HESI Fundamentals Exam Practice
Questions
Presence of yellow purulent drainage during a wound dressing change means - ✔✔Indicative of
infection and health care provider must be notified prior to any other actions
A nurse cannot irrigate a wound without - ✔✔a prescribed order
1 tablespoon is how many ml - ✔✔15 ml
When administering oral meds through a gastrostomy tube - ✔✔crush meds, dilute in water,
let meds flow by gravity, and flush with 30 ml of water
When caring for a patient with TB what should you do when you enter the client's room -
✔✔apply a respirator prior to entering
IM injection of 1.5 what location do you use - ✔✔ventrogluteal because it is preferred site and
free of major nerves and can hold large volumes
Max ml to administer IM medication in deltoid - ✔✔< 1 ml
A client has brought in their own radio to a hospital room what do you do - ✔✔Ask them not to
use it until it can be checked by environmental services
When evaluating outcomes of care look at - ✔✔the goals established in nursing diagnosis
When evaluating if the plan of care has been followed look at - ✔✔the actions implemented in
care
,When brushing teeth of an unconscious patient if they start to choke you should - ✔✔suction
Always instruct patients to prescribe topical medication when - ✔✔after showering or bathing
because damp skin absorbs better
If a patient who is terminally ill asks for no more treatment and says they want to go home to
die you should - ✔✔contact the physician about patient's decision
Patient with obstructive sleep apnea (chronic) has low PaO2 and high PCO2 what intervention
should you implement - ✔✔demonstrate how to use a positive airway pressure to device in
order to prevent the airways from collapsing during sleep and maintains airflow through the
night
If patient is demonstrating sundowning behavior (confused) during evening shifts what should
you do - ✔✔stay with patient and reorient his location
When ambulating down the hall your patient frequently stops to talk or adjusts clothing before
walking again what is this a sign of - ✔✔activity intolerance
Normal serum potassium levels are - ✔✔3.5-5.0
What technique should be used to reposition a client with spinal injury or recovering from
spinal surgery - ✔✔logrolling with other staff members to assist
To assess for residual urine the technique used it - ✔✔a bladder scan
to expel residual from the bladder what technique is used - ✔✔Crede method (it will not
provide accurate assessment of amount of urinary retention)
, Patient is scheduled to have sutures removed but is not due for another dose of pain meds for
hours what pain control method can you use to help the patient - ✔✔progressive relaxation or
guided imagery
1 oz is how many mL - ✔✔30 ml
After inserting an indwelling catheter into a male client and the flow of urine has started and
you have inserted the length of tubing through client's meatus what should you do ? -
✔✔Inflate the balloon with 10 ml of sterile water; after this step you can tap the catheter to
client's leg
After a patient bathes you notice the saline lock on their arm is partially separated from the
skin and the patient says the insertion site is sore what should you do? - ✔✔Remove saline lock
and prepare to insert a new one at a different site prior to the next medication dose
Saline locks must be inserted using which technique - ✔✔sterile
When there is a dislodged saline lock do you need to notify the physician? - ✔✔No just prepare
to insert a new one during next meds
Once the nursing diagnoses have been prioritized the next step when planning the client's care
would be to - ✔✔discuss goals of care with the patient
Despite the procedure being discussed with the patient the evening before, your patient asks
you what is going to happen what should the nurse do? - ✔✔Notify the surgeon so that the
client can receive info about the procedure
A client is prescribed humidified oxygen via face mask, but the water canister for the oxygen is
empty what should the nurse do? - ✔✔Notify respiratory therapy to refill the water canister or
add water to canister if available, DO NOT SHUT OFF THE OXYGEN the client needs it
Questions
Presence of yellow purulent drainage during a wound dressing change means - ✔✔Indicative of
infection and health care provider must be notified prior to any other actions
A nurse cannot irrigate a wound without - ✔✔a prescribed order
1 tablespoon is how many ml - ✔✔15 ml
When administering oral meds through a gastrostomy tube - ✔✔crush meds, dilute in water,
let meds flow by gravity, and flush with 30 ml of water
When caring for a patient with TB what should you do when you enter the client's room -
✔✔apply a respirator prior to entering
IM injection of 1.5 what location do you use - ✔✔ventrogluteal because it is preferred site and
free of major nerves and can hold large volumes
Max ml to administer IM medication in deltoid - ✔✔< 1 ml
A client has brought in their own radio to a hospital room what do you do - ✔✔Ask them not to
use it until it can be checked by environmental services
When evaluating outcomes of care look at - ✔✔the goals established in nursing diagnosis
When evaluating if the plan of care has been followed look at - ✔✔the actions implemented in
care
,When brushing teeth of an unconscious patient if they start to choke you should - ✔✔suction
Always instruct patients to prescribe topical medication when - ✔✔after showering or bathing
because damp skin absorbs better
If a patient who is terminally ill asks for no more treatment and says they want to go home to
die you should - ✔✔contact the physician about patient's decision
Patient with obstructive sleep apnea (chronic) has low PaO2 and high PCO2 what intervention
should you implement - ✔✔demonstrate how to use a positive airway pressure to device in
order to prevent the airways from collapsing during sleep and maintains airflow through the
night
If patient is demonstrating sundowning behavior (confused) during evening shifts what should
you do - ✔✔stay with patient and reorient his location
When ambulating down the hall your patient frequently stops to talk or adjusts clothing before
walking again what is this a sign of - ✔✔activity intolerance
Normal serum potassium levels are - ✔✔3.5-5.0
What technique should be used to reposition a client with spinal injury or recovering from
spinal surgery - ✔✔logrolling with other staff members to assist
To assess for residual urine the technique used it - ✔✔a bladder scan
to expel residual from the bladder what technique is used - ✔✔Crede method (it will not
provide accurate assessment of amount of urinary retention)
, Patient is scheduled to have sutures removed but is not due for another dose of pain meds for
hours what pain control method can you use to help the patient - ✔✔progressive relaxation or
guided imagery
1 oz is how many mL - ✔✔30 ml
After inserting an indwelling catheter into a male client and the flow of urine has started and
you have inserted the length of tubing through client's meatus what should you do ? -
✔✔Inflate the balloon with 10 ml of sterile water; after this step you can tap the catheter to
client's leg
After a patient bathes you notice the saline lock on their arm is partially separated from the
skin and the patient says the insertion site is sore what should you do? - ✔✔Remove saline lock
and prepare to insert a new one at a different site prior to the next medication dose
Saline locks must be inserted using which technique - ✔✔sterile
When there is a dislodged saline lock do you need to notify the physician? - ✔✔No just prepare
to insert a new one during next meds
Once the nursing diagnoses have been prioritized the next step when planning the client's care
would be to - ✔✔discuss goals of care with the patient
Despite the procedure being discussed with the patient the evening before, your patient asks
you what is going to happen what should the nurse do? - ✔✔Notify the surgeon so that the
client can receive info about the procedure
A client is prescribed humidified oxygen via face mask, but the water canister for the oxygen is
empty what should the nurse do? - ✔✔Notify respiratory therapy to refill the water canister or
add water to canister if available, DO NOT SHUT OFF THE OXYGEN the client needs it
