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Fundamental HESI, Hesi Fundamentals, Hesi
Fundamentals Practice Test, UNIT 1:
Foundations of Nursing Practice Correct and Verified Answers Graded A
Nursing & Pharmacology Study Guide Multiple Choice Questions
- A hospitalized male client is receiving nasogastric tube feedings via a small-bore
- Record the coughing incident. No further action is required at this time.
- Stop the feeding, explain to the family why it is being stopped, and notify the healthcare
- After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
- Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
- The nurse is performing nasotracheal suctioning. After suctioning the client's
- Encourage the client to cough to help loosen secretions.
- Advise the client to increase the intake of oral fluids.
- Rotate the suction catheter to obtain any remaining secretions.
tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take?
provider.
Correct Answer: C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
trachea for fifteen seconds, large amounts of thick yellow secretions return. What action should the nurse implement next?
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- Re-oxygenate the client before attempting to suction again.
Correct Answer: D) Re-oxygenate the client before attempting to suction again.
- A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next
- What is your daily calorie consumption?
- What vitamin and mineral supplements do you take?
- Do you feel that you are overweight?
- Will a clear liquid diet be okay after surgery?
day. What question is most important for the nurse to include during the preoperative assessment?
Correct Answer: A) What is your daily calorie consumption?
- Examination of a client complaining of itching on his right arm reveals a rash made
- Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
- Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
- Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
- Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter.
- The nurse is instructing a client with high cholesterol about diet and life style
- If I exercise at least two times weekly for one hour, I will lower my cholesterol.
- I need to avoid eating proteins, including red meat.
- I will limit my intake of beef to 4 ounces per week.
- My blood level of low density lipoproteins needs to increase.
up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
Correct Answer: B) Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
modification. What comment from the client indicates that the teaching has been effective?
Correct Answer: C) I will limit my intake of beef to 4 ounces per week.
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- The nurse plans to obtain health assessment information from a primary source.
- Client.
- Healthcare provider.
- A family member.
- Previous medical records.
Which option is a primary source for the completion of the health assessment?
Correct Answer: A) Client.
- An adult male client with a history of hypertension tells the nurse that he is tired of
- It is important that you continue your medication while learning to meditate.
- Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
- Obtain your healthcare provider's permission before starting meditation.
- Complementary therapy and western medicine can be effective for you.
- Which action is most important for the nurse to implement when donning sterile
- Maintain thumb at a ninety degree angle.
- Hold hands with fingers down while gloving.
- Keep gloved hands above the elbows.
- Put the glove on the dominant hand first.
taking antihypertensive medications and is going to try spiritual meditation instead.What should be the nurse's first response?
Correct Answer: A) It is important that you continue your medication while learning to meditate.
gloves?
Correct Answer: C) Keep gloved hands above the elbows.
- When assisting an 82-year-old client to ambulate, it is important for the nurse to
realize that the center of gravity for an elderly person is the:
- Arms.
- Upper torso.
- Head.
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- Feet.
Correct Answer: B) Upper torso.
- Which assessment data would provide the most accurate determination of proper
- Aspirating gastric contents to assure a pH value of 4 or less.
- Hearing air pass in the stomach after injecting air into the tubing.
- Examining a chest x-ray obtained after the tubing was inserted.
- Checking the remaining length of tubing to ensure that the correct length was inserted.
placement of a nasogastric tube?
Correct Answer: C) Examining a chest x-ray obtained after the tubing was inserted.
- A female client with a nasogastric tube attached to low suction states that she is
- Irrigate the nasogastric tube with sterile normal saline.
- Reposition the client on her side.
- Advance the nasogastric tube an additional five centimeters.
- Administer an intravenous antiemetic prescribed for PRN use.
nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first?
Correct Answer: B) Reposition the client on her side.
- The UAPs working on a chronic neuro unit ask the nurse to help them determine
- Place the chair at a right angle to the bed on the client's left side before moving.
- Assist the client to a standing position, then place the right hand on the armrest.
- Have the client place the left foot next to the chair and pivot to the left before sitting.
- Move the chair parallel to the right side of the bed, and stand the client on the right foot.
the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client?
Correct Answer: D) Move the chair parallel to the right side of the bed, and stand the client on the right foot.
