FUNDAMENTALS HESI V1 QUESTIONS
EXAM QUESTIONS WITH CORRECT
ANSWERS
Agbpolicygbrequiringgbthegbremovalgbofgbacrylicgbnailsgbbygballgbnursinggbpersonnelgbwasgb
implementedgb6
monthsgbago.gbWhichgbassessmentgbmeasuregbbestgbdeterminesgbifgbthegbintendedgbout
comegbofgbthegbpolicygbis
beinggbachieved?
a.gbNumbergbofgbstaffgbinducedgbinjury
b.gbClientgbsatisfactiongbsurvey
c.gbHealthgbcare-associatedgbinfectiongbrate.
d.gbRategbofgbneedle-stickgbinjuriesgbbygbnurse.gb-gbANS--c
Acrylicgbnailsgbaregbknowngbtogbcarrygbloadsgbofgbbacteriagbandgbincreasegbthegbriskgbofgb
healthcare-associated
infections.gbTherefore,gbbygbbanninggbthegbwearinggbofgbacrylicgbnails,gbyougbwouldgbexp
ectgbthegbprevalence
ofgbhealthcare-
associatedgbinfectionsgbtogbdecrease.gbAcrylicgbnailsgbhavegbnothinggbtogbdogbwithgbstaff
inducedgbinjuries,gbneedle-stickgbinjuries,gborgbpatientgbsatisfactiongbscores.
2.gbWhichgbassessmentgbdatagbwouldgbprovidegbthegbmostgbaccurategbdeterminationgbofg
bpropergbplacementgbof
agbnasogastricgbtube?
A)gbAspiratinggbgastricgbcontentsgbtogbassuregbagbpHgbvaluegbofgb4gborgbless.
B)gbHearinggbairgbpassgbingbthegbstomachgbaftergbinjectinggbairgbintogbthegbtubing.
ThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutgbno
tgbthegbmostgbaccurate.
C)
Examininggbagbchestgbx-raygbobtainedgbaftergbthegbtubinggbwasgbinserted.
D)
Checkinggbthegbremaininggblengthgbofgbtubinggbtogbensuregbthatgbthegbcorrectgblengthgbw
asgbinserted.gb-gbANS--C:gbAftergbplacinggbangbNG-
tube,gbthegbplacementgbofgbthegbtubegbisgbconfirmedgbviagbx-raygbsincegbitgbisgbthegbmost
accurategbwaygbtogbensuregbthegbtubegbhasgbnotgbbeengbplacedgbingbthegblungs,gbwhichgb
wouldgbposegbangbaspiration
risk.
1gbThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutg
bnotgbthegbmostgbaccurate.
2gbThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutg
bnotgbthegbmostgbaccurate.
4gbThisgbisgbnotgbangbindicatorgbofgbpropergbplacement.gbYougbcouldgbverygbwellgbbegbingb
agblung.
,Thegbfathergbofgbangb11-year-
oldgbclientgbreportsgbtogbthegbnursegbthatgbthegbclientgbhasgbbeengb"wettinggbthe
bed"gbsincegbthegbpassinggbofgbhisgbmothergbandgbisgbconcerned.gbWhichgbactiongbisgbmo
stgbimportantgbforgbthe
nursegbtogbenact?
A.
Reassuregbthegbfathergbthatgbitgbisgbnormalgbforgbagbpre-
teengbtogbwetgbthegbbedgbduringgbpuberty
B.
Informgbthegbfathergbthatgbnocturnalgbemissionsgbaregbabnormalgbandgbhisgbsongbisgbdeve
lopmentally
delayed
C.
Informgbthegbfathergbthatgbitgbisgbmostgbimportantgbtogbletgbthegbsongbknowgbthatgbnocturn
algbemissionsgbare
normalgbaftergbtrauma
D.
Refergbthegbfathergbandgbthegbclientgbtogbagbpsychologistgb-gbANS--c
Itgbisgbcommongbforgbadolescentsgbtogbregressgbingbtheirgbbiologicalgbprogressiongbaftergb
experiencinggbagbsevere
trauma,gblikegblosinggbagbparent,gbsibling,gborgbfriend.gbWhilegbuncomfortablegbforgbthegba
dolescentgband
parent,gbitgbisgbnothinggbtogbbegbconcernedgbfor.gbOftengbtimes,gbasgbthegbpatientgbgrieve
sgborgbcomesgbtogbterms
withgbthegbtrauma,gbthegbnocturnalgbemissionsgbwillgbcease.
Thegbnursegbexplainsgbtogbangboldergbadultgbmalegbthegbproceduregbforgbcollectinggbagb24
-hourgburine
specimengbforgbcreatininegbclearance.gbWhichgbactiongbisgbmostgbimportantgbforgbthegbnu
rsegbtogbincludegbin
theirgbcaregbplangbforgbthegbshift?
