Hesi Practice Exam Quiz
Study online at https://quizlet.com/_fx4oiq
1. The nurse assigns a UAP to obtain vital signs from a very anxious client.
What instructions should the nurse give the UAP?
a. Remain calm with the client and record abnormal results in chart
b. Notify the medication nurse immediately if the pulse or blood pressure is
low
c. report the results of the vital signs to nurse
d. reassure client that the vital signs are normal: Report the results of the vital
signs to the nurse
2. What is the role of a UAP?: help nurses provide direct care to patients. As
defined by individual state boards of nursing, UAPs may have the title of certified
nursing assistants, attendants, or technicians
3. Essentials of Effective delegation:: ---know state/institutional policies on dele-
gation
---be clear on difference between nursing process and nursing task
---know training & background of UAP
---know pt needs and what they are at risk for
---assess which task can be SAFELY delegated
---have UAP repeat your instructions
---take frequent mini reports from UAP
---evaluate UAP performance & pt response
4. An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.: Gently lift the client
when moving into a desired position
5. when assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
, Hesi Practice Exam Quiz
Study online at https://quizlet.com/_fx4oiq
a. loosen right wrist restraint
b. apply a pulse ox to right hand
c. compare color bilaterally
d. palpate right radial pulse: loosen the right wrist restraint
(restore circulation by loosening the restraint b/c blue fingers indicates decreased
circulation-cyanosis)
6. Cyanosis: a bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation of the blood
7. An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy tube.
What is the best client position for administration of the bolus tube feedings?
A. Prone
B. Fowler's
C. Sims'
D. Supine: Fowlers
8. Fowlers Position: semi-sitting position calls for the head of bed to be elevated
45-60 degrees.
This position is used to promote cardiac & respiratory functioning bc abd organs
drop in this position, providing maximal space in thoracic cavity
Good position for eating, conversation, and urinary/intestinal elimination
buttocks bear the main body weight
9. what places are at risk for skin breakdown in fowlers?: heels, sacrum, and
scapula
10. High Fowler's Position: head of bed elevated 90 degrees
11. Low Fowler's Position: Head of bed is elevated 30 degrees
12. supine or dorsal recumbent position: pt lies flat on back with head & shoul-
ders slightly elevated
13. Side lying or Lateral position: The pt lies on the side and the main weight of
the body is borne by the lateral aspect of the lower scapula and the lateral aspect
of the lower ilium
, Hesi Practice Exam Quiz
Study online at https://quizlet.com/_fx4oiq
14. Sims Position: pt lies on side but lower arm is flexed at both shoulder and elbow.
15. In developing a plan of care for a pt with dementia, the nurse should
remember that confusion in the elderly
a. is to be expected, and progresses with age
b. often follows relocation to new surroundings
c. is a result of irreversible brain pathology
d. can be prevented with adequate sleep: often follows relocation to new sur-
roundings
(relocation often results in confusion among elderly clients--moving is stressful for
anyone)
16. Prone position: the person lies on the abdomen with the head turned to one
side
17. The nurse is evaluating client learning about a low-sodium diet. Selection
of which meal would indicate to the nurse that this client understands the
dietary restrictions?
a. tossed salad, low-sodium dressing, bacon & tomato sandwich
b. new england clam chowder, no-salt crackers, and fresh fruit salad
c. skim milk, turkey salad, roll, and vanilla ice cream
d. mac & cheese, diet coke, cherry pie: skim milk, turkey salad, roll, and vanilla
ice cream
18. A UAP places a pt in a left lateral position prior to administration a soap
suds enema. which instruction should the nurse provide the UAP?
a. position pt on right side in reverse trendelenburg
b. fill enema container with 1000 mL of warm water and 5 mL of castile soap
c. reposition in sims position with pts weight on anterior ilium
Study online at https://quizlet.com/_fx4oiq
1. The nurse assigns a UAP to obtain vital signs from a very anxious client.
What instructions should the nurse give the UAP?
a. Remain calm with the client and record abnormal results in chart
b. Notify the medication nurse immediately if the pulse or blood pressure is
low
c. report the results of the vital signs to nurse
d. reassure client that the vital signs are normal: Report the results of the vital
signs to the nurse
2. What is the role of a UAP?: help nurses provide direct care to patients. As
defined by individual state boards of nursing, UAPs may have the title of certified
nursing assistants, attendants, or technicians
3. Essentials of Effective delegation:: ---know state/institutional policies on dele-
gation
---be clear on difference between nursing process and nursing task
---know training & background of UAP
---know pt needs and what they are at risk for
---assess which task can be SAFELY delegated
---have UAP repeat your instructions
---take frequent mini reports from UAP
---evaluate UAP performance & pt response
4. An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.: Gently lift the client
when moving into a desired position
5. when assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
, Hesi Practice Exam Quiz
Study online at https://quizlet.com/_fx4oiq
a. loosen right wrist restraint
b. apply a pulse ox to right hand
c. compare color bilaterally
d. palpate right radial pulse: loosen the right wrist restraint
(restore circulation by loosening the restraint b/c blue fingers indicates decreased
circulation-cyanosis)
6. Cyanosis: a bluish discoloration of the skin resulting from poor circulation or
inadequate oxygenation of the blood
7. An elderly male client who is unresponsive following a cerebral vascular
accident (CVA) is receiving bolus enteral feedings though a gastrostomy tube.
What is the best client position for administration of the bolus tube feedings?
A. Prone
B. Fowler's
C. Sims'
D. Supine: Fowlers
8. Fowlers Position: semi-sitting position calls for the head of bed to be elevated
45-60 degrees.
This position is used to promote cardiac & respiratory functioning bc abd organs
drop in this position, providing maximal space in thoracic cavity
Good position for eating, conversation, and urinary/intestinal elimination
buttocks bear the main body weight
9. what places are at risk for skin breakdown in fowlers?: heels, sacrum, and
scapula
10. High Fowler's Position: head of bed elevated 90 degrees
11. Low Fowler's Position: Head of bed is elevated 30 degrees
12. supine or dorsal recumbent position: pt lies flat on back with head & shoul-
ders slightly elevated
13. Side lying or Lateral position: The pt lies on the side and the main weight of
the body is borne by the lateral aspect of the lower scapula and the lateral aspect
of the lower ilium
, Hesi Practice Exam Quiz
Study online at https://quizlet.com/_fx4oiq
14. Sims Position: pt lies on side but lower arm is flexed at both shoulder and elbow.
15. In developing a plan of care for a pt with dementia, the nurse should
remember that confusion in the elderly
a. is to be expected, and progresses with age
b. often follows relocation to new surroundings
c. is a result of irreversible brain pathology
d. can be prevented with adequate sleep: often follows relocation to new sur-
roundings
(relocation often results in confusion among elderly clients--moving is stressful for
anyone)
16. Prone position: the person lies on the abdomen with the head turned to one
side
17. The nurse is evaluating client learning about a low-sodium diet. Selection
of which meal would indicate to the nurse that this client understands the
dietary restrictions?
a. tossed salad, low-sodium dressing, bacon & tomato sandwich
b. new england clam chowder, no-salt crackers, and fresh fruit salad
c. skim milk, turkey salad, roll, and vanilla ice cream
d. mac & cheese, diet coke, cherry pie: skim milk, turkey salad, roll, and vanilla
ice cream
18. A UAP places a pt in a left lateral position prior to administration a soap
suds enema. which instruction should the nurse provide the UAP?
a. position pt on right side in reverse trendelenburg
b. fill enema container with 1000 mL of warm water and 5 mL of castile soap
c. reposition in sims position with pts weight on anterior ilium
