HESI RN FUNDAMENTALS EXIT VERSION
2 EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
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?
A) Clamp the tube for 20 minutes.
B) Flush the tube with water.
C) Administer the medications as prescribed.
D) Crush the tablets and dissolve in sterile water. - ✔✔✔ Correct Answer
> B) Flush the tube with water.
The NGT tube 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 nurse is preparing to give medications through a nasogastric feeding tube.
Which nursing action should prevent complications during administration?
A) Mix each medication individually.
B) Use sterile gloves for the procedure.
C) Monitor vital signs before giving medications.
D) Mix all medications together to facilitate administration. - ✔✔✔ Correct
Answer > A) Mix each medication individually
Medications should be mixed separately (A) to prevent clumping. (B, C, and D)
are not indicated
Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
A) Apply a condom catheter.
B) Apply a skin protectant.
C) Encourage increased fluid intake.
D) Assess for bladder distention. - ✔✔✔ Correct Answer > D) Assess for
bladder distention
Urinary retention is the inability to void all urine collected in the bladder, which
leads to uncomfortable bladder distension (D). (A and B)
, are useful actions to protect the skin of a client with urinary incontinence. (C)
may worsen the bladder distension
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of
30 mcg/min prescribed for a client in premature labor. How many ml/hr should
the nurse set the infusion pump?
A) 30
B) 60
C) 120
D) 180 - ✔✔✔ Correct Answer > D) 180
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A) Give an around-the-clock schedule for administration of analgesics.
B) Administer analgesic medication as needed when the pain is severe.
C) Provide medication to keep the client sedated and unaware of stimuli.
D) Offer a medication-free period so that the client can do daily
activities. - ✔✔✔ Correct Answer > A) Give an around-the-clock schedule
for administration of analgesics
2 EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
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?
A) Clamp the tube for 20 minutes.
B) Flush the tube with water.
C) Administer the medications as prescribed.
D) Crush the tablets and dissolve in sterile water. - ✔✔✔ Correct Answer
> B) Flush the tube with water.
The NGT tube 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 nurse is preparing to give medications through a nasogastric feeding tube.
Which nursing action should prevent complications during administration?
A) Mix each medication individually.
B) Use sterile gloves for the procedure.
C) Monitor vital signs before giving medications.
D) Mix all medications together to facilitate administration. - ✔✔✔ Correct
Answer > A) Mix each medication individually
Medications should be mixed separately (A) to prevent clumping. (B, C, and D)
are not indicated
Which intervention is most important for the nurse to implement for a male
client who is experiencing urinary retention?
A) Apply a condom catheter.
B) Apply a skin protectant.
C) Encourage increased fluid intake.
D) Assess for bladder distention. - ✔✔✔ Correct Answer > D) Assess for
bladder distention
Urinary retention is the inability to void all urine collected in the bladder, which
leads to uncomfortable bladder distension (D). (A and B)
, are useful actions to protect the skin of a client with urinary incontinence. (C)
may worsen the bladder distension
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of
30 mcg/min prescribed for a client in premature labor. How many ml/hr should
the nurse set the infusion pump?
A) 30
B) 60
C) 120
D) 180 - ✔✔✔ Correct Answer > D) 180
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A) Give an around-the-clock schedule for administration of analgesics.
B) Administer analgesic medication as needed when the pain is severe.
C) Provide medication to keep the client sedated and unaware of stimuli.
D) Offer a medication-free period so that the client can do daily
activities. - ✔✔✔ Correct Answer > A) Give an around-the-clock schedule
for administration of analgesics
