N120 HESI Fundamentals Practice Test
And Answers
Aw73-year-
oldwfemalewclientwhadwawhemiarthroplastywofwthewleftwhipwyesterdaywduewtowawfracturewresult
ingwfromwawfall.wInwreviewingwhipwprecautionswwithwthewclient,wwhichwinstructionwshouldwthew
nursewincludewinwthiswclient'swteachingwplan?
A.wInw8wweekswyouwwillwbewablewtowbendwatwthewwaistwtowreachwitemswonwthewfloor.w
B.wPlacewawpillowwbetweenwyourwkneeswwhilewlyingwinwbedwtowpreventwhipwdislocation.w
C.wItwiswsafewtowusewawwalkerwtowgetwoutwofwbed,wbutwyouwneedwassistancewwhenwwalking.w
D.wTakewpainwmedicationw30wminuteswafterwyourwphysicalwtherapywsessions.w-
wCORRECTwwANSWER-
B.wPlacewawpillowwbetweenwyourwkneeswwhilewlyingwinwbedwtowpreventwhipwdislocation.w
Thewclient'swaffectedwhipwjointwfollowingwawhemiarthroplastyw(partialwhipwreplacement)wiswat
wriskwofwdislocationwforw6wmonthswtowawyearwfollowingwthe wprocedure.wHipwprecautionswtowpr
eventwdislocationwincludewplacingwawpillowwbetweenwthewkneeswtowmaintainwabductionwofwth
ewhipsw(B).wClientswshouldwbewinstructedwtowavoidwbendingwatwthewwaistw(A),wtowseekwassist
ancewforwbothwstandingwandwwalkingwuntilwtheywarewstablewonwawwalkerworwcanew(C),wandwto
wtakewpainwmedicationw20wtow30wminuteswpriorwtowphysicalwtherapywsessions,wratherwthanww
aitingwuntilwthewpainwlevelwiswhighwafterwtheirwtherapy.
Awclientwiswinwthewradiologywdepartmentwatw0900wwhenwthewprescriptionwlevofloxacinw(Leva
quin)w500wmgwIVwq24hwiswscheduledwtowbewadministered.wThewclientwreturnswtowthewunitwatw
1300.wWhatwiswthewbestwinterventionwforwthewnursewtowimplement?
A.wContactwthewhealthcarewproviderwandwcompletewawmedicationwvariancewform.w
B.wAdministerwthewLevaquinwatw1300wandwresumewthew0900wschedulewinwthewmorning.w
C.wNotifywthewchargewnursewandwcompletewanwincidentwreportwtowexplainwthewmissedwdose.w
D.wGivewthewmissedwdosewatw1300wandwchangewthewschedulewtowadministerwdailywatw1300.w
-wCORRECTwwANSWER-
D.wGivewthewmissedwdosewatw1300wandwchangewthewschedulewtowadministerwdailywatw1300.
Towensurewthatwawtherapeuticwlevelwofwmedicationwiswmaintained,wthewnursewshouldwadmini
sterwthewmissedwdosewaswsoonwaswpossible,wandwrevisewthewadministrationwschedulewaccor
dinglywtowpreventwdangerouslywincreasingwthewlevelwofwthewmedicationwinwthewbloodstreamw
(D).wThewnursewshouldwdocumentwthewreasonwforwthewlatewdose,wbutw(AwandwC)warewnotwwar
ranted.w(B)wcouldwresultwinwincreasedwbloodwlevelswofwthewdrug.
AwclientwiswreceivingwawcephalosporinwantibioticwIVwandwcomplainswofwpainwandwirritationwatw
thewinfusionwsite.wThewnursewobserveswerythema,wswelling,wandwawredwstreakwalongwthewve
sselwabovewthewIVwaccesswsite.wWhichwactionwshouldwthewnursewtakewatwthiswtime?
A.wAdministerwthewmedicationwmorewrapidlywusingwthewsamewIVwsite.w
,B.wInitiatewanwalternatewsitewforwthewIVwinfusionwofwthewmedication.w
C.wNotifywthewhealthcarewproviderwbeforewadministeringwthewnextwdose.w
D.wGivewthewclientwawPRNwdosewofwaspirinwwhilewthewmedicationwinfuses.w-
wCORRECTwwANSWER-B.wInitiatewanwalternatewsitewforwthewIV winfusionwofwthewmedication.w
AwcephalosporinwantibioticwthatwiswadministeredwIVwmaywcausewvesselwirritation.wRotatingwt
hewinfusionwsitewminimizeswthewriskwofwthrombophlebitis,wsowanwalternatewinfusionwsitewsho
uldwbewinitiatedw(B)wbeforewadministeringwthewnextwdose.wRapidwadministrationw(A)wofwintra
venouswcephalosporinswcanwpotentiatewvesselwirritationwandwincreasewthewriskwofwthrombo
phlebitis.w(C)wiswnotwnecessarywtowinitiatewanwalternativewIVwsite.wAlthoughwaspirinwhaswantii
nflammatorywactions,w(D)wiswnotwindicated.
