N524 Fundamental Hesi Study Questions
With Correct Answers
Upon |arriving |in |the |birthing |room |the |nurse |finds |the |client |lying |on |her |back |with |her |head |
on |a |pillow |and |the |bed |in |a |flat |position. |The |nurse |explains |that |it |is |important |to |avoid |lying
|in |the |supine |position |because |of |what |reason?
A) |It |may |precipitate |a |severe |headache.
B) |It |can |impede |the |progression |of |labor.
C) |It |may |cause |nausea |as |labor |progresses.
D) |It |will |prevent |adequate |blood |flow |to |the |fetus. |- |CORRECT |ANSWER✔✔-D) |It |will |prevent |
adequate |blood |flow |to |the |fetus.
When |the |pregnant |woman |lies |supine, |pressure |of |the |uterus |against |the |vena |cava |reduces |
circulation; |decreased |perfusion |of |the |placenta |results |in |decreased |blood |flow |to |the |fetus. |
The |supine |position |should |not |precipitate |a |headache, |although |it |can |lead |to |supine |
hypotension. |Although |the |supine |position |can |prolong |labor, |it |is |not |the |primary |reason |for |a
|position |change. |As |labor |progresses |toward |the |transition |phase, |nausea |may |occur; |this |is |
unrelated |to |the |client's |position.
A |primigravida |is |admitted |with |a |ruptured |fallopian |tube |(resulting |from |an |ectopic |
pregnancy), |and |surgery |is |performed |to |remove |the |fallopian |tube. |Which |intervention |
should |be |included |in |the |postoperative |nursing |care |plan?
A)Counseling |on |how |to |prevent |another |tubal |pregnancy
B) |Administering |Rho |(D) |immune |globulin |to |prevent |isoimmunization
,C) |Explaining |that |the |client |may |still |be |capable |of |becoming |pregnant
D) |Telling |the |client |to |avoid |douching |after |intercourse, |because |this |may |dislodge |a |fertilized |
egg |- |CORRECT |ANSWER✔✔-C) |Explaining |that |the |client |may |still |be |capable |of |becoming |
pregnant
Removing |a |fallopian |tube |does |not |impair |the |ovaries' |ability |to |release |an |egg, |which |may |
be |fertilized |in |the |remaining |tube |if |it |is |undamaged. |There |is |no |known |way |to |prevent |
future |tubal |pregnancies. |There |is |no |information |to |indicate |that |the |client |is |Rh |negative, |
requiring |the |administration |of |Rho |(D) |immune |globulin. |Liquid |from |a |douche |does |not |
reach |the |fallopian |tube |or |dislodge |a |fertilized |egg; |in |addition, |douching |is |no |longer |
recommended |at |any |time.
An |unemancipated |pediatric |client |is |to |undergo |a |routine |medical |procedure. |Who |is |the |
appropriate |authority |to |provide |consent?
A) |The |court
B) |Either |of |the |child's |parents
C) |One |of |the |child's |grandparents
D) |The |pediatric |client |- |CORRECT |ANSWER✔✔-B) |Either |of |the |child's |parents
For |unemancipated |pediatric |clients, |the |parents |are |required |to |provide |consent. |Either |
parent |may |do |so. |The |court |intervenes |in |situations |where |the |parents |refuse |to |allow |a |child
|to |undergo |treatment. |A |grandparent |may |provide |consent |only |if |the |situation |is |an |
emergency |and |the |parents |are |not |present. |The |client |is |underage |and |unemancipated; |
therefore |if |at |all |possible, |consent |must |be |obtained |from |one |of |the |child's |parents |in |a |non |
life-threatening |situation.
,Test-Taking |Tip: |Identify |option |components |as |correct |or |incorrect. |This |may |help |you |identify
|an |incorrect |answer.
An |older |adult |with |a |history |of |diabetes |reports |giddiness, |excessive |thirst, |and |nausea. |
During |an |assessment, |the |nurse |notices |the |client's |body |temperature |as |105° |F. |Which |
condition |does |the |nurse |suspect |in |the |client?
Heat |stroke
Heat |exhaustion
Accidental |hypothermia
Malignant |hyperthermia |- |CORRECT |ANSWER✔✔-Heat |stroke
Older |adults |are |more |at |a |risk |of |heat |stroke. |Symptoms |of |heat |stroke |include |giddiness, |
excessive |thirst, |nausea, |and |increased |body |temperature. |Heat |exhaustion |is |indicated |by |a |
fluid |volume |deficient. |Heat |exhaustion |occurs |when |profuse |diaphoresis |results |in |excess |
water |and |electrolyte |loss. |Accidental |hypothermia |usually |develops |gradually |and |goes |
unnoticed |for |several |hours. |When |the |skin |temperature |drops |below |95° |F, |the |client |suffers |
from |uncontrolled |shivering, |memory |loss, |depression, |and |poor |judgment. |Malignant |
hyperthermia |is |an |adverse |effect |of |inhalational |anesthesia |that |is |indicated |by |a |sudden |rise |
in |body |temperature |in |intraoperative |or |postoperative |clients.
The |nurse |is |interviewing |a |female |adolescent |with |anorexia |nervosa |who |is |malnourished |and
|severely |underweight. |Which |statement |leads |the |nurse |to |conclude |that |the |client |is |
experiencing |secondary |gains |from |her |behavior?
"I'm |as |big |as |a |house."
"I |get |straight |A's |in |school."
"My |mother |keeps |trying |to |get |me |to |eat."
"My |hair |is |beginning |to |fall |out |in |clumps.""My |hair |is |- |CORRECT |ANSWER✔✔-"My |mother |
keeps |trying |to |get |me |to |eat."
, The |client's |behavior |has |gotten |attention |for |her; |it |provides |a |sense |of |power |and |control.
|"I'm |as |big |as |a |house" |reflects |a |disturbed |perception |about |her |body. |Although |clients |with |
anorexia |nervosa |are |concerned |about |social |acceptance, |perfectionism, |and |achievement |and
|may |obtain |high |grades |in |school, |good |grades |are |not |a |secondary |gain |related |to |the |eating |
behaviors |associated |with |anorexia |nervosa. |Hair |falling |out |in |clumps |is |a |result |of |starvation, |
not |a |secondary |gain.
A |female |client |who |is |undergoing |infertility |testing |is |taught |how |to |examine |her |cervical |
mucus. |After |listening |to |the |instructions, |the |client |says, |"That |sounds |gross. |I |don't |think |I |
can |do |it." |What |does |the |nurse |conclude |from |this |statement?
A) |The |client |is |unduly |fastidious.
B) |The |client |feels |that |having |a |baby |is |not |that |important.
C) |Some |women |are |uncomfortable |with |touching |their |genitals.
D) |Some |women |are |afraid |that |they |are |the |cause |of |the |infertility. |- |CORRECT |ANSWER✔✔-
D) |Some |women |are |uncomfortable |with |touching |their |genitals.
Some |women |find |it |emotionally |stressful |to |handle |their |genitals |and |discharges. |The |nurse |
does |not |have |data |to |support |whether |the |client |is |unduly |fastidious. |The |nurse |should |not |
pass |judgement |on |whether |or |not |the |client |desires |having |a |baby. |Although |many |women |in
|this |situation |feel |that |they |are |the |cause |of |infertility, |this |has |no |bearing |on |either |the |
nurse's |instruction |or |the |client's |response. |
Test-Taking |Tip: |Watch |for |grammatical |inconsistencies. |If |one |or |more |of |the |options |is |not |
grammatically |consistent |with |the |stem, |the |alert |test |taker |can |identify |it |as |a |probable |
incorrect |option. |
When |the |stem |(The |part |of |the |question |that |presents |the |specific |question |being |asked) |is |in
|the |form |of |an |incomplete |sentence, |each |option |should |complete |the |sentence |in |a |
grammatically |correct |way.
With Correct Answers
Upon |arriving |in |the |birthing |room |the |nurse |finds |the |client |lying |on |her |back |with |her |head |
on |a |pillow |and |the |bed |in |a |flat |position. |The |nurse |explains |that |it |is |important |to |avoid |lying
|in |the |supine |position |because |of |what |reason?
A) |It |may |precipitate |a |severe |headache.
B) |It |can |impede |the |progression |of |labor.
C) |It |may |cause |nausea |as |labor |progresses.
D) |It |will |prevent |adequate |blood |flow |to |the |fetus. |- |CORRECT |ANSWER✔✔-D) |It |will |prevent |
adequate |blood |flow |to |the |fetus.
When |the |pregnant |woman |lies |supine, |pressure |of |the |uterus |against |the |vena |cava |reduces |
circulation; |decreased |perfusion |of |the |placenta |results |in |decreased |blood |flow |to |the |fetus. |
The |supine |position |should |not |precipitate |a |headache, |although |it |can |lead |to |supine |
hypotension. |Although |the |supine |position |can |prolong |labor, |it |is |not |the |primary |reason |for |a
|position |change. |As |labor |progresses |toward |the |transition |phase, |nausea |may |occur; |this |is |
unrelated |to |the |client's |position.
A |primigravida |is |admitted |with |a |ruptured |fallopian |tube |(resulting |from |an |ectopic |
pregnancy), |and |surgery |is |performed |to |remove |the |fallopian |tube. |Which |intervention |
should |be |included |in |the |postoperative |nursing |care |plan?
A)Counseling |on |how |to |prevent |another |tubal |pregnancy
B) |Administering |Rho |(D) |immune |globulin |to |prevent |isoimmunization
,C) |Explaining |that |the |client |may |still |be |capable |of |becoming |pregnant
D) |Telling |the |client |to |avoid |douching |after |intercourse, |because |this |may |dislodge |a |fertilized |
egg |- |CORRECT |ANSWER✔✔-C) |Explaining |that |the |client |may |still |be |capable |of |becoming |
pregnant
Removing |a |fallopian |tube |does |not |impair |the |ovaries' |ability |to |release |an |egg, |which |may |
be |fertilized |in |the |remaining |tube |if |it |is |undamaged. |There |is |no |known |way |to |prevent |
future |tubal |pregnancies. |There |is |no |information |to |indicate |that |the |client |is |Rh |negative, |
requiring |the |administration |of |Rho |(D) |immune |globulin. |Liquid |from |a |douche |does |not |
reach |the |fallopian |tube |or |dislodge |a |fertilized |egg; |in |addition, |douching |is |no |longer |
recommended |at |any |time.
An |unemancipated |pediatric |client |is |to |undergo |a |routine |medical |procedure. |Who |is |the |
appropriate |authority |to |provide |consent?
A) |The |court
B) |Either |of |the |child's |parents
C) |One |of |the |child's |grandparents
D) |The |pediatric |client |- |CORRECT |ANSWER✔✔-B) |Either |of |the |child's |parents
For |unemancipated |pediatric |clients, |the |parents |are |required |to |provide |consent. |Either |
parent |may |do |so. |The |court |intervenes |in |situations |where |the |parents |refuse |to |allow |a |child
|to |undergo |treatment. |A |grandparent |may |provide |consent |only |if |the |situation |is |an |
emergency |and |the |parents |are |not |present. |The |client |is |underage |and |unemancipated; |
therefore |if |at |all |possible, |consent |must |be |obtained |from |one |of |the |child's |parents |in |a |non |
life-threatening |situation.
,Test-Taking |Tip: |Identify |option |components |as |correct |or |incorrect. |This |may |help |you |identify
|an |incorrect |answer.
An |older |adult |with |a |history |of |diabetes |reports |giddiness, |excessive |thirst, |and |nausea. |
During |an |assessment, |the |nurse |notices |the |client's |body |temperature |as |105° |F. |Which |
condition |does |the |nurse |suspect |in |the |client?
