Fundamentals HESI v1 Questions and Answers ( Top Secrets Inside)
2. Which assessment data would provide 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.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
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: After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs, which would pose an
aspiration
risk.
1 This is a method used to determine proper placement of NG tubing, but not the most
accurate.
2 This is a method used to determine proper placement of NG tubing, but not the most
accurate.
4 This is not an indicator of proper placement. You could very well be in a lung.
A 54-year-old male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client's care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer - ✔✔✔-a
While the client's wife may be grieving and need support, the priority for the client and client's
wife is to make sure the wife feels comfortable participating in the client's care, if at all. Most
,Fundamentals HESI v1 Questions and Answers ( Top Secrets Inside)
people have an easier time coming to terms with the death of a loved one when they are
involved
in their care. (D) is a nice gesture, but will be more appropriate at a later time.
A client is 2 days post-op from a thoracic surgery and is complaining of incisional pain. The
client last received pain medication 2 hours ago. He is rating his pain a 5 on a 1-10 scale. After
calling the provider, what is the nurse's next action?
a. Instruct the client to use guided imagery and slow rhythmic breathing
b. Provide at least 20 minutes of back massage and gentle effleurage
c. Encourage the client to watch TV.
d. Place a hot water circulation device, such as an Aqua K pad, to operative site - ✔✔✔-a
If there are no other PRN pain medications available after an initial dose was given, it is most
appropriate to call the provider, then switch to alternative pain management methods; like
guided
imagery and encouraging slow rhythmic breathing. (B) while massage may be helpful, it is
inappropriate for incisional pain as it may open the sutures. (C) While distraction can help
reduce
pain, watching TV does not rid the patient of the pain. (D) NEVER place a circulation device on
an operative site as it may open the sutures!
A client is admitted with a fever of unknown origin. To assess fever patterns, which
intervention should the nurse implement?
a. Document the client's circadian rhythms
b. Assess for flushed, warm skin regularly
c. Measure temperature at regular intervals
d. Vary sites for temperature measurement - ✔✔✔-c
In order to best assess when the fevers are coming, it would be best for the RN to measure the
, Fundamentals HESI v1 Questions and Answers ( Top Secrets Inside)
patient's temperature once an hour, in regular intervals so comparisons can be made with
regards
to the patient's activities or medications. (A) Circadian rhythms may have little effect on body
temperature. (B) A patient could be flushed and not have a fever, so this is not a precise way to
measure temperature. (D) Only one consistent site should or method should be used to
measure
temperature.
A client who has a body mass index (BMI) of 30 is requesting information on the initial
approach to a weight loss plan. Which action should the nurse recommend first?
A.
Plan low carbohydrate and high protein meals
B.
Engage in strenuous activity for an hour daily
C.
Keep a record of food and drinks consumed daily
D.
Participated in a group exercise class 3 times a week - ✔✔✔-c
BMI of 30 indicates the patient is obese. (A) While a good step, it is not what should be
completed first. (B) While a good step, it is not what should be completed first. (C) The best
thing to recommend is to have the patient keep a food journal to be able to go back and track
their calorie intake; it may be helpful when meal planning or creating a workout routine plan.
(D)
Would be appropriate later.
A client with cirrhosis and ascites is receiving furosemide 40 mg BID. The pharmacy
provides 20 mg tablets. How many tablets should the client receive each day? [Enter numeric
2. Which assessment data would provide 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.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
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: After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs, which would pose an
aspiration
risk.
1 This is a method used to determine proper placement of NG tubing, but not the most
accurate.
2 This is a method used to determine proper placement of NG tubing, but not the most
accurate.
4 This is not an indicator of proper placement. You could very well be in a lung.
A 54-year-old male client and his wife were informed this morning that he has terminal
cancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client's care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer - ✔✔✔-a
While the client's wife may be grieving and need support, the priority for the client and client's
wife is to make sure the wife feels comfortable participating in the client's care, if at all. Most
,Fundamentals HESI v1 Questions and Answers ( Top Secrets Inside)
people have an easier time coming to terms with the death of a loved one when they are
involved
in their care. (D) is a nice gesture, but will be more appropriate at a later time.
A client is 2 days post-op from a thoracic surgery and is complaining of incisional pain. The
client last received pain medication 2 hours ago. He is rating his pain a 5 on a 1-10 scale. After
calling the provider, what is the nurse's next action?
a. Instruct the client to use guided imagery and slow rhythmic breathing
b. Provide at least 20 minutes of back massage and gentle effleurage
c. Encourage the client to watch TV.
d. Place a hot water circulation device, such as an Aqua K pad, to operative site - ✔✔✔-a
If there are no other PRN pain medications available after an initial dose was given, it is most
appropriate to call the provider, then switch to alternative pain management methods; like
guided
imagery and encouraging slow rhythmic breathing. (B) while massage may be helpful, it is
inappropriate for incisional pain as it may open the sutures. (C) While distraction can help
reduce
pain, watching TV does not rid the patient of the pain. (D) NEVER place a circulation device on
an operative site as it may open the sutures!
A client is admitted with a fever of unknown origin. To assess fever patterns, which
intervention should the nurse implement?
a. Document the client's circadian rhythms
b. Assess for flushed, warm skin regularly
c. Measure temperature at regular intervals
d. Vary sites for temperature measurement - ✔✔✔-c
In order to best assess when the fevers are coming, it would be best for the RN to measure the
, Fundamentals HESI v1 Questions and Answers ( Top Secrets Inside)
patient's temperature once an hour, in regular intervals so comparisons can be made with
regards
to the patient's activities or medications. (A) Circadian rhythms may have little effect on body
temperature. (B) A patient could be flushed and not have a fever, so this is not a precise way to
measure temperature. (D) Only one consistent site should or method should be used to
measure
temperature.
A client who has a body mass index (BMI) of 30 is requesting information on the initial
approach to a weight loss plan. Which action should the nurse recommend first?
A.
Plan low carbohydrate and high protein meals
B.
Engage in strenuous activity for an hour daily
C.
Keep a record of food and drinks consumed daily
D.
Participated in a group exercise class 3 times a week - ✔✔✔-c
BMI of 30 indicates the patient is obese. (A) While a good step, it is not what should be
completed first. (B) While a good step, it is not what should be completed first. (C) The best
thing to recommend is to have the patient keep a food journal to be able to go back and track
their calorie intake; it may be helpful when meal planning or creating a workout routine plan.
(D)
Would be appropriate later.
A client with cirrhosis and ascites is receiving furosemide 40 mg BID. The pharmacy
provides 20 mg tablets. How many tablets should the client receive each day? [Enter numeric
