HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
1. Low levels are associated with malnutrition.: - Albumin
2. An elderly client with a fractured left hip is on strict bedrest.
Which nursing measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five
minutes. B. Encourage active range of motion
exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.: D.
Gently lift the client when moving into a desired position.
3. 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? A.
Clamp the tube for 20 minutes. B. Flush the tube with water.
C. Administer the medications as prescribed.
D.Crush the tablets and dissolve in sterile water.: B. Flush the
tube with water.
4. A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an analgesic
every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of
analgesics. B. Administer analgesic medication as needed
when the pain is severe. C. Provide medication to keep the
client sedated and unaware of stimuli.
1/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
D. Offer a medication-free period so that the client can do daily
activities.: A.
Give an around-the-clock schedule for administration of analgesics.
5. 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?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand. C.
Compare hand color bilaterally.
D. Palpate the right radial pulse.: A. Loosen the right wrist restraint.
6. The nurse is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional
intake of protein? A. A college-age track runner with a sprained
ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.: B. A
lactating woman nursing her 3-day-old infant.
7. A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled
to be administered. The client returns to the unit at 1300. What
is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication
variance form. B. Administer the Levaquin at 1300 and resume
the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
2/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.: D. Give the missed dose at 1300 and
change the schedule to administer daily at 1300.
8. While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder, the
nurse observes that she is holding his arm above and below the
elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain
warmth.
C. Reinforce the need to grip directly under the joint for better
support.
D. Instruct her to grip directly over the joint for better motion:
A. Acknowledge that she is supporting the arm correctly.
9. What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower
extremities of adults?
A. It is more difficult to find a superficial vein in the feet and
ankles.
B. A decreased flow rate could result in the formation of a
thrombosis. C. A cannulated extremity is more difficult to
move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a
more painful procedure.: B. A decreased flow rate could result in
the formation of a thrombosis.
3/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
10. The nurse observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled
assessment. B. Reassess the client's blood pressure using
a larger cuff. C. Have the unit educator review this
procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure.: B.
Reassess the client's blood pressure using a larger cuff.
1 1 . A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB.
The preparation arrives from the pharmacy diluted in 50 ml of
0.9% NaCI. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?: 150 mL/hr
12. Twenty minutes after beginning a heat application, the client
states that the heating pad no longer feels warm enough. What
is the best response by the nurse?
A. That means you have derived the maximum benefit, and the
heat can be removed.
B. Your blood vessels are becoming dilated and removing the
heat from the site.
C. We will increase the temperature 5 degrees when the
pad no longer feels warm.
4/54
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
1. Low levels are associated with malnutrition.: - Albumin
2. An elderly client with a fractured left hip is on strict bedrest.
Which nursing measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five
minutes. B. Encourage active range of motion
exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.: D.
Gently lift the client when moving into a desired position.
3. 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? A.
Clamp the tube for 20 minutes. B. Flush the tube with water.
C. Administer the medications as prescribed.
D.Crush the tablets and dissolve in sterile water.: B. Flush the
tube with water.
4. A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an analgesic
every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of
analgesics. B. Administer analgesic medication as needed
when the pain is severe. C. Provide medication to keep the
client sedated and unaware of stimuli.
1/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
D. Offer a medication-free period so that the client can do daily
activities.: A.
Give an around-the-clock schedule for administration of analgesics.
5. 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?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand. C.
Compare hand color bilaterally.
D. Palpate the right radial pulse.: A. Loosen the right wrist restraint.
6. The nurse is assessing the nutritional status of several clients.
Which client has the greatest nutritional need for additional
intake of protein? A. A college-age track runner with a sprained
ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.: B. A
lactating woman nursing her 3-day-old infant.
7. A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled
to be administered. The client returns to the unit at 1300. What
is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication
variance form. B. Administer the Levaquin at 1300 and resume
the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to
explain the missed dose.
2/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
D. Give the missed dose at 1300 and change the schedule to
administer daily at 1300.: D. Give the missed dose at 1300 and
change the schedule to administer daily at 1300.
8. While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted shoulder, the
nurse observes that she is holding his arm above and below the
elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain
warmth.
C. Reinforce the need to grip directly under the joint for better
support.
D. Instruct her to grip directly over the joint for better motion:
A. Acknowledge that she is supporting the arm correctly.
9. What is the most important reason for starting intravenous
infusions in the upper extremities rather than the lower
extremities of adults?
A. It is more difficult to find a superficial vein in the feet and
ankles.
B. A decreased flow rate could result in the formation of a
thrombosis. C. A cannulated extremity is more difficult to
move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a
more painful procedure.: B. A decreased flow rate could result in
the formation of a thrombosis.
3/54
, HESI - FUNDAMENTALS TEST BANK (2024)
QUESTIONS WITH ANSWERS PROVIDED, STUDY
MATERIAL FOR FALL A+ RESULTS EXAM PREP
10. The nurse observes an unlicensed assistive personnel (UAP)
taking a client's blood pressure with a cuff that is too small, but
the blood pressure reading obtained is within the client's usual
range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled
assessment. B. Reassess the client's blood pressure using
a larger cuff. C. Have the unit educator review this
procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood
pressure.: B.
Reassess the client's blood pressure using a larger cuff.
1 1 . A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB.
The preparation arrives from the pharmacy diluted in 50 ml of
0.9% NaCI. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?: 150 mL/hr
12. Twenty minutes after beginning a heat application, the client
states that the heating pad no longer feels warm enough. What
is the best response by the nurse?
A. That means you have derived the maximum benefit, and the
heat can be removed.
B. Your blood vessels are becoming dilated and removing the
heat from the site.
C. We will increase the temperature 5 degrees when the
pad no longer feels warm.
4/54
