENTALS HESI EXIT 2023 ACTUAL EXAM TEST BANK COMPLETE 450 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| ALREADY GRADED A+||BRAND NEW

HESI RN FUNDAMENTAL 2023/FUNDAMENTALS HESI

EXIT 2023 ACTUAL EXAM TEST BANK COMPLETE

450 REAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES| ALREADY

GRADED A+||BRAND NEW

A registered nurse is teaching a nursing student about the concepts that make up a

theory. Which point noted by the nursing student needs correction?

concepts consist of interrelated theories.

Rationale: A theory consists of interrelated concepts. Concepts help describe or

label phenomena. Concepts that affect the client system are physiological,

psychological, sociocultural, developmental or spiritual. Concepts can be simple or

complex and relate to an object or event that comes from individual perceptual

experiences

Which nursing intervention can be classified under complex physiologic domain

according to the Nursing Interventions Classification (NIC) taxonomy? Select all

that apply.

1 Interventions to restore tissue integrity

2 Interventions to optimize neurologic functions

3. Interventions to provide care before, during, and immediately after surgery

Rationale: Interventions such as restoring tissue integrity, optimizing neurologic

functions, and providing care before, during, and immediately after surgery are

classified under physiologic domain according to the Nursing Interventions

Classification (NIC) taxonomy [1] [2]. Interventions to manage restricted body

movements are classified under the simple physiologic domain. Interventions to

promote comfort using psychosocial techniques are classified under the behavioral

domain.

A registered nurse is teaching a nursing student about systems theories with a

specific reference to Neuman's systems theory. Which statements made by the

nursing student post teaching are accurate? Select all that apply.

1. Factors that change the environment also affect an open system.

2.The components are interrelated and share a common purpose to form a whole.

3.An open system interacts with the environment, with an exchange of information

between the system and the environment.

Rationale: Factors that change the environment also affect an open system. The

components are interrelated and share a common purpose to form a whole. An

open system such as a human organism or a process such as the nursing process

interacts with the environment, exchanging information between the system and

the environment. A system is composed of separate components, and there are two

types of system, open or closed. Neuman's systems theory defines a total-person

model of holism and an open-systems approach

Which intellectual factor would the nurse find appropriate as a dimension for

gathering data for a client's health history?

Attention Span

Rationale: Attention span is an intellectual dimension used to gather data for a

health history. A social dimension for gathering health history includes primary

language. A coping mechanism is considered to be a social subdimension used to

gather a client's health history data. Physical and developmental subdimensions

would include activities and coordination

What is a stressor?

A stressor is any stimuli that can produce tension and cause instability within the

system

Rationale: A stressor is any stimuli that can produce tension and cause instability

within the system. Internal factors exist within the client system, like the

physiological and behavioral responses to illnesses. External factors exist outside

the client system; these stressors include changes in healthcare policies or

increased crime rates. A phenomenon is a term, description, or label given to

describe an idea or responses about an event, a situation, a process, a group of

events, or a group of situations.

Which physical assessment technique involves listening to the sounds of the body?

Auscultation

Rationale: Auscultation involves listening to the sounds of the body. Palpation

involves using the sense of touch to assess and collect data. An inspection involves

the nurse carefully looking to collect data. Percussion involves tapping the skin

with the fingertips to vibrate underlying tissues and organs

A nurse is teaching continuing care assistants about ways to prevent the spread of

infection. It would be appropriate for the nurse to emphasize that the cycle of the

infectious process must be broken, which is accomplished primarily through what?

Hand-washing

Rationale: Hand washing before and after providing care is the single most

effective means of preventing the spread of infection by breaking the cycle of

infection. Although all these interventions are acceptable procedures and may

assist in preventing the spread of infection, none are as effective as hand washing.

How does the World Health Organization (WHO) define "health"?

A state of complete physical, mental, and social well-being

Rationale: The WHO defines health as a "state of complete physical, mental, and

social well-being, not merely the absence of disease or infirmity." Pender explains

that all people free of disease are not healthy. Pender, Murdaugh, and Parsons

suggest that for many people, health is a condition of life rather than pathological

state. Life conditions such as environment, diet, or lifestyle choices can have

positive or negative effects on health long before an illness is evident. Pender,

Murdaugh, and Parsons (2011) define health as the actualization of inherent and

acquired human potential through goal-directed behavior, competent self-care, and

satisfying relationships with others.

Which basic human needs belongs to the fourth level as per Maslow's hierarchy of

needs? Select all that apply.

Worth and Achievement

Rationale: Fourth level of Maslow's hierarchy of needs encompasses self-esteem

needs, which involve self-confidence, usefulness, self-worth, and achievement.

Security needs are included in the second level. Belonging needs such as

friendship, social relationships, and sexual love come under the third level. Selfactualization is the basic human need, which belongs to the final level.

Which assessment is expected when a client is placed in the lithotomy position

during physical examination?

Assessment of female genitalia

Rationale: Lithotomy position in female clients is used to assess and examine

female genitalia and genital tracts. The lateral recumbent position is indicated in

clients to assess the heart. The knee-chest position and Sims position are

recommended for clients undergoing rectal examinations. The prone position is

indicated in clients to assess the musculoskeletal system.

Which of these programs is least likely to focus on medication delivery process

modification?

Experimentation Research

Rationale: Experimental research is least likely to focus on medication delivery

process modification. Quality improvement, evaluation research, and performance

improvement are all likely to focus on medication delivery process modification in

order to make the process better for the client.

A primary healthcare provider prescribes a urinalysis for a client with an

indwelling catheter. To ensure that an appropriate specimen is obtained, the nurse

would obtain the specimen from which site?

Tubing injection port

Rationale: The appropriate site to obtain a urine specimen for a client with an

indwelling catheter is the injection port. The nurse should clean the injection port

cap of the catheter drainage tubing with appropriate antiseptic, attach a sterile 5-

mL syringe into the port, and aspirate the quantity desired. The nurse should apply

a clamp to the drainage tubing, distal to the injection port, not obtain the specimen

from this site. Urine in the bedside drainage bag is not an appropriate sample,

because the urine in the bag may have been there too long; thus a clean sample

cannot be obtained from the bag. The client's urine will be contained in the

indwelling catheter; there will be no urine at the insertion site.