Foundations HESI Practice Exam
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
Clamp the tube for 20 minutes.
Flush the tube with water.
Administer the medications as prescribed.
Crush the tablets and dissolve in sterile water.: Flush the tube with water
The NGT should be flushed before, after and in between each medication
administered (B). Once all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing
has been flushed.
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors.: Nutritional history.
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though (D)
can be a source of anxiety, a nutritional history should be obtained first.
, At the beginning of the shift, the nurse assesses a client who is admitted from the
post-anesthesia care unit (PACU). When should the nurse document the client's
findings?
At the beginning, middle, and end of the shift.
After client priorities are identified for the development of the nursing care plan.
At the end of the shift so full attention can be given to the client's needs.
Immediately after the assessments are completed.: Immediately after the
assessments are completed.
Documentation of client findings should occur immediately after any component of
the nursing process, so assessments should be entered in the client's medical
record as readily as findings are obtained.
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility?
The client voluntarily signed the form.
The client fully understands the procedure.
The client agrees with the procedure to be done.
The client authorizes continued treatment.: The client voluntarily signed the form.
The nurse signs the consent form to witness that the client voluntarily signs the
consent (A), that the client's signature is authentic, and that the client is otherwise
competent to give consent. It is the healthcare provider's responsibility to ensure
the client fully understands the procedure (B). The nurse's signature does not
indicate (C or D).
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
Clamp the tube for 20 minutes.
Flush the tube with water.
Administer the medications as prescribed.
Crush the tablets and dissolve in sterile water.: Flush the tube with water
The NGT should be flushed before, after and in between each medication
administered (B). Once all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing
has been flushed.
A young mother of three children complains of increased anxiety during her
annual physical exam. What information should the nurse obtain first?
Sexual activity patterns.
Nutritional history.
Leisure activities.
Financial stressors.: Nutritional history.
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can be
initiated if indicated. (A and C) can be used for stress management. Though (D)
can be a source of anxiety, a nutritional history should be obtained first.
, At the beginning of the shift, the nurse assesses a client who is admitted from the
post-anesthesia care unit (PACU). When should the nurse document the client's
findings?
At the beginning, middle, and end of the shift.
After client priorities are identified for the development of the nursing care plan.
At the end of the shift so full attention can be given to the client's needs.
Immediately after the assessments are completed.: Immediately after the
assessments are completed.
Documentation of client findings should occur immediately after any component of
the nursing process, so assessments should be entered in the client's medical
record as readily as findings are obtained.
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility?
The client voluntarily signed the form.
The client fully understands the procedure.
The client agrees with the procedure to be done.
The client authorizes continued treatment.: The client voluntarily signed the form.
The nurse signs the consent form to witness that the client voluntarily signs the
consent (A), that the client's signature is authentic, and that the client is otherwise
competent to give consent. It is the healthcare provider's responsibility to ensure
the client fully understands the procedure (B). The nurse's signature does not
indicate (C or D).
