FUNDAMENTAL HESI EXAM
Which assessment data would provide the most accurate determination
of proper placement of a nasogastric tube?
A) Aspirating gastric contents 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. - ANSWER-C) Examining a chest x-ray obtained
after the tubing was inserted
Both (A and B) are methods used to determine proper placement of the
NG tubing. However, the best indicator that the tubing is properly placed
is (C). (D) is not an indicator of proper placement
When assisting an 82-year-old client to ambulate, it is important for the
nurse to realize that the center of gravity for an elderly person is the
,A) Arms.
B) Upper torso.
C) Head.
D) Feet - ANSWER-B) Upper torso
The center of gravity for adults is the hips. However, as the person
grows older, a stooped posture is common because of the changes from
osteoporosis and normal bone degeneration, and the knees, hips, and
elbows flex. This stooped posture results in the upper torso (B)
becoming the center of gravity for older persons. Although (A) is a part,
or an extension of the upper torso, this is not the best and most complete
answer.
Which action is most important for the nurse to implement when
donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - ANSWER-C) Keep
gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A
and B) are not essential to maintaining asepsis. While it may be helpful
,to put the glove on the dominant hand first, it is not necessary to ensure
asepsis (D).
An adult male client with a history of hypertension tells the nurse that he
is tired of taking antihypertensive medications and is going to try
spiritual meditation instead. What should be the nurse's first response?
A) It is important that you continue your medication while learning to
meditate.
B) Spiritual meditation requires a time commitment of 15 to 20 minutes
daily.
C) Obtain your healthcare provider's permission before starting
meditation.
D) Complementary therapy and western medicine can be effective for
you. - ANSWER-A) It is important that you continue your medication
while learning to meditate
The prolonged practice of meditation may lead to a reduced need for
antihypertensive medications. However, the medications must be
continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The
healthcare provider should be informed, but permission is not required to
meditate (C). Although it is true that this complimentary therapy might
be effective (D), it is essential that the client continue with
antihypertensive medications until the effect of meditation can be
measured
, The nurse plans to obtain health assessment information from a primary
source. Which option is a primary source for the completion of the
health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - ANSWER-A) Client
A primary source of information for a health assessment is the client (A).
(B, C, and D) are considered secondary sources about the client's health
history, but other details, such as subjective data, can only be provided
directly from the client.
The nurse is instructing a client with high cholesterol about diet and life
style modification. What comment from the client indicates that the
teaching has been effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. -
ANSWER-C) I will limit my intake of beef to 4 ounces per week
Which assessment data would provide the most accurate determination
of proper placement of a nasogastric tube?
A) Aspirating gastric contents 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. - ANSWER-C) Examining a chest x-ray obtained
after the tubing was inserted
Both (A and B) are methods used to determine proper placement of the
NG tubing. However, the best indicator that the tubing is properly placed
is (C). (D) is not an indicator of proper placement
When assisting an 82-year-old client to ambulate, it is important for the
nurse to realize that the center of gravity for an elderly person is the
,A) Arms.
B) Upper torso.
C) Head.
D) Feet - ANSWER-B) Upper torso
The center of gravity for adults is the hips. However, as the person
grows older, a stooped posture is common because of the changes from
osteoporosis and normal bone degeneration, and the knees, hips, and
elbows flex. This stooped posture results in the upper torso (B)
becoming the center of gravity for older persons. Although (A) is a part,
or an extension of the upper torso, this is not the best and most complete
answer.
Which action is most important for the nurse to implement when
donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - ANSWER-C) Keep
gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A
and B) are not essential to maintaining asepsis. While it may be helpful
,to put the glove on the dominant hand first, it is not necessary to ensure
asepsis (D).
An adult male client with a history of hypertension tells the nurse that he
is tired of taking antihypertensive medications and is going to try
spiritual meditation instead. What should be the nurse's first response?
A) It is important that you continue your medication while learning to
meditate.
B) Spiritual meditation requires a time commitment of 15 to 20 minutes
daily.
C) Obtain your healthcare provider's permission before starting
meditation.
D) Complementary therapy and western medicine can be effective for
you. - ANSWER-A) It is important that you continue your medication
while learning to meditate
The prolonged practice of meditation may lead to a reduced need for
antihypertensive medications. However, the medications must be
continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The
healthcare provider should be informed, but permission is not required to
meditate (C). Although it is true that this complimentary therapy might
be effective (D), it is essential that the client continue with
antihypertensive medications until the effect of meditation can be
measured
, The nurse plans to obtain health assessment information from a primary
source. Which option is a primary source for the completion of the
health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - ANSWER-A) Client
A primary source of information for a health assessment is the client (A).
(B, C, and D) are considered secondary sources about the client's health
history, but other details, such as subjective data, can only be provided
directly from the client.
The nurse is instructing a client with high cholesterol about diet and life
style modification. What comment from the client indicates that the
teaching has been effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. -
ANSWER-C) I will limit my intake of beef to 4 ounces per week
