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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Document preview page 1

2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 1

Document preview content for 2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions)

2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions)

Master key concepts with 2023 HESI Fundamental of Nursing Practice Exam With Answers, offering a range of past exam papers.

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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 1 preview image1thepurposeoftherapeuticinteractionANSWER:toallowtheclienttoautonomytomakechoiceswhenappropriate.keepstatementsvalue-free, advice free, and reassurance-freewhatactionshouldthenursetakeinapsychiatricsituationwhentheclientdescribesaphysicalproblem?ANSWER:assess.example:ifaclienthasschizophreniacomplainsofchestpaintaketheirbloodpressurebasiccommunicationprinciplesANSWER:establishtrust,nonjudgementalattitude,activelistening,offerself,acceptclient'sfeelings,validate client's statements, matter of fact approachnauseaisacommoncomplaintafterECTANSWER:vomitingbyanunconsciouscanleadtoaspiration.maintainapatenairwaycommon physiological responses to anxietyANSWER:increasedheartrate,andbloodpressure,rapidshallowrespirations,drymouth,tightfeelingin throat, tremors, muscle twitching, anorexia, urinary frequency, palmar sweatingnurse-clientanxietyANSWER:anxietyiscontagious,nurseneedstoassesonanxietylevelandremaincalm.ithelpsgaincontrol, decrease anxiety, and increase feelings of securitydesensitizationANSWER:isthenursinginterventionforphobiadisorders.--assessclienttorecognizethefactorsassociated with feared stimuli.-teachandpracticewithclientalternativecopingstrategies-exposeclienttofearedstimuli-providepositivereinforcementthenurseshouldplaceananxiousclientwheretherearereducedenvironmentalstimuliHESIFundamentalsUPDATEDVERSION2023 GRADED A+
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 2 preview image
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 3 preview image2ANSWER:quietareaoftheunitawayfromthenurse'sstationthebesttimeforinteractionwithaclientisatthecompletionoftheperformedritualANSWER:theclient'sanxietyislowestatthistimeanditsanoptimaltimeforlearningcompulsiveactsareusedinresponsetoanxiety,whichmayormaynotberelatedtotheobsession.itsthe nurse's responsibility help alleviate anxietyANSWER:itsthenurse'sresponsibilityhelpalleviateanxiety,interferingwillincreasetheanxietyas long as the client's acts are free of violence: nurse should....ANSWER:-activelylistentotheclientsobsessivethemes-acknowledgetheeffectsthatritualisticactshaveontheclient-demonstrateempathy-avoidbeingjudgmentalfordclientswithPTSD,thenurseshould....ANSWER:-activelylistentoclient'sstoriesofexperiencessurroundingthetraumaticevent-assesssuiciderisk-assistclienttodevelopobjectivityabouttheeventandproblemsolveregardingpossiblemeansofcontrolling anxiety related to the event-encouragegrouptherapywithotherclientswhohaveexperiencedthesametraumaticeventbe aware of your own feelings when dealing with this somatoform clients.ANSWER:thepainisrealtothepersonexperiencingitthesesdisorderscannotbeexplainedmedically,itresultsfrominternalconflict.thenurseshould...