A.gbAssessgbthegbclientgbforgbconfusiongbandgbreteachgbthegbprocedure
B.gbCheckgbthegburinegbforgbcolorgbandgbtexture
C.gbEmptygbthegburinalgbcontentsgbintogbthegb24-hourgbcollectiongbcontainer
D.gbDiscardgbthegbcontentsgbofgbthegburinalgb-gbANS--c
Angb"oldergbadultgbmale"gbingbthegbquestiongbmaygbimplygbthatgbthegbpatientgbmaygbhaveg
bangbalteredgbmental
statusgborgbbegbdemented.gbWhilegbsuggesting,gbitgbisgbnotgbdirectlygbstated,gbthereforegb
(A)gbisgbinappropriate.
(B)gbisgbincorrectgbbecausegbthegblabgbwillgbbegbassessinggbthegbcollectiongbspecimengbaf
tergbthegbtestgbis
complete.gb(C)gbisgbcorrectgbbecausegbthegbnursegbshouldgbfirstgbdiscardgbthegbfirstgbspec
imen,gbthengbbegingbto
collectgbandgbrecordgbthegbtimegbthegbfirstgburinegbspecimengbwasgbcollected.gbItgbisgbimp
ortantgbtogbhavegbstrict
, documentationgbforgboutput,gbandgbtogbcollectgbeverygburinegbspecimengbwithingbthatgb24g
bhourgbperiod,
otherwisegbthegbtestgbmustgbbegbrestarted.gb(D)gbdefeatsgbthegbpurposegbofgbthegb24-
hourgburinegbcollectiongbtest.
Agb54-year-
oldgbmalegbclientgbandgbhisgbwifegbweregbinformedgbthisgbmorninggbthatgbhegbhasgbtermin
al
cancer.gbWhichgbnursinggbinterventiongbisgblikelygbtogbmostgbbeneficial?
A.gbAskgbhergbhowgbshegbwouldgblikegbtogbparticipategbingbthegbclient'sgbcare.
B.gbProvidegbthegbwifegbwithgbinformationgbaboutgbhospice
C.gbEncouragegbthegbwifegbtogbvisitgbaftergbpainfulgbtreatmentsgbaregbcompleted
D.gbRefergbhergbtogbsupportgbgroupgbforgbfamilygbmembersgbofgbthosegbdyinggbofgbcancer
gb-gbANS--a
Whilegbthegbclient'sgbwifegbmaygbbegbgrievinggbandgbneedgbsupport,gbthegbprioritygbforgbth
egbclientgbandgbclient's
wifegbisgbtogbmakegbsuregbthegbwifegbfeelsgbcomfortablegbparticipatinggbingbthegbclient'sgbc
are,gbifgbatgball.gbMost
peoplegbhavegbangbeasiergbtimegbcominggbtogbtermsgbwithgbthegbdeathgbofgbagblovedgbone
gbwhengbtheygbaregbinvolved
ingbtheirgbcare.gb(D)gbisgbagbnicegbgesture,gbbutgbwillgbbegbmoregbappropriategbatgbagblater
gbtime.
Agbclientgbwhogbhasgbagbbodygbmassgbindexgb(BMI)gbofgb30gbisgbrequestinggbinformationg
bongbthegbinitial
approachgbtogbagbweightgblossgbplan.gbWhichgbactiongbshouldgbthegbnursegbrecommendgb
first?
A.
Plangblowgbcarbohydrategbandgbhighgbproteingbmeals
B.
Engagegbingbstrenuousgbactivitygbforgbangbhourgbdaily
C.
Keepgbagbrecordgbofgbfoodgbandgbdrinksgbconsumedgbdaily
D.
Participatedgbingbagbgroupgbexercisegbclassgb3gbtimesgbagbweekgb-gbANS--c
BMIgbofgb30gbindicatesgbthegbpatientgbisgbobese.gb(A)gbWhilegbagbgoodgbstep,gbitgbisgbnotg
bwhatgbshouldgbbe
completedgbfirst.gb(B)gbWhilegbagbgoodgbstep,gbitgbisgbnotgbwhatgbshouldgbbegbcompletedg
bfirst.gb(C)gbThegbbest
thinggbtogbrecommendgbisgbtogbhavegbthegbpatientgbkeepgbagbfoodgbjournalgbtogbbegbableg
btogbgogbbackgbandgbtrack
theirgbcaloriegbintake;gbitgbmaygbbegbhelpfulgbwhengbmealgbplanninggborgbcreatinggbagbwor
koutgbroutinegbplan.gb(D)
Wouldgbbegbappropriategblater.