Awclientwiswtowreceivew10wmEqwofwKClwdilutedwinw250wmlwofwnormalwsalinewoverw4whours.wAtw
whatwratewshouldwthewnursewsetwthewclient'swintravenouswinfusionwpump?
A.w13wml/hour.w
B.w63wml/hour.w
C.w80wml/hour.w
D.w125wml/hour.w-wCORRECTwwANSWER-B.w63wml/hour.w
(B)wiswthewcorrectwcalculation:wTowcalculatewthiswproblemwcorrectly,wrememberwthatwthewdos
ewofwKClwiswnotwusedwinwthewcalculation.w250wml/4whoursw=w63wml/hour.
Awclientwiswtowreceivewcimetidinew(Tagamet)w300wmgwq6hwIVPB.wThewpreparationwarriveswfr
omwthewpharmacywdilutedwinw50wmlwofw0.9%wNaCl.wThewnursewplanswtowadministerwthewIVP
Bwdosewoverw20wminutes.wForwhowwmanywml/hrwshouldwthewinfusionwpumpwbewsetwtowdeliver
wthewsecondarywinfusion?w-wCORRECTwwANSWER-
Thewinfusionwratewiswcalculatedwaswawratiowproportionwproblem,wi.e.,w50wml/w20wminw:wxwml/w6
0wmin.wMultiplywextremeswandwmeansw50w×w60w/20xw1=w300/20=150
CorrectwAnswer:w150
Awclientwwhowisw5'w5"wtallwandwweighsw200wpoundswiswscheduledwforwsurgerywthewnextwday.w
Whatwquestionwiswmostwimportantwforwthewnursewtowincludewduringwthewpreoperativewassess
ment?
A.wWhatwiswyourwdailywcaloriewconsumption?w
B.wWhatwvitaminwandwmineralwsupplementswdowyouwtake?w
C.wDowyouwfeelwthatwyouwarewoverweight?w
D.wWillwawclearwliquidwdietwbewokaywafterwsurgery?w-wCORRECTwwANSWER-
B.wWhatwvitaminwandwmineralwsupplementswdowyouwtake?w
Vitaminwandwmineralwsupplementsw(B)wmaywimpactwmedicationswusedwduringwthewoperativ
ewperiod.w(AwandwC)warewappropriatewquestionswforwlong-
termwdietarywcounseling.wThewnaturewofwthewsurgerywandwanesthesiawwillwdeterminewthewne
edwforwawclearwliquidwdietw(D),wratherwthanwthewclient'swpreference.
AwclientwwhowiswawJehovah'swWitnesswiswadmittedwtowthewnursingwunit.wWhichwconcernwsho
uldwthewnursewhavewforwplanningwcarewinwtermswofwthewclient'swbeliefs?
, A.wAutopsywofwthewbodywiswprohibited.w
B.wBloodwtransfusionswarewforbidden.w
C.wAlcoholwusewinwanywformwiswnotwallowed.w
D.wAwvegetarianwdietwmustwbewfollowed.w-wCORRECTwwANSWER-
B.wBloodwtransfusionswarewforbidden.w
Bloodwtransfusionswarewforbiddenw(B)winwthewJehovah'swWitnesswreligion.wJudaismwprohibit
sw(A).wBuddhismwforbidswthewusewofw(C)wandwdrugs.wManywofwthesewsectswarewvegetarianw(
D),wbutwthewdirectwimpactwonwnursingwcarewisw(B).
Awclientwwhowiswinwhospicewcarewcomplainswofwincreasingwamountswofwpain.wThewhealthcar
ewproviderwprescribeswanwanalgesicweverywfourwhourswaswneeded.wWhichwactionwshouldwth
ewnursewimplement?
