______________________________________
HESI RN
FUNDAMENTALS
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Fundamentals of Nursing
EXAM NAME: HESI RN Fundamentals Exam
HESI RN FUNDAMENTALS
1000+ PRACTICE QUESTIONS
, 1. The physician orders hourly urine output measurement for a postoperative
client. The nurse records the following amounts of output for 2 consecutive
hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action
should the nurse take?
A nurse is caring for a postoperative client who has an order for hourly urine
output measurements. During routine monitoring, the nurse records the
following urinary outputs:
8:00 a.m.: 50 mL
9:00 a.m.: 60 mL
The nurse reviews these findings to determine whether intervention is
necessary. Based on these amounts, which action should the nurse take?
Correct Answer: Beyond continued evaluation, no nursing action is warranted.
Normal adult urine output is generally considered to be at least 30 mL per hour. This
client's urine outputs of 50 mL and 60 mL per hour are both within the expected
range and indicate adequate kidney perfusion and function. Because the output is
sufficient, no immediate intervention is required beyond continued monitoring. The
nurse should continue to assess trends in urine output, fluid balance, and overall
postoperative status. Routine evaluation is appropriate because the client's urinary
output does not suggest dehydration, hypovolemia, or renal impairment.
3 . Priority Nursing Action During NG Tube Feeding Complication
A hospitalized client who has a living will is receiving nutrition through a
nasogastric (NG) tube. During a bolus feeding, the client suddenly begins to
vomit and choke. The nurse recognizes that the client is experiencing an
emergency that may compromise oxygenation and place the client at risk for
aspiration. Which action is most appropriate for the nurse to take?
Correct Answer: The nurse should clear the client's airway.
The priority in this situation is to maintain the client's airway, following the ABC
, principle (Airway, Breathing, Circulation). Vomiting and choking during an NG tube
feeding place the client at immediate risk for aspiration and airway obstruction,
which can rapidly become life-threatening. The nurse should stop the feeding,
position the client appropriately, suction if necessary, and take immediate steps to
clear the airway. Once the airway is secure and the client is stable, additional
interventions such as provider notification and documentation can occur. A living will
does not prevent the nurse from providing emergency measures to relieve an acute
airway obstruction.
2. Identifying an Intestinal Tube for Gastrointestinal Decompression
A physician prescribes an intestinal tube to decompress a client's gastrointestinal
(GI) tract. The nurse gathers the necessary equipment and reviews the available
tubes to ensure the correct device is selected. Because different tubes are
designed for specific purposes and locations within the GI tract, the nurse must
identify which tube is classified as an intestinal tube. Which tube should the
nurse select?
Correct Answer: A Miller-Abbott tube is an intestinal tube.
The Miller-Abbott tube is a specialized intestinal tube designed for decompression of
the small intestine. It is a long, double-lumen tube with a balloon at the distal end
that helps advance the tube through the stomach and into the intestine by
peristalsis. It is commonly used to relieve intestinal obstruction, remove intestinal
contents, and decompress the bowel. Because it extends beyond the stomach into
the small intestine, it is classified as an intestinal tube rather than a gastric tube.
, 3. A pediatric nurse is asked to work temporarily (float) in the intensive care unit
(ICU) because there are few clients in the pediatric unit. The nurse has never
worked in ICU and has no critical care experience. Which action is most
appropriate for this nurse?
Correct Answer: The pediatric nurse should notify the nursing supervisor about
feeling unqualified and untrained.
The pediatric nurse should notify the nursing supervisor about feeling unqualified
and untrained. The nursing supervisor can guide the pediatric nurse as to the tasks
the pediatric nurse is qualified to perform in the ICU without jeopardizing the
nurse's nursing license. When the census on a unit is low, many facilities use staff
to float to another unit as a cost-effective and reasonable manner for managing
resources. Option 4 puts the decision and responsibility for performance on ICU
nurses. However, the nursing supervisor should make those decisions because the
supervisor knows the overall needs of the facility and can, therefore, best allocate
nursing resources. A nurse should never take responsibility for a total client care
assignment if the nurse doesn't have the skills to plan and deliver that care.
4. A nurse manages a unit that has four full-time vacant positions, and nurses
volunteer to work extra shifts to cover the staffing shortages. One of the staff
nurses hasn't volunteered and states, "Forty hours a week of nursing is all I can
manage to do. I won't volunteer for overtime." The nurse-manager says to an
attending physician on the unit, "I'll adjust her schedule to make her wish she'd
volunteered." The physician to whom she commented should:
Correct Answer: The remark is inappropriate and unprofessional, and the nurse-
manager should receive counseling.
It's discriminatory and punitive for the nurse-manager to alter the staff nurse's
schedule. The remark is inappropriate and unprofessional, and the nurse-manager
should receive counseling. The physician could choose to ignore the comment, but
any provider who hears of discrimination should deal with it. If the matter can be
HESI RN
FUNDAMENTALS
(NGN-STYLE QUESTIONS & CASE
“SCENARIOS”)
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: RN (REGISTERED NURSE PROGRAM)
COURSE NAME: Fundamentals of Nursing
EXAM NAME: HESI RN Fundamentals Exam
HESI RN FUNDAMENTALS
1000+ PRACTICE QUESTIONS
, 1. The physician orders hourly urine output measurement for a postoperative
client. The nurse records the following amounts of output for 2 consecutive
hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action
should the nurse take?
A nurse is caring for a postoperative client who has an order for hourly urine
output measurements. During routine monitoring, the nurse records the
following urinary outputs:
8:00 a.m.: 50 mL
9:00 a.m.: 60 mL
The nurse reviews these findings to determine whether intervention is
necessary. Based on these amounts, which action should the nurse take?
Correct Answer: Beyond continued evaluation, no nursing action is warranted.
Normal adult urine output is generally considered to be at least 30 mL per hour. This
client's urine outputs of 50 mL and 60 mL per hour are both within the expected
range and indicate adequate kidney perfusion and function. Because the output is
sufficient, no immediate intervention is required beyond continued monitoring. The
nurse should continue to assess trends in urine output, fluid balance, and overall
postoperative status. Routine evaluation is appropriate because the client's urinary
output does not suggest dehydration, hypovolemia, or renal impairment.
3 . Priority Nursing Action During NG Tube Feeding Complication
A hospitalized client who has a living will is receiving nutrition through a
nasogastric (NG) tube. During a bolus feeding, the client suddenly begins to
vomit and choke. The nurse recognizes that the client is experiencing an
emergency that may compromise oxygenation and place the client at risk for
aspiration. Which action is most appropriate for the nurse to take?
Correct Answer: The nurse should clear the client's airway.
The priority in this situation is to maintain the client's airway, following the ABC
, principle (Airway, Breathing, Circulation). Vomiting and choking during an NG tube
feeding place the client at immediate risk for aspiration and airway obstruction,
which can rapidly become life-threatening. The nurse should stop the feeding,
position the client appropriately, suction if necessary, and take immediate steps to
clear the airway. Once the airway is secure and the client is stable, additional
interventions such as provider notification and documentation can occur. A living will
does not prevent the nurse from providing emergency measures to relieve an acute
airway obstruction.
2. Identifying an Intestinal Tube for Gastrointestinal Decompression
A physician prescribes an intestinal tube to decompress a client's gastrointestinal
(GI) tract. The nurse gathers the necessary equipment and reviews the available
tubes to ensure the correct device is selected. Because different tubes are
designed for specific purposes and locations within the GI tract, the nurse must
identify which tube is classified as an intestinal tube. Which tube should the
nurse select?
Correct Answer: A Miller-Abbott tube is an intestinal tube.
The Miller-Abbott tube is a specialized intestinal tube designed for decompression of
the small intestine. It is a long, double-lumen tube with a balloon at the distal end
that helps advance the tube through the stomach and into the intestine by
peristalsis. It is commonly used to relieve intestinal obstruction, remove intestinal
contents, and decompress the bowel. Because it extends beyond the stomach into
the small intestine, it is classified as an intestinal tube rather than a gastric tube.
, 3. A pediatric nurse is asked to work temporarily (float) in the intensive care unit
(ICU) because there are few clients in the pediatric unit. The nurse has never
worked in ICU and has no critical care experience. Which action is most
appropriate for this nurse?
Correct Answer: The pediatric nurse should notify the nursing supervisor about
feeling unqualified and untrained.
The pediatric nurse should notify the nursing supervisor about feeling unqualified
and untrained. The nursing supervisor can guide the pediatric nurse as to the tasks
the pediatric nurse is qualified to perform in the ICU without jeopardizing the
nurse's nursing license. When the census on a unit is low, many facilities use staff
to float to another unit as a cost-effective and reasonable manner for managing
resources. Option 4 puts the decision and responsibility for performance on ICU
nurses. However, the nursing supervisor should make those decisions because the
supervisor knows the overall needs of the facility and can, therefore, best allocate
nursing resources. A nurse should never take responsibility for a total client care
assignment if the nurse doesn't have the skills to plan and deliver that care.
4. A nurse manages a unit that has four full-time vacant positions, and nurses
volunteer to work extra shifts to cover the staffing shortages. One of the staff
nurses hasn't volunteered and states, "Forty hours a week of nursing is all I can
manage to do. I won't volunteer for overtime." The nurse-manager says to an
attending physician on the unit, "I'll adjust her schedule to make her wish she'd
volunteered." The physician to whom she commented should:
Correct Answer: The remark is inappropriate and unprofessional, and the nurse-
manager should receive counseling.
It's discriminatory and punitive for the nurse-manager to alter the staff nurse's
schedule. The remark is inappropriate and unprofessional, and the nurse-manager
should receive counseling. The physician could choose to ignore the comment, but
any provider who hears of discrimination should deal with it. If the matter can be
