FUNDAMENTAL HESI CORE EXAMS TEST ALL
QUESTIONS AND ANSWERS SURE A+
✔✔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 is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. -
✔✔D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
(To ensure that a therapeutic level of medication is maintained, the nurse should
administer dose as soon as possible, and revise the administration schedule
accordingly to prevent dangerously increasing the level of medication in the
bloodstream (D). The nurse should document the reason for the late dose, but (A and
C) are not warranted. (B) could result in increased blood levels of the drug.)
✔✔While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
, C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ✔✔A. Acknowledge that
she is supporting the arm correctly. (The wife is performing the passive ROM correctly,
therefore the nurse should acknowledge this fact (A). The joint that is being exercised
should be uncovered (B) while the best of the body should remain covered for warmth
and privacy. (C and D) do not provide adequate support for the joint while still allowing
for joint movement.)
✔✔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 the nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - ✔✔A. "It is
important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic
response to meditation is monitored. (B) is not as important as continuing the
medication. The HCP should be informed, but permission is not required to mediate (C).
Although, it is true that the complimentary therapy might be effective (D), it is essential
that the client continue with antihypertensive mediations until the effect of mediation can
be measured.)
✔✔The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ✔✔B. A lactating woman nursing
her 3-day-old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D)
are all conditions that require protein but do NOT have the increased metabolic protein
demands of lactation.)
✔✔A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. - ✔✔B. Blood transfusions are forbidden.
✔✔When conducting an admission assessment, the nurse should ask the client about
the use of complimentary healing practices. Which statement is accurate regarding the
use of these practices?
QUESTIONS AND ANSWERS SURE A+
✔✔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 is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. -
✔✔D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
(To ensure that a therapeutic level of medication is maintained, the nurse should
administer dose as soon as possible, and revise the administration schedule
accordingly to prevent dangerously increasing the level of medication in the
bloodstream (D). The nurse should document the reason for the late dose, but (A and
C) are not warranted. (B) could result in increased blood levels of the drug.)
✔✔While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
, C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion. - ✔✔A. Acknowledge that
she is supporting the arm correctly. (The wife is performing the passive ROM correctly,
therefore the nurse should acknowledge this fact (A). The joint that is being exercised
should be uncovered (B) while the best of the body should remain covered for warmth
and privacy. (C and D) do not provide adequate support for the joint while still allowing
for joint movement.)
✔✔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 the nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you. - ✔✔A. "It is
important that you continue your medication while learning to meditate."
(The prolonged practice of meditation may lead to reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic
response to meditation is monitored. (B) is not as important as continuing the
medication. The HCP should be informed, but permission is not required to mediate (C).
Although, it is true that the complimentary therapy might be effective (D), it is essential
that the client continue with antihypertensive mediations until the effect of mediation can
be measured.)
✔✔The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ✔✔B. A lactating woman nursing
her 3-day-old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D)
are all conditions that require protein but do NOT have the increased metabolic protein
demands of lactation.)
✔✔A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. - ✔✔B. Blood transfusions are forbidden.
✔✔When conducting an admission assessment, the nurse should ask the client about
the use of complimentary healing practices. Which statement is accurate regarding the
use of these practices?