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 4 preview image3ANSWER:-acknowledgethesymptomorcomplaint-reaffirmthatdiagnostictestresultsrevealnoorganicpathology-determinethesecondarygainsacquiredbytheclientavoidgivingclientswithdissociativedisorderstoomuchinformationaboutpasteventsatonetimeANSWER:thevarioustypesofamnesticthataccompanydissociativedisordersprovideprotectionfrompain and too much to soon can cause decompensationpersonalitydisordersarelongstandingbehavioraltraitsthataremaladaptiveresponsestoanxietyandthat cause difficulty in relating to and working with other individualsANSWER:personswithpersonalitydisordersareusuallycomfortablewiththeirdisordersandbelievethat they are right and the world is wrong and have little motivationpeoplewithanorexiagainpleasurefromprovidingotherswithfoodandwatchingthemeatANSWER:thesebehaviorsreinforcetheirperceptionofself-control.donnotallowtheseclientstoplanor prepare food for unit-based activitiesindividualswithBulimiaoftenusesyrupofipecactoinducevomiting.ifipecacisnotvomitedandisabsorbed,cardiotoxicitymayoccurandcauseconductiondisturbances,cardiacdysrhythmias,fatalmyocarditis, and circulatory failureANSWER:becauseheartfailureisnotusuallyseeninthisagegroup,itisoftenoverlooked.assessforedema and listen to breath soundsphysicalassessmentandnutritionalsupportareapriority,thephysiologicalimplicationaregreat.nursinginterventions should increase self-esteem and develop a positive body image.ANSWER:familytherapyismosteffectivebecauseissuesofcontrolarecommoninthese(eatingdisorders.) therapy is usually long termthemostimportants/sofdepressionareadepressedmoodwithalossofinterestinthepleasuresinlife
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 5 preview image4ANSWER:theclienthasasustainedlosss/s of depressionANSWER:-significantchangeinappetite-insomnia-fatigueorlackofenergy-feelingsofhopelessness-lossofabilitytoconcentrate-preoccupationwithdeathorsuicidedepressedclientshavedifficultyhearingandacceptingcomplimentsbecauseoftheirloweredself-conceptANSWER:commentonsignsofimprovementbynotingbehaviorthe nurse knows depressed clients are improving when theyANSWER:begintotakeaninterestintheirappearanceorbegintoperformself-careactivitiesthe nurse should suspectan imminent suicide attempt if adepressed client becomes"better"ANSWER:beawareahappyaffectmaysignifythetheclientfeelsrelievedthataplanhasbeenmadeand is prepared for the suicide attemptwhendealingwithadepressedclientthenurseshouldassistwithpersonalhygienetasksandencouragethe client to initiate grooming activities even when they dont feel like doing soANSWER:thishelpstopromoteself-esteemandasenseofcontrolnursing intervention for depressed client
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 6 preview image5ANSWER:sitquietlywiththeclient,offeringyoursupportwithyourpresenceside effects of antianxiety drugsANSWER:sedation,drowsinesss/e of antidepressants drugsANSWER:anticholinergiceffects,posturalhypotensions/e MAO inhibitorsANSWER:hypertensivecrisislithiumrequiresrenalfunctionassessmentandmonitoringANSWER:phenothiazinescauseEPS(tardicdyskinesiacanbepermanent)phenothiazinescausephotosensitivitysoclientmustwearprotectiveclothingandsunglassesANSWER:MAOinhibitorsrequiredietaryrestrictionstopreventhypertensivecrisisatypical antipsychotics drugs are also indication for maniaANSWER:monitorserumlithiumlevelscarefully.0.-1.5istherapeuticlevel,bloodshouldbedrawnevery 12 hours after last dosemanicclientscanbeverycaustictowardauthorityfiguresANSWER : avoid arguing or becoming defensivewhatactivitiesareappropriateforamanicclient?ANSWER:noncompetitivephysicalactivitiesthatrequiretheuseoflargemusclegroups
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 7 preview image6whereshouldamanicclientbeplaceontheunit?ANSWER:makeeveryattempttoreducestimuliintheenvironment,placeclientinquietpartoftheunitwhat intervention should the nurse use if the client becomes abusiveANSWER:-redirectnegativebehavior-suggestawalk-setlimitsonintrusivebehavior-secludeoradministermedicationBleuler's 4 A's for schizophreniaANSWER:autism(preoccupiedwithself)affect (flat)associations(loose)ambivalence(difficultymakingdecisions)observeforincreasedmotoractivityanderraticresponsetostaffandotherclientsANSWER:clientmayexperiencinganincreaseincommandinhallucinations,whenthisoccursthereisan increased potential for aggressive behaviordon'targuewithaclientaboutthedelusions.ANSWER:logiconlyincreasesaclient'sanxiety,sobematteroffactanddivertdelusionalthoughttorealitywhatmedicationcanthenurseexpecttoadministertochemicallydependentclients?ANSWER:libriumorativan,antabuseforalcoholabuse
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 8 preview image7whattypeoftherapyisusedwithchemicallydependentclients?ANSWER:grouptherapyharmreductionisacommunityhealthstrategydesignedtoreducetheharmofsubstanceabusetofamilies, individuals, community, and societyANSWER:denialandrationalizationarethetwomostcommoncopingstylesusedforsubstanceabusewhat basic needs take priority when working with chemically dependent clients?ANSWER:nutritionisapriority,alcoholanddrugintakehassupersededtheintakeoffoodfortheseclientswhatbehaviorsareexpectedduringwithdrawal?ANSWER:inthealcoholicDT'soccur12-36hoursafterthelastintakeofalcoholselect only one nurse to care for an abused childANSWER:abusedchildrenhavedifficultyestablishingtrust,andthechildwillbelessanxiouswithoneconsistent caregiverwomenwhoareabusedmayrationalizethespouse'sbehaviorandunnecessarilyacceptblameforhisactions.ANSWER:thewomanmayormaynotchoosetopresscharges.besuretogiveherthenumberofashelter or help lineitisdifficultforanelderlypersontoadmitabuseforfearofbeingplacedinanursinghomeorbeingabandonedANSWER:itisimperativetoestablishatrustingrelationshipwithelderlyclientrapevictimsareathighriskforPTSD.immediateinterventiontodiminishdistressisvital.
