NURSING 201 - KEY FUNDAMENTALS SKILLS HESI EXAM 2021 - 2022 UPDATED
NURSING 201 Fundamentals
1. 1.ID: 310989309
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to
the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. Correct
2. 2.ID: 311018751
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water. Correct
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
3. 3.ID: 310953495
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an aroundtheclock schedule for administration of
analgesics. Correct
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medicationfree period so that the client can do daily activities.
4. 4.ID: 310965989
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand
are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint. Correct
, B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
5. 5.ID: 310959857
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A collegeage track runner with a sprained ankle.
B. A lactating woman nursing her 3dayold infant. Correct
C. A schoolaged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
6. 6.ID: 311028939
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg
IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance
form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300. Correct
7. 7.ID: 310953457
While instructing a male client's wife in the performance of passive rangeofmotion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly. Correct
B. Encourage her to keep the joint covered to maintain warmth.
, C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
8. 8.ID: 310978673
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a
thrombosis. Correct
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
9. 9.ID: 310949430
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a
cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What
action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff. Correct
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
10. 10.ID: 310951961
A client is receiving a secondary infusion of a 300 mg dose medication q6 hour. The preparation
arrives from the pharmacy diluted in 50 mL of 0.9% Sodium Chloride (NaCl). The nurse plans to
administer the dose over 20 minutes. For how many mL/hour should the nurse program the infusion
pump to deliver the secondary infusion? (Enter the numeric value only.)
Correct Responses: "150"
11. 11.ID: 310965943
Twenty minutes after beginning a heat application, the client states that the heating pad no longer
feels warm enough. What is the best response by the nurse?
NURSING 201 Fundamentals
1. 1.ID: 310989309
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to
the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. Correct
2. 2.ID: 311018751
The nurse is administering medications through a nasogastric tube (NGT) which is connected to
suction. After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water. Correct
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
3. 3.ID: 310953495
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an aroundtheclock schedule for administration of
analgesics. Correct
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medicationfree period so that the client can do daily activities.
4. 4.ID: 310965989
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand
are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint. Correct
, B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
5. 5.ID: 310959857
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A collegeage track runner with a sprained ankle.
B. A lactating woman nursing her 3dayold infant. Correct
C. A schoolaged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
6. 6.ID: 311028939
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg
IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance
form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300. Correct
7. 7.ID: 310953457
While instructing a male client's wife in the performance of passive rangeofmotion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow.
What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly. Correct
B. Encourage her to keep the joint covered to maintain warmth.
, C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion.
8. 8.ID: 310978673
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a
thrombosis. Correct
C. A cannulated extremity is more difficult to move when the leg or foot is
used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
9. 9.ID: 310949430
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a
cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What
action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff. Correct
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
10. 10.ID: 310951961
A client is receiving a secondary infusion of a 300 mg dose medication q6 hour. The preparation
arrives from the pharmacy diluted in 50 mL of 0.9% Sodium Chloride (NaCl). The nurse plans to
administer the dose over 20 minutes. For how many mL/hour should the nurse program the infusion
pump to deliver the secondary infusion? (Enter the numeric value only.)
Correct Responses: "150"
11. 11.ID: 310965943
Twenty minutes after beginning a heat application, the client states that the heating pad no longer
feels warm enough. What is the best response by the nurse?
