Fundamentals, Hesi
Fundamentals Practice Test,
UNIT 1: Foundations of Nursing
Practice
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.
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. - ANSWER ✔✔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 indicator 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 elderly person is the
A) Arms.
B) Upper torso.
C) Head.
D) Feet - ANSWER ✔✔B) Upper torso
The center of gravity for adults is the hips. However, as the person
grows older, a stooped posture is 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. - ANSWER ✔✔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 antihypertensive medications and is going to try spiritual
meditation instead. What should be the nurse's first response?
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, 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. - ANSWER ✔✔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, but 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