QUESTIONS AND
ANSWERS
FOR HESI
FUNDAMENTALS FINAL
ASSESSMENT
The nurse observes that a male client has removed the covering form an ice pack applied to his
knee. What action should the nurse take first? - CORRECT ANSWER -Observe the appearance
of the skin under the ice pack.
The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution .at .a
.rate .of .5mcg/kg/min .to .a .client .weighing .182lbs. .Using .a .drip .factor .of .60gtt/ml, .how .many
.drops .permin .should .the .client .receive? .- .CORRECT .ANSWER .-124gtt/min
lbs .to .kg
182/2.2 .= .82.73kg
Dosage .for .the .client
5mcg .X .82.73 .=413mcg/min
mcg ./ .ml
250/50000mcg .=200 .mcg/ml
2.07ml/min .with .a .drip .factor .of .60gtt/ml
60 .x .2.07 .=124.28gtt/min
,A .healthcare .provider .prescibes .an .IV .infusion .of .1000ml .of .Riger's .Lactate .with .30 .units .of
.Pitocin .to .run .in .over .4hrs .for .a .client .who .has .just .delievered .a .10lbs .infant .via .cesarean
.section. .The .tubing .has .been .changed .to .a .20gtt/ml .administration .set. .The .nurse .plans .to
.set .the .flow .rate .to .how .many .gtt/min? .- .CORRECT .ANSWER .-83 .gtt/min
20gtt/ml .x .1000 .ml/4hrs .x .1hr/60mins .= .83gtt/min
Wich .assessment .data .provides .the .most .accurate .determination .of .proper .placement .of .a
.nasogastric .tube? .- .CORRECT .ANSWER .-Chest .x-ray
Three .days .following .surgery, .a .male .client .observes .his .colostomy .for .the .first .time. .He
.becomes .quite .upset .and .tells .the .nurse .that .it .is .much .bigger .than .he .expected. .What .is
.the .best .response .by .the .nurse? .- .CORRECT .ANSWER .-Instruct .the .client .that .the .stoma
.will .become .smaller .when .the .initial .swelling .diminishes
A .female .client .with .a .nasogastric .tube .attached .to .low .suction .states .that .she .is .nauseated.
.The .nurse .assesses .that .there .has .been .no .drainage .through .the .nasogastric .tube .in .the
.last .two .hours. .What .action .should .the .nurse .take .first?
A. Irrigate .the .nasogastric .tube .with .sterile .normal .saline.
B. Reposition .the .client .on .her .side.
C.Advance .the .nasogastric .tube .an .additional .five .centimeters.
D. Administer .an .intravenous .antiemetic .prescribed .for .PRN .use. .- .CORRECT .ANSWER .-
Reposition .the .client .on .her .side
A .hospitalized .male .client .is .receiving .nasogastric .tube .feeding .via .a .small-bore .tube .and
.a .continuous .pump .infusion. .He .reports .that .he .had .a .bad .bout .of .severe .coughing .a .few
.minutes .ago, .but .feels .fine .now. .What .action .is .best .for .the .nurse .to .take? .- .CORRECT
.ANSWER .-After .clearing .the .tube .with .30ml .of .air, .check .the .pH .of .fluid .withdrawn .from
.the .tube.
A .male .client .tells .the .nurse .that .he .does .not .know .where .he .is .or .what .year .it .is. .What
.data .should .the .nurse .document .that .is .most .accurate? .- .CORRECT .ANSWER .-Is
.disorientated .to .place .and .time
, A .client .with .chronic .kidney .disease .(CKD) .selects .a .scrambled .egg .for .his .breakfast. .What
.action .should .the .nurse .take? .- .CORRECT .ANSWER .-Commend .the .client .for .selecting .a
.high .biologic .value .protein.
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. .- .CORRECT .ANSWER .-Upper .Torso
In .developing .a .plan .of .care .for .a .client .with .dementia, .the .nurse .should .remember .that
.confusion .in .the .elderly .- .CORRECT .ANSWER .-Often .follows .relocation .to .new .surroundings
A .postoperative .client .will .need .to .perform .daily .dressing .changes .after .discharge. .Which
.outcome .statement .best .demonstrates .the .client's .readiness .to .manage .his .would .care
.after .discharge? .- .CORRECT .ANSWER .-The .client .demonstrates .the .wound .care
.procedure .correctly.
A .client .who .is .5'5" .tall .and .weighs .200 .pounds .is .scheduled .for .surgery .the .next .day. .What
.question .is .most .important .for .the .nurse .to .include .during .the .preoperative .assessment? .-
.CORRECT .ANSWER .- .What .vitamin .and .mineral .supplements .do .you .take?
During .the .initial .morning .assessment, .a .male .client .denies .dysuria .but .reports .that .his .urine
.appears .dark .amber. .Which .intervention .should .the .nurse .implement?
A. Provide .additional .coffee .on .the .client's .breakfast .tray.
B. Exchange .the .client's .grape .juice .for .cranberry .juice.
C.Bring .the .client .additional .fruit .at .mid-morning.
D. Encourage .additional .oral .intake .of .juices .and .water. .- .CORRECT .ANSWER .-Encourage
.additional .oral .intake .of .juices .and .water.
ANSWERS
FOR HESI
FUNDAMENTALS FINAL
ASSESSMENT
The nurse observes that a male client has removed the covering form an ice pack applied to his
knee. What action should the nurse take first? - CORRECT ANSWER -Observe the appearance
of the skin under the ice pack.
The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the solution .at .a
.rate .of .5mcg/kg/min .to .a .client .weighing .182lbs. .Using .a .drip .factor .of .60gtt/ml, .how .many
.drops .permin .should .the .client .receive? .- .CORRECT .ANSWER .-124gtt/min
lbs .to .kg
182/2.2 .= .82.73kg
Dosage .for .the .client
5mcg .X .82.73 .=413mcg/min
mcg ./ .ml
250/50000mcg .=200 .mcg/ml
2.07ml/min .with .a .drip .factor .of .60gtt/ml
60 .x .2.07 .=124.28gtt/min
,A .healthcare .provider .prescibes .an .IV .infusion .of .1000ml .of .Riger's .Lactate .with .30 .units .of
.Pitocin .to .run .in .over .4hrs .for .a .client .who .has .just .delievered .a .10lbs .infant .via .cesarean
.section. .The .tubing .has .been .changed .to .a .20gtt/ml .administration .set. .The .nurse .plans .to
.set .the .flow .rate .to .how .many .gtt/min? .- .CORRECT .ANSWER .-83 .gtt/min
20gtt/ml .x .1000 .ml/4hrs .x .1hr/60mins .= .83gtt/min
Wich .assessment .data .provides .the .most .accurate .determination .of .proper .placement .of .a
.nasogastric .tube? .- .CORRECT .ANSWER .-Chest .x-ray
Three .days .following .surgery, .a .male .client .observes .his .colostomy .for .the .first .time. .He
.becomes .quite .upset .and .tells .the .nurse .that .it .is .much .bigger .than .he .expected. .What .is
.the .best .response .by .the .nurse? .- .CORRECT .ANSWER .-Instruct .the .client .that .the .stoma
.will .become .smaller .when .the .initial .swelling .diminishes
A .female .client .with .a .nasogastric .tube .attached .to .low .suction .states .that .she .is .nauseated.
.The .nurse .assesses .that .there .has .been .no .drainage .through .the .nasogastric .tube .in .the
.last .two .hours. .What .action .should .the .nurse .take .first?
A. Irrigate .the .nasogastric .tube .with .sterile .normal .saline.
B. Reposition .the .client .on .her .side.
C.Advance .the .nasogastric .tube .an .additional .five .centimeters.
D. Administer .an .intravenous .antiemetic .prescribed .for .PRN .use. .- .CORRECT .ANSWER .-
Reposition .the .client .on .her .side
A .hospitalized .male .client .is .receiving .nasogastric .tube .feeding .via .a .small-bore .tube .and
.a .continuous .pump .infusion. .He .reports .that .he .had .a .bad .bout .of .severe .coughing .a .few
.minutes .ago, .but .feels .fine .now. .What .action .is .best .for .the .nurse .to .take? .- .CORRECT
.ANSWER .-After .clearing .the .tube .with .30ml .of .air, .check .the .pH .of .fluid .withdrawn .from
.the .tube.
A .male .client .tells .the .nurse .that .he .does .not .know .where .he .is .or .what .year .it .is. .What
.data .should .the .nurse .document .that .is .most .accurate? .- .CORRECT .ANSWER .-Is
.disorientated .to .place .and .time
, A .client .with .chronic .kidney .disease .(CKD) .selects .a .scrambled .egg .for .his .breakfast. .What
.action .should .the .nurse .take? .- .CORRECT .ANSWER .-Commend .the .client .for .selecting .a
.high .biologic .value .protein.
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. .- .CORRECT .ANSWER .-Upper .Torso
In .developing .a .plan .of .care .for .a .client .with .dementia, .the .nurse .should .remember .that
.confusion .in .the .elderly .- .CORRECT .ANSWER .-Often .follows .relocation .to .new .surroundings
A .postoperative .client .will .need .to .perform .daily .dressing .changes .after .discharge. .Which
.outcome .statement .best .demonstrates .the .client's .readiness .to .manage .his .would .care
.after .discharge? .- .CORRECT .ANSWER .-The .client .demonstrates .the .wound .care
.procedure .correctly.
A .client .who .is .5'5" .tall .and .weighs .200 .pounds .is .scheduled .for .surgery .the .next .day. .What
.question .is .most .important .for .the .nurse .to .include .during .the .preoperative .assessment? .-
.CORRECT .ANSWER .- .What .vitamin .and .mineral .supplements .do .you .take?
During .the .initial .morning .assessment, .a .male .client .denies .dysuria .but .reports .that .his .urine
.appears .dark .amber. .Which .intervention .should .the .nurse .implement?
A. Provide .additional .coffee .on .the .client's .breakfast .tray.
B. Exchange .the .client's .grape .juice .for .cranberry .juice.
C.Bring .the .client .additional .fruit .at .mid-morning.
D. Encourage .additional .oral .intake .of .juices .and .water. .- .CORRECT .ANSWER .-Encourage
.additional .oral .intake .of .juices .and .water.
