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HESI RN · HESI Fundamentals of Nursing · HESI Fundamentals Practice Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is admitted with a diagnosis of fluid volume deficit. Which clinical finding would the nurse expect?

A. Bounding pulse

B. Bradycardia

C. Oliguria

D. Dry mucous membranes

Expert Explanatory Rationale

Correct Answer: Dry mucous membranes

Question 2 of 5

In completing a client's preoperative routine, the nurse finds that the operative permit is not signed. The client begins to ask more questions about the surgical procedure. Which action should the nurse take next?

A. Witness the client's signature on the permit.

B. Answer the client's questions about the surgery.

C. Inform the surgeon that the operative permit is not signed and the client has questions about the surgery.

D. Reassure the client that the surgeon will answer any questions before the anesthesia is administered.

Expert Explanatory Rationale

Correct Answer: Inform the surgeon that the operative permit is not signed and the client has questions about the surgery.

Question 3 of 5

When performing sterile wound care in the acute care setting, the nurse obtains a bottle of normal saline from the bedside table that is labeled 'opened' and dated 48 hours prior to the current date. Which is the best action for the nurse to take?

A. Use the normal saline solution once more and then discard.

B. Obtain a new sterile syringe to draw up the labeled saline solution.

C. Use the saline solution and then relabel the bottle with the current date.

D. Discard the saline solution and obtain a new unopened bottle.

Expert Explanatory Rationale

Correct Answer: Discard the saline solution and obtain a new unopened bottle.

Question 4 of 5

The client reports still being unable to sleep a week after learning progressive muscle relaxation techniques. Which action should the nurse take first?

A. Instruct the client to add regular exercise to the daily routine.

B. Determine if the client has been keeping a sleep diary.

C. Encourage the client to continue the routine until sleep is achieved.

D. Ask the client to describe the routine currently followed.

Expert Explanatory Rationale

Correct Answer: Ask the client to describe the routine currently followed.

Question 5 of 5

When planning care for a client with an indwelling urinary catheter, which nursing diagnosis has the highest priority?

A. Self-care deficit

B. Functional incontinence

C. Fluid volume deficit

D. High risk for infection

Expert Explanatory Rationale

Correct Answer: High risk for infection

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