Hesi Fundamentals, Hesi Fundamentals Practice Test, UNIT 1: Foundations of Nursing Practice

Hesi Fundamentals, Hesi Fundamentals Practice Test, UNIT 1: Foundations of Nursing Practice Terms in this set (342) Which assessment data would C) Examining a chest x-ray obtained after the tubing provide the most accurate was inserted determination of proper placement of a nasogastric Both (A and B) are methods used to determine tube? proper placement of the NG tubing. However, the best indicator that the tubing is properly placed is A) Aspirating gastric contents (C). (D) is not an indicator of proper placement to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after the tubing was inserted. D) Checking the remaining length of tubing to ensure that the correct length was inserted. When assisting an 82-year-old B) Upper torso client to ambulate, it is important for the nurse to The center of gravity for adults is the hips. However, realize that the center of as the person grows older, a stooped posture is gravity for an elderly person is common because of the changes from the osteoporosis and normal bone degeneration, and the knees, hips, and elbows flex. This stooped A) Arms. posture results in the upper torso (B) becoming the B) Upper torso. center of gravity for older persons. Although (A) is a C) Head. part, or an extension of the upper torso, this is not D) Feet the best and most complete answer. Which action is most important C) Keep gloved hands above the elbows for the nurse to implement when donning sterile gloves? Gloved hands held below waist level are considered unsterile (C). (A and B) are not essential A) Maintain thumb at a ninety to maintaining asepsis. While it may be helpful to degree angle. put the glove on the dominant hand first, it is not B) Hold hands with fingers necessary to ensure asepsis (D). down while gloving. C) Keep gloved hands above the elbows. D) Put the glove on the dominant hand first. An adult male client with a A) It is important that you continue your medication history of hypertension tells while learning to meditate the nurse that he is tired of taking antihypertensive The prolonged practice of meditation may lead to a medications and is going to try reduced need for antihypertensive medications. spiritual meditation instead. However, the medications must be continued (A) What should be the nurse's first while the physiologic response to meditation is response? monitored. (B) is not as important as continuing the medication. The healthcare provider should be A) It is important that you informed, but permission is not required to meditate continue your medication while (C). Although it is true that this complimentary learning to meditate. therapy might be effective (D), it is essential that the B) Spiritual meditation requires client continue with antihypertensive medications a time commitment of 15 to 20 until the effect of meditation can be measured minutes daily. C) Obtain your healthcare provider's permission before starting meditation. D) Complementary therapy and western medicine can be effective for you. The nurse plans to obtain A) Client health assessment information from a primary source. Which A primary source of information for a health option is a primary source for assessment is the client (A). (B, C, and D) are the completion of the health considered secondary sources about the client's assessment? health history, but other details, such as subjective data, can only be provided directly from the client. A) Client. B) Healthcare provider. C) A family member. D) Previous medical records The nurse is instructing a client C) I will limit my intake of beef to 4 ounces per with high cholesterol about week diet and life style modification. What comment from the client Limiting saturated fat from animal food sources to indicates that the teaching has no more than 4 ounces per week (C) is an important been effective? diet modification for lowering cholesterol. To be effective in reducing cholesterol, the client should A) If I exercise at least two exercise 30 minutes per day, or at least 4 to 6 times times weekly for one hour, I will per week (A). Red meat and all proteins do not lower my cholesterol. need to be eliminated (B) to lower cholesterol, but B) I need to avoid eating should be restricted to lean cuts of red meat and proteins, including red meat. smaller portions (2-ounce servings). The low density C) I will limit my intake of beef lipoproteins (D) need to decrease rather than to 4 ounces per week. increase D) My blood level of low density lipoproteins needs to increase. Examination of a client B) Localized red rash comprised of flat areas, complaining of itching on his pinpoint to 0.5 cm in diameter right arm reveals a rash made up of multiple flat areas of Macules are localized flat skin discolorations less redness ranging from pinpoint than 1 cm in diameter. However, when recording to 0.5 cm in diameter. How such a finding the nurse should describe the should the nurse record this appearance (B) rather than simply naming the finding? condition. (A) identifies vesicles -- fluid filled blisters -- an incorrect description given the symptoms A) Multiple vesicular areas listed. (C) identifies papules -- solid elevated surrounded by redness, lesions, again not correctly identifying the ranging in size from 1 mm to 0.5 symptoms. (D) identifies petechiae -- pinpoint red cm. to purple skin discolorations that do not itch, again B) Localized red rash an incorrect identification comprised of flat areas, pinpoint to 0.5 cm in diameter. C) Several areas of red, papular lesions from pinpoint to 0.5 cm in size. D) Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter.