Page 1 of 182
HESI - FUNDAMENTALS PRACTICE EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A client who is 5' 5" tall and weighs 200 pounds is scheduled for
surgery the next day. What question is most important for the
nurse to include during the preoperative assessment?
A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
D) Will a clear liquid diet be okay after surgery? - ✔✔✔ Correct answer
> A) What is your daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications
used during the operative period. (A and C) are appropriate
questions for long-term dietary counseling. The nature of the
surgery and anesthesia will determine the need for a clear liquid
diet (D), rather than the client's preference
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During the daily nursing assessment, a client begins to cry and
states that the majority of family and friends have stopped calling
and visiting. What action should the nurse take?
A) Listen and show interest as the client expresses these
feelings.
B) Reinforce that this behavior means they were not true friends.
C) Ask the healthcare provider for a psychiatric consult.
D) Continue with the assessment and tell the client not to worry.
- ✔✔✔ Correct answer > A) Listen and show interest as the client
expresses these feelings
When a client begins to cry and express feelings, a therapeutic
nursing intervention is to listen and show interest as the client
expresses feelings (A). (B) is not therapeutic option and the
nurse does not know the dynamics of their relationships. (C) is
not indicated at this time. (D) is non-therapeutic and offers false
hope
The nurse is performing nasotracheal suctioning. After
suctioning the client's trachea for fifteen seconds, large amounts
of thick yellow secretions return. What action should the nurse
implement next?
A) Encourage the client to cough to help loosen secretions.
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B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining
secretions.
D) Re-oxygenate the client before attempting to suction again. -
✔✔✔ Correct answer > D) Re-oxygenate the client before attempting to
suction again
Suctioning should not be continued for longer than ten to fifteen
seconds, since the client's oxygenation is compromised during
this time (D). (A, B, and C) may be performed after the client is
re-oxygenated and additional suctioning is performed.
A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A) Record the coughing incident. No further action is required at
this time.
B) Stop the feeding, explain to the family why it is being stopped,
and notify the healthcare provider.
C) After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D) Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling. - ✔✔✔ Correct answer > C) After clearing the
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tube with 30 ml of air, check the pH of fluid withdrawn from the
tube
Coughing, vomiting, and suctioning can precipitate displacement
of the tip of the small bore feeding tube upward into the
esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30 ml of air) for acidic (stomach) or
alkaline (intestine) values is a more sensitive method for these
tubes, and the nurse should assess tube placement in this way
prior to taking any other action (C). (A and B) are not indicated.
The auscultating method (D) has been found to be unreliable for
small-bore feeding tubes.
A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assesses that there has
been no drainage through the nasogastric tube in the last two
hours. What action should the nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use.
- ✔✔✔ Correct answer > B) Reposition the client on her side
HESI - FUNDAMENTALS PRACTICE EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
A client who is 5' 5" tall and weighs 200 pounds is scheduled for
surgery the next day. What question is most important for the
nurse to include during the preoperative assessment?
A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
D) Will a clear liquid diet be okay after surgery? - ✔✔✔ Correct answer
> A) What is your daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications
used during the operative period. (A and C) are appropriate
questions for long-term dietary counseling. The nature of the
surgery and anesthesia will determine the need for a clear liquid
diet (D), rather than the client's preference
,Page 2 of 182
During the daily nursing assessment, a client begins to cry and
states that the majority of family and friends have stopped calling
and visiting. What action should the nurse take?
A) Listen and show interest as the client expresses these
feelings.
B) Reinforce that this behavior means they were not true friends.
C) Ask the healthcare provider for a psychiatric consult.
D) Continue with the assessment and tell the client not to worry.
- ✔✔✔ Correct answer > A) Listen and show interest as the client
expresses these feelings
When a client begins to cry and express feelings, a therapeutic
nursing intervention is to listen and show interest as the client
expresses feelings (A). (B) is not therapeutic option and the
nurse does not know the dynamics of their relationships. (C) is
not indicated at this time. (D) is non-therapeutic and offers false
hope
The nurse is performing nasotracheal suctioning. After
suctioning the client's trachea for fifteen seconds, large amounts
of thick yellow secretions return. What action should the nurse
implement next?
A) Encourage the client to cough to help loosen secretions.
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B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining
secretions.
D) Re-oxygenate the client before attempting to suction again. -
✔✔✔ Correct answer > D) Re-oxygenate the client before attempting to
suction again
Suctioning should not be continued for longer than ten to fifteen
seconds, since the client's oxygenation is compromised during
this time (D). (A, B, and C) may be performed after the client is
re-oxygenated and additional suctioning is performed.
A hospitalized male client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
A) Record the coughing incident. No further action is required at
this time.
B) Stop the feeding, explain to the family why it is being stopped,
and notify the healthcare provider.
C) After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
D) Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling. - ✔✔✔ Correct answer > C) After clearing the
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tube with 30 ml of air, check the pH of fluid withdrawn from the
tube
Coughing, vomiting, and suctioning can precipitate displacement
of the tip of the small bore feeding tube upward into the
esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30 ml of air) for acidic (stomach) or
alkaline (intestine) values is a more sensitive method for these
tubes, and the nurse should assess tube placement in this way
prior to taking any other action (C). (A and B) are not indicated.
The auscultating method (D) has been found to be unreliable for
small-bore feeding tubes.
A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assesses that there has
been no drainage through the nasogastric tube in the last two
hours. What action should the nurse take first?
A) Irrigate the nasogastric tube with sterile normal saline.
B) Reposition the client on her side.
C) Advance the nasogastric tube an additional five centimeters.
D) Administer an intravenous antiemetic prescribed for PRN use.
- ✔✔✔ Correct answer > B) Reposition the client on her side