Heat |stroke
Heat |exhaustion
Accidental |hypothermia
Malignant |hyperthermia |- |CORRECT |ANSWER✔✔-Heat |stroke
Older |adults |are |more |at |a |risk |of |heat |stroke. |Symptoms |of |heat |stroke |include |giddiness, |
excessive |thirst, |nausea, |and |increased |body |temperature. |Heat |exhaustion |is |indicated |by |a |
fluid |volume |deficient. |Heat |exhaustion |occurs |when |profuse |diaphoresis |results |in |excess |
water |and |electrolyte |loss. |Accidental |hypothermia |usually |develops |gradually |and |goes |
unnoticed |for |several |hours. |When |the |skin |temperature |drops |below |95° |F, |the |client |suffers |
from |uncontrolled |shivering, |memory |loss, |depression, |and |poor |judgment. |Malignant |
hyperthermia |is |an |adverse |effect |of |inhalational |anesthesia |that |is |indicated |by |a |sudden |rise |
in |body |temperature |in |intraoperative |or |postoperative |clients.
The |nurse |is |interviewing |a |female |adolescent |with |anorexia |nervosa |who |is |malnourished |and
|severely |underweight. |Which |statement |leads |the |nurse |to |conclude |that |the |client |is |
experiencing |secondary |gains |from |her |behavior?
"I'm |as |big |as |a |house."
"I |get |straight |A's |in |school."
"My |mother |keeps |trying |to |get |me |to |eat."
"My |hair |is |beginning |to |fall |out |in |clumps.""My |hair |is |- |CORRECT |ANSWER✔✔-"My |mother |
keeps |trying |to |get |me |to |eat."
, The |client's |behavior |has |gotten |attention |for |her; |it |provides |a |sense |of |power |and |control.
|"I'm |as |big |as |a |house" |reflects |a |disturbed |perception |about |her |body. |Although |clients |with |
anorexia |nervosa |are |concerned |about |social |acceptance, |perfectionism, |and |achievement |and
|may |obtain |high |grades |in |school, |good |grades |are |not |a |secondary |gain |related |to |the |eating |
behaviors |associated |with |anorexia |nervosa. |Hair |falling |out |in |clumps |is |a |result |of |starvation, |
not |a |secondary |gain.
A |female |client |who |is |undergoing |infertility |testing |is |taught |how |to |examine |her |cervical |
mucus. |After |listening |to |the |instructions, |the |client |says, |"That |sounds |gross. |I |don't |think |I |
can |do |it." |What |does |the |nurse |conclude |from |this |statement?
A) |The |client |is |unduly |fastidious.
B) |The |client |feels |that |having |a |baby |is |not |that |important.
C) |Some |women |are |uncomfortable |with |touching |their |genitals.
D) |Some |women |are |afraid |that |they |are |the |cause |of |the |infertility. |- |CORRECT |ANSWER✔✔-
D) |Some |women |are |uncomfortable |with |touching |their |genitals.
Some |women |find |it |emotionally |stressful |to |handle |their |genitals |and |discharges. |The |nurse |
does |not |have |data |to |support |whether |the |client |is |unduly |fastidious. |The |nurse |should |not |
pass |judgement |on |whether |or |not |the |client |desires |having |a |baby. |Although |many |women |in
|this |situation |feel |that |they |are |the |cause |of |infertility, |this |has |no |bearing |on |either |the |
nurse's |instruction |or |the |client's |response. |
Test-Taking |Tip: |Watch |for |grammatical |inconsistencies. |If |one |or |more |of |the |options |is |not |
grammatically |consistent |with |the |stem, |the |alert |test |taker |can |identify |it |as |a |probable |
incorrect |option. |
When |the |stem |(The |part |of |the |question |that |presents |the |specific |question |being |asked) |is |in
|the |form |of |an |incomplete |sentence, |each |option |should |complete |the |sentence |in |a |
grammatically |correct |way.
