HESI Fundamentals V2 Exam Questions and
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• Acrylic nails . Answer: Known to carry loads of bacteria and increase the risk of
healthcare-associated infections.
• Nasogastric tube placement . Answer: Confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs.
• Nocturnal emissions . Answer: Common for adolescents to regress in their biological
progression after experiencing severe trauma.
• 24-hour urine specimen for creatinine clearance . Answer: The nurse should first
discard the first specimen, then begin to collect and record the time the first urine
specimen was collected.
• Body Mass Index (BMI) . Answer: A BMI of 30 indicates the patient is obese.
• Skin damage from nasal cannula . Answer: Constant pressure from the tubing may
create skin damage to the areas of skin and bony prominences the nasal cannula will
be resting on.
• Total bed bath for a confused client . Answer: It is especially important to dry between
the client's toes completely to prevent skin breakdown due to excessive moisture.
• HIPAA violation . Answer: Looking up patients who are not under your direct care may
result in termination of employment.
• Client satisfaction survey . Answer: Used to assess the effectiveness of policies like
the removal of acrylic nails.
• Health care-associated infection rate . Answer: Expected to decrease after banning
the wearing of acrylic nails.
• Aspirating gastric contents . Answer: A method used to determine proper placement of
NG tubing, but not the most accurate.
• Injecting air into the tubing . Answer: A method used to determine proper placement of
NG tubing, but not the most accurate.
• Checking remaining length of tubing . Answer: Not an indicator of proper placement of
a nasogastric tube.
, • Encouraging participation in care . Answer: Helps the client's wife come to terms with
the death of a loved one.
• Keeping a food journal . Answer: Recommended as the first step for a weight loss plan
for a client with a BMI of 30.
• Assessing skin damage areas . Answer: Areas to observe include tops of the ear,
bridge of the nose, around the nostrils, over the cheeks, and across the forehead.
• Removing basin of water . Answer: The nurse should take this action if the UAP is
soaking the client's foot in a basin of warm water placed on the bed.
• Reporting a HIPAA violation . Answer: The nurse should communicate the colleague's
actions to the unit charge nurse.
• Psychologist referral . Answer: An appropriate action for the nurse when a child is
experiencing trauma-related bedwetting.
• Support group for family members . Answer: A resource for the wife of a client with
terminal cancer, but more appropriate at a later time.
• Documentation for output . Answer: Important to collect every urine specimen within a
24-hour period for accurate test results.
• Normalizing nocturnal emissions . Answer: The nurse should inform the father that it is
important to let the son know that nocturnal emissions are normal after trauma.
• Strenuous activity recommendation . Answer: Engaging in strenuous activity for an
hour daily is not the first action to recommend for weight loss.
• Group exercise class . Answer: Participating in a group exercise class 3 times a week
is appropriate later in a weight loss plan.
• Checking urine for color and texture . Answer: Not necessary during the collection of a
24-hour urine specimen for creatinine clearance.
• Discarding urinal contents . Answer: This action defeats the purpose of the 24-hour
urine collection test.
• Reassuring the father . Answer: Telling the father that it is normal for a pre-teen to wet
the bed during puberty is not the most important action.
• HIPAA Violation . Answer: Unauthorized patient information access risks employment
termination.
• Charge Nurse . Answer: Nurse responsible for reporting incidents in care.
Answers | Full Test Bank with Verified
Solutions | A+ Pass Guaranteed
• Acrylic nails . Answer: Known to carry loads of bacteria and increase the risk of
healthcare-associated infections.
• Nasogastric tube placement . Answer: Confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs.
• Nocturnal emissions . Answer: Common for adolescents to regress in their biological
progression after experiencing severe trauma.
• 24-hour urine specimen for creatinine clearance . Answer: The nurse should first
discard the first specimen, then begin to collect and record the time the first urine
specimen was collected.
• Body Mass Index (BMI) . Answer: A BMI of 30 indicates the patient is obese.
• Skin damage from nasal cannula . Answer: Constant pressure from the tubing may
create skin damage to the areas of skin and bony prominences the nasal cannula will
be resting on.
• Total bed bath for a confused client . Answer: It is especially important to dry between
the client's toes completely to prevent skin breakdown due to excessive moisture.
• HIPAA violation . Answer: Looking up patients who are not under your direct care may
result in termination of employment.
• Client satisfaction survey . Answer: Used to assess the effectiveness of policies like
the removal of acrylic nails.
• Health care-associated infection rate . Answer: Expected to decrease after banning
the wearing of acrylic nails.
• Aspirating gastric contents . Answer: A method used to determine proper placement of
NG tubing, but not the most accurate.
• Injecting air into the tubing . Answer: A method used to determine proper placement of
NG tubing, but not the most accurate.
• Checking remaining length of tubing . Answer: Not an indicator of proper placement of
a nasogastric tube.
, • Encouraging participation in care . Answer: Helps the client's wife come to terms with
the death of a loved one.
• Keeping a food journal . Answer: Recommended as the first step for a weight loss plan
for a client with a BMI of 30.
• Assessing skin damage areas . Answer: Areas to observe include tops of the ear,
bridge of the nose, around the nostrils, over the cheeks, and across the forehead.
• Removing basin of water . Answer: The nurse should take this action if the UAP is
soaking the client's foot in a basin of warm water placed on the bed.
• Reporting a HIPAA violation . Answer: The nurse should communicate the colleague's
actions to the unit charge nurse.
• Psychologist referral . Answer: An appropriate action for the nurse when a child is
experiencing trauma-related bedwetting.
• Support group for family members . Answer: A resource for the wife of a client with
terminal cancer, but more appropriate at a later time.
• Documentation for output . Answer: Important to collect every urine specimen within a
24-hour period for accurate test results.
• Normalizing nocturnal emissions . Answer: The nurse should inform the father that it is
important to let the son know that nocturnal emissions are normal after trauma.
• Strenuous activity recommendation . Answer: Engaging in strenuous activity for an
hour daily is not the first action to recommend for weight loss.
• Group exercise class . Answer: Participating in a group exercise class 3 times a week
is appropriate later in a weight loss plan.
• Checking urine for color and texture . Answer: Not necessary during the collection of a
24-hour urine specimen for creatinine clearance.
• Discarding urinal contents . Answer: This action defeats the purpose of the 24-hour
urine collection test.
• Reassuring the father . Answer: Telling the father that it is normal for a pre-teen to wet
the bed during puberty is not the most important action.
• HIPAA Violation . Answer: Unauthorized patient information access risks employment
termination.
• Charge Nurse . Answer: Nurse responsible for reporting incidents in care.
