Fundamental HESI, Hesi Fundamentals, Hesi
Fundamentals Practice Test, UNIT 1: Foundations of
Nursing Practice questions with correct answers
Which ,assessment ,data ,would ,provide ,the ,most ,accurate ,determination ,of ,proper ,placement ,of ,a ,n
asogastric ,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. ,- ,correct ,
answers-C) ,Examining ,a ,chest ,x-ray ,obtained ,after ,the ,tubing ,was ,inserted
Both ,
(A ,and ,B) ,are ,methods ,used ,to ,determine ,proper ,placement ,of ,the ,NG ,tubing. ,However, ,the ,best ,in
dicator ,that ,the ,tubing ,is ,properly ,placed ,is ,(C). ,(D) ,is ,not ,an ,indicator ,of ,proper ,placement
When ,assisting ,an ,82-year-
old ,client ,to ,ambulate, ,it ,is ,important ,for ,the ,nurse ,to ,realize ,that ,the ,center ,of ,gravity ,for ,an ,elderl
y ,person ,is ,the ,
A) ,Arms. ,
B) ,Upper ,torso. ,
C) ,Head. ,
D) ,Feet ,- ,correct ,answers-B) ,Upper ,torso
,The ,center ,of ,gravity ,for ,adults ,is ,the ,hips. ,However, ,as ,the ,person ,grows ,older, ,a ,stooped ,posture ,i
s ,common ,because ,of ,the ,changes ,from ,osteoporosis ,and ,normal ,bone ,degeneration, ,and ,the ,knees
, ,hips, ,and ,elbows ,flex. ,This ,stooped ,posture ,results ,in ,the ,upper ,torso ,
(B) ,becoming ,the ,center ,of ,gravity ,for ,older ,persons. ,Although ,
(A) ,is ,a ,part, ,or ,an ,extension ,of ,the ,upper ,torso, ,this ,is ,not ,the ,best ,and ,most ,complete ,answer.
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. ,- ,correct ,answers-
C) ,Keep ,gloved ,hands ,above ,the ,elbows
Gloved ,hands ,held ,below ,waist ,level ,are ,considered ,unsterile ,(C). ,
(A ,and ,B) ,are ,not ,essential ,to ,maintaining ,asepsis. ,While ,it ,may ,be ,helpful ,to ,put ,the ,glove ,on ,the ,
dominant ,hand ,first, ,it ,is ,not ,necessary ,to ,ensure ,asepsis ,(D).
An ,adult ,male ,client ,with ,a ,history ,of ,hypertension ,tells ,the ,nurse ,that ,he ,is ,tired ,of ,taking ,antihype
rtensive ,medications ,and ,is ,going ,to ,try ,spiritual ,meditation ,instead. ,What ,should ,be ,the ,nurse's ,firs
t ,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. ,- ,correct ,answers-
A) ,It ,is ,important ,that ,you ,continue ,your ,medication ,while ,learning ,to ,meditate
The ,prolonged ,practice ,of ,meditation ,may ,lead ,to ,a ,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 ,healthcare ,provider ,should ,be ,informed, ,b
ut ,permission ,is ,not ,required ,to ,meditate ,
,(C). ,Although ,it ,is ,true ,that ,this ,complimentary ,therapy ,might ,be ,effective ,(D), ,it ,is ,essential ,that ,the
,client ,continue ,with ,antihypertensive ,medications ,until ,the ,effect ,of ,meditation ,can ,be ,measured
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 ,- ,correct ,answers-A) ,Client
A ,primary ,source ,of ,information ,for ,a ,health ,assessment ,is ,the ,client ,(A). ,
(B, ,C, ,and ,D) ,are ,considered ,secondary ,sources ,about ,the ,client's ,health ,history, ,but ,other ,details, ,s
uch ,as ,subjective ,data, ,can ,only ,be ,provided ,directly ,from ,the ,client.
