HESI Fundamentals 2 Practice Questions Correct and Verified Answers Graded A

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Hesi Fundamentals 2 Practice Questions Correct and Verified Answers Graded A

• A postoperative client will need to perform daily dressing changes after discharge.

Which outcome statement best demonstrates the client's readiness to manage his wound care after discharge?

• asks relevant questions regarding the dressing change
• states he will be able to complete the wound care regimen
• demonstrates the wound care procedure correctly
• has all the necessary supplies for wound care

Correct Answer: c. demonstrates the wound care procedure correctly

• In developing a plan of care for a client with dementia, the nurse should remember

that confusion in the elderly:

• is often to be expected, and progresses with age
• often follows relocation to new surroundings
• is a result of irreversible brain pathology
• can be prevented with adequate sleep

Correct Answer: b. often follows relocation to new surroundings

• When assessing 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

• A client with chronic kidney disease selects a scrambled egg for his breakfast. What

action should the nurse take?

• commend the client for selecting a high biologic value protein
• remind the client that protein in the diet should be avoided
• suggest that the client also select orange juice, to promote absorption
• encourage the client to attend classes on dietary management of CKD

Correct Answer: a. commend the client for selecting a high biologic value protein

• A male client tells the nurse that he does not know where he is or what year it is.

What data should the nurse document that is most accurate?

• demonstrate loss of remote memory
• exhibits expressive dysphagia
• has a diminished attention span
• is disoriented to place and time

Correct Answer: d. is disoriented to place and time

• A hospitalized male patient is receiving nasogastric feedings via a small-bore tube

and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but now feels fine. What action is the best for the nurse to take?

• 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 HCP
• after clearing the tube with 30mL 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

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Correct Answer: c. stop the feeding, explain to the family why it is being stopped, and notify HCP

• A female client with a nasogastric tube attached to low suction states that she is

nauseated. The nurse assesses that there has been no drainage through the NG tube the last 2 hours. What action should the nurse take first?

• 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

Correct Answer: b. reposition the client on her side

• Three days following surgery, a male client observes his colostomy for the first time.

He becomes quite upset and tells the nurse that it is much bigger than he expected.What is the best response by the nurse?

• reassure the client that he will become accustomed to the stoma appearance in time
• instruct the client that the stoma will become smaller when the initial swelling

diminishes

• offer to contact a member of the local ostomy support group to help him with his

concerns

• encourage the client to handle the stoma equipment to gain confidence with the

procedure Correct Answer: b. instruct the client that the stoma will become smaller when the initial swelling diminishes

• Which assessment data provides the most accurate determination of proper

placement of a nasogastric tube?

• aspirating gastric contents to assure a pH value of 4 or less
• hearing air pass in the stomach after injecting air into the tubing

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• 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

Correct Answer: c. examining a chest x-ray obtained after tubing was inserted

• The healthcare provider prescribes an IV infusion of 1,000mL Ringer's Lactate with

30 units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by caesarean section. The tubing has been changed to a 20 gtt/mL administration set. The nurse plans to set the flow rate at how many gtt/min?

• 42 gtt/min
• 83 gtt/min
• 125 gtt/min
• 250 gtt/min

Correct Answer: b. 83 gtt/min

• The nurse observes that a male client has removed the covering from an ice pack

applied to his knee. What action should the nurse take first?

• observe the appearance of the skin under the ice pack
• instruct the client regarding the need for the covering
• reapply the covering after filling with fresh ice
• ask the client how long the ice was applied to the skin

Correct Answer: a. observe the appearance of the skin under the ice pack

• The nurse mixes 50 mg of Nipride in 250mL of D5W and plans to administer the

solution at a rate of 5mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60gtt/mL how many drops per minute should the client receive?

• 31 gtt/min
• 62 gtt/min
• 93 gtt/min