A.wGivewanwaround-the-clockwschedulewforwadministrationwofwanalgesics.w
B.wAdministerwanalgesicwmedicationwaswneededwwhenwthewpainwiswsevere.w
C.wProvidewmedicationwtowkeepwthewclientwsedatedwandwunawarewofwstimuli.w
D.wOfferwawmedication-freewperiodwsowthatwthewclientwcanwdowdailywactivities.w-
wCORRECTwwANSWER-A.wGive wanwaround-the-
clockwschedulewforwadministrationwofwanalgesics.w
Thewmostweffectivewmanagementwofwpainwiswachievedwusingwanwaround-the-
clockwschedulewthatwprovideswanalgesicwmedicationswonwawregularwbasisw(A)wandwinwawtime
lywmanner.wAnalgesicswarewlessweffectivewifwpainwpersistswuntilwitwiswsevere,wsowanwanalgesi
cwmedicationwshouldwbewadministeredwbeforewthewclient'swpainwpeaksw(B).wProvidingwcomf
ortwiswawprioritywforwthewclientwwhowiswdying,wbutwsedationwthatwimpairswthewclient'swabilitywtow
interactwandwexperiencewthewtimewbeforewlifewendswshouldwbewminimizedw(C).wOfferingwawm
edication-
freewperiodwallowswthewserumwdrugwlevelwtowfall,wwhichwiswnotwanweffectivewmethodwtowmana
gewchronicwpainw(D).
AwclientwwithwacutewhemorrhagicwanemiawiswtowreceivewfourwunitswofwpackedwRBCsw(redwblo
odwcells)waswrapidlywaswpossible.wWhichwinterventionwiswmostwimportantwforwthewnursewtowim
plement?
A.wObtainwthewpre-transfusionwhemoglobinwlevel.w
B.wPrimewthewtubingwandwpreparewawbloodwpumpwset-up.w
C.wMonitorwvitalwsignswq15wminuteswforwthewfirstwhour.w
D.wEnsurewthewaccuracywofwthewbloodwtypewmatch.w-wCORRECTwwANSWER-
D.wEnsurewthewaccuracywofwthewbloodwtypewmatch.
Allwinterventionswshouldwbewimplementedwpriorwtowadministeringwblood,wbutw(D)whaswthewhi
ghestwpriority.wAnywtimewbloodwiswadministered,wthewnursewshouldwensurewthewaccuracywofw
thewbloodwtypewmatchwinworderwtowpreventwawpossiblewhemolyticwreaction.
Awclientwwithwchronicwrenalwfailurewselectswawscrambledweggwforwhiswbreakfast.wWhatwaction
wshouldwthewnursewtake?
A.wCommendwthewclientwforwselectingwawhighwbiologicwvaluewprotein.w
And Answers
Aw73-year-
oldwfemalewclientwhadwawhemiarthroplastywofwthewleftwhipwyesterdaywduewtowawfracturewresult
ingwfromwawfall.wInwreviewingwhipwprecautionswwithwthewclient,wwhichwinstructionwshouldwthew
nursewincludewinwthiswclient'swteachingwplan?
A.wInw8wweekswyouwwillwbewablewtowbendwatwthewwaistwtowreachwitemswonwthewfloor.w
B.wPlacewawpillowwbetweenwyourwkneeswwhilewlyingwinwbedwtowpreventwhipwdislocation.w
C.wItwiswsafewtowusewawwalkerwtowgetwoutwofwbed,wbutwyouwneedwassistancewwhenwwalking.w
D.wTakewpainwmedicationw30wminuteswafterwyourwphysicalwtherapywsessions.w-
wCORRECTwwANSWER-
B.wPlacewawpillowwbetweenwyourwkneeswwhilewlyingwinwbedwtowpreventwhipwdislocation.w
Thewclient'swaffectedwhipwjointwfollowingwawhemiarthroplastyw(partialwhipwreplacement)wiswat
wriskwofwdislocationwforw6wmonthswtowawyearwfollowingwthe wprocedure.wHipwprecautionswtowpr
eventwdislocationwincludewplacingwawpillowwbetweenwthewkneeswtowmaintainwabductionwofwth
ewhipsw(B).wClientswshouldwbewinstructedwtowavoidwbendingwatwthewwaistw(A),wtowseekwassist
ancewforwbothwstandingwandwwalkingwuntilwtheywarewstablewonwawwalkerworwcanew(C),wandwto
wtakewpainwmedicationw20wtow30wminuteswpriorwtowphysicalwtherapywsessions,wratherwthanww
aitingwuntilwthewpainwlevelwiswhighwafterwtheirwtherapy.
Awclientwiswinwthewradiologywdepartmentwatw0900wwhenwthewprescriptionwlevofloxacinw(Leva
quin)w500wmgwIVwq24hwiswscheduledwtowbewadministered.wThewclientwreturnswtowthewunitwatw
1300.wWhatwiswthewbestwinterventionwforwthewnursewtowimplement?
