HESI RN FUNDAMENTALS STUDY GUIDE /HESI EXIT QUESTIONS ACTUAL EXAM STUDY GUIDE WITH 450 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+

HESI RN FUNDAMENTALS STUDY GUIDE 2023-2024

/HESI EXIT QUESTIONS 2023-2024 ACTUAL EXAM

STUDY GUIDE WITH 450 REAL EXAM QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) | ALREADY

GRADED A+

The nurse is preparing to get a client with tetraplegia (quadriplegia) out

of bed into a chair. The nurse places which item on the seat of the chair

as the best device for pressure relief? - ANSWER- Water pad

Rationale: The client who cannot independently shift weight should

have a pressure relief pad in place under the buttocks to prevent

skin breakdown. The best products for use in providing pressure

relief are those that equalize the client's weight on the device. These

include foam, water, gel, or alternating air pads. A plastic-lined pad

absorbs moisture but provides no pressure relief. A pillow provides

cushion but does not redistribute weight equally. An air ring

relieves pressure in some spots but causes pressure in others by its

design.

A 17-year-old pregnant client is being seen at the obstetric clinic. The

nurse is reviewing the following laboratory results, which were obtained

2 hours after breakfast: hemoglobin 10.5 g/dL, sodium 140 mEq,

glucose 120 mg/dL, potassium 4.1 mEq. Which dietary instruction

should the nurse reinforce for this client? - ANSWER- Increase the

amount of red meats.

Rationale:

This client's hemoglobin level is low; red meats are a good source of

iron. The glucose level is within range of nonfasting samples. Based

on the laboratory results, there is no reason for the client to increase

the milk intake or limit the number of bananas consumed daily.

The nurse is completing the laboratory requisition that will accompany

an arterial blood gas (ABG) specimen sent to the laboratory for analysis.

The nurse understands that which data will be needed by the laboratory

for adequate evaluation of the specimen? Select all that apply. -

ANSWER- The client's temperature

The date the specimen was drawn

The time the specimen was drawn

Any supplemental oxygen the client is receiving

Rationale:

An ABG requisition usually contains information about the date

and time the specimen was drawn, the client's temperature, whether

the specimen was drawn with the client using room air or using

supplemental oxygen, and the ventilator settings if the client is on a

mechanical ventilator. A list of the client's allergies is not a

necessary piece of information required for analysis of the specimen.

The student nurse is changing an abdominal dressing on a client with an

open incision and notes the presence of sanguineous drainage. Which

nursing action would be appropriate? - ANSWER- Notify the registered

nurse.

Rationale:

Sanguineous drainage is bright red and indicates active bleeding. If

active bleeding is present, the registered nurse should be notified.

Covering the wound and reassessing in 1 hour will delay needed

intervention. Leaving a wound open to air can lead to infection.

A client has a continuous catheter irrigation postoperatively after having

a transurethral resection of the prostate. The nurse notes that fluid is

entering the bladder, but none appears to be draining. In priority order,

which actions should the nurse take? - ANSWER- Ask the client about

bladder spasms and discomfort.

Check the bladder for distention.

Check to ensure drainage tubing is not kinked

Ask the client about bladder spasms and discomfort.

Check the bladder for distention.

Review intake and output record.

Rationale:

A drainage tube that is kinked will not allow the bladder irrigation

solution to exit the body and can be done quickly while observing

the system setup. Assessing the bladder for distention would follow

because a clot may be preventing drainage. Asking the client if there

is any discomfort or spasms may indicate improper drainage.

Reviewing the intake and output record would be last because the

nurse can see that fluid is entering the system but not leaving.

A client who had knee surgery 4 days ago reports to the home health

nurse that he has not had a bowel movement since before the surgery.

Which question would assist the nurse in the collection of data regarding

the client's problem? - ANSWER- "What have you been eating and

drinking since the surgery?"

Rationale:

Constipation is marked by difficult or infrequent passage of stools

that are hard and dry. Constipation has numerous causative factors,

including psychogenic factors, lack of physical activity, inadequate

intake of food and fiber, and medication influences. A client

recovering from knee surgery may have several factors influencing

elimination patterns. The question in option 4 will elicit data

regarding the client's intake and will assist in determining whether

an inadequate intake of food and fiber exists.

The nurse is providing dietary instructions to a client with gout. The

nurse should tell the client to avoid which food item? - ANSWERScallops

Rationale:

Scallops should be omitted from the diet of a client who has gout

because of the high purine content. The food items identified in the

remaining options have negligible purine content and may be

consumed by the client with gout.

The nurse is checking a peripheral intravenous (IV) site and notes

blanching, coolness, and edema at the site. The nurse should do which

first? - ANSWER- Remove the IV.

Rationale:

Blanching, coolness, and edema of the IV site are all classic signs of

infiltration. Because infiltration can be damaging to the

surrounding tissue, the first action by the nurse is to remove the IV

to prevent any further damage. The nurse should not depend solely

on the blood return for assurance that the cannula is in the vein

because a blood return may be present even if the cannula is only

partially in the vein. Warm compresses may be applied to the