HESI Fundamentals Practice Exam
Questions and Answers
The nurse observes that a male client has removed the covering form an ice pack
applied to his knee. What action should the nurse take first?
Observe the appearance of the skin under the ice pack.
The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the
solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor
of 60gtt/ml, how many drops permin should the client receive?
124gtt/min
lbs to kg
182/2.2 = 82.73kg
Dosage for the client
5mcg X 82.73 =413mcg/min
mcg / ml
250/50000mcg =200 mcg/ml
2.07ml/min with a drip factor of 60gtt/ml
60 x 2.07 =124.28gtt/min
A healthcare provider prescibes an IV infusion of 1000ml of Riger's Lactate with
30 units of Pitocin to run in over 4hrs for a client who has just delievered a 10lbs
infant via cesarean section. The tubing has been changed to a 20gtt/ml
administration set. The nurse plans to set the flow rate to how many gtt/min?
, 83 gtt/min
20gtt/ml x 1000 ml/4hrs x 1hr/60mins = 83gtt/min
Wich assessment data provides the most accurate determination of proper
placement of a nasogastric tube?
Chest x-ray
Three days following surgery, a male client observes his colostomy for the first
time. He becomes quite upset and tells the nurse that it is much bigger than he
expected. What is the best response by the nurse?
Instruct the client that the stoma will become smaller when the initial swelling diminishes
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
Reposition the client on her side
A hospitalized male client is receiving nasogastric tube feeding 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?
After clearing the tube with 30ml of air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what year it is.
What data should the nurse document that is most accurate?
Is disorientated to place and time
A client with chronic kidney disease (CKD) selects a scrambled egg for his
breakfast. What action should the nurse take?
Commend the client for selecting a high biologic value protein.
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
Questions and Answers
The nurse observes that a male client has removed the covering form an ice pack
applied to his knee. What action should the nurse take first?
Observe the appearance of the skin under the ice pack.
The nurse mixes 50mg of Niproide in 250ml of D5W and plans to administer the
solution at a rate of 5mcg/kg/min to a client weighing 182lbs. Using a drip factor
of 60gtt/ml, how many drops permin should the client receive?
124gtt/min
lbs to kg
182/2.2 = 82.73kg
Dosage for the client
5mcg X 82.73 =413mcg/min
mcg / ml
250/50000mcg =200 mcg/ml
2.07ml/min with a drip factor of 60gtt/ml
60 x 2.07 =124.28gtt/min
A healthcare provider prescibes an IV infusion of 1000ml of Riger's Lactate with
30 units of Pitocin to run in over 4hrs for a client who has just delievered a 10lbs
infant via cesarean section. The tubing has been changed to a 20gtt/ml
administration set. The nurse plans to set the flow rate to how many gtt/min?
, 83 gtt/min
20gtt/ml x 1000 ml/4hrs x 1hr/60mins = 83gtt/min
Wich assessment data provides the most accurate determination of proper
placement of a nasogastric tube?
Chest x-ray
Three days following surgery, a male client observes his colostomy for the first
time. He becomes quite upset and tells the nurse that it is much bigger than he
expected. What is the best response by the nurse?
Instruct the client that the stoma will become smaller when the initial swelling diminishes
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use.
Reposition the client on her side
A hospitalized male client is receiving nasogastric tube feeding 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?
After clearing the tube with 30ml of air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what year it is.
What data should the nurse document that is most accurate?
Is disorientated to place and time
A client with chronic kidney disease (CKD) selects a scrambled egg for his
breakfast. What action should the nurse take?
Commend the client for selecting a high biologic value protein.
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
