NUR 112 HESI EXAM PREP TEST BANK 1 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027| NUR 112 –
FUNDAMENTAL CONCEPTS OF NURSING
A 4-month-old infant is admitted to the pediatric unit. How does the primary nurse
expect the infant to behave when approached?
a. Smile socially in recognition of the nurse
b. Cry when the nurse approaches for the first time
c. Reach out to the nurse for the attention that is being offered
d. Cling to the mother when the nurse tries to establish contact
C!
The infant has not yet recognized boundaries between self and mother and is not
particular about who meets and resolves needs. The infant is most likely reaching
out for attention. A social smile does not indicate recognition of a specific person,
only a human face. The infant does not yet differentiate familiar faces from those of
strangers. The infant does not understand or fear separation from the mother yet.
When a nurse requests that a client's pain intensity be rated on a scale of 0 to 10, the
client states that the pain is "99." The nurse concludes that the client:
a. Needs the instructions to be repeated.
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,b. Requires an intervention immediately.
c. Does not understand the numeric scale.
d. Is using humor to get the nurse's attention.
B!
The nurse is caring for an Asian client who had a laparoscopic cholecystectomy six
hours ago. When asked whether there is pain, the client smiles and says, "No." What
should the nurse do?
a. Monitor for nonverbal cues of pain.
b. Check the pressure dressing for bleeding.
c. Assist the client to ambulate around his room.
d. Irrigate the client's nasogastric tube with sterile water.
A!
Asian clients tend to be stoic regarding pain and usually do not acknowledge pain;
therefore, the nurse should assess these clients further. This type of surgery does
not require pressure dressings. First, the client must be assessed further for pain. If
there is pain, the client should ambulate after, not before, receiving pain
medication. Postoperatively, nasogastric tubes are irrigated when needed, not
routinely.
Health promotion efforts within the health care system should include efforts related to
secondary prevention. Which activities reflect secondary prevention interventions in
relation to health promotion? Select all that apply.
2|Page
,a. Encouraging regular dental checkups
b. Facilitating smoking cessation programs
c. Administering influenza vaccines to older adults
d. Teaching the procedure for breast self-examination
e. Referring clients with a chronic illness to a support group
A & D!
Encouraging regular dental checkups is a secondary prevention activity because it
emphasizes early detection of health problems, such as dental caries and
gingivitis. Teaching the procedure for breast self-examination is a secondary
prevention activity because it emphasizes early detection of problems of the
breast, such as cancer. Facilitating smoking cessation programs is a primary
prevention activity because it emphasizes health protection against heart and
respiratory diseases. Administering influenza vaccines to older adults is a primary
prevention activity because it emphasizes health protection against influenza.
Referring clients with a chronic illness to a support group is a tertiary prevention
activity because it emphasizes care that is provided after illness already exists.
A gavage feeding is prescribed for an infant. How does the nurse determine the length of
tube needed to reach the stomach?
a. The tube is advanced until resistance is met.
b. The tube is advanced until gastric contents are aspirated.
c. A measurement is made from nose to earlobe and then to the epigastric area.
3|Page
, d. A measurement is made from mouth to umbilicus and then half that distance is
added.
C!
Before inserting the gastric tube, the nurse measures the anatomical pathway that
the tube will travel, which is from the nose to the earlobe (corresponding to the
nasopharynx) to the epigastric area of the abdomen (the lower end of the stomach).
The tube is then marked and inserted until the mark is reached. Advancing the tube
without measuring for the potential length of the tube to reach the stomach is
unsafe. Without premeasuring, the tube may be advanced too far or not far enough.
Inserting the tube to the point where gastric contents are aspirated may not place
the tube well into the stomach, which can increase the risk of aspiration.
Measuring from mouth to umbilicus and then adding half that distance will yield a
distance that is too long.
During change of shift report the night nurse indicates that a client cannot tolerate the
prescribed intermittent tube feedings. The nurse receiving report should first:
a. Suggest that an antiemetic be prescribed
b. Change the feeding schedule to omit nights
c. Request that the type of solution be changed
d. Gather more data from the night nurse about the technique used
D!
