HESI PN FUNDAMENTALS EXAM
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in
8 mg perml. How many ml should the nurse administer?
0.5 ml.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutesago, but feels fine now. What action is best for the nurse to
take?
After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What isthe best intervention for the nurse to implement?
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare
providerprescribes an analgesic every four hours as needed. Which action should the
nurse implement?
Give an around-the-clock schedule for administration of analgesics.
After completing an assessment and determining that a client has a problem, which
action shouldthe nurse perform next?
Determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper
extremitiesrather than the lower extremities of adults?
A decreased flow rate could result in the formation of a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at
the floorwhen she talks to the nurse. What action should the nurse take?
Continue asking the mother questions about the child.
Which intervention is most important for the nurse to implement for a male
client who isexperiencing urinary retention?
Assess for bladder distention.
, A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should thenurse have for planning care in terms of the client's beliefs?
Blood transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion
exercises tohis contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
Acknowledge that she is supporting the arm correctly.
An elderly male client who is unresponsive following a cerebral vascular accident
(CVA) is receiving bolus enteral feedings though a gastrostomy tube. What is the best
client position foradministration of the bolus tube feedings?
Fowler's.
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be thenurse's first response?
It is important that you continue your medication while learning to meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
150
The nurse is completing a mental assessment for a client who is demonstrating slow
thought processes, personality changes, and emotional lability. Which area of the
brain controls theseneuro-cognitive functions?
Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation
at the infusion site. The nurse observes erythema, swelling, and a red streak along the
vessel above theIV access site. Which action should the nurse take at this time?
Initiate an alternate site for the IV infusion of the medication.
A female client asks the nurse to find someone who can translate into her native
language herconcerns about a treatment. Which action should the nurse take?
Request and document the name of the certified translator.
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in
8 mg perml. How many ml should the nurse administer?
0.5 ml.
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutesago, but feels fine now. What action is best for the nurse to
take?
After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What isthe best intervention for the nurse to implement?
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
A client who is in hospice care complains of increasing amounts of pain. The healthcare
providerprescribes an analgesic every four hours as needed. Which action should the
nurse implement?
Give an around-the-clock schedule for administration of analgesics.
After completing an assessment and determining that a client has a problem, which
action shouldthe nurse perform next?
Determine the etiology of the problem
What is the most important reason for starting intravenous infusions in the upper
extremitiesrather than the lower extremities of adults?
A decreased flow rate could result in the formation of a thrombosis.
The nurse notices that the mother of a 9-year-old Vietnamese child always looks at
the floorwhen she talks to the nurse. What action should the nurse take?
Continue asking the mother questions about the child.
Which intervention is most important for the nurse to implement for a male
client who isexperiencing urinary retention?
Assess for bladder distention.
, A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should thenurse have for planning care in terms of the client's beliefs?
Blood transfusions are forbidden.
While instructing a male client's wife in the performance of passive range-of-motion
exercises tohis contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
Acknowledge that she is supporting the arm correctly.
An elderly male client who is unresponsive following a cerebral vascular accident
(CVA) is receiving bolus enteral feedings though a gastrostomy tube. What is the best
client position foradministration of the bolus tube feedings?
Fowler's.
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be thenurse's first response?
It is important that you continue your medication while learning to meditate.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
150
The nurse is completing a mental assessment for a client who is demonstrating slow
thought processes, personality changes, and emotional lability. Which area of the
brain controls theseneuro-cognitive functions?
Frontal lobe
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation
at the infusion site. The nurse observes erythema, swelling, and a red streak along the
vessel above theIV access site. Which action should the nurse take at this time?
Initiate an alternate site for the IV infusion of the medication.
A female client asks the nurse to find someone who can translate into her native
language herconcerns about a treatment. Which action should the nurse take?
Request and document the name of the certified translator.