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 9 preview image8ANSWER:thenurseshouldalsoassessforandinterveneforsequelaesuchasunwantedpregnancy,STD's,andHIVinchildabuse,thenurseisresponsibleforreportingallsuspectedcasesofabuseANSWER:inintimateabuse,itstheadult'sdecisionandthenurseshouldbesupportivethe basic difference between delirium and dementia is ...ANSWER:deliriumisacuteandreversiblebutdementiaisgradualandpermanentconfusion in the elderly is often accepted as being part of growing old.ANSWER:however,theconfusionmaybecausedfromdehydrationandisusuallyduetoaspecificstressorconfabulationisnotlyingANSWER:itisusedbytheclienttodecreaseanxietyandprotecttheegoAlzheimer medicationANSWER:youcanuseatypicalantipsychotics.Clozarilisnotafrontlineagentbecauseofsideeffects.one may also give mood stabilizers, and antianxiety medicationsnursinginterventionsforconfusedelderlyANSWER:-maintainclient'shealthandsafety-encourageselfcare-reinforcerealityorientation-providesafe,consistentenvironmentprovideaconsistentcaregiverispriorityinplanningnursingcarefortheconfusedolderclient
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 10 preview image9ANSWER:changeincreasesanxietyandconfusionchildrenexperiencedepression,whichpresentsasheadaches,stomachaches,andothersomaticcomplaintsANSWER:assesssuiciderisks,especiallyintheadolescentthechild/adolescent'slackofremorseaboutantisocialbehaviorrepresentsamalfunctionofthesuperegoANSWER:theidfunctionsonthebasicinstinctlevelandstrivestomeetimmediateneeds.theegoisintouch with external reality and is the part of personality that makes decisionsprovideconsistentinterventionsforchildrenANSWER:thishelpstopreventmanipulationbecauseinconsistencydoesnothelptheclientdevelopself controlWhattypeofproceduresshouldbeassignedtoprofessionalnurses?ANSWER:Informthehealthcareproviderorphysician;recordthatthehealthcareproviderorphysicianwas informed and the health care provider's or physician's response to such information; inform thenursing supervisor; refuse to carry out the prescriptionDescribethenurse'slegalresponsibilitywhenaskedtoperformataskforwhichheorsheisunprepared.ANSWER:Informthehealthcareproviderorphysicianorpersonaskingthenursetoperformthetaskthat he or she is unprepared to carry out the task; refuse to perform the taskDescribenursingcareforarestrainedclient.ANSWER:Applyrestraintsproperly;checkrestraintsfrequentlytoseethattheyarenotcausinginjuryandrecord such monitoring;removerestraintsassoon aspossible;userestraintsonly asa last resort.DescribesixpatientrightsguaranteedunderHIPAAregulationsthatnursesmustbeawareofinpractice.