A.wContactwthewhealthcarewproviderwandwcompletewawmedicationwvariancewform.w
B.wAdministerwthewLevaquinwatw1300wandwresumewthew0900wschedulewinwthewmorning.w
C.wNotifywthewchargewnursewandwcompletewanwincidentwreportwtowexplainwthewmissedwdose.w
D.wGivewthewmissedwdosewatw1300wandwchangewthewschedulewtowadministerwdailywatw1300.w
-wCORRECTwwANSWER-
D.wGivewthewmissedwdosewatw1300wandwchangewthewschedulewtowadministerwdailywatw1300.
Towensurewthatwawtherapeuticwlevelwofwmedicationwiswmaintained,wthewnursewshouldwadmini
sterwthewmissedwdosewaswsoonwaswpossible,wandwrevisewthewadministrationwschedulewaccor
dinglywtowpreventwdangerouslywincreasingwthewlevelwofwthewmedicationwinwthewbloodstreamw
(D).wThewnursewshouldwdocumentwthewreasonwforwthewlatewdose,wbutw(AwandwC)warewnotwwar
ranted.w(B)wcouldwresultwinwincreasedwbloodwlevelswofwthewdrug.
AwclientwiswreceivingwawcephalosporinwantibioticwIVwandwcomplainswofwpainwandwirritationwatw
thewinfusionwsite.wThewnursewobserveswerythema,wswelling,wandwawredwstreakwalongwthewve
sselwabovewthewIVwaccesswsite.wWhichwactionwshouldwthewnursewtakewatwthiswtime?
A.wAdministerwthewmedicationwmorewrapidlywusingwthewsamewIVwsite.w
,B.wInitiatewanwalternatewsitewforwthewIVwinfusionwofwthewmedication.w
C.wNotifywthewhealthcarewproviderwbeforewadministeringwthewnextwdose.w
D.wGivewthewclientwawPRNwdosewofwaspirinwwhilewthewmedicationwinfuses.w-
wCORRECTwwANSWER-B.wInitiatewanwalternatewsitewforwthewIV winfusionwofwthewmedication.w
AwcephalosporinwantibioticwthatwiswadministeredwIVwmaywcausewvesselwirritation.wRotatingwt
hewinfusionwsitewminimizeswthewriskwofwthrombophlebitis,wsowanwalternatewinfusionwsitewsho
uldwbewinitiatedw(B)wbeforewadministeringwthewnextwdose.wRapidwadministrationw(A)wofwintra
venouswcephalosporinswcanwpotentiatewvesselwirritationwandwincreasewthewriskwofwthrombo
phlebitis.w(C)wiswnotwnecessarywtowinitiatewanwalternativewIVwsite.wAlthoughwaspirinwhaswantii
nflammatorywactions,w(D)wiswnotwindicated.
Awclientwiswtowreceivew10wmEqwofwKClwdilutedwinw250wmlwofwnormalwsalinewoverw4whours.wAtw
whatwratewshouldwthewnursewsetwthewclient'swintravenouswinfusionwpump?
A.w13wml/hour.w
B.w63wml/hour.w
C.w80wml/hour.w
D.w125wml/hour.w-wCORRECTwwANSWER-B.w63wml/hour.w
(B)wiswthewcorrectwcalculation:wTowcalculatewthiswproblemwcorrectly,wrememberwthatwthewdos
ewofwKClwiswnotwusedwinwthewcalculation.w250wml/4whoursw=w63wml/hour.
Awclientwiswtowreceivewcimetidinew(Tagamet)w300wmgwq6hwIVPB.wThewpreparationwarriveswfr
omwthewpharmacywdilutedwinw50wmlwofw0.9%wNaCl.wThewnursewplanswtowadministerwthewIVP
Bwdosewoverw20wminutes.wForwhowwmanywml/hrwshouldwthewinfusionwpumpwbewsetwtowdeliver
wthewsecondarywinfusion?w-wCORRECTwwANSWER-
Thewinfusionwratewiswcalculatedwaswawratiowproportionwproblem,wi.e.,w50wml/w20wminw:wxwml/w6
0wmin.wMultiplywextremeswandwmeansw50w×w60w/20xw1=w300/20=150
CorrectwAnswer:w150
Awclientwwhowisw5'w5"wtallwandwweighsw200wpoundswiswscheduledwforwsurgerywthewnextwday.w
Whatwquestionwiswmostwimportantwforwthewnursewtowincludewduringwthewpreoperativewassess
ment?