The ,nurse ,is ,instructing ,a ,client ,with ,high ,cholesterol ,about ,diet ,and ,life ,style ,modification. ,What ,co
mment ,from ,the ,client ,indicates ,that ,the ,teaching ,has ,been ,effective? ,
A) ,If ,I ,exercise ,at ,least ,two ,times ,weekly ,for ,one ,hour, ,I ,will ,lower ,my ,cholesterol. ,
B) ,I ,need ,to ,avoid ,eating ,proteins, ,including ,red ,meat. ,
C) ,I ,will ,limit ,my ,intake ,of ,beef ,to ,4 ,ounces ,per ,week. ,
D) ,My ,blood ,level ,of ,low ,density ,lipoproteins ,needs ,to ,increase. ,- ,correct ,answers-
C) ,I ,will ,limit ,my ,intake ,of ,beef ,to ,4 ,ounces ,per ,week
Limiting ,saturated ,fat ,from ,animal ,food ,sources ,to ,no ,more ,than ,4 ,ounces ,per ,week ,
(C) ,is ,an ,important ,diet ,modification ,for ,lowering ,cholesterol. ,To ,be ,effective ,in ,reducing ,cholesterol
, ,the ,client ,should ,exercise ,30 ,minutes ,per ,day, ,or ,at ,least ,4 ,to ,6 ,times ,per ,week ,(A). ,Red ,meat ,and
,all ,proteins ,do ,not ,need ,to ,be ,eliminated ,
(B) ,to ,lower ,cholesterol, ,but ,should ,be ,restricted ,to ,lean ,cuts ,of ,red ,meat ,and ,smaller ,portions ,(2-
ounce ,servings). ,The ,low ,density ,lipoproteins ,(D) ,need ,to ,decrease ,rather ,than ,increase
Examination ,of ,a ,client ,complaining ,of ,itching ,on ,his ,right ,arm ,reveals ,a ,rash ,made ,up ,of ,multiple ,fl
at ,areas ,of ,redness ,ranging ,from ,pinpoint ,to ,0.5 ,cm ,in ,diameter. ,How ,should ,the ,nurse ,record ,this ,
finding? ,
, A) ,Multiple ,vesicular ,areas ,surrounded ,by ,redness, ,ranging ,in ,size ,from ,1 ,mm ,to ,0.5 ,cm. ,
B) ,Localized ,red ,rash ,comprised ,of ,flat ,areas, ,pinpoint ,to ,0.5 ,cm ,in ,diameter. ,
C) ,Several ,areas ,of ,red, ,papular ,lesions ,from ,pinpoint ,to ,0.5 ,cm ,in ,size. ,
D) ,Localized ,petechial ,areas, ,ranging ,in ,size ,from ,pinpoint ,to ,0.5 ,cm ,in ,diameter. ,- ,correct ,answers-
B) ,Localized ,red ,rash ,comprised ,of ,flat ,areas, ,pinpoint ,to ,0.5 ,cm ,in ,diameter
Macules ,are ,localized ,flat ,skin ,discolorations ,less ,than ,1 ,cm ,in ,diameter. ,However, ,when ,recording ,s
uch ,a ,finding ,the ,nurse ,should ,describe ,the ,appearance ,
(B) ,rather ,than ,simply ,naming ,the ,condition. ,
(A) ,identifies ,vesicles ,-- ,fluid ,filled ,blisters ,-- ,an ,incorrect ,description ,given ,the ,symptoms ,listed. ,
(C) ,identifies ,papules ,-- ,solid ,elevated ,lesions, ,again ,not ,correctly ,identifying ,the ,symptoms. ,
(D) ,identifies ,petechiae ,-- ,pinpoint ,red ,to ,purple ,skin ,discolorations ,that ,do ,not ,itch, ,again ,an ,incorr
ect ,identification
A ,client ,who ,is ,5' ,5" ,tall ,and ,weighs ,200 ,pounds ,is ,scheduled ,for ,surgery ,the ,next ,day. ,What ,questi
on ,is ,most ,important ,for ,the ,nurse ,to ,include ,during ,the ,preoperative ,assessment? ,
A) ,What ,is ,your ,daily ,calorie ,consumption? ,
B) ,What ,vitamin ,and ,mineral ,supplements ,do ,you ,take? ,
C) ,Do ,you ,feel ,that ,you ,are ,overweight? ,
D) ,Will ,a ,clear ,liquid ,diet ,be ,okay ,after ,surgery? ,- ,correct ,answers-
A) ,What ,is ,your ,daily ,calorie ,consumption?
Vitamin ,and ,mineral ,supplements ,(B) ,may ,impact ,medications ,used ,during ,the ,operative ,period. ,
(A ,and ,C) ,are ,appropriate ,questions ,for ,long-
term ,dietary ,counseling. ,The ,nature ,of ,the ,surgery ,and ,anesthesia ,will ,determine ,the ,need ,for ,a ,cle
ar ,liquid ,diet ,(D), ,rather ,than ,the ,client's ,preference
The ,nurse ,is ,performing ,nasotracheal ,suctioning. ,After ,suctioning ,the ,client's ,trachea ,for ,fifteen ,seco
nds, ,large ,amounts ,of ,thick ,yellow ,secretions ,return. ,What ,action ,should ,the ,nurse ,implement ,next?
,
