HESI Fundamentals Bullets from Nurses
Labs with Answers
What can a blood pressure cuff that's too narrow cause? - ✔ falsely elevated BP
reading
this insulin should be drawn up into the syringe first so it doesn't contaminate the other
type of insulin - ✔ regular
rumbling sounds heard on lung auscultation - ✔ rhonci
this type of adventitious lung sounds can be more pronounced during expiration than
during inspiration - ✔ rhonchi
forced feeding, usually through a gastric tube - ✔ gavage
a tube passed into the stomach through the mouth - ✔ gastric tube
What portion of Maslow's hierarchy of needs has the highest priority? - ✔ physiologic
needs (air, water, food, shelter, activity, comfort)
this is the safest and surest way to verify a patient's identity - ✔ check the ID band on
wrist
What is the primary concern in the therapeutic environment? - ✔ patient safety
What does fluid oscillation in the tubing of a chest drainage system indicate? - ✔
system is working properly
What position should a nurse place a patient who has a Sengstaken-Blakemore tube? -
✔ semi-Fowlers
How can a nurse elicit Trousseau's sign? - ✔ occluding the brachial or radial artery
What indicates Trousseau's sign? - ✔ hand and finger spasms during occlusion
What does Trousseau's sign suggest? - ✔ hypocalcemia
What is the appropriate needle size for adult blood transfusions? - ✔ 16 to 20G
this type of pain is incapacitating and can't be relieved by drugs - ✔ intractable pain
, How can a consent for treatment be obtained in an emergency? - ✔ fax, telephone (or
other telegraphic means)
the unit of measurement of sound - ✔ decibel
this is required for any invasive procedure - ✔ informed consent
What must a patient do who can't write their name to give consent for treatment? - ✔
make an X in the presence of two witnesses (such as a nurse, priest, or physician)
this IM injection method seals the drug deep into the muscle - ✔ Z-track method
this IM injection method minimizes skin irritation and staining - ✔ Z-track method
What length needle is required for the Z-track IM injection method? - ✔ 1" or longer
What acronym is often used in the event of a fire? - ✔ RACE (Remove the patient,
Activate the alarm, Attempt to contain the fire by closing the door, Extinguish the fire if it
can be done safely)
Who should be assigned to a registered nurse to perform bedside care, such as
suctioning or drug administration? - ✔ LPN (or licensed vocational nurse)
What must be done if the patient cannot void? - ✔ bladder palpation to assess for
bladder distention
What side should the patient who uses a cane carry it on? - ✔ unaffected side
How should a patient use a cane? - ✔ advance it at the same time as the affected
extremity
How is a supine patient fitted for crutches? - ✔ measure from the axilla to the sole and
add 2" to the measurement
What is the timeline for assessment? - ✔ begins with the nurse's first encounter with
the patient and continues through the patient's stay
How does the nurse obtain assessment data? - ✔ health history, physical examination,
review of diagnostic studies
What is the appropriate size needle for insulin injection? - ✔ 25G and 5/8" long
What is urine called that remains in the bladder after voiding? - ✔ residual urine
normal amount of residual urine - ✔ 50 to 100 mL
Labs with Answers
What can a blood pressure cuff that's too narrow cause? - ✔ falsely elevated BP
reading
this insulin should be drawn up into the syringe first so it doesn't contaminate the other
type of insulin - ✔ regular
rumbling sounds heard on lung auscultation - ✔ rhonci
this type of adventitious lung sounds can be more pronounced during expiration than
during inspiration - ✔ rhonchi
forced feeding, usually through a gastric tube - ✔ gavage
a tube passed into the stomach through the mouth - ✔ gastric tube
What portion of Maslow's hierarchy of needs has the highest priority? - ✔ physiologic
needs (air, water, food, shelter, activity, comfort)
this is the safest and surest way to verify a patient's identity - ✔ check the ID band on
wrist
What is the primary concern in the therapeutic environment? - ✔ patient safety
What does fluid oscillation in the tubing of a chest drainage system indicate? - ✔
system is working properly
What position should a nurse place a patient who has a Sengstaken-Blakemore tube? -
✔ semi-Fowlers
How can a nurse elicit Trousseau's sign? - ✔ occluding the brachial or radial artery
What indicates Trousseau's sign? - ✔ hand and finger spasms during occlusion
What does Trousseau's sign suggest? - ✔ hypocalcemia
What is the appropriate needle size for adult blood transfusions? - ✔ 16 to 20G
this type of pain is incapacitating and can't be relieved by drugs - ✔ intractable pain
, How can a consent for treatment be obtained in an emergency? - ✔ fax, telephone (or
other telegraphic means)
the unit of measurement of sound - ✔ decibel
this is required for any invasive procedure - ✔ informed consent
What must a patient do who can't write their name to give consent for treatment? - ✔
make an X in the presence of two witnesses (such as a nurse, priest, or physician)
this IM injection method seals the drug deep into the muscle - ✔ Z-track method
this IM injection method minimizes skin irritation and staining - ✔ Z-track method
What length needle is required for the Z-track IM injection method? - ✔ 1" or longer
What acronym is often used in the event of a fire? - ✔ RACE (Remove the patient,
Activate the alarm, Attempt to contain the fire by closing the door, Extinguish the fire if it
can be done safely)
Who should be assigned to a registered nurse to perform bedside care, such as
suctioning or drug administration? - ✔ LPN (or licensed vocational nurse)
What must be done if the patient cannot void? - ✔ bladder palpation to assess for
bladder distention
What side should the patient who uses a cane carry it on? - ✔ unaffected side
How should a patient use a cane? - ✔ advance it at the same time as the affected
extremity
How is a supine patient fitted for crutches? - ✔ measure from the axilla to the sole and
add 2" to the measurement
What is the timeline for assessment? - ✔ begins with the nurse's first encounter with
the patient and continues through the patient's stay
How does the nurse obtain assessment data? - ✔ health history, physical examination,
review of diagnostic studies
What is the appropriate size needle for insulin injection? - ✔ 25G and 5/8" long
What is urine called that remains in the bladder after voiding? - ✔ residual urine
normal amount of residual urine - ✔ 50 to 100 mL
