Fundamentals HESI Practice updated 2024
1. nOlder nfemale nclient ncan't nsleep nat nnight. nNurse nrecommends nSATA
A. nTake nafternoon nnap
B. nAsk nHCP nfor nprescription nof nmild nsedative nat nbedtime
C. nEstablish nregular ntime nfor ngetting nup nand ngoing nto nbed
D. nDrink nwhiskey, nwater nand nhoney nbefore nbed
E. nAvoid ndrinking ncaffeine nbefore nbedtime n- nanswer-Ans: nC, nE
2. nThe nnurse nhas nbeen nalerted nby nthe nEMR nwhen nscanning nthe ndispensed nmedication nthat
n the ndosage nis ntwo ntimes nhigher nthan nthe nprescribed ndose. nThe nnurse nshould:
A. nReport nmismatch nof nprescription nand navailable ndosages
B. nWithhold nmedication nuntil nexact ndose nis navailable
C. nAsk npharmacy nif nanother ndose ncan nbe ndispensed
D. nCalculate ndose non nhand nto nmatch nthe nprescribed ndose n- nanswer-Ans: nD
3. nA npatient ndiagnosed nwith nsmall nbowel nobstruction nrefuses nsurgery. nThe nnurse nshould:
A. nAssess nclient nneeds nfor nantiemetics nand npain nmedications
B. nPrepare nnasogastric ntube ncompress
C. nSent npatient nto nCT nabdominal nscan
D. nNotify nHCP nthat npatient nrefuses nsurgery n- nanswer-Ans: nD
4. nWhat nis nthe nmost nimportant nfactor nfor nobesity nreferral?
A. nBMI n>35
B. nClient nexpressed ndesire nto nlose n50 npounds
C. nBody nweight nis n10% nover nideal nweight
D. nDaily ncalorie nintake nis n3,500 n- nanswer-Ans: nA
, 5. nAn nelderly npatient nreturns nto nthe nclinic nfor nchronic npain nmanagement. nHe nis nprescribed
n MS nContin nPO nQ12H. nHe nstates nthat nhe nonly ntakes nit nwhen nthe npain nis nso nsevere nthat nhe
n can't nsleep. n
A. nLong ntime nuse nof nopioids nmay ncause ndrug naddiction
B. nTake nmedication nQ12H nas nprescribed
C. nTeach nalternative nmethods nfor npain nmanagement
D. nContinue ntaking nMS nContin nfor nsevere npain. n- nanswer-Ans: nB
6. nIM nventrogluteal nlandmark
A. nUpper nouter nquadrant nof nbuttock
B. nDeltoid
C. nKnee nand ngreater ntrochanter
D. nGreater ntrochanter nand nanterior nsuperior niliac nspine n- nanswer-Ans: nD
7. nA nclient nwith na nnasogastric ntube nis nreceiving nlow nintermittent nsuction nand nis
n complaining nof ndry nmouth. nWhat nshould nthe nnurse nimplement?
A. nTell nthe nclient nthat nthe nmucosa nmust nstay ndry nto nprevent naspiration
B. nTurn noff nsuction nso nthat nthe nclient ncan nrinse nhis nmouth nwith ncold nwater
C. nProvide noral nsponge ntoothettes nso nthe nclient ncan nclean nand nmoisten nhis nmouth
D. nInstill n50 nmL nof nnormal nsaline nand nclamp n- nanswer-Ans: nC
8. nA nclient nwho nis n12 ndays npost nop ncomplains nof nthoracic nincisional npain n2 nhours nafter nhe
n received nhis npain nmedication. nThe nHCP nhas nbeen ncalled. nWhat nshould nthe nnurse ndo nnext?
A. nGuided nimagery nand ndeep nbreathing
B. nTurn non na nT.V. nshow nand nmusic nfor ndistraction
C. nPut na nhot ndevice non nthe narea
D. nProvide na n20 nminute nback nmassage n- nanswer-Ans: nA
9. nA npost-op npatient nis ngrimacing nwhen nmoving nfrom nbed nto nchair nbut ndenies npain. nWhat
n should nthe nnurse ndo nnext?
