2
N524 Fundamental Hesi Exam Study questions with accurate detailed
|| || || || || || || || ||
solutions and Explanations || ||
Upon arriving in the birthing room the nurse finds the client lying on her back with her
|| || || || || || || || || || || || || || || || ||
head on a pillow and the bed in a flat position. The nurse explains that it is important to
|| || || || || || || || || || || || || || || || || || ||
avoid lying in the supine position because of what reason?
|| || || || || || || || ||
A) It may precipitate a severe headache.
|| || || || || ||
B) It can impede the progression of labor.
|| || || || || || ||
C) It may cause nausea as labor progresses.
|| || || || || || ||
D) It will prevent adequate blood flow to the fetus. - ✔✔D) It will prevent adequate blood
|| || || || || || || || || || || || || || || || ||
flow to the fetus.
|| || ||
When the pregnant woman lies supine, pressure of the uterus against the vena cava
|| || || || || || || || || || || || || ||
reduces circulation; decreased perfusion of the placenta results in decreased blood flow to
|| || || || || || || || || || || || ||
the fetus. The supine position should not precipitate a headache, although it can lead to
|| || || || || || || || || || || || || || ||
supine hypotension. Although the supine position can prolong labor, it is not the primary
|| || || || || || || || || || || || || ||
reason for a position change. As labor progresses toward the transition phase, nausea may
|| || || || || || || || || || || || || ||
occur; this is unrelated to the client's position.
|| || || || || || ||
A primigravida is admitted with a ruptured fallopian tube (resulting from an ectopic
|| || || || || || || || || || || || ||
pregnancy), and surgery is performed to remove the fallopian tube. Which intervention
|| || || || || || || || || || || ||
should be included in the postoperative nursing care plan?
|| || || || || || || ||
A)Counseling on how to prevent another tubal pregnancy || || || || || || ||
B) Administering Rho (D) immune globulin to prevent isoimmunization
|| || || || || || || ||
C) Explaining that the client may still be capable of becoming pregnant
|| || || || || || || || || || ||
,2
D) Telling the client to avoid douching after intercourse, because this may dislodge a
|| || || || || || || || || || || || || ||
fertilized egg - ✔✔C) Explaining that the client may still be capable of becoming pregnant
|| || || || || || || || || || || || || ||
Removing a fallopian tube does not impair the ovaries' ability to release an egg, which may
|| || || || || || || || || || || || || || || ||
be fertilized in the remaining tube if it is undamaged. There is no known way to prevent
|| || || || || || || || || || || || || || || || ||
future tubal pregnancies. There is no information to indicate that the client is Rh negative,
|| || || || || || || || || || || || || || ||
requiring the administration of Rho (D) immune globulin. Liquid from a douche does not
|| || || || || || || || || || || || || ||
reach the fallopian tube or dislodge a fertilized egg; in addition, douching is no longer
|| || || || || || || || || || || || || || ||
recommended at any time. || || ||
An unemancipated pediatric client is to undergo a routine medical procedure. Who is the
|| || || || || || || || || || || || || ||
appropriate authority to provide consent? || || || ||
A) The court
|| ||
B) Either of the child's parents
|| || || || ||
C) One of the child's grandparents
|| || || || ||
D) The pediatric client - ✔✔B) Either of the child's parents
|| || || || || || || || || ||
For unemancipated pediatric clients, the parents are required to provide consent. Either
|| || || || || || || || || || || ||
parent may do so. The court intervenes in situations where the parents refuse to allow a
|| || || || || || || || || || || || || || || ||
child to undergo treatment. A grandparent may provide consent only if the situation is an
|| || || || || || || || || || || || || || ||
emergency and the parents are not present. The client is underage and unemancipated;
|| || || || || || || || || || || || ||
therefore if at all possible, consent must be obtained from one of the child's parents in a
|| || || || || || || || || || || || || || || || ||
non life-threatening situation.
|| ||
Test-Taking Tip: Identify option components as correct or incorrect. This may help you
|| || || || || || || || || || || || ||
identify an incorrect answer. || || ||
,2
An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea.
|| || || || || || || || || || || || || ||
During an assessment, the nurse notices the client's body temperature as 105° F. Which
|| || || || || || || || || || || || || ||
condition does the nurse suspect in the client?
