Question

A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. What action should the nurse Implement to cope with these feelings of frustration?

Answer 1

Correct Answers:

Examine one's own culturally based values, beliefs, attitudes, and practices.

Rationale :

🔷 This encourages cultural self-awareness, which helps the nurse recognize personal biases that may contribute to frustration.

🔷 Culturally competent care requires that nurses examine their own cultural assumptions before judging others.

🔷 This promotes respectful, therapeutic relationships with clients and families from diverse backgrounds.

🔷 Self-examination helps prevent misunderstanding or miscommunication in multicultural care.

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Answer 2

Correct Answers:

Withhold the administration of the suppository until contacting the healthcare provider.

Rationale :

🔷 Rectal bleeding may indicate mucosal damage, hemorrhoids, or infection, and further insertion could worsen the injury.

🔷 Withholding the suppository protects the patient from complications or perforation.

🔷 The provider must assess whether an alternative route or medication is needed.

🔷 Always notify the healthcare provider when an abnormal finding affects medication administration

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Answer 3

Correct Answers:

Verify the consistency of fluids on the prescribed diet.

Rationale :

🔷 The priority is to ensure that fluids on the tray match the client’s prescribed swallowing precautions.

🔷 Clients with aspiration risk require modified consistency fluids, such as thickened liquids.

🔷 Verification prevents complications such as aspiration pneumonia.

🔷 This should be done before the client consumes anything.

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Answer 4

Correct Answers:

Instruct the client to take slow deep breaths and stop bearing down.

Rationale :

🔷 Bearing down while holding breath is the Valsalva maneuver, which can lead to bradycardia and cardiovascular complications.

🔷 Teaching slow deep breathing helps the client relax without increasing vagal stimulation.

🔷 This prevents unintended strain and promotes safety during rectal procedures.

🔷 Nurses must guide clients to avoid straining, especially with cardiac risk.

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Answer 5

Correct Answers:

Risk for aspiration.

Rationale :

🔷 Coughing during meals is a strong indicator of swallowing dysfunction, raising the risk of aspiration.

🔷 Aspiration can lead to respiratory infections or pneumonia, making this a priority diagnosis.

🔷 Identifying this risk allows for dietary modification and speech therapy referral.

🔷 Prevention strategies like thickened liquids and upright positioning may be needed.

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Answer 6

Correct Answers:

1.5

Rationale :

🔷 0.1 gram = 100 mg. Therefore, 150 mg ÷ 100 mg = 1.5 tablets.

🔷 The calculation is straightforward unit conversion: mg to grams.

🔷 Rounding is not needed as the result is already to the nearest tenth, and the tablets are scored.

🔷 Always double-check for dose accuracy and rounding instructions.

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Answer 7

Correct Answers:

Witness the client's signature on the consent form.

Rationale :

🔷 Verbal consent is not legally sufficient—written informed consent is required for procedures.

🔷 The nurse's role is to witness the client’s signature, not to obtain consent or verify it independently.

🔷 The consent confirms the client’s understanding and voluntary agreement to the procedure.

🔷 Proper documentation ensures legal and ethical compliance.

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Answer 8

Correct Answers:

The drainage tubing is secured over the siderail.

Rationale :

🔷 Securing tubing to the siderail risks tension and backflow during bed movement, increasing infection risk.

🔷 This interferes with gravity drainage and can cause trauma to the bladder.

🔷 The tubing should be secured to the bed frame, not the rail.

🔷 This is the most urgent issue that requires immediate correction.

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Answer 9

Correct Answers:

Sensory pattern, area, intensity, and nature of the pain.

Rationale :

🔷 A complete pain assessment using PQRST or OLDCART format is critical to tailor pain management.

🔷 Understanding the quality, location, and severity of pain helps differentiate neuropathic vs. nociceptive pain.

🔷 This also allows for proper analgesic planning and reassessment.

🔷 Documenting comprehensive findings supports effective communication with the care team.

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Answer 10

Correct Answers:

Continue gabapentin.

Rationale :

🔷 Gabapentin is effective for neuropathic pain and should be continued as part of a multimodal regimen.