1. nOlder nfemale nclient ncan't nsleep nat nnight. nNurse nrecommends nSATA
A. nTake nafternoon nnap
B. nAsk nHCP nfor nprescription nof nmild nsedative nat nbedtime
C. nEstablish nregular ntime nfor ngetting nup nand ngoing nto nbed
D. nDrink nwhiskey, nwater nand nhoney nbefore nbed
E. nAvoid ndrinking ncaffeine nbefore nbedtime n- nanswer-Ans: nC, nE
2. nThe nnurse nhas nbeen nalerted nby nthe nEMR nwhen nscanning nthe ndispensed nmedication nthat
n the ndosage nis ntwo ntimes nhigher nthan nthe nprescribed ndose. nThe nnurse nshould:
A. nReport nmismatch nof nprescription nand navailable ndosages
B. nWithhold nmedication nuntil nexact ndose nis navailable
C. nAsk npharmacy nif nanother ndose ncan nbe ndispensed
D. nCalculate ndose non nhand nto nmatch nthe nprescribed ndose n- nanswer-Ans: nD
3. nA npatient ndiagnosed nwith nsmall nbowel nobstruction nrefuses nsurgery. nThe nnurse nshould:
A. nAssess nclient nneeds nfor nantiemetics nand npain nmedications
B. nPrepare nnasogastric ntube ncompress
C. nSent npatient nto nCT nabdominal nscan
D. nNotify nHCP nthat npatient nrefuses nsurgery n- nanswer-Ans: nD
4. nWhat nis nthe nmost nimportant nfactor nfor nobesity nreferral?
A. nBMI n>35
B. nClient nexpressed ndesire nto nlose n50 npounds
C. nBody nweight nis n10% nover nideal nweight
D. nDaily ncalorie nintake nis n3,500 n- nanswer-Ans: nA
, 5. nAn nelderly npatient nreturns nto nthe nclinic nfor nchronic npain nmanagement. nHe nis nprescribed
n MS nContin nPO nQ12H. nHe nstates nthat nhe nonly ntakes nit nwhen nthe npain nis nso nsevere nthat nhe
n can't nsleep. n
A. nLong ntime nuse nof nopioids nmay ncause ndrug naddiction
B. nTake nmedication nQ12H nas nprescribed
C. nTeach nalternative nmethods nfor npain nmanagement
D. nContinue ntaking nMS nContin nfor nsevere npain. n- nanswer-Ans: nB
6. nIM nventrogluteal nlandmark
A. nUpper nouter nquadrant nof nbuttock
B. nDeltoid
C. nKnee nand ngreater ntrochanter
D. nGreater ntrochanter nand nanterior nsuperior niliac nspine n- nanswer-Ans: nD
7. nA nclient nwith na nnasogastric ntube nis nreceiving nlow nintermittent nsuction nand nis
n complaining nof ndry nmouth. nWhat nshould nthe nnurse nimplement?
A. nTell nthe nclient nthat nthe nmucosa nmust nstay ndry nto nprevent naspiration
B. nTurn noff nsuction nso nthat nthe nclient ncan nrinse nhis nmouth nwith ncold nwater
C. nProvide noral nsponge ntoothettes nso nthe nclient ncan nclean nand nmoisten nhis nmouth
D. nInstill n50 nmL nof nnormal nsaline nand nclamp n- nanswer-Ans: nC
8. nA nclient nwho nis n12 ndays npost nop ncomplains nof nthoracic nincisional npain n2 nhours nafter nhe
n received nhis npain nmedication. nThe nHCP nhas nbeen ncalled. nWhat nshould nthe nnurse ndo nnext?
A. nGuided nimagery nand ndeep nbreathing
B. nTurn non na nT.V. nshow nand nmusic nfor ndistraction
C. nPut na nhot ndevice non nthe narea
D. nProvide na n20 nminute nback nmassage n- nanswer-Ans: nA
9. nA npost-op npatient nis ngrimacing nwhen nmoving nfrom nbed nto nchair nbut ndenies npain. nWhat
n should nthe nnurse ndo nnext?
