HESI FUNDAMENTALS EXAM Q & A
1. A nurse is preparing to move a patient who is able to assist. Which
Principles will the nurse consider when planning for safe patient handling? (Select all
that apply.)
a. Keep the body’s center of gravity high.
b. Face the direction of the movement.
c. Keep the base of support narrow.
d. Use the under-axilla technique.
e. Use proper body mechanics.
f. Use arms and legs.
ANS: B, E, F
When a patient is able to assist, remember the following principles: The wider the base of
support, the greater the stability of the nurse; the lower the center of gravity, the greater the
stability of the nurse; facing the direction of movement prevents abnormal twisting of the
spine. The use of assistive equipment and continued
use of proper body mechanics significantly reduces the risk of musculoskeletal injuries.
Use arms and legs (not back) because the leg muscles are stronger, larger muscles capable
of greater work without injury. The under- axilla technique is physically stressful for
nurses and uncomfortable for patients.
2.A nurse is assessing activity tolerance of a patient. Which areas will the nurse assess?
(Select all that apply.)
, a. Skeletal abnormalities
b. Emotional factors
c. Pregnancy status
d. Race
e. Age
ANS: A, B, C, E
Physiological, emotional, and developmental factors (age) influence the patient’s activity
tolerance. Factors influencing activity tolerance include physiological factors such as
skeletal abnormalities, emotional factors such as anxiety/depression, developmental factors
such as age and gender, and
pregnancy status. Race is not a factor because people of all races are faced with similar
factors that affect their activity tolerance.
3.A nurse is working in a facility that uses no-lift policies. Which benefits
will the nurse observe in the facility? (Select all that apply.)
a. Reduced number of work-related injuries
b. Increased musculoskeletal accidents
c. Reduced safety of patients
d. Improved health of nurses
e. Increased indirect costs
ANS: A, D
Implementing evidence-based interventions and programs (e.g., lift teams) reduces the
number of work-related injuries, which improves the health of the nurse and reduces
indirect costs to the health care facility (e.g., workers’ compensation and replacing injured
workers). Knowing the movements and functions of muscles in maintaining posture and
movement and implementing evidence-based knowledge about safe patient handling are
1. A nurse is preparing to move a patient who is able to assist. Which
Principles will the nurse consider when planning for safe patient handling? (Select all
that apply.)
a. Keep the body’s center of gravity high.
b. Face the direction of the movement.
c. Keep the base of support narrow.
d. Use the under-axilla technique.
e. Use proper body mechanics.
f. Use arms and legs.
ANS: B, E, F
When a patient is able to assist, remember the following principles: The wider the base of
support, the greater the stability of the nurse; the lower the center of gravity, the greater the
stability of the nurse; facing the direction of movement prevents abnormal twisting of the
spine. The use of assistive equipment and continued
use of proper body mechanics significantly reduces the risk of musculoskeletal injuries.
Use arms and legs (not back) because the leg muscles are stronger, larger muscles capable
of greater work without injury. The under- axilla technique is physically stressful for
nurses and uncomfortable for patients.
2.A nurse is assessing activity tolerance of a patient. Which areas will the nurse assess?
(Select all that apply.)
, a. Skeletal abnormalities
b. Emotional factors
c. Pregnancy status
d. Race
e. Age
ANS: A, B, C, E
Physiological, emotional, and developmental factors (age) influence the patient’s activity
tolerance. Factors influencing activity tolerance include physiological factors such as
skeletal abnormalities, emotional factors such as anxiety/depression, developmental factors
such as age and gender, and
pregnancy status. Race is not a factor because people of all races are faced with similar
factors that affect their activity tolerance.
3.A nurse is working in a facility that uses no-lift policies. Which benefits
will the nurse observe in the facility? (Select all that apply.)
a. Reduced number of work-related injuries
b. Increased musculoskeletal accidents
c. Reduced safety of patients
d. Improved health of nurses
e. Increased indirect costs
ANS: A, D
Implementing evidence-based interventions and programs (e.g., lift teams) reduces the
number of work-related injuries, which improves the health of the nurse and reduces
indirect costs to the health care facility (e.g., workers’ compensation and replacing injured
workers). Knowing the movements and functions of muscles in maintaining posture and
movement and implementing evidence-based knowledge about safe patient handling are