|| || || || || || ||
Heat stroke ||
Heat exhaustion ||
Accidental hypothermia ||
Malignant hyperthermia - ✔✔Heat stroke || || || ||
Older adults are more at a risk of heat stroke. Symptoms of heat stroke include giddiness,
|| || || || || || || || || || || || || || || ||
excessive thirst, nausea, and increased body temperature. Heat exhaustion is indicated by a
|| || || || || || || || || || || || ||
fluid volume deficient. Heat exhaustion occurs when profuse diaphoresis results in excess
|| || || || || || || || || || || ||
water and electrolyte loss. Accidental hypothermia usually develops gradually and goes
|| || || || || || || || || || ||
unnoticed for several hours. When the skin temperature drops below 95° F, the client
|| || || || || || || || || || || || || ||
suffers from uncontrolled shivering, memory loss, depression, and poor judgment. Malignant
|| || || || || || || || || ||
hyperthermia is an adverse effect of inhalational anesthesia that is indicated by a sudden
|| || || || || || || || || || || || || || ||
rise in body temperature in intraoperative or postoperative clients.
|| || || || || || || ||
The nurse is interviewing a female adolescent with anorexia nervosa who is malnourished
|| || || || || || || || || || || || ||
and severely underweight. Which statement leads the nurse to conclude that the client is
|| || || || || || || || || || || || || ||
experiencing secondary gains from her behavior? || || || || ||
"I'm as big as a house."
|| || || || ||
"I get straight A's in school."
|| || || || ||
"My mother keeps trying to get me to eat."
|| || || || || || || ||
"My hair is beginning to fall out in clumps.""My hair is - ✔✔"My mother keeps trying to get
|| || || || || || || || || || || || || || || || ||
me to eat."
|| || ||
The client's behavior has gotten attention for her; it provides a sense of power and control.
|| || || || || || || || || || || || || || || ||
"I'm as big as a house" reflects a disturbed perception about her body. Although clients
|| || || || || || || || || || || || || || ||
with anorexia nervosa are concerned about social acceptance, perfectionism, and
|| || || || || || || || || ||
, 2
achievement and may obtain high grades in school, good grades are not a secondary gain
|| || || || || || || || || || || || || || ||
related to the eating behaviors associated with anorexia nervosa. Hair falling out in clumps
|| || || || || || || || || || || || || ||
is a result of starvation, not a secondary gain.
|| || || || || || || ||
A female client who is undergoing infertility testing is taught how to examine her cervical
|| || || || || || || || || || || || || || ||
mucus. After listening to the instructions, the client says, "That sounds gross. I don't think I
|| || || || || || || || || || || || || || || ||
can do it." What does the nurse conclude from this statement?
|| || || || || || || || || ||
A) The client is unduly fastidious.
|| || || || ||
B) The client feels that having a baby is not that important.
|| || || || || || || || || || ||
C) Some women are uncomfortable with touching their genitals.
|| || || || || || || ||
D) Some women are afraid that they are the cause of the infertility. - ✔✔D) Some women
|| || || || || || || || || || || || || || || || ||
are uncomfortable with touching their genitals.
|| || || || ||
Some women find it emotionally stressful to handle their genitals and discharges. The nurse
|| || || || || || || || || || || || || ||
does not have data to support whether the client is unduly fastidious. The nurse should not
|| || || || || || || || || || || || || || || ||
pass judgement on whether or not the client desires having a baby. Although many women
|| || || || || || || || || || || || || || ||
in this situation feel that they are the cause of infertility, this has no bearing on either the
|| || || || || || || || || || || || || || || || || ||
nurse's instruction or the client's response.
|| || || || || ||
Test-Taking Tip: Watch for grammatical inconsistencies. If one or more of the options is not
|| || || || || || || || || || || || || || ||
grammatically consistent with the stem, the alert test taker can identify it as a probable
|| || || || || || || || || || || || || || ||
incorrect option. || ||
When the stem (The part of the question that presents the specific question being asked) is
|| || || || || || || || || || || || || || || ||
in the form of an incomplete sentence, each option should complete the sentence in a
|| || || || || || || || || || || || || || ||
grammatically correct way. || ||
A female client terminally ill with cancer says to the nurse, "My husband is avoiding me. He
|| || || || || || || || || || || || || || || || ||
doesn't love me anymore because of this awful tumor!" What is the nurse's most
|| || || || || || || || || || || || || ||
appropriate response? ||
N524 Fundamental Hesi Exam Study questions with accurate detailed
|| || || || || || || || ||
solutions and Explanations || ||
Upon arriving in the birthing room the nurse finds the client lying on her back with her
|| || || || || || || || || || || || || || || || ||
head on a pillow and the bed in a flat position. The nurse explains that it is important to
|| || || || || || || || || || || || || || || || || || ||
avoid lying in the supine position because of what reason?