🔷 Step 2 of the WHO ladder supports co-analgesics + weak opioids as needed, not discontinuation.

🔷 Stopping gabapentin may worsen symptoms, especially in diabetic neuropathy.

🔷 It's best to maintain baseline pain control while adjusting therapy.

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Hesi-RN Fundamentals Practice Exam

No.

1 :
A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. What action should the nurse Implement to cope with these feelings of frustration?

2 :
The nurse is preparing to insert a rectal suppository and observes a small amount of rectal bleeding. Which action should the nurse implement?

4 :
While preparing to insert a rectal suppository in a client, the nurse observes that the client is holding a breath while bearing down. Which action should the nurse implement?

5 :
The nurse notes that a client consistently coughs while eating and drinking. Which nursing diagnosis is most important for the nurse to include in this client's plan of care?

6 :
Secobarbital 150 mg is prescribed at bedtime for a male client who is scheduled for surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

7 :
A client arrives at the outpatient surgery center for a scheduled needle aspiration of the knee and tells the nurse that verbal consent for the procedure was given to the healthcare provider. Which action should the nurse implement?

8 :
When assessing a client with an indwelling urinary catheter, which observation requires the most immediate intervention by the nurse?

9 :
A female client who has breast cancer with metastasis to the liver and spine is admitted with constant, severe pain despite around-the-clock use of oxycodone and amitriptyline for pain control at home. During the admission assessment, which information is most important for the nurse to obtain?

10 :
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes gabapentin and ibuprofen daily. If Step 2 of the World Health Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?

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Hesi-RN Fundamentals Practice Exam

No.

1 : A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. What action should the nurse Implement to cope with these feelings of frustration?

2 : The nurse is preparing to insert a rectal suppository and observes a small amount of rectal bleeding. Which action should the nurse implement?

4 : While preparing to insert a rectal suppository in a client, the nurse observes that the client is holding a breath while bearing down. Which action should the nurse implement?

5 : The nurse notes that a client consistently coughs while eating and drinking. Which nursing diagnosis is most important for the nurse to include in this client's plan of care?

6 : Secobarbital 150 mg is prescribed at bedtime for a male client who is scheduled for surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

7 : A client arrives at the outpatient surgery center for a scheduled needle aspiration of the knee and tells the nurse that verbal consent for the procedure was given to the healthcare provider. Which action should the nurse implement?

8 : When assessing a client with an indwelling urinary catheter, which observation requires the most immediate intervention by the nurse?

9 : A female client who has breast cancer with metastasis to the liver and spine is admitted with constant, severe pain despite around-the-clock use of oxycodone and amitriptyline for pain control at home. During the admission assessment, which information is most important for the nurse to obtain?

10 : A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes gabapentin and ibuprofen daily. If Step 2 of the World Health Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?

1 :
A nurse is becoming increasingly frustrated by the family members' efforts to participate in the care of a hospitalized client. What action should the nurse Implement to cope with these feelings of frustration?

2 :
The nurse is preparing to insert a rectal suppository and observes a small amount of rectal bleeding. Which action should the nurse implement?

4 :
While preparing to insert a rectal suppository in a client, the nurse observes that the client is holding a breath while bearing down. Which action should the nurse implement?

5 :
The nurse notes that a client consistently coughs while eating and drinking. Which nursing diagnosis is most important for the nurse to include in this client's plan of care?

6 :
Secobarbital 150 mg is prescribed at bedtime for a male client who is scheduled for surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

7 :
A client arrives at the outpatient surgery center for a scheduled needle aspiration of the knee and tells the nurse that verbal consent for the procedure was given to the healthcare provider. Which action should the nurse implement?

8 :
When assessing a client with an indwelling urinary catheter, which observation requires the most immediate intervention by the nurse?

9 :
A female client who has breast cancer with metastasis to the liver and spine is admitted with constant, severe pain despite around-the-clock use of oxycodone and amitriptyline for pain control at home. During the admission assessment, which information is most important for the nurse to obtain?

10 :
A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes gabapentin and ibuprofen daily. If Step 2 of the World Health Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented?