HESI FUNDAMENTALS EXAM 2024
ACTUAL EXAM 2 VERSIONS EACH
WITH 55 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES/ALREADY GRADED A+
VERSION A
The nurse is caring for a client who is receiving 24-
hour total parenteral nutrition (TPN) via a central
line at 54 ml/hr. When initially assessing the client,
the nurse notes that the TPN solution has run out
and the next TPN solution is not available. What
immediate action should the nurse take?
A) Infuse normal saline at a keep vein open rate.
B) Discontinue the IV and flush the port with heparin.
C) Infuse 10 percent dextrose and water at 54 ml/hr
D) Obtain a stat blood glucose level and notify the
healthcare provider. - ....ANSWER...C) Infuse 10
percent dextrose and water at 54 ml/hr
,TPN is discontinued gradually to allow the client to
adjust to decreased levels of glucose. Administering
10% dextrose in water at the prescribed rate (C) will
keep the client from experiencing hypoglycemia until
the next TPN solution is available. The client could
experience a hypoglycemic reaction if the current
level of glucose (A) is not maintained or if the TPN is
discontinued abruptly (B). There is no reason to
obtain a stat blood glucose level (D) and the
healthcare provider cannot do anything about this
situation
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 the IV access site.
Which action should the nurse take at this time?
A) Administer the medication more rapidly using the
same IV site.
B) Initiate an alternate site for the IV infusion of the
medication.
,C) Notify the healthcare provider before
administering the next dose.
D) Give the client a PRN dose of aspirin while the
medication infuses - ....ANSWER...B) Initiate an
alternate site for the IV infusion of the medication
A cephalosporin antibiotic that is administered IV
may cause vessel irritation. Rotating the infusion site
minimizes the risk of thrombophlebitis, so an
alternate infusion site should be initiated (B) before
administering the next dose. Rapid administration
(A) of intravenous cephalosporins can potentiate
vessel irritation and increase the risk of
thrombophlebitis. (C) is not necessary to initiate an
alternative IV site. Although aspirin has
antiinflammatory actions, (D) is not indicated
The nurse is using a genogram while conducting a
client's health assessment and past medical history.
What information should the genogram provide?
A) Genetic and familial health disorders.
B) Chronic health problems.
C) Reason for seeking health care.
, D) Undetected disorders. - ....ANSWER...A) Genetic
and familial health disorders
A genogram that is used during the health
assessment process identifies genetic and familial
health disorders (A). It may not identify the client's
chronic health problems (B), so it is not a reason to
seek health care (C). A genogram is not a diagnostic
tool to detect disorders (D), such as those based on
pathological findings or DNA.
Heparin 20,000 units in 500 ml D5W at 50 ml/hour
has been infusing for 5½ hours. How much heparin
has the client received?
A) 11,000 units.
B) 13,000 units.
C) 15,000 units.
D) 17,000 units - ....ANSWER...A) 11,000 units
ACTUAL EXAM 2 VERSIONS EACH
WITH 55 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND
RATIONALES/ALREADY GRADED A+
VERSION A
The nurse is caring for a client who is receiving 24-
hour total parenteral nutrition (TPN) via a central
line at 54 ml/hr. When initially assessing the client,
the nurse notes that the TPN solution has run out
and the next TPN solution is not available. What
immediate action should the nurse take?
A) Infuse normal saline at a keep vein open rate.
B) Discontinue the IV and flush the port with heparin.
C) Infuse 10 percent dextrose and water at 54 ml/hr
D) Obtain a stat blood glucose level and notify the
healthcare provider. - ....ANSWER...C) Infuse 10
percent dextrose and water at 54 ml/hr
,TPN is discontinued gradually to allow the client to
adjust to decreased levels of glucose. Administering
10% dextrose in water at the prescribed rate (C) will
keep the client from experiencing hypoglycemia until
the next TPN solution is available. The client could
experience a hypoglycemic reaction if the current
level of glucose (A) is not maintained or if the TPN is
discontinued abruptly (B). There is no reason to
obtain a stat blood glucose level (D) and the
healthcare provider cannot do anything about this
situation
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 the IV access site.
Which action should the nurse take at this time?
A) Administer the medication more rapidly using the
same IV site.
B) Initiate an alternate site for the IV infusion of the
medication.
,C) Notify the healthcare provider before
administering the next dose.
D) Give the client a PRN dose of aspirin while the
medication infuses - ....ANSWER...B) Initiate an
alternate site for the IV infusion of the medication
A cephalosporin antibiotic that is administered IV
may cause vessel irritation. Rotating the infusion site
minimizes the risk of thrombophlebitis, so an
alternate infusion site should be initiated (B) before
administering the next dose. Rapid administration
(A) of intravenous cephalosporins can potentiate
vessel irritation and increase the risk of
thrombophlebitis. (C) is not necessary to initiate an
alternative IV site. Although aspirin has
antiinflammatory actions, (D) is not indicated
The nurse is using a genogram while conducting a
client's health assessment and past medical history.
What information should the genogram provide?
A) Genetic and familial health disorders.
B) Chronic health problems.
C) Reason for seeking health care.
, D) Undetected disorders. - ....ANSWER...A) Genetic
and familial health disorders
A genogram that is used during the health
assessment process identifies genetic and familial
health disorders (A). It may not identify the client's
chronic health problems (B), so it is not a reason to
seek health care (C). A genogram is not a diagnostic
tool to detect disorders (D), such as those based on
pathological findings or DNA.
Heparin 20,000 units in 500 ml D5W at 50 ml/hour
has been infusing for 5½ hours. How much heparin
has the client received?
A) 11,000 units.
B) 13,000 units.
C) 15,000 units.
D) 17,000 units - ....ANSWER...A) 11,000 units