|| || || || || || || || ||
A) It may precipitate a severe headache.
|| || || || || ||
B) It can impede the progression of labor.
|| || || || || || ||
C) It may cause nausea as labor progresses.
|| || || || || || ||
D) It will prevent adequate blood flow to the fetus. - ✔✔D) It will prevent adequate blood
|| || || || || || || || || || || || || || || || ||
flow to the fetus.
|| || ||
When the pregnant woman lies supine, pressure of the uterus against the vena cava
|| || || || || || || || || || || || || ||
reduces circulation; decreased perfusion of the placenta results in decreased blood flow to
|| || || || || || || || || || || || ||
the fetus. The supine position should not precipitate a headache, although it can lead to
|| || || || || || || || || || || || || || ||
supine hypotension. Although the supine position can prolong labor, it is not the primary
|| || || || || || || || || || || || || ||
reason for a position change. As labor progresses toward the transition phase, nausea may
|| || || || || || || || || || || || || ||
occur; this is unrelated to the client's position.
|| || || || || || ||
A primigravida is admitted with a ruptured fallopian tube (resulting from an ectopic
|| || || || || || || || || || || || ||
pregnancy), and surgery is performed to remove the fallopian tube. Which intervention
|| || || || || || || || || || || ||
should be included in the postoperative nursing care plan?
|| || || || || || || ||
A)Counseling on how to prevent another tubal pregnancy || || || || || || ||
B) Administering Rho (D) immune globulin to prevent isoimmunization
|| || || || || || || ||
C) Explaining that the client may still be capable of becoming pregnant
|| || || || || || || || || || ||
,2
D) Telling the client to avoid douching after intercourse, because this may dislodge a
|| || || || || || || || || || || || || ||
fertilized egg - ✔✔C) Explaining that the client may still be capable of becoming pregnant
|| || || || || || || || || || || || || ||
Removing a fallopian tube does not impair the ovaries' ability to release an egg, which may
|| || || || || || || || || || || || || || || ||
be fertilized in the remaining tube if it is undamaged. There is no known way to prevent
|| || || || || || || || || || || || || || || || ||
future tubal pregnancies. There is no information to indicate that the client is Rh negative,
|| || || || || || || || || || || || || || ||
requiring the administration of Rho (D) immune globulin. Liquid from a douche does not
|| || || || || || || || || || || || || ||
reach the fallopian tube or dislodge a fertilized egg; in addition, douching is no longer
|| || || || || || || || || || || || || || ||
recommended at any time. || || ||
An unemancipated pediatric client is to undergo a routine medical procedure. Who is the
|| || || || || || || || || || || || || ||
appropriate authority to provide consent? || || || ||
A) The court
|| ||
B) Either of the child's parents
|| || || || ||
C) One of the child's grandparents
|| || || || ||
D) The pediatric client - ✔✔B) Either of the child's parents
|| || || || || || || || || ||
For unemancipated pediatric clients, the parents are required to provide consent. Either
|| || || || || || || || || || || ||
parent may do so. The court intervenes in situations where the parents refuse to allow a
|| || || || || || || || || || || || || || || ||
child to undergo treatment. A grandparent may provide consent only if the situation is an
|| || || || || || || || || || || || || || ||
emergency and the parents are not present. The client is underage and unemancipated;
|| || || || || || || || || || || || ||
therefore if at all possible, consent must be obtained from one of the child's parents in a
|| || || || || || || || || || || || || || || || ||
non life-threatening situation.
|| ||
Test-Taking Tip: Identify option components as correct or incorrect. This may help you
|| || || || || || || || || || || || ||
identify an incorrect answer. || || ||
,2
An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea.
|| || || || || || || || || || || || || ||
During an assessment, the nurse notices the client's body temperature as 105° F. Which
|| || || || || || || || || || || || || ||
condition does the nurse suspect in the client?