Rapid administration, incorrect positioning, and inadequate solution temperature
are common causes of intolerance to tube feedings. Although suggesting that an
antiemetic be prescribed may be done eventually, the feeding technique should be
assessed first. Feedings generally are tolerated better if given frequently in small
amounts over the entire 24 hours. Although changing the feeding schedule to omit
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027| NUR 112 –
FUNDAMENTAL CONCEPTS OF NURSING
A 4-month-old infant is admitted to the pediatric unit. How does the primary nurse
expect the infant to behave when approached?
a. Smile socially in recognition of the nurse
b. Cry when the nurse approaches for the first time
c. Reach out to the nurse for the attention that is being offered
d. Cling to the mother when the nurse tries to establish contact
C!
The infant has not yet recognized boundaries between self and mother and is not
particular about who meets and resolves needs. The infant is most likely reaching
out for attention. A social smile does not indicate recognition of a specific person,
only a human face. The infant does not yet differentiate familiar faces from those of
strangers. The infant does not understand or fear separation from the mother yet.
When a nurse requests that a client's pain intensity be rated on a scale of 0 to 10, the
client states that the pain is "99." The nurse concludes that the client:
a. Needs the instructions to be repeated.
1|Page
,b. Requires an intervention immediately.
c. Does not understand the numeric scale.
d. Is using humor to get the nurse's attention.
B!
The nurse is caring for an Asian client who had a laparoscopic cholecystectomy six
hours ago. When asked whether there is pain, the client smiles and says, "No." What
should the nurse do?
a. Monitor for nonverbal cues of pain.
b. Check the pressure dressing for bleeding.
c. Assist the client to ambulate around his room.
d. Irrigate the client's nasogastric tube with sterile water.
A!
Asian clients tend to be stoic regarding pain and usually do not acknowledge pain;
therefore, the nurse should assess these clients further. This type of surgery does
not require pressure dressings. First, the client must be assessed further for pain. If
there is pain, the client should ambulate after, not before, receiving pain
medication. Postoperatively, nasogastric tubes are irrigated when needed, not
routinely.
Health promotion efforts within the health care system should include efforts related to
secondary prevention. Which activities reflect secondary prevention interventions in
relation to health promotion? Select all that apply.
2|Page
,a. Encouraging regular dental checkups
b. Facilitating smoking cessation programs
c. Administering influenza vaccines to older adults
d. Teaching the procedure for breast self-examination
e. Referring clients with a chronic illness to a support group
A & D!
Encouraging regular dental checkups is a secondary prevention activity because it
emphasizes early detection of health problems, such as dental caries and
gingivitis. Teaching the procedure for breast self-examination is a secondary
prevention activity because it emphasizes early detection of problems of the
breast, such as cancer. Facilitating smoking cessation programs is a primary
prevention activity because it emphasizes health protection against heart and
respiratory diseases. Administering influenza vaccines to older adults is a primary
prevention activity because it emphasizes health protection against influenza.
Referring clients with a chronic illness to a support group is a tertiary prevention
activity because it emphasizes care that is provided after illness already exists.
A gavage feeding is prescribed for an infant. How does the nurse determine the length of
tube needed to reach the stomach?
a. The tube is advanced until resistance is met.
b. The tube is advanced until gastric contents are aspirated.
c. A measurement is made from nose to earlobe and then to the epigastric area.
3|Page
, d. A measurement is made from mouth to umbilicus and then half that distance is
added.
C!
Before inserting the gastric tube, the nurse measures the anatomical pathway that
the tube will travel, which is from the nose to the earlobe (corresponding to the
nasopharynx) to the epigastric area of the abdomen (the lower end of the stomach).
The tube is then marked and inserted until the mark is reached. Advancing the tube
without measuring for the potential length of the tube to reach the stomach is
unsafe. Without premeasuring, the tube may be advanced too far or not far enough.
Inserting the tube to the point where gastric contents are aspirated may not place
the tube well into the stomach, which can increase the risk of aspiration.
Measuring from mouth to umbilicus and then adding half that distance will yield a
distance that is too long.
During change of shift report the night nurse indicates that a client cannot tolerate the
prescribed intermittent tube feedings. The nurse receiving report should first:
a. Suggest that an antiemetic be prescribed
b. Change the feeding schedule to omit nights
c. Request that the type of solution be changed
d. Gather more data from the night nurse about the technique used
D!
Rapid administration, incorrect positioning, and inadequate solution temperature
are common causes of intolerance to tube feedings. Although suggesting that an
antiemetic be prescribed may be done eventually, the feeding technique should be
assessed first. Feedings generally are tolerated better if given frequently in small
amounts over the entire 24 hours. Although changing the feeding schedule to omit
4|Page