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 11 preview image10ANSWER:a.Apatientmustgivewrittenconsentbeforehealthcareproviderscanuseordisclosepersonal health informationb.Healthcareprovidersandphysiciansmustgivepatientsnoticeaboutproviders'responsibilitiesregarding patient confidentialityc.Patient'smusthaveaccesstotheirmedicationrecords;Providerswhorestrictaccessmustexplainwhyand must offer patients a description of the complaint processd.Patientshavetherighttorequestthatchangesbemadeintheirmedicalrecordstocorrectinaccuraciese.Healthcareprovidersmustfollowspecifictrackingproceduresforanydisclosuresmadethatensureaccountability for maintenance of patient confidentialityf.Patientshavetherighttorequestthathealthcareprovidersandphysiciansrestricttheuseanddisclosure of their personal health information, though the provider may decline to do so.AUAPmayperformcarethatfallswithinwhichcomponentofthenursingprocess?ANSWER:ImplementationWhatarethefiverightsofdelegation?ANSWER:A.RighttaskB.RightcircumstanceC.RightpersonD.RightdirectionorcommunicationE.RightsupervisionCommoncausesoffluidvolumedeficit:ANSWER:a.Gastrointestinalcausesb.Vomitingc.Diarrhea
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 12 preview image11d.GIsuctioninge.Decreaseinfluidintakef.Increaseinfluidoutputsuchassweatingg.Massiveedemah.AscitesCommoncausesoffluidvolumeoverload:ANSWER:a.Heartfailureb.Renalfailurec.Cirrhosisd.Excessingestionoftablesalte.OverhydrationwithsodiumcontainingfluidsIdentify two examples of isotonic IV fluids.ANSWER:a.Ringerslactateb.NormalsalineListthreesystemsthatmaintainacidbasebalance.ANSWER:a.Lungsb.Kidneysc.Chemicalbuffersnormal ABGsANSWER:a.pH:7.35-7.45b.PaCO2:35-45
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 13 preview image12c.HCO3:22-26Variablesthatincreasesurgicalrisk.ANSWER:a.Age:veryyoungandveryoldb.Obesityc.Malnutritiond.Preoperativedehydration/hypovolemiae.Preoperativeinfectionf.Useofanticoagulants(aspirin)preoperativelyWhyisaclientwithliverdiseaseatincreasedriskofoperativecomplications?ANSWER:a.Impairsabilitytodetoxifymedicationsusedduringsurgeryb.ImpairsabilitytoproduceprothrombintoreducehemorrhagePreoperativeteachingshouldincludedemonstrationandexplanationofexpectedpostoperativeclientactivities. What activities should be included?ANSWER:a.Respiratoryactivities:coughing,breathing,useofspirometerb.Exercises:rangeofmotion,legexercises,turningc.PainManagement:medicationsandsplintingd.Dietaryrestrictions:NPOevolvingtoprogressivediete.Dressingsanddrains:orientationtorecoveryroomenvironmentWhatitemsshouldthenurseassisttheclientinremovingbeforesurgery?ANSWER:Contactlenses;Glasses;Dentures;Partialplates;Wigs;Jewelry;Prosthesis;Makeup;Nailpolish.Nursingactionsthatpreventpostoperativewounddehiscenceandevisceration:
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2023 HESI Fundamental of Nursing Practice Exam With Answers (319 Solved Questions) - Page 14 preview image13ANSWER:a.Teachingclienttosplintincisionwhencoughingb.Encouragingcoughinganddeepbreathinginearlypostoperativeperiodwhensuturesarestrong.c.Monitoringforsignsofinfectiond.Malnutritione.Dehydrationf.Encouraginghigh-proteindietIdentifythreenursinginterventionsthatpreventpostoperativeurinarytractinfections.ANSWER:a.Avoidingpostoperativecatheterizationb.Increasingoralfluidintakec.Emptyingbladderevery4to6hoursd.EarlyambulationIdentifynursing/medicalinterventionsthatpreventpostoperativeparalyticileus.ANSWER:a.Earlyambulationb.Limitinguseofnarcoticanalgesicsc.NGtubedecompressionListfourinterventionsthatpreventpostoperativethrombophlebitis.ANSWER:a.Teachingperformanceofinbedlegexercisesb.Encouragingearlyambulationc.Applyingantiembolusstockingsd.Teaching avoidance of positions and pressures that obstruct venous flowWhatsixfactorsshouldthenurseincludewhenassessingthepainexperience?
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