Fundamentals HESI Exam Questions With Complete
Solutions
A client is prescribed a medication that is labeled as a sustained
released (SR). What action should the practical nurse (PN)
implement when administering this drug form?
Instruct the client to chew the medication.
Do not crush or dissolve the tablet or capsule contents.
Obtain a different drug form for administration.
Delay giving the medication until the stomach is empty. Correct
Answers Do not crush or dissolve the tablet or capsule contents.
A client is receiving a continuous tube feeding. While checking
the gastric residual volume, the practical nurse (PN) aspirates
150 ml of gastric contents. W hat action should the PN take?
Rinse the feeding tube after throwing the aspirated gastric
contents away and restart the feeding.
Replace half of the aspirated gastric contents and slow the rate
of the feeding.
Throw the aspirated gastric contents away and stop the
continuous feeding.
Return all the aspirated contents to the stomach followed with
water and consult the agency policy. Correct Answers Return
all the aspirated contents to the stomach followed with water and
consult the agency policy.
A client is receiving a daily prescription for furosemide (Lasix)
40 mg PO but is unable to swallow. The practical nurse (PN)
,should consult with the healthcare provider about which
component of the prescription?
Time of the dose.
The prescribed dosage.
The route of administration.
Available generic drug. Correct Answers The route of
administration.
A client is receiving a Mantoux test for tuberculosis screening.
Which angle should the practical nurse (PN) insert the needle for
injection?
15 degrees.
30 degrees.
45 degrees.
90 degrees. Correct Answers 15 degrees.
A client receiving supplemental oxygen needs to be suctioned to
remove excess secretions from the airway. Which intervention
should the practical nurse implement to maximize the client's
oxygenation?
Encourage deep breathing prior to suctioning.
Increase the oxygen flow rate during suctioning attempts.
Provide oxygen during rest periods between suctioning.
Limit suctioning attempts to 5 second intervals. Correct
Answers Provide oxygen during rest periods between
suctioning.
, A client who has a pressure-relieving mattress overlay is
mobilized to a chair and imprints of the client's buttocks, heels,
and scapula are evident on the mattress overlay. What action
should the practical nurse implement?
Turn the mattress overlay to the opposite side.
No action is needed because this is the mechanism of action for
the overlay.
Apply a different pressure-relieving device and assess its
effectiveness for this client.
Reinforce with cushions between the mattress and the overlay
where the imprints are located. Correct Answers Apply a
different pressure-relieving device and assess its effectiveness
for this client.
A client with cancer who has been taking opioid analgesics for
two years now requires increased doses to obtain pain relief. The
client expresses fear about becoming addicted to these drugs.
What information should the practical nurse (PN) provide?
Opioid use with cancer does not cause addiction.
Addiction is easily reversed if it occurs during pain
management.
Prescribed opiates for cancer pain relief improve qualify of life.
Opioid dosages can be tapered if a client fears addiction. Correct
Answers Prescribed opiates for cancer pain relief improve
qualify of life.
A client with gastroenteritis, nausea, and vomiting is currently
on "Nothing by mouth" (NPO) status. The healthcare provider
Solutions
A client is prescribed a medication that is labeled as a sustained
released (SR). What action should the practical nurse (PN)
implement when administering this drug form?
Instruct the client to chew the medication.
Do not crush or dissolve the tablet or capsule contents.
Obtain a different drug form for administration.
Delay giving the medication until the stomach is empty. Correct
Answers Do not crush or dissolve the tablet or capsule contents.
A client is receiving a continuous tube feeding. While checking
the gastric residual volume, the practical nurse (PN) aspirates
150 ml of gastric contents. W hat action should the PN take?
Rinse the feeding tube after throwing the aspirated gastric
contents away and restart the feeding.
Replace half of the aspirated gastric contents and slow the rate
of the feeding.
Throw the aspirated gastric contents away and stop the
continuous feeding.
Return all the aspirated contents to the stomach followed with
water and consult the agency policy. Correct Answers Return
all the aspirated contents to the stomach followed with water and
consult the agency policy.
A client is receiving a daily prescription for furosemide (Lasix)
40 mg PO but is unable to swallow. The practical nurse (PN)
,should consult with the healthcare provider about which
component of the prescription?
Time of the dose.
The prescribed dosage.
The route of administration.
Available generic drug. Correct Answers The route of
administration.
A client is receiving a Mantoux test for tuberculosis screening.
Which angle should the practical nurse (PN) insert the needle for
injection?
15 degrees.
30 degrees.
45 degrees.
90 degrees. Correct Answers 15 degrees.
A client receiving supplemental oxygen needs to be suctioned to
remove excess secretions from the airway. Which intervention
should the practical nurse implement to maximize the client's
oxygenation?
Encourage deep breathing prior to suctioning.
Increase the oxygen flow rate during suctioning attempts.
Provide oxygen during rest periods between suctioning.
Limit suctioning attempts to 5 second intervals. Correct
Answers Provide oxygen during rest periods between
suctioning.
, A client who has a pressure-relieving mattress overlay is
mobilized to a chair and imprints of the client's buttocks, heels,
and scapula are evident on the mattress overlay. What action
should the practical nurse implement?
Turn the mattress overlay to the opposite side.
No action is needed because this is the mechanism of action for
the overlay.
Apply a different pressure-relieving device and assess its
effectiveness for this client.
Reinforce with cushions between the mattress and the overlay
where the imprints are located. Correct Answers Apply a
different pressure-relieving device and assess its effectiveness
for this client.
A client with cancer who has been taking opioid analgesics for
two years now requires increased doses to obtain pain relief. The
client expresses fear about becoming addicted to these drugs.
What information should the practical nurse (PN) provide?
Opioid use with cancer does not cause addiction.
Addiction is easily reversed if it occurs during pain
management.
Prescribed opiates for cancer pain relief improve qualify of life.
Opioid dosages can be tapered if a client fears addiction. Correct
Answers Prescribed opiates for cancer pain relief improve
qualify of life.
A client with gastroenteritis, nausea, and vomiting is currently
on "Nothing by mouth" (NPO) status. The healthcare provider
