Fundamentals Hesi Proctored Exam Latest with

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 HESI FUNDAMENTALS PROCTORED EXAM

VERSION 1

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes.

A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which

of the following client's needs may the nurse assign to a assistive personnel (AP)?

A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia

B. Reinforcing teaching w/a client who is learning to walk using a quad cane

C. Reapplying a condom catheter for a client who has urinary incontinence

D. Applying a sterile dressing to a pressure ulcer

C. Reapplying a condom catheter for a client who has urinary incontinence

Rationale: The application of a condom catheter is a noninvasive, routine procedure that the

nurse may delegate to the AP

A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP.

Which of the following information should the nurse share with the AP? Select All.

A. The roommate is up independently.

B. The client ambulates w/his slippers on over his antiembolic stockings

C. The client uses a front-wheeled walker when ambulating

D. The client had pain medication 30 min ago

E. The client is allergic to codeine

F. The client ate 50% of his breakfast this morning

B, C, D

lOMoAR cPSD|6457222

An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the

following assignments should the LPN question?

A. Assisting a client who is 24hr postop to use an incentive spirometer

B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift

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C. Providing nasopharyngeal suctioning for a client who has pneumonia

D. Replacing the cartridge and tubing on a PCA pump

D. Replacing the cartridge and tubing on a PCA pump

Rationale: The RN is responsible for the PCA pump

A nurse is preparing an in-service program about delegation. Which of the following elements

should she identify when presenting the 5 rights of delegation? Select all.

A. Right client

B. Right supervision/evaluation

C. Right direction/communication

D. Right time

E. Right circumstances

B, C, E

Rational: A and D are rights of medication administration

A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A

client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which

staff member should the nurse assign to this client?

A. Charge nurse

B. RN

C. LPN

D. AP

B. RN

Rational: A client returning from surgery requires assessment and establishment of a plan of

care. RNs are responsible for this, especially if the client is potentially unstable.

lOMoAR cPSD|6457222

A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him

she will put a diaper on him if he does not use the urinal more carefully next time. Which of the

following torts is the AP committing?

A. Assault

B. Battery

C. False imprisonment

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D. Invasion of privacy

A. Assault

Rational: By threatening the client, the AP is committing assault.

An adult client who is competent tells the nurse that he is thinking about leaving the hospital

against medical advice. The nurse believes that this is not in the client's best interest, so she

administers a PRN sedative med that the client has not requested along w/his usual meds.

Which of the following tort has the nurse committed?

A. Assault

B. False imprisonment

C. Negligence

D. Breach of confidentiality

B. False imprisonment

Rational: The nurse gave the med as a chemical restraint to keep the client from leaving the

facility against medical advice. The client did not consent.

A client who will undergo neurosurgery the following week tells the nurse in the surgeon's

office that he will prepare his advance directives before he goes to the hospital. Which of the

following statements by the client indicates to the nurse that he understands advance

directives?

A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."

B. "I know they won't go ahead w/the surgery unless I prepare these forms."

C. "I plan to write that I don't want them to keep me on a breathing machine."

D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."

C. "I plan to write that I don't want them to keep me on a breathing machine."

lOMoAR cPSD|6457222

Rational: The client has the right to decide and specify which medical procedures he wants

when a life-threatening situation arrives

A client is about to undergo an elective surgical procedure. Which of the following actions are

appropriate for the nurse who is providing pre-op care regarding informed consent? Select all.

A. Make sure the surgeon obtained the client's consent

B. Witness the client's signature on the consent form

C. Explain the risks and benefits of the procedure

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