Questions 9

HESI RN

Home > HESI RN > HESI Fundamentals of Nursing > HESI Fundamentals Quizlet
HESI RN Test Bank

HESI Fundamentals Quizlet Questions

Question 1 of 5

The client was placed in restraints due to confusion while hospitalized. The family removes the restraints in the client's presence. After the family leaves, what should the nurse do first?

Correct Answer: B

Rationale: In this situation, the nurse's initial action should be to reassess the client to evaluate if restraints are still required before considering reapplication. This step ensures that the restraints are only used when absolutely necessary, promoting the client's safety and autonomy. Documentation and monitoring are essential, but reassessment of the client's condition takes precedence to provide individualized care.

Question 2 of 5

When assisting a client with right-sided hemiplegia to get into a wheelchair, how should the nurse position the wheelchair?

Correct Answer: A

Rationale: Positioning the wheelchair on the left side of the bed facing the foot of the bed is the correct approach when assisting a client with right-sided hemiplegia. Placing the wheelchair on the left side allows the client to stand on their unaffected foot and pivot to sit down safely. This positioning facilitates a smoother transfer and helps maintain the client's stability during the process.

Question 3 of 5

A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?

Correct Answer: B

Rationale: In a situation where a client's estranged husband demands to restrict the visitation of the significant other, it is essential to prioritize the client's wishes while addressing the conflict. Requesting a consultation with the ethics committee is appropriate as it allows for a comprehensive and impartial resolution, ensuring the client's autonomy and well-being are upheld.

Question 4 of 5

What action should be implemented to prevent the formation of a sacral ulcer for an immobile client?

Correct Answer: B

Rationale: Positioning the client prone with a small pillow below the diaphragm helps maintain proper alignment and provides optimal pressure relief over the sacral area, reducing the risk of developing a pressure ulcer. This position redistributes pressure away from bony prominences, such as the sacrum, which is crucial in preventing ulcer formation in immobile clients.

Question 5 of 5

The client has received a new diagnosis of heart failure, and the nurse is providing dietary management education. Which instruction should the nurse include?

Correct Answer: B

Rationale: Avoiding foods high in sodium (choice B) is essential for clients with heart failure to prevent fluid retention and decrease the strain on the heart. High sodium intake can lead to fluid buildup, exacerbating heart failure symptoms. Increasing potassium intake (choice A) can be harmful in heart failure if not monitored closely. Limiting fluid intake (choice C) may be necessary in some cases, but the specific amount should be individualized based on the client's condition. Increasing vitamin K intake (choice D) is not a primary concern in heart failure management.

Similar Questions

The client has received a new diagnosis of heart failure, and the nurse is providing dietary management education. Which instruction should the nurse include?
The nurse is preparing to administer 2 units of packed red blood cells (PRBCs) to a client. Which action should the nurse implement to ensure the client's safety?
While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?
A client with frequent urinary tract infections (UTIs) asks the nurse about drinking juice daily to prevent future UTIs. Which response is best for the nurse to provide?
An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-RN and 3000+ practice questions to help you pass your HESI-RN exam.

Call to Action Image