HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
1. The nurse observes that a male Observe the appearance of the skin under the ice pack
client has removed the covering (The first action taken by the nurse should be to assess
from an ice park applied to his the skin for any possible thermal injury. If no injury
knee. What action should the nurse to the skin has occurred, the nurse can take the other
take first? actions.)
A. Observe the appearance of the
skin under the ice pack.
B. Instruct the client regarding the
need for the covering.
C. Reapply the covering after filling
with fresh ice.
D. Ask the client how long the ice
was applied to the skin.
2. The nurse mixes 50 mg of Nipride 124 gtt/min
in 250 mL of D5W and plans to ad-
minister the solution at a rate of
5 mcg/kg/min to a client weight-
ing 182 lbs. Using a drip factor of
60 gtt/mL, how many drops per
minute should the client receive?
3. The healthcare provider prescribes 83 gtt/min
an IV infusion of 1000 ml of Ringer's
Lactate w/ 30 units of Pitocin to run
in over 4 hours for a client who has
just delivered a 10 pound infant by
cesarean section. The tubing has
been changed to a 20 gtt/ml admin-
istration set. The nurse plans to set
the flow rate at how many gtt/min?
, HESI FUNDAMENTALS PRACTICE EXAM
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4. Which assessment data provides Examining a chest x-ray obtained after the tubing was
the most accurate determination of inserted
proper placement of a nasogastric
tube?
5. Three days following a surgery, a B. Instruct the client that the stoma will become small-
male client observes his colostomy er when the initial swelling diminishes (Postoperative
for the first time. He becomes quite swelling causes enlargement of the stoma. The nurse
upset and tells the nurse that it can teach the client that the stoma will become small-
is much bigger than he expected. er when swelling is diminished (B). This will help re-
What is the best response by the duce the client's anxiety and promote acceptance of
nurse? the colostomy. (A) does not provide helpful teaching or
A. Reassure the client that he will support. (C) is a useful action, and may be taken after
become accustomed to the stoma the nurse provides pertinent teaching. The client is not
appearance in time. yet demonstrating readiness to learn colostomy care.
B. Instruct the client that the stoma (D)
will become much smaller when
the initial swelling diminishes.
C. Offer to contact a member of the
local ostomy support group to help
him with his concerns.
D. Encourage the client to handle
the stoma equipment to gain con-
fidence with the procedure.
6. A female client with a nasogastric B. Reposition the client on her side. (The immediate pri-
tube attached to low suction states ority is to determine if the tube is functioning correctly,
that she is nauseated. The nurse which would then relieve the client's nausea. The least
assesses that there has been no invasive intervention (B) should be attempted first, fol-
drainage through the nasogastric lowed by (A and C), unless either of these interventions
tube in the last two hours. What is contraindicated. If these measures are unsuccessful,
action should the nurse take first? the client may require an antiemetic (D))
, HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
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.
7. A hospitalized male client is receiv- C. After clearing the tube with 30 ml of air, check the pH
ing nasogastric tube feedings via a of fluid withdrawn from the tube.
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?
A. Record the coughing incident.
No further action is required at this
time.
B. Stop the feeding, explain to the
family why it is being stopped, and
notify the HCP.
C. After clearing the tube with 30
ml of air, check the pH of fluid with-
drawn from the tube.
D. Inject 30 ml of air into the tube
while auscultating the epigastrium
for gurgling.
8. A male client tells the nurse that D. is disoriented to place and time (The client is ex-
he does not know where he is or hibiting disorientation (D). (A) refers to memory of the
what year it is. What data should distant past. The client is able to express himself without
, HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
the nurse document that is most difficulty (B), and does not demonstrate diminished
accurate? attention span. (C).
A. demonstrates loss of remote
memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
9. A client with chronic kidney disease A. Commend the client for selecting a high biologic
(CKD) selects a scrambled egg for value protein. (Foods such as eggs and milk (A) are high
his breakfast. What action should biologic proteins which are allowed because they are
the nurse take? complete proteins and supply the essential amino acids
A. Commend the client for selecting that are necessary for growth and cell repair. Orange
a high biologic value protein. juice is rich in potassium and should not be encour-
B. Remind the client that protein in aged. The client has made a good diet choice so (D) is
the diet should be avoided. not necessary.)
C. Suggest that the client also select
orange juice, to promote absorp-
tion.
D. Encourage the client to attend
classes on dietary management of
CKD.
10. When assisting an 82 year old client Upper torso (The center of gravity for adults is the hips.
to ambulate, it is important for the However, as the person grows older, a stooped posture
nurse to realize that the center of is common because of the changes from osteoporosis
gravity for an elderly person is the-- and normal bone degeneration, and the knees, hips,
and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older
persons.)
11.
Study online at https://quizlet.com/_6hupf4
1. The nurse observes that a male Observe the appearance of the skin under the ice pack
client has removed the covering (The first action taken by the nurse should be to assess
from an ice park applied to his the skin for any possible thermal injury. If no injury
knee. What action should the nurse to the skin has occurred, the nurse can take the other
take first? actions.)
A. Observe the appearance of the
skin under the ice pack.
B. Instruct the client regarding the
need for the covering.
C. Reapply the covering after filling
with fresh ice.
D. Ask the client how long the ice
was applied to the skin.
2. The nurse mixes 50 mg of Nipride 124 gtt/min
in 250 mL of D5W and plans to ad-
minister the solution at a rate of
5 mcg/kg/min to a client weight-
ing 182 lbs. Using a drip factor of
60 gtt/mL, how many drops per
minute should the client receive?
3. The healthcare provider prescribes 83 gtt/min
an IV infusion of 1000 ml of Ringer's
Lactate w/ 30 units of Pitocin to run
in over 4 hours for a client who has
just delivered a 10 pound infant by
cesarean section. The tubing has
been changed to a 20 gtt/ml admin-
istration set. The nurse plans to set
the flow rate at how many gtt/min?
, HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
4. Which assessment data provides Examining a chest x-ray obtained after the tubing was
the most accurate determination of inserted
proper placement of a nasogastric
tube?
5. Three days following a surgery, a B. Instruct the client that the stoma will become small-
male client observes his colostomy er when the initial swelling diminishes (Postoperative
for the first time. He becomes quite swelling causes enlargement of the stoma. The nurse
upset and tells the nurse that it can teach the client that the stoma will become small-
is much bigger than he expected. er when swelling is diminished (B). This will help re-
What is the best response by the duce the client's anxiety and promote acceptance of
nurse? the colostomy. (A) does not provide helpful teaching or
A. Reassure the client that he will support. (C) is a useful action, and may be taken after
become accustomed to the stoma the nurse provides pertinent teaching. The client is not
appearance in time. yet demonstrating readiness to learn colostomy care.
B. Instruct the client that the stoma (D)
will become much smaller when
the initial swelling diminishes.
C. Offer to contact a member of the
local ostomy support group to help
him with his concerns.
D. Encourage the client to handle
the stoma equipment to gain con-
fidence with the procedure.
6. A female client with a nasogastric B. Reposition the client on her side. (The immediate pri-
tube attached to low suction states ority is to determine if the tube is functioning correctly,
that she is nauseated. The nurse which would then relieve the client's nausea. The least
assesses that there has been no invasive intervention (B) should be attempted first, fol-
drainage through the nasogastric lowed by (A and C), unless either of these interventions
tube in the last two hours. What is contraindicated. If these measures are unsuccessful,
action should the nurse take first? the client may require an antiemetic (D))
, HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
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.
7. A hospitalized male client is receiv- C. After clearing the tube with 30 ml of air, check the pH
ing nasogastric tube feedings via a of fluid withdrawn from the tube.
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?
A. Record the coughing incident.
No further action is required at this
time.
B. Stop the feeding, explain to the
family why it is being stopped, and
notify the HCP.
C. After clearing the tube with 30
ml of air, check the pH of fluid with-
drawn from the tube.
D. Inject 30 ml of air into the tube
while auscultating the epigastrium
for gurgling.
8. A male client tells the nurse that D. is disoriented to place and time (The client is ex-
he does not know where he is or hibiting disorientation (D). (A) refers to memory of the
what year it is. What data should distant past. The client is able to express himself without
, HESI FUNDAMENTALS PRACTICE EXAM
Study online at https://quizlet.com/_6hupf4
the nurse document that is most difficulty (B), and does not demonstrate diminished
accurate? attention span. (C).
A. demonstrates loss of remote
memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
9. A client with chronic kidney disease A. Commend the client for selecting a high biologic
(CKD) selects a scrambled egg for value protein. (Foods such as eggs and milk (A) are high
his breakfast. What action should biologic proteins which are allowed because they are
the nurse take? complete proteins and supply the essential amino acids
A. Commend the client for selecting that are necessary for growth and cell repair. Orange
a high biologic value protein. juice is rich in potassium and should not be encour-
B. Remind the client that protein in aged. The client has made a good diet choice so (D) is
the diet should be avoided. not necessary.)
C. Suggest that the client also select
orange juice, to promote absorp-
tion.
D. Encourage the client to attend
classes on dietary management of
CKD.
10. When assisting an 82 year old client Upper torso (The center of gravity for adults is the hips.
to ambulate, it is important for the However, as the person grows older, a stooped posture
nurse to realize that the center of is common because of the changes from osteoporosis
gravity for an elderly person is the-- and normal bone degeneration, and the knees, hips,
and elbows flex. This stooped posture results in the
upper torso becoming the center of gravity for older
persons.)
11.
