HESI Fundamentals Exam Practice
Questions
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 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 healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. - ✔✔c
The nurse observes that a male client has removed the covering from an ice pack applied to his
knee. What action should the nurse take first?
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. - ✔✔a
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - ✔✔c
A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
a. Give an around-the-clock schedule for administration of analgesics.
,b. Administer analgesic medication as needed when the pain is severe.
c. Provide medication to keep the client sedated and unaware of stimuli.
d. Offer a medication-free period so that the client can do daily activities. - ✔✔a
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells
the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
a. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
b. Blood specimens not collected because client no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to have blood specimens collected for testing.
d. Client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - ✔✔c
The nurse plans to obtain health assessment information from a primary source. Which option
is a primary source for the completion of the health assessment?
a. client
b. healthcare provider
c. a family member
d. previous medical records - ✔✔a
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using
a goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
D. Change in the circumference of the joint in centimeters. - ✔✔c
A female client asks the nurse to find someone who can translate her treatment concerns into
her native language. Which action should the nurse take?
, a. Explain that anyone who speaks her language can answer her questions.
b. Provide a translator only in an emergency situation.
c. Ask a family member or friend of the client to translate.
d. Request and document the name of the certified translator. - ✔✔d
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care plan.
c. At the end of the shift so full attention can be given to the client's needs.
d. Immediately after the assessments are completed - ✔✔d
An older client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings through a gastrostomy tube (GT). What is the best position for the client
for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sim's
d. supine - ✔✔b
Which assessment data provides the most accurate determination of proper placement of a
nasogastric tube?
a. aspirating gastric contents to assure a pH value of 4 or less.
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest x-ray obtained after the tubing was inserted.
d. checking the remaining length of tubing to ensure that the correct length was inserted. -
✔✔c
Questions
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 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 healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. - ✔✔c
The nurse observes that a male client has removed the covering from an ice pack applied to his
knee. What action should the nurse take first?
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. - ✔✔a
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - ✔✔c
A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
a. Give an around-the-clock schedule for administration of analgesics.
,b. Administer analgesic medication as needed when the pain is severe.
c. Provide medication to keep the client sedated and unaware of stimuli.
d. Offer a medication-free period so that the client can do daily activities. - ✔✔a
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells
the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
a. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
b. Blood specimens not collected because client no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to have blood specimens collected for testing.
d. Client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - ✔✔c
The nurse plans to obtain health assessment information from a primary source. Which option
is a primary source for the completion of the health assessment?
a. client
b. healthcare provider
c. a family member
d. previous medical records - ✔✔a
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using
a goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
D. Change in the circumference of the joint in centimeters. - ✔✔c
A female client asks the nurse to find someone who can translate her treatment concerns into
her native language. Which action should the nurse take?
, a. Explain that anyone who speaks her language can answer her questions.
b. Provide a translator only in an emergency situation.
c. Ask a family member or friend of the client to translate.
d. Request and document the name of the certified translator. - ✔✔d
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care plan.
c. At the end of the shift so full attention can be given to the client's needs.
d. Immediately after the assessments are completed - ✔✔d
An older client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings through a gastrostomy tube (GT). What is the best position for the client
for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sim's
d. supine - ✔✔b
Which assessment data provides the most accurate determination of proper placement of a
nasogastric tube?
a. aspirating gastric contents to assure a pH value of 4 or less.
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest x-ray obtained after the tubing was inserted.
d. checking the remaining length of tubing to ensure that the correct length was inserted. -
✔✔c
