HESI FUNDAMENTALS PRACTICE TEST 2 REVISION
HANDBOOK 2026 INFECTION CONTROL SAFETY
AND NURSING PROCESS
◉ The nurse notices that the Hispanic parents of a toddler who
returns from surgery offer the child only the broth that comes on the
clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for
this behavior?
A) The belief is held that the "evil eye" enters the child if anything
cold is ingested.
B) After surgery the child probably has refused all foods except
broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition.
Answer: D) Hot remedies restore balance after surgery, which is
considered a "cold" condition
Common parental practices and health beliefs among Hispanic,
Chinese, Filipino, and Arab cultures classify diseases, areas of the
body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup,
,should be used to restore the healthy balance within the body, so (D)
is the correct interpretation. (A, B, and C) are not correct
interpretations of the noted behavior. "Chi" is a Chinese belief that
an innate energy enters and leaves the body via certain locations
and pathways and maintains health. The "evil eye," or "mal ojo," is
believed by many cultures to be related to the balance of health and
illness but is unrelated to dietary practice.
◉ Three days following surgery, a male client observes his
colostomy for the first time. He becomes quite upset and tells the
nurse that it is much bigger than he expected. What is the best
response by the nurse?
A) Reassure the client that he will become accustomed to the stoma
appearance in time.
B) Instruct the client that the stoma will become smaller when the
initial swelling diminishes.
C) Offer to contact a member of the local ostomy support group to
help him with his concerns.
D) Encourage the client to handle the stoma equipment to gain
confidence with the procedure
Answer: B) Instruct the client that the stoma will become smaller
when the initial swelling diminishes
Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when the
,swelling is diminished (B). This will help reduce the client's anxiety
and promote acceptance of the colostomy. (A) does not provide
helpful teaching or support. (C) is a useful action, and may be taken
after the nurse provides pertinent teaching. The client is not yet
demonstrating readiness to learn colostomy care (D).
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the
anterior ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: C) Reposition in a Sim's position with the client's weight on
the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall
results, so the UAP should reposition the client in the Sims' position,
which distributes the client's weight to the anterior ilium (C). (A) is
, inaccurate. (B and D) should be implemented once the client is
positioned
◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets.
Answer: C) 1½ tablets
◉ An elderly male client who suffered a cerebral vascular accident is
receiving tube feedings via a gastrostomy tube. The nurse knows
that the best position for this client during administration of the
feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine
Answer: B) Fowler's
HANDBOOK 2026 INFECTION CONTROL SAFETY
AND NURSING PROCESS
◉ The nurse notices that the Hispanic parents of a toddler who
returns from surgery offer the child only the broth that comes on the
clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for
this behavior?
A) The belief is held that the "evil eye" enters the child if anything
cold is ingested.
B) After surgery the child probably has refused all foods except
broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition.
Answer: D) Hot remedies restore balance after surgery, which is
considered a "cold" condition
Common parental practices and health beliefs among Hispanic,
Chinese, Filipino, and Arab cultures classify diseases, areas of the
body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup,
,should be used to restore the healthy balance within the body, so (D)
is the correct interpretation. (A, B, and C) are not correct
interpretations of the noted behavior. "Chi" is a Chinese belief that
an innate energy enters and leaves the body via certain locations
and pathways and maintains health. The "evil eye," or "mal ojo," is
believed by many cultures to be related to the balance of health and
illness but is unrelated to dietary practice.
◉ Three days following surgery, a male client observes his
colostomy for the first time. He becomes quite upset and tells the
nurse that it is much bigger than he expected. What is the best
response by the nurse?
A) Reassure the client that he will become accustomed to the stoma
appearance in time.
B) Instruct the client that the stoma will become smaller when the
initial swelling diminishes.
C) Offer to contact a member of the local ostomy support group to
help him with his concerns.
D) Encourage the client to handle the stoma equipment to gain
confidence with the procedure
Answer: B) Instruct the client that the stoma will become smaller
when the initial swelling diminishes
Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when the
,swelling is diminished (B). This will help reduce the client's anxiety
and promote acceptance of the colostomy. (A) does not provide
helpful teaching or support. (C) is a useful action, and may be taken
after the nurse provides pertinent teaching. The client is not yet
demonstrating readiness to learn colostomy care (D).
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the
anterior ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: C) Reposition in a Sim's position with the client's weight on
the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall
results, so the UAP should reposition the client in the Sims' position,
which distributes the client's weight to the anterior ilium (C). (A) is
, inaccurate. (B and D) should be implemented once the client is
positioned
◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets.
Answer: C) 1½ tablets
◉ An elderly male client who suffered a cerebral vascular accident is
receiving tube feedings via a gastrostomy tube. The nurse knows
that the best position for this client during administration of the
feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine
Answer: B) Fowler's