EXAM QUESTIONS WITH CORRECT
ANSWERS
Agbpolicygbrequiringgbthegbremovalgbofgbacrylicgbnailsgbbygballgbnursinggbpersonnelgbwasgb
implementedgb6
monthsgbago.gbWhichgbassessmentgbmeasuregbbestgbdeterminesgbifgbthegbintendedgbout
comegbofgbthegbpolicygbis
beinggbachieved?
a.gbNumbergbofgbstaffgbinducedgbinjury
b.gbClientgbsatisfactiongbsurvey
c.gbHealthgbcare-associatedgbinfectiongbrate.
d.gbRategbofgbneedle-stickgbinjuriesgbbygbnurse.gb-gbANS--c
Acrylicgbnailsgbaregbknowngbtogbcarrygbloadsgbofgbbacteriagbandgbincreasegbthegbriskgbofgb
healthcare-associated
infections.gbTherefore,gbbygbbanninggbthegbwearinggbofgbacrylicgbnails,gbyougbwouldgbexp
ectgbthegbprevalence
ofgbhealthcare-
associatedgbinfectionsgbtogbdecrease.gbAcrylicgbnailsgbhavegbnothinggbtogbdogbwithgbstaff
inducedgbinjuries,gbneedle-stickgbinjuries,gborgbpatientgbsatisfactiongbscores.
2.gbWhichgbassessmentgbdatagbwouldgbprovidegbthegbmostgbaccurategbdeterminationgbofg
bpropergbplacementgbof
agbnasogastricgbtube?
A)gbAspiratinggbgastricgbcontentsgbtogbassuregbagbpHgbvaluegbofgb4gborgbless.
B)gbHearinggbairgbpassgbingbthegbstomachgbaftergbinjectinggbairgbintogbthegbtubing.
ThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutgbno
tgbthegbmostgbaccurate.
C)
Examininggbagbchestgbx-raygbobtainedgbaftergbthegbtubinggbwasgbinserted.
D)
Checkinggbthegbremaininggblengthgbofgbtubinggbtogbensuregbthatgbthegbcorrectgblengthgbw
asgbinserted.gb-gbANS--C:gbAftergbplacinggbangbNG-
tube,gbthegbplacementgbofgbthegbtubegbisgbconfirmedgbviagbx-raygbsincegbitgbisgbthegbmost
accurategbwaygbtogbensuregbthegbtubegbhasgbnotgbbeengbplacedgbingbthegblungs,gbwhichgb
wouldgbposegbangbaspiration
risk.
1gbThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutg
bnotgbthegbmostgbaccurate.
2gbThisgbisgbagbmethodgbusedgbtogbdeterminegbpropergbplacementgbofgbNGgbtubing,gbbutg
bnotgbthegbmostgbaccurate.
4gbThisgbisgbnotgbangbindicatorgbofgbpropergbplacement.gbYougbcouldgbverygbwellgbbegbingb
agblung.
,Thegbfathergbofgbangb11-year-
oldgbclientgbreportsgbtogbthegbnursegbthatgbthegbclientgbhasgbbeengb"wettinggbthe
bed"gbsincegbthegbpassinggbofgbhisgbmothergbandgbisgbconcerned.gbWhichgbactiongbisgbmo
stgbimportantgbforgbthe
nursegbtogbenact?
A.
Reassuregbthegbfathergbthatgbitgbisgbnormalgbforgbagbpre-
teengbtogbwetgbthegbbedgbduringgbpuberty
B.
Informgbthegbfathergbthatgbnocturnalgbemissionsgbaregbabnormalgbandgbhisgbsongbisgbdeve
lopmentally
delayed
C.
Informgbthegbfathergbthatgbitgbisgbmostgbimportantgbtogbletgbthegbsongbknowgbthatgbnocturn
algbemissionsgbare
normalgbaftergbtrauma
D.
Refergbthegbfathergbandgbthegbclientgbtogbagbpsychologistgb-gbANS--c
Itgbisgbcommongbforgbadolescentsgbtogbregressgbingbtheirgbbiologicalgbprogressiongbaftergb
experiencinggbagbsevere
trauma,gblikegblosinggbagbparent,gbsibling,gborgbfriend.gbWhilegbuncomfortablegbforgbthegba
dolescentgband
parent,gbitgbisgbnothinggbtogbbegbconcernedgbfor.gbOftengbtimes,gbasgbthegbpatientgbgrieve
sgborgbcomesgbtogbterms
withgbthegbtrauma,gbthegbnocturnalgbemissionsgbwillgbcease.
Thegbnursegbexplainsgbtogbangboldergbadultgbmalegbthegbproceduregbforgbcollectinggbagb24
-hourgburine
specimengbforgbcreatininegbclearance.gbWhichgbactiongbisgbmostgbimportantgbforgbthegbnu
rsegbtogbincludegbin
theirgbcaregbplangbforgbthegbshift?
