HESI EXIT COMPREHENSIVE REVIEW B QUESTIONS & ANSWERS
1. The nurse needs to move a patient up in bed using a drawsheet. The
nurse has another nurse helping. In which order will the nurses perform the
steps, beginning with the first one?
1. Grasp the drawsheet firmly near the patient.
2. Move the patient and drawsheet to the desired position.
3. Position one nurse at each side of the bed.
4. Place the drawsheet under the patient from shoulder to thigh.
5. Place your feet apart with a forward-backward stance.
6. Flex knees and hips and on count of three shift weight from the front to
back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2
ANS: C
Assisting a patient up in bed with a drawsheet (two or three nurses): (1) Place
the patient supine with the head of the bed flat. A nurse stands on each side of
the bed. (2) Remove the pillow from under the patient’s head and shoulders
and place it at the head of the bed. (3) Turn the patient side to side to place the
drawsheet under the patient, extending it from shoulders to thighs. (4) Return
the patient to the supine position. (5) Fanfold the drawsheet on both sides, with
each nurse grasping firmly near the patient. (6) Nurses place their feet apart
with a forward-backward stance. Nurses should flex knees and hips. On the
count of three, nurses should shift their weight from front to back leg and
move the patient and drawsheet to the desired position in the bed.
33. The nurse is caring for a patient who needs to be placed in the prone
position. Which action will the nurse take?
a. Place pillow under the patient’s abdomen after turning.
, b. Turn head toward one side with large, soft pillow.
c. Position legs flat against bed.
d. Raise head of bed to 45 degrees.
ANS: A
Placing a pillow under the patient’s abdomen after turning decreases
hyperextension of lumbar vertebrae and strain on lower back; breathing may
also be enhanced. Head is turned toward one side with a small pillow to
reduce flexion or hyperextension of cervical vertebrae. Legs should be
supported with pillows to elevate toes and prevent footdrop. Forty-five
degrees is the position for Fowler’s position; prone is on the stomach.
34. The nurse is caring for a patient with a spinal cord injury and notices
that the patient’s hips have a tendency to rotate externally when the patient is
supine. Which device will the nurse use to help prevent injury secondary to
this rotation?
a. Hand rolls
b. A trapeze bar
c. A trochanter roll
d. Hand-wrist splints
ANS: C
A trochanter roll prevents external rotation of the hips when the patient is in a
supine position. Hand rolls maintain the thumb in slight adduction and in
opposition to the fingers. Hand-wrist splints are individually molded for the
patient to maintain proper alignment of the thumb and the wrist. The trapeze
bar is a triangular device that hangs down from a securely fastened overhead
bar that is attached to the bedframe. It allows the patient to pull with the upper
extremities to raise the trunk off the bed, to assist in transfer from bed to
wheelchair, or to perform upper arm exercises.
35. The patient is unable to move self and needs to be pulled up in bed.
What will the nurse do to make this procedure safe?
a. Place the pillow under the patient’s head and shoulders.
b. Do by self if the bed is in the flat position.
1. The nurse needs to move a patient up in bed using a drawsheet. The
nurse has another nurse helping. In which order will the nurses perform the
steps, beginning with the first one?
1. Grasp the drawsheet firmly near the patient.
2. Move the patient and drawsheet to the desired position.
3. Position one nurse at each side of the bed.
4. Place the drawsheet under the patient from shoulder to thigh.
5. Place your feet apart with a forward-backward stance.
6. Flex knees and hips and on count of three shift weight from the front to
back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2
ANS: C
Assisting a patient up in bed with a drawsheet (two or three nurses): (1) Place
the patient supine with the head of the bed flat. A nurse stands on each side of
the bed. (2) Remove the pillow from under the patient’s head and shoulders
and place it at the head of the bed. (3) Turn the patient side to side to place the
drawsheet under the patient, extending it from shoulders to thighs. (4) Return
the patient to the supine position. (5) Fanfold the drawsheet on both sides, with
each nurse grasping firmly near the patient. (6) Nurses place their feet apart
with a forward-backward stance. Nurses should flex knees and hips. On the
count of three, nurses should shift their weight from front to back leg and
move the patient and drawsheet to the desired position in the bed.
33. The nurse is caring for a patient who needs to be placed in the prone
position. Which action will the nurse take?
a. Place pillow under the patient’s abdomen after turning.
, b. Turn head toward one side with large, soft pillow.
c. Position legs flat against bed.
d. Raise head of bed to 45 degrees.
ANS: A
Placing a pillow under the patient’s abdomen after turning decreases
hyperextension of lumbar vertebrae and strain on lower back; breathing may
also be enhanced. Head is turned toward one side with a small pillow to
reduce flexion or hyperextension of cervical vertebrae. Legs should be
supported with pillows to elevate toes and prevent footdrop. Forty-five
degrees is the position for Fowler’s position; prone is on the stomach.
34. The nurse is caring for a patient with a spinal cord injury and notices
that the patient’s hips have a tendency to rotate externally when the patient is
supine. Which device will the nurse use to help prevent injury secondary to
this rotation?
a. Hand rolls
b. A trapeze bar
c. A trochanter roll
d. Hand-wrist splints
ANS: C
A trochanter roll prevents external rotation of the hips when the patient is in a
supine position. Hand rolls maintain the thumb in slight adduction and in
opposition to the fingers. Hand-wrist splints are individually molded for the
patient to maintain proper alignment of the thumb and the wrist. The trapeze
bar is a triangular device that hangs down from a securely fastened overhead
bar that is attached to the bedframe. It allows the patient to pull with the upper
extremities to raise the trunk off the bed, to assist in transfer from bed to
wheelchair, or to perform upper arm exercises.
35. The patient is unable to move self and needs to be pulled up in bed.
What will the nurse do to make this procedure safe?
a. Place the pillow under the patient’s head and shoulders.
b. Do by self if the bed is in the flat position.