|| || || || || || ||
Heat stroke ||
Heat exhaustion ||
Accidental hypothermia ||
Malignant hyperthermia - ✔✔Heat stroke || || || ||
Older adults are more at a risk of heat stroke. Symptoms of heat stroke include giddiness,
|| || || || || || || || || || || || || || || ||
excessive thirst, nausea, and increased body temperature. Heat exhaustion is indicated by a
|| || || || || || || || || || || || ||
fluid volume deficient. Heat exhaustion occurs when profuse diaphoresis results in excess
|| || || || || || || || || || || ||
water and electrolyte loss. Accidental hypothermia usually develops gradually and goes
|| || || || || || || || || || ||
unnoticed for several hours. When the skin temperature drops below 95° F, the client
|| || || || || || || || || || || || || ||
suffers from uncontrolled shivering, memory loss, depression, and poor judgment. Malignant
|| || || || || || || || || ||
hyperthermia is an adverse effect of inhalational anesthesia that is indicated by a sudden
|| || || || || || || || || || || || || || ||
rise in body temperature in intraoperative or postoperative clients.
|| || || || || || || ||
The nurse is interviewing a female adolescent with anorexia nervosa who is malnourished
|| || || || || || || || || || || || ||
and severely underweight. Which statement leads the nurse to conclude that the client is
|| || || || || || || || || || || || || ||
experiencing secondary gains from her behavior? || || || || ||
"I'm as big as a house."
|| || || || ||
"I get straight A's in school."
|| || || || ||
"My mother keeps trying to get me to eat."
|| || || || || || || ||
"My hair is beginning to fall out in clumps.""My hair is - ✔✔"My mother keeps trying to get
|| || || || || || || || || || || || || || || || ||
me to eat."
|| || ||
The client's behavior has gotten attention for her; it provides a sense of power and control.
|| || || || || || || || || || || || || || || ||
"I'm as big as a house" reflects a disturbed perception about her body. Although clients
|| || || || || || || || || || || || || || ||
with anorexia nervosa are concerned about social acceptance, perfectionism, and
|| || || || || || || || || ||
, 2
achievement and may obtain high grades in school, good grades are not a secondary gain
|| || || || || || || || || || || || || || ||
related to the eating behaviors associated with anorexia nervosa. Hair falling out in clumps
|| || || || || || || || || || || || || ||
is a result of starvation, not a secondary gain.
|| || || || || || || ||
A female client who is undergoing infertility testing is taught how to examine her cervical
|| || || || || || || || || || || || || || ||
mucus. After listening to the instructions, the client says, "That sounds gross. I don't think I
|| || || || || || || || || || || || || || || ||
can do it." What does the nurse conclude from this statement?
|| || || || || || || || || ||
A) The client is unduly fastidious.
|| || || || ||
B) The client feels that having a baby is not that important.
|| || || || || || || || || || ||
C) Some women are uncomfortable with touching their genitals.
|| || || || || || || ||
D) Some women are afraid that they are the cause of the infertility. - ✔✔D) Some women
|| || || || || || || || || || || || || || || || ||
are uncomfortable with touching their genitals.
|| || || || ||
Some women find it emotionally stressful to handle their genitals and discharges. The nurse
|| || || || || || || || || || || || || ||
does not have data to support whether the client is unduly fastidious. The nurse should not
|| || || || || || || || || || || || || || || ||
pass judgement on whether or not the client desires having a baby. Although many women
|| || || || || || || || || || || || || || ||
in this situation feel that they are the cause of infertility, this has no bearing on either the
|| || || || || || || || || || || || || || || || || ||
nurse's instruction or the client's response.
|| || || || || ||
Test-Taking Tip: Watch for grammatical inconsistencies. If one or more of the options is not
|| || || || || || || || || || || || || || ||
grammatically consistent with the stem, the alert test taker can identify it as a probable
|| || || || || || || || || || || || || || ||
incorrect option. || ||
When the stem (The part of the question that presents the specific question being asked) is
|| || || || || || || || || || || || || || || ||
in the form of an incomplete sentence, each option should complete the sentence in a
|| || || || || || || || || || || || || || ||
grammatically correct way. || ||
A female client terminally ill with cancer says to the nurse, "My husband is avoiding me. He
|| || || || || || || || || || || || || || || || ||
doesn't love me anymore because of this awful tumor!" What is the nurse's most
|| || || || || || || || || || || || || ||
appropriate response? ||
