HESI Fundamentals V1 Questions and Answers
Study online at https://quizlet.com/_hfzeyw
1. A policy requiring the removal of acrylic nails by all c. Health care-associated
nursing personnel was implemented 6 months ago. infection rate.
Which assessment measure best determines if the in-
tended outcome of the policy is being achieved? a.
Number of staff induced injury b. Client satisfaction
survey c. Health care-associated infection rate. d. Rate
of needle-stick injuries by nurse
2. Which assessment data would provide the most ac- Examining a chest x-ray
curate determination of proper placement of a naso- obtained after the tubing
gastric tube? A) Aspirating gastric contents to assure was inserted.
a pH value of 4 or less. This is a method used to de-
termine proper placement of NG tubing, but not the
most accurate. B) Hearing air pass in the stomach after
injecting air into the tubing. This is a method used to
determine proper placement of NG tubing, but not the
most accurate. C) Examining a chest x-ray obtained af-
ter the tubing was inserted. After placing an NG-tube,
the placement of the tube is confirmed via x-ray since
it is the most accurate way to ensure the tube has
not been placed in the lungs, which would pose an
aspiration risk. D) Checking the remaining length of
tubing to ensure that the correct length was inserted
3. The father of an 11-year-old client reports to the nurse .
that the client has been "wetting the bed" since the Inform the father that it is
passing of his mother and is concerned. Which action most important to let the
is most important for the nurse to enact? A. Reassure son know that nocturnal
the father that it is normal for a pre-teen to wet the emissions are normal after
bed during puberty B. Inform the father that nocturnal trauma
emissions are abnormal and his son is developmental-
ly
, HESI Fundamentals V1 Questions and Answers
Study online at https://quizlet.com/_hfzeyw
delayed C. Inform the father that it is most important
to let the son know that nocturnal emissions are nor-
mal after trauma
4. The nurse explains to an older adult male the proce- Empty the urinal contents
dure for collecting a 24-hour urine specimen for cre- into the 24-hour collection
atinine clearance. Which action is most important for container
the nurse to include in their care plan for the shift?
5. A 54-year-old male client and his wife were informed Ask her how she would like
this morning that he has terminal cancer. Which nurs- to participate in the client's
ing intervention is likely to most beneficial? A. Ask her care.
how she would like to participate in the client's care.
B. Provide the wife with information about hospice C.
Encourage the wife to visit after painful treatments are
completed D. Refer her to support group for family
members of those dying of cancer
6. A client who has a body mass index (BMI) of 30 is Keep a record of food and
requesting information on the initial approach to a drinks consumed daily
weight loss plan. Which action should the nurse rec-
ommend first? A. Plan low carbohydrate and high pro-
tein meals B. Engage in strenuous activity for an hour
daily C. Keep a record of food and drinks consumed
daily D. Participated in a group exercise class 3 times a
wee
7. The nurse assesses a client who has a nasal cannula Tops of the ear
delivering oxygen at 2 L/min. To assess for skin dam- Around the nostrils
age related to the cannula, which areas should the Over the cheeks
nurse observe? (Select all that apply). A. Tops of the ear
B. Bridge of the nose C. Around the nostrils D. Over the
cheeks E. Across the forehead
, HESI Fundamentals V1 Questions and Answers
Study online at https://quizlet.com/_hfzeyw
8. The nurse observes an unlicensed assistive personnel b. Remind the UAP to dry
(UAP) who is providing a total bed bath for a confused between the client's toes
and lethargic client. The UAP is soaking the client's completely
foot in a basin of warm water placed on the bed. What
action should the nurse take? a. Remove the basin
of water from the client's bed immediately b. Remind
the UAP to dry between the client's toes completely c.
Advise the UAP that this procedure is damaging to the
skin d. Add skin cream to the basin of water while the
foot is soakin
9. The nurse in the emergency department observes a a. Communicate the col-
colleague viewing the electronic health record (EHR) league's actions to the unit
of a client who holds an elected position in the com- charge nurse
munity. The client is not a part of the colleague's as-
signment. Which action should the nurse implement?
a. Communicate the colleague's actions to the unit
charge nurse b. Send an email to facility administration
reporting the action c. Write an anonymous complaint
to a professional website d. Post a comment about the
action on a staff discussion board
10. At 0100 on a male client's second postoperative night, a. Leave the room and
the client states he is unable to sleep and plans to read close the door to the
until feeling sleepy. What action should the nurse im- client's room
plement? a. Leave the room and close the door to the
client's room b. Assess the appearance of the client's
surgical dressing c. Bring the client a prescribed PRN
sedative-hypnotic
11. The nursing staff in the cardiovascular intensive care
unit are creating a continuous quality improvement
Study online at https://quizlet.com/_hfzeyw
1. A policy requiring the removal of acrylic nails by all c. Health care-associated
nursing personnel was implemented 6 months ago. infection rate.
