Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
1. Which assessment data would pro- C) Examining a chest x-ray obtained after the tubing
vide the most accurate determina- was inserted
tion of proper placement of a naso-
gastric tube? Both (A and B) are methods used to determine proper
placement of the NG tubing. However, the best indica-
A) Aspirating gastric contents to as- tor that the tubing is properly placed is (C). (D) is not
sure a pH value of 4 or less. an indicator of proper placement
B) Hearing air pass in the stomach
after injecting air into the tubing.
C) Examining a chest x-ray ob-
tained after the tubing was insert-
ed.
D) Checking the remaining length
of tubing to ensure that the correct
length was inserted.
2. When assisting an 82-year-old B) Upper torso
client to ambulate, it is important
for the nurse to realize that the The center of gravity for adults is the hips. However, as
center of gravity for an elderly per- the person grows older, a stooped posture is common
son is the because of the changes from osteoporosis and normal
bone degeneration, and the knees, hips, and elbows
A) Arms. flex. This stooped posture results in the upper torso
B) Upper torso. (B) becoming the center of gravity for older persons.
C) Head. Although (A) is a part, or an extension of the upper
D) Feet torso, this is not the best and most complete answer.
3. Which action is most important for C) Keep gloved hands above the elbows
the nurse to implement when don-
ning sterile gloves? Gloved hands held below waist level are considered
unsterile (C). (A and B) are not essential to maintaining
A) Maintain thumb at a ninety de- asepsis. While it may be helpful to put the glove on
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
gree angle. the dominant hand first, it is not necessary to ensure
B) Hold hands with fingers down asepsis (D).
while gloving.
C) Keep gloved hands above the el-
bows.
D) Put the glove on the dominant
hand first.
4. An adult male client with a histo- A) It is important that you continue your medication
ry of hypertension tells the nurse while learning to meditate
that he is tired of taking antihyper-
tensive medications and is going The prolonged practice of meditation may lead to a
to try spiritual meditation instead. reduced need for antihypertensive medications. How-
What should be the nurse's first re- ever, the medications must be continued (A) while the
sponse? physiologic response to meditation is monitored. (B)
is not as important as continuing the medication. The
A) It is important that you continue healthcare provider should be informed, but permis-
your medication while learning to sion is not required to meditate (C). Although it is true
meditate. that this complimentary therapy might be effective (D),
B) Spiritual meditation requires a it is essential that the client continue with antihyperten-
time commitment of 15 to 20 min- sive medications until the effect of meditation can be
utes daily. measured
C) Obtain your healthcare
provider's permission before start-
ing meditation.
D) Complementary therapy and
western medicine can be effective
for you.
5. The nurse plans to obtain health A) Client
assessment information from a
A primary source of information for a health assess-
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
primary source. Which option is a ment is the client (A). (B, C, and D) are considered
primary source for the completion secondary sources about the client's health history, but
of the health assessment? other details, such as subjective data, can only be pro-
vided directly from the client.
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records
6. The nurse is instructing a client C) I will limit my intake of beef to 4 ounces per week
with high cholesterol about diet
and life style modification. What Limiting saturated fat from animal food sources to no
comment from the client indicates more than 4 ounces per week (C) is an important diet
that the teaching has been effec- modification for lowering cholesterol. To be effective
tive? in reducing cholesterol, the client should exercise 30
minutes per day, or at least 4 to 6 times per week (A).
A) If I exercise at least two times Red meat and all proteins do not need to be eliminated
weekly for one hour, I will lower my (B) to lower cholesterol, but should be restricted to
cholesterol. lean cuts of red meat and smaller portions (2-ounce
B) I need to avoid eating proteins, servings). The low density lipoproteins (D) need to
including red meat. decrease rather than increase
C) I will limit my intake of beef to 4
ounces per week.
D) My blood level of low density
lipoproteins needs to increase.
7. Examination of a client complain- B) Localized red rash comprised of flat areas, pinpoint
ing of itching on his right arm re- to 0.5 cm in diameter
veals a rash made up of multiple
flat areas of redness ranging from Macules are localized flat skin discolorations less than
pinpoint to 0.5 cm in diameter. How 1 cm in diameter. However, when recording such a
should the nurse record this find- finding the nurse should describe the appearance (B)
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
ing? rather than simply naming the condition. (A) identifies
vesicles -- fluid filled blisters -- an incorrect description
A) Multiple vesicular areas sur- given the symptoms listed. (C) identifies papules --
rounded by redness, ranging in solid elevated lesions, again not correctly identifying
size from 1 mm to 0.5 cm. the symptoms. (D) identifies petechiae -- pinpoint red
B) Localized red rash comprised of to purple skin discolorations that do not itch, again an
flat areas, pinpoint to 0.5 cm in di- incorrect identification
ameter.
C) Several areas of red, papular le-
sions from pinpoint to 0.5 cm in
size.
D) Localized petechial areas, rang-
ing in size from pinpoint to 0.5 cm
in diameter.
8. A client who is 5' 5" tall and A) What is your daily calorie consumption?
weighs 200 pounds is scheduled
for surgery the next day. What Vitamin and mineral supplements (B) may impact med-
question is most important for the ications used during the operative period. (A and C)
nurse to include during the preop- are appropriate questions for long-term dietary coun-
erative assessment? seling. The nature of the surgery and anesthesia will
determine the need for a clear liquid diet (D), rather
A) What is your daily calorie con- than the client's preference
sumption?
B) What vitamin and mineral sup-
plements do you take?
C) Do you feel that you are over-
weight?
D) Will a clear liquid diet be okay
after surgery?
9.
