lOMoARcPSD|16263464
hesi-fundamentals-v1-questions-with-answers-and-rationales (1)
Hesi fundamentals v1 questions with answers and
rationales
Basic Care Of Adult Clients (Stephen F. Austin State University)
Downloaded by Julie Grady
,StuDocu is not sponsored or endorsed by any college or university
Downloaded by Julie Grady
, lOMoARcPSD|16263464
HESI Fundamentals V1 Questions and Answers
1. A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6
months ago. Which assessment measure best determines if the intended outcome of the policy
is being achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
Acrylic nails are known to carry loads of bacteria and increase the risk of healthcare-associated
infections. Therefore, by banning the wearing of acrylic nails, you would expect the prevalence
of healthcare-associated infections to decrease. Acrylic nails have nothing to do with staff
induced injuries, needle-stick injuries, or patient satisfaction scores.
2. 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.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
B) Hearing air pass in the stomach after injecting air into the tubing.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs, which would pose an
aspiration risk.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted. This is not an indicator of proper placement. You could very well be in a lung.
3. The father of an 11-year-old client reports to the nurse that the client has been “wetting the
bed” since the passing of his mother and is concerned. Which action is most important for the
nurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is developmentally
Downloaded by Julie Grady
()
, lOMoARcPSD|16263464
delayed
C. Inform the father that it is most important to let the son know that nocturnal emissions
are normal after trauma
D. Refer the father and the client to a psychologist
It is common for adolescents to regress in their biological progression after experiencing a
severe trauma, like losing a parent, sibling, or friend. While uncomfortable for the adolescent
and parent, it is nothing to be concerned for. Often times, as the patient grieves or comes to
terms with the trauma, the nocturnal emissions will cease.
4. The nurse explains to an older adult male the procedure for collecting a 24-hour urine
specimen for creatinine clearance. Which action is most important for the nurse to include
in their care plan for the shift?
Downloaded by Julie Grady
()
hesi-fundamentals-v1-questions-with-answers-and-rationales (1)
Hesi fundamentals v1 questions with answers and
rationales
Basic Care Of Adult Clients (Stephen F. Austin State University)
Downloaded by Julie Grady
,StuDocu is not sponsored or endorsed by any college or university
Downloaded by Julie Grady
, lOMoARcPSD|16263464
HESI Fundamentals V1 Questions and Answers
1. A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6
months ago. Which assessment measure best determines if the intended outcome of the policy
is being achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse.
Acrylic nails are known to carry loads of bacteria and increase the risk of healthcare-associated
infections. Therefore, by banning the wearing of acrylic nails, you would expect the prevalence
of healthcare-associated infections to decrease. Acrylic nails have nothing to do with staff
induced injuries, needle-stick injuries, or patient satisfaction scores.
2. 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.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
B) Hearing air pass in the stomach after injecting air into the tubing.
This is a method used to determine proper placement of NG tubing, but not the most accurate.
C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is the most
accurate way to ensure the tube has not been placed in the lungs, which would pose an
aspiration risk.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted. This is not an indicator of proper placement. You could very well be in a lung.
3. The father of an 11-year-old client reports to the nurse that the client has been “wetting the
bed” since the passing of his mother and is concerned. Which action is most important for the
nurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is developmentally
Downloaded by Julie Grady
()
, lOMoARcPSD|16263464
delayed
C. Inform the father that it is most important to let the son know that nocturnal emissions
are normal after trauma
D. Refer the father and the client to a psychologist
It is common for adolescents to regress in their biological progression after experiencing a
severe trauma, like losing a parent, sibling, or friend. While uncomfortable for the adolescent
and parent, it is nothing to be concerned for. Often times, as the patient grieves or comes to
terms with the trauma, the nocturnal emissions will cease.
4. The nurse explains to an older adult male the procedure for collecting a 24-hour urine
specimen for creatinine clearance. Which action is most important for the nurse to include
in their care plan for the shift?
Downloaded by Julie Grady
()
