Answered HESI FUNDAMENTALS EXAM
1) How to apply medication to <3 age y/o:
• Pull ear lobe down and back
• ADULT pull ear up and out
• For adult = pull the ear up and outward
•
2) MTV air borne wear what kind of protection
• N95
• Negative air pressure room
• Keep door closed
3) Walk into a room at the patient is anxious, what do you do?
4) A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action is best for the nurse to
take?
• C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn
from the tube
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at
increased risk for aspiration.
6) What to do when check restrains on an elderly?
• Check cap refill
, Answered HESI FUNDAMENTALS EXAM
• When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first? Loosen the right wrist
restraint.
• A patient has an order for wrist restraint, after putting them on, what do you =
check capillary refill
•
7) Signs of electrolyte imbalance?
8) Assess back pain quality
9) Walk into room and husband says patient feeling sick, what do you do?
• Check patients pulse and blood pressure
10) The nurse is assessing the nutritional status of serval clients , who is most in need
of protein?
• Lactating woman nursing 3 day old infantr
11) The nurse is administering medications through a nasogastric tube (NGT) which is connected
to suction. After ensuring correct tube placement, what action should the nurse take next?
Flush the tube with water.
12) Elderly patient that needed to have something done, who would you ask consent =
daughter in law because she has the consent or whatever
13) A patient has difficulty swallowing, how would you check for the gag reflex? With
the tongue depressor touch the back of their tongue/throat
14) Patient is confused but needs feeding, what do we do? Assess feeding with a swallow test
15) A patient is a slight ambulatory patient and is at home and the nurse that checks on him
goes and asks her how can he remove the swelling on his feet? Move his feet in bed/ instruct
client to flex both of his feet daily something with “dorsiflexion” or whatever
16) There are two patients who are complaining of pain, what you would do first to assist them
or something like that = assess their pain first (compare which one is more severe, by describing
it)
• Back pain how to describe quality by describing it
17) Suctioning
• Stop of patient blue or low o2
1) How to apply medication to <3 age y/o:
• Pull ear lobe down and back
• ADULT pull ear up and out
• For adult = pull the ear up and outward
•
2) MTV air borne wear what kind of protection
• N95
• Negative air pressure room
• Keep door closed
3) Walk into a room at the patient is anxious, what do you do?
4) A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action is best for the nurse to
take?
• C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn
from the tube
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small bore feeding tube upward into the esophagus, placing the client at
increased risk for aspiration.
6) What to do when check restrains on an elderly?
• Check cap refill
, Answered HESI FUNDAMENTALS EXAM
• When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first? Loosen the right wrist
restraint.
• A patient has an order for wrist restraint, after putting them on, what do you =
check capillary refill
•
7) Signs of electrolyte imbalance?
8) Assess back pain quality
9) Walk into room and husband says patient feeling sick, what do you do?
• Check patients pulse and blood pressure
10) The nurse is assessing the nutritional status of serval clients , who is most in need
of protein?
• Lactating woman nursing 3 day old infantr
11) The nurse is administering medications through a nasogastric tube (NGT) which is connected
to suction. After ensuring correct tube placement, what action should the nurse take next?
Flush the tube with water.
12) Elderly patient that needed to have something done, who would you ask consent =
daughter in law because she has the consent or whatever
13) A patient has difficulty swallowing, how would you check for the gag reflex? With
the tongue depressor touch the back of their tongue/throat
14) Patient is confused but needs feeding, what do we do? Assess feeding with a swallow test
15) A patient is a slight ambulatory patient and is at home and the nurse that checks on him
goes and asks her how can he remove the swelling on his feet? Move his feet in bed/ instruct
client to flex both of his feet daily something with “dorsiflexion” or whatever
16) There are two patients who are complaining of pain, what you would do first to assist them
or something like that = assess their pain first (compare which one is more severe, by describing
it)
• Back pain how to describe quality by describing it
17) Suctioning
• Stop of patient blue or low o2