A.wWhatwiswyourwdailywcaloriewconsumption?w
B.wWhatwvitaminwandwmineralwsupplementswdowyouwtake?w
C.wDowyouwfeelwthatwyouwarewoverweight?w
D.wWillwawclearwliquidwdietwbewokaywafterwsurgery?w-wCORRECTwwANSWER-
B.wWhatwvitaminwandwmineralwsupplementswdowyouwtake?w
Vitaminwandwmineralwsupplementsw(B)wmaywimpactwmedicationswusedwduringwthewoperativ
ewperiod.w(AwandwC)warewappropriatewquestionswforwlong-
termwdietarywcounseling.wThewnaturewofwthewsurgerywandwanesthesiawwillwdeterminewthewne
edwforwawclearwliquidwdietw(D),wratherwthanwthewclient'swpreference.
AwclientwwhowiswawJehovah'swWitnesswiswadmittedwtowthewnursingwunit.wWhichwconcernwsho
uldwthewnursewhavewforwplanningwcarewinwtermswofwthewclient'swbeliefs?
, A.wAutopsywofwthewbodywiswprohibited.w
B.wBloodwtransfusionswarewforbidden.w
C.wAlcoholwusewinwanywformwiswnotwallowed.w
D.wAwvegetarianwdietwmustwbewfollowed.w-wCORRECTwwANSWER-
B.wBloodwtransfusionswarewforbidden.w
Bloodwtransfusionswarewforbiddenw(B)winwthewJehovah'swWitnesswreligion.wJudaismwprohibit
sw(A).wBuddhismwforbidswthewusewofw(C)wandwdrugs.wManywofwthesewsectswarewvegetarianw(
D),wbutwthewdirectwimpactwonwnursingwcarewisw(B).
Awclientwwhowiswinwhospicewcarewcomplainswofwincreasingwamountswofwpain.wThewhealthcar
ewproviderwprescribeswanwanalgesicweverywfourwhourswaswneeded.wWhichwactionwshouldwth
ewnursewimplement?
A.wGivewanwaround-the-clockwschedulewforwadministrationwofwanalgesics.w
B.wAdministerwanalgesicwmedicationwaswneededwwhenwthewpainwiswsevere.w
C.wProvidewmedicationwtowkeepwthewclientwsedatedwandwunawarewofwstimuli.w
D.wOfferwawmedication-freewperiodwsowthatwthewclientwcanwdowdailywactivities.w-
wCORRECTwwANSWER-A.wGive wanwaround-the-
clockwschedulewforwadministrationwofwanalgesics.w
Thewmostweffectivewmanagementwofwpainwiswachievedwusingwanwaround-the-
clockwschedulewthatwprovideswanalgesicwmedicationswonwawregularwbasisw(A)wandwinwawtime
lywmanner.wAnalgesicswarewlessweffectivewifwpainwpersistswuntilwitwiswsevere,wsowanwanalgesi
cwmedicationwshouldwbewadministeredwbeforewthewclient'swpainwpeaksw(B).wProvidingwcomf
ortwiswawprioritywforwthewclientwwhowiswdying,wbutwsedationwthatwimpairswthewclient'swabilitywtow
interactwandwexperiencewthewtimewbeforewlifewendswshouldwbewminimizedw(C).wOfferingwawm
edication-
freewperiodwallowswthewserumwdrugwlevelwtowfall,wwhichwiswnotwanweffectivewmethodwtowmana
gewchronicwpainw(D).
AwclientwwithwacutewhemorrhagicwanemiawiswtowreceivewfourwunitswofwpackedwRBCsw(redwblo
odwcells)waswrapidlywaswpossible.wWhichwinterventionwiswmostwimportantwforwthewnursewtowim
plement?
A.wObtainwthewpre-transfusionwhemoglobinwlevel.w
B.wPrimewthewtubingwandwpreparewawbloodwpumpwset-up.w
C.wMonitorwvitalwsignswq15wminuteswforwthewfirstwhour.w
D.wEnsurewthewaccuracywofwthewbloodwtypewmatch.w-wCORRECTwwANSWER-
D.wEnsurewthewaccuracywofwthewbloodwtypewmatch.
Allwinterventionswshouldwbewimplementedwpriorwtowadministeringwblood,wbutw(D)whaswthewhi
ghestwpriority.wAnywtimewbloodwiswadministered,wthewnursewshouldwensurewthewaccuracywofw
thewbloodwtypewmatchwinworderwtowpreventwawpossiblewhemolyticwreaction.
Awclientwwithwchronicwrenalwfailurewselectswawscrambledweggwforwhiswbreakfast.wWhatwaction
wshouldwthewnursewtake?
A.wCommendwthewclientwforwselectingwawhighwbiologicwvaluewprotein.w