A.gbAssessgbthegbclientgbforgbconfusiongbandgbreteachgbthegbprocedure
B.gbCheckgbthegburinegbforgbcolorgbandgbtexture
C.gbEmptygbthegburinalgbcontentsgbintogbthegb24-hourgbcollectiongbcontainer
D.gbDiscardgbthegbcontentsgbofgbthegburinalgb-gbANS--c
Angb"oldergbadultgbmale"gbingbthegbquestiongbmaygbimplygbthatgbthegbpatientgbmaygbhaveg
bangbalteredgbmental
statusgborgbbegbdemented.gbWhilegbsuggesting,gbitgbisgbnotgbdirectlygbstated,gbthereforegb
(A)gbisgbinappropriate.
(B)gbisgbincorrectgbbecausegbthegblabgbwillgbbegbassessinggbthegbcollectiongbspecimengbaf
tergbthegbtestgbis
complete.gb(C)gbisgbcorrectgbbecausegbthegbnursegbshouldgbfirstgbdiscardgbthegbfirstgbspec
imen,gbthengbbegingbto
collectgbandgbrecordgbthegbtimegbthegbfirstgburinegbspecimengbwasgbcollected.gbItgbisgbimp
ortantgbtogbhavegbstrict
, documentationgbforgboutput,gbandgbtogbcollectgbeverygburinegbspecimengbwithingbthatgb24g
bhourgbperiod,
otherwisegbthegbtestgbmustgbbegbrestarted.gb(D)gbdefeatsgbthegbpurposegbofgbthegb24-
hourgburinegbcollectiongbtest.
Agb54-year-
oldgbmalegbclientgbandgbhisgbwifegbweregbinformedgbthisgbmorninggbthatgbhegbhasgbtermin
al
cancer.gbWhichgbnursinggbinterventiongbisgblikelygbtogbmostgbbeneficial?
A.gbAskgbhergbhowgbshegbwouldgblikegbtogbparticipategbingbthegbclient'sgbcare.
B.gbProvidegbthegbwifegbwithgbinformationgbaboutgbhospice
C.gbEncouragegbthegbwifegbtogbvisitgbaftergbpainfulgbtreatmentsgbaregbcompleted
D.gbRefergbhergbtogbsupportgbgroupgbforgbfamilygbmembersgbofgbthosegbdyinggbofgbcancer
gb-gbANS--a
Whilegbthegbclient'sgbwifegbmaygbbegbgrievinggbandgbneedgbsupport,gbthegbprioritygbforgbth
egbclientgbandgbclient's
wifegbisgbtogbmakegbsuregbthegbwifegbfeelsgbcomfortablegbparticipatinggbingbthegbclient'sgbc
are,gbifgbatgball.gbMost
peoplegbhavegbangbeasiergbtimegbcominggbtogbtermsgbwithgbthegbdeathgbofgbagblovedgbone
gbwhengbtheygbaregbinvolved
ingbtheirgbcare.gb(D)gbisgbagbnicegbgesture,gbbutgbwillgbbegbmoregbappropriategbatgbagblater
gbtime.
Agbclientgbwhogbhasgbagbbodygbmassgbindexgb(BMI)gbofgb30gbisgbrequestinggbinformationg
bongbthegbinitial
approachgbtogbagbweightgblossgbplan.gbWhichgbactiongbshouldgbthegbnursegbrecommendgb
first?
A.
Plangblowgbcarbohydrategbandgbhighgbproteingbmeals
B.
Engagegbingbstrenuousgbactivitygbforgbangbhourgbdaily
C.
Keepgbagbrecordgbofgbfoodgbandgbdrinksgbconsumedgbdaily
D.
Participatedgbingbagbgroupgbexercisegbclassgb3gbtimesgbagbweekgb-gbANS--c
BMIgbofgb30gbindicatesgbthegbpatientgbisgbobese.gb(A)gbWhilegbagbgoodgbstep,gbitgbisgbnotg
bwhatgbshouldgbbe
completedgbfirst.gb(B)gbWhilegbagbgoodgbstep,gbitgbisgbnotgbwhatgbshouldgbbegbcompletedg
bfirst.gb(C)gbThegbbest
thinggbtogbrecommendgbisgbtogbhavegbthegbpatientgbkeepgbagbfoodgbjournalgbtogbbegbableg
btogbgogbbackgbandgbtrack
theirgbcaloriegbintake;gbitgbmaygbbegbhelpfulgbwhengbmealgbplanninggborgbcreatinggbagbwor
koutgbroutinegbplan.gb(D)
Wouldgbbegbappropriategblater.