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
1. Which assessment data would pro- C) Examining a chest x-ray obtained after the tubing
vide the most accurate determina- was inserted
tion of proper placement of a naso-
gastric tube? Both (A and B) are methods used to determine proper
placement of the NG tubing. However, the best indica-
A) Aspirating gastric contents to as- tor that the tubing is properly placed is (C). (D) is not
sure a pH value of 4 or less. an indicator of proper placement
B) Hearing air pass in the stomach
after injecting air into the tubing.
C) Examining a chest x-ray ob-
tained after the tubing was insert-
ed.
D) Checking the remaining length
of tubing to ensure that the correct
length was inserted.
2. When assisting an 82-year-old B) Upper torso
client to ambulate, it is important
for the nurse to realize that the The center of gravity for adults is the hips. However, as
center of gravity for an elderly per- the person grows older, a stooped posture is common
son is the because of the changes from osteoporosis and normal
bone degeneration, and the knees, hips, and elbows
A) Arms. flex. This stooped posture results in the upper torso
B) Upper torso. (B) becoming the center of gravity for older persons.
C) Head. Although (A) is a part, or an extension of the upper
D) Feet torso, this is not the best and most complete answer.
3. Which action is most important for C) Keep gloved hands above the elbows
the nurse to implement when don-
ning sterile gloves? Gloved hands held below waist level are considered
unsterile (C). (A and B) are not essential to maintaining
A) Maintain thumb at a ninety de- asepsis. While it may be helpful to put the glove on
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
gree angle. the dominant hand first, it is not necessary to ensure
B) Hold hands with fingers down asepsis (D).
while gloving.
C) Keep gloved hands above the el-
bows.
D) Put the glove on the dominant
hand first.
4. An adult male client with a histo- A) It is important that you continue your medication
ry of hypertension tells the nurse while learning to meditate
that he is tired of taking antihyper-
tensive medications and is going The prolonged practice of meditation may lead to a
to try spiritual meditation instead. reduced need for antihypertensive medications. How-
What should be the nurse's first re- ever, the medications must be continued (A) while the
sponse? physiologic response to meditation is monitored. (B)
is not as important as continuing the medication. The
A) It is important that you continue healthcare provider should be informed, but permis-
your medication while learning to sion is not required to meditate (C). Although it is true
meditate. that this complimentary therapy might be effective (D),
B) Spiritual meditation requires a it is essential that the client continue with antihyperten-
time commitment of 15 to 20 min- sive medications until the effect of meditation can be
utes daily. measured
C) Obtain your healthcare
provider's permission before start-
ing meditation.
D) Complementary therapy and
western medicine can be effective
for you.
5. The nurse plans to obtain health A) Client
assessment information from a
A primary source of information for a health assess-
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
primary source. Which option is a ment is the client (A). (B, C, and D) are considered
primary source for the completion secondary sources about the client's health history, but
of the health assessment? other details, such as subjective data, can only be pro-
vided directly from the client.
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records
6. The nurse is instructing a client C) I will limit my intake of beef to 4 ounces per week
with high cholesterol about diet
and life style modification. What Limiting saturated fat from animal food sources to no
comment from the client indicates more than 4 ounces per week (C) is an important diet
that the teaching has been effec- modification for lowering cholesterol. To be effective
tive? in reducing cholesterol, the client should exercise 30
minutes per day, or at least 4 to 6 times per week (A).
A) If I exercise at least two times Red meat and all proteins do not need to be eliminated
weekly for one hour, I will lower my (B) to lower cholesterol, but should be restricted to
cholesterol. lean cuts of red meat and smaller portions (2-ounce
B) I need to avoid eating proteins, servings). The low density lipoproteins (D) need to
including red meat. decrease rather than increase
C) I will limit my intake of beef to 4
ounces per week.
D) My blood level of low density
lipoproteins needs to increase.
7. Examination of a client complain- B) Localized red rash comprised of flat areas, pinpoint
ing of itching on his right arm re- to 0.5 cm in diameter
veals a rash made up of multiple
flat areas of redness ranging from Macules are localized flat skin discolorations less than
pinpoint to 0.5 cm in diameter. How 1 cm in diameter. However, when recording such a
should the nurse record this find- finding the nurse should describe the appearance (B)
, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice Test,
UNIT 1: Foundations of Nursing Practice
Study online at https://quizlet.com/_jg1ron
ing? rather than simply naming the condition. (A) identifies
vesicles -- fluid filled blisters -- an incorrect description
A) Multiple vesicular areas sur- given the symptoms listed. (C) identifies papules --
rounded by redness, ranging in solid elevated lesions, again not correctly identifying
size from 1 mm to 0.5 cm. the symptoms. (D) identifies petechiae -- pinpoint red
B) Localized red rash comprised of to purple skin discolorations that do not itch, again an
flat areas, pinpoint to 0.5 cm in di- incorrect identification
ameter.
C) Several areas of red, papular le-
sions from pinpoint to 0.5 cm in
size.
D) Localized petechial areas, rang-
ing in size from pinpoint to 0.5 cm
in diameter.
8. A client who is 5' 5" tall and A) What is your daily calorie consumption?
weighs 200 pounds is scheduled
for surgery the next day. What Vitamin and mineral supplements (B) may impact med-
question is most important for the ications used during the operative period. (A and C)
nurse to include during the preop- are appropriate questions for long-term dietary coun-
erative assessment? seling. The nature of the surgery and anesthesia will
determine the need for a clear liquid diet (D), rather
A) What is your daily calorie con- than the client's preference
sumption?
B) What vitamin and mineral sup-
plements do you take?
C) Do you feel that you are over-
weight?
D) Will a clear liquid diet be okay
after surgery?
9.