Which assessment measure best determines if the in-
tended outcome of the policy is being achieved? a.
Number of staff induced injury b. Client satisfaction
survey c. Health care-associated infection rate. d. Rate
of needle-stick injuries by nurse
2. Which assessment data would provide the most ac- Examining a chest x-ray
curate determination of proper placement of a naso- obtained after the tubing
gastric tube? A) Aspirating gastric contents to assure was inserted.
a pH value of 4 or less. This is a method used to de-
termine proper placement of NG tubing, but not the
most accurate. B) Hearing air pass in the stomach after
injecting air into the tubing. This is a method used to
determine proper placement of NG tubing, but not the
most accurate. C) Examining a chest x-ray obtained af-
ter the tubing was inserted. After placing an NG-tube,
the placement of the tube is confirmed via x-ray since
it is the most accurate way to ensure the tube has
not been placed in the lungs, which would pose an
aspiration risk. D) Checking the remaining length of
tubing to ensure that the correct length was inserted
3. The father of an 11-year-old client reports to the nurse .
that the client has been "wetting the bed" since the Inform the father that it is
passing of his mother and is concerned. Which action most important to let the
is most important for the nurse to enact? A. Reassure son know that nocturnal
the father that it is normal for a pre-teen to wet the emissions are normal after
bed during puberty B. Inform the father that nocturnal trauma
emissions are abnormal and his son is developmental-
ly
, HESI Fundamentals V1 Questions and Answers
Study online at https://quizlet.com/_hfzeyw
delayed C. Inform the father that it is most important
to let the son know that nocturnal emissions are nor-
mal after trauma
4. The nurse explains to an older adult male the proce- Empty the urinal contents
dure for collecting a 24-hour urine specimen for cre- into the 24-hour collection
atinine clearance. Which action is most important for container
the nurse to include in their care plan for the shift?
5. A 54-year-old male client and his wife were informed Ask her how she would like
this morning that he has terminal cancer. Which nurs- to participate in the client's
ing intervention is likely to most beneficial? A. Ask her care.
how she would like to participate in the client's care.
B. Provide the wife with information about hospice C.
Encourage the wife to visit after painful treatments are
completed D. Refer her to support group for family
members of those dying of cancer
6. A client who has a body mass index (BMI) of 30 is Keep a record of food and
requesting information on the initial approach to a drinks consumed daily
weight loss plan. Which action should the nurse rec-
ommend first? A. Plan low carbohydrate and high pro-
tein meals B. Engage in strenuous activity for an hour
daily C. Keep a record of food and drinks consumed
daily D. Participated in a group exercise class 3 times a
wee
7. The nurse assesses a client who has a nasal cannula Tops of the ear
delivering oxygen at 2 L/min. To assess for skin dam- Around the nostrils
age related to the cannula, which areas should the Over the cheeks
nurse observe? (Select all that apply). A. Tops of the ear
B. Bridge of the nose C. Around the nostrils D. Over the
cheeks E. Across the forehead
, HESI Fundamentals V1 Questions and Answers
Study online at https://quizlet.com/_hfzeyw
8. The nurse observes an unlicensed assistive personnel b. Remind the UAP to dry
(UAP) who is providing a total bed bath for a confused between the client's toes
and lethargic client. The UAP is soaking the client's completely
foot in a basin of warm water placed on the bed. What
action should the nurse take? a. Remove the basin
of water from the client's bed immediately b. Remind
the UAP to dry between the client's toes completely c.
Advise the UAP that this procedure is damaging to the
skin d. Add skin cream to the basin of water while the
foot is soakin
9. The nurse in the emergency department observes a a. Communicate the col-
colleague viewing the electronic health record (EHR) league's actions to the unit
of a client who holds an elected position in the com- charge nurse
munity. The client is not a part of the colleague's as-
signment. Which action should the nurse implement?
a. Communicate the colleague's actions to the unit
charge nurse b. Send an email to facility administration
reporting the action c. Write an anonymous complaint
to a professional website d. Post a comment about the
action on a staff discussion board
10. At 0100 on a male client's second postoperative night, a. Leave the room and
the client states he is unable to sleep and plans to read close the door to the
until feeling sleepy. What action should the nurse im- client's room
plement? a. Leave the room and close the door to the
client's room b. Assess the appearance of the client's
surgical dressing c. Bring the client a prescribed PRN
sedative-hypnotic
11. The nursing staff in the cardiovascular intensive care
unit are creating a continuous quality improvement
