HESI EXAM PREP CERTIFICATION
EVALUATION BUNDLED EXAMS 2026
100% CORRECT.
◍ 20 minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best
response by the nurse? Answer: "The body's receptors adapt over time
as they are exposed to heat"
--thermal adaptation, which occurs 20-30 minutes after heat
application
◍ An african-american grandmother tells the nurse that her 4-year-old
grandson is suffering with "Miseries". based on this statement, which
focused assessment should the nurse conduct? Answer: Inquire about
the source and type of pain
Different cultural groups often have their own terms for health
conditions. African-American clients may refer to pain as "miseries"
◍ A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assess that there has been no
drainage through the NG tube in the last two hours. What action
should the nurse take first? Answer: Reposition the client on her side
,The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least
invasive intervention should be attempted first, followed by irrigating
the NG tube with sterile normal saline and advancing the NG tube an
additional 5cm, unless contraindicated. If these procedures do not
work, the client may require an antiemetic.
◍ A hospitalized male client is receiving NG 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? Answer: After clearing
the tube with 30ml of air, check the pH of fluid withdrawn from the
tube.
coughing, vomitting, and suctioning can precipitate displacement of
the tip of the small bore feeding tube upward into the esophagus,
placing the client at increased risk for aspiration. Checking the sample
of fluid withdrawn from the tube (after clearing the tube with 30ml of
air) for acidic (stomach) or alkaline (intestine) values is a more
sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action
◍ A sub-saharan african widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the
brother-in-law's children and the widow's adult children. each family
member speaks fluent english. surgery was recommended for the
client. What is the best plan to obtain consent for surgery for this
client? Answer: Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him an the
widow
, Customary law in some sub-saharan countries encompasses wife
inheritance and polygamy; the widow becomes the inherited wife of
her husband's brother. In those rural areas women live in patriarchal
family where decision are made by men. Most likely, the brother-in-
law will make the decision for his inherited wife.
◍ An older client who is a resident in a long term care facility has
been bedridden for a week. Which finding should the nurse ID as a
client risk factor for pressure ulcers? Answer: Rashes in axillary,
groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat
and moisture in areas where air flow is limited contributes to bacterial
and fungal growth, which increases the risk for rashes, skin
breakdown, an the development of pressure ulcers.
◍ The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler? Answer: during the inhalation
the client should be instructed to deliver the medication during the last
part of inhalation. After medication is delivered, the client should
remove the mouthpiece, keeping their lips closed and breath held for
several seconds to allow for distribution of the medication. The client
should deliver no more than two inhalations at a time.
EVALUATION BUNDLED EXAMS 2026
100% CORRECT.
◍ 20 minutes after beginning a heat application, the client states that
the heating pad no longer feels warm enough. What is the best
response by the nurse? Answer: "The body's receptors adapt over time
as they are exposed to heat"
--thermal adaptation, which occurs 20-30 minutes after heat
application
◍ An african-american grandmother tells the nurse that her 4-year-old
grandson is suffering with "Miseries". based on this statement, which
focused assessment should the nurse conduct? Answer: Inquire about
the source and type of pain
Different cultural groups often have their own terms for health
conditions. African-American clients may refer to pain as "miseries"
◍ A female client with a nasogastric tube attached to low suction
states that she is nauseated. The nurse assess that there has been no
drainage through the NG tube in the last two hours. What action
should the nurse take first? Answer: Reposition the client on her side
,The immediate priority is to determine if the tube is functioning
correctly, which would then relieve the client's nausea. The least
invasive intervention should be attempted first, followed by irrigating
the NG tube with sterile normal saline and advancing the NG tube an
additional 5cm, unless contraindicated. If these procedures do not
work, the client may require an antiemetic.
◍ A hospitalized male client is receiving NG 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? Answer: After clearing
the tube with 30ml of air, check the pH of fluid withdrawn from the
tube.
coughing, vomitting, and suctioning can precipitate displacement of
the tip of the small bore feeding tube upward into the esophagus,
placing the client at increased risk for aspiration. Checking the sample
of fluid withdrawn from the tube (after clearing the tube with 30ml of
air) for acidic (stomach) or alkaline (intestine) values is a more
sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action
◍ A sub-saharan african widowed immigrant woman lives with her
deceased husband's brother and his family, which includes the
brother-in-law's children and the widow's adult children. each family
member speaks fluent english. surgery was recommended for the
client. What is the best plan to obtain consent for surgery for this
client? Answer: Tell the surgeon that the brother-in-law will decide
after explanation of the proposed surgery is provided to him an the
widow
, Customary law in some sub-saharan countries encompasses wife
inheritance and polygamy; the widow becomes the inherited wife of
her husband's brother. In those rural areas women live in patriarchal
family where decision are made by men. Most likely, the brother-in-
law will make the decision for his inherited wife.
◍ An older client who is a resident in a long term care facility has
been bedridden for a week. Which finding should the nurse ID as a
client risk factor for pressure ulcers? Answer: Rashes in axillary,
groin, and skin fold regions.
immobility, constant contact with bed clothing, and excessive heat
and moisture in areas where air flow is limited contributes to bacterial
and fungal growth, which increases the risk for rashes, skin
breakdown, an the development of pressure ulcers.
◍ The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler? Answer: during the inhalation
the client should be instructed to deliver the medication during the last
part of inhalation. After medication is delivered, the client should
remove the mouthpiece, keeping their lips closed and breath held for
several seconds to allow for distribution of the medication. The client
should deliver no more than two inhalations at a time.
