ALL HESI FUNDAMENTALS EXAM TEST BANK
UPDATED QUESTIONS WITH ATIONALES
AND ANSWERS LATEST UPDATED HESI
FUNDAMENTALS EXAM
The x s nurse x s is x s administering x s medications x s through x s a x s nasogastric x s
tube x s (NGT) x s which x s is x s connected xs to x s suction. x s After x s ensuring x s
correct x s tube x s placement, x s what x s action x s should x s the x s nurse x s take x s
next?
A. Clamp x s the x s tube x s for x s 20 x s minutes.
B. Flush x s the x s tube x s with x s water.
2
C. Administer x s the x s medications x s as xs prescribed.
D. Crush x s the x s tablets x s and x s dissolve x s in x s sterile x s water. xs - x s The x s NGT x s should x s be x s flushed
x s before,
in x s between x s each x s medication xs administered x s (B). x s Once x s all x s
medications x s are x s administered, x s the x s NGT xs should xs be xs clamped xs for xs 20
xs minutes x s (A). xs (C xs and xs D) x s may xs be x s implemented xs only xs after xs the xs
tubing xs has xs been xs flushed.
Correct xs Answer: xs B
A xs client xs who xs is xs in xs hospice xs care xs complains xs of xs increasing xs amounts xs of xs
pain. xs The xs healthcare xs provider xs prescribes xs an xs analgesic xs every xs four xs hours xs
as xs needed. xs Which xs action xs should xs the xs nurse xs implement?
A. Give x s an x s around-the-clock x s schedule x s for xs administration x s of xs analgesics.
B. Administer x s analgesic x s medication x s as x s needed x s when xs the x s pain xs is xs severe.
,C. Provide x s medication xs to x s keep x s the x s client xs sedated xs and x s unaware x s of x s stimuli.
D. Offer xs a x s medication-free x s period xs so xs that x s the x s client x s can xs do x s
daily xs activities. x s - x s The x s most xs effective xs management x s of x s pain x s is x s
achieved x s using x s an x s around-the-clock x s schedule x s that x s provides x s
analgesic xs medications x s on x s a xs regular x s basis x s (A) x s and xs in xs a xs timely x s
manner. x s Analgesics x s are x s less x s effective x s if xs pain xs persists x s until x s it xs is
x s severe, xs so xs an x s analgesic x s medication x s should x s be x s administered x s
before x s the x s client's xs pain xs peaks x s (B). xs Providing xs comfort x s is x s a xs
priority xs for x s the x s client xs who xs is xs dying, xs but x s sedation x s that xs impairs x s
the xs client's x s ability xs to xs interact xs and x s experience xs the xs time x s before
xs life x s ends xs should xs be xs minimized x s (C). x s Offering x s a xs medication-free x s
period x s allows x s the x s serum xs drug x s level x s to x s fall, x s which x s is x s not xs an xs
effective x s method xs to xs manage xs chronic x s pain xs (D).
3
Correct xs Answer: xs A
When xs assessing xs a xs client x s with xs wrist xs restraints, xs the xs nurse xs observes x s
that xs the xs fingers xs on xs the xs right xs hand xs are xs blue. x s What x s action x s should
x s the xs nurse x s implement x s first?
A. Loosen x s the x s right x s wrist x s restraint.
B. Apply x s a x s pulse x s oximeter x s to x s the x s right x s hand.
C. Compare x s hand x s color x s bilaterally.
D. Palpate x s the x s right x s radial x s pulse. xs - x s The x s priority xs nursing x s action x s is x s
to x s restore x s circulation x s by x s loosening xs the x s restraint x s (A), x s because x s blue x s
fingers x s (cyanosis) x s indicates x s decreased x s circulation. x s (C x s and x s D) x s are xs
also xs important x s nursing xs interventions, x s but x s do x s not x s have x s the x s
priority x s of xs (A). xs Pulse x s oximetry xs (B) xs measures x s the x s saturation x s of x s
hemoglobin x s with x s oxygen x s and x s is x s not x s indicated x s in x s situations x s
where x s the xs cyanosis x s is x s related x s to x s mechanical x s compression x s (the x s
restraints).
,Correct xs Answer: xs A
The xs nurse xs is xs assessing xs the xs nutritional xs status x s of x s several xs clients. x s
Which xs client x s has xs the xs greatest xs nutritional xs need xs for xs additional xs intake xs of
xs protein?
A. A x s college-age xs track xs runner x s with xs a x s sprained x s ankle.
B. A x s lactating xs woman x s nursing xs her xs 3-day-old xs infant.
C. A x s school-aged x s child x s with x s Type x s 2 x s diabetes.
4
D. An x s elderly xs man xs being xs treated xs for x s a x s peptic xs ulcer. xs - x s A xs
lactating xs woman xs (B) xs has x s the x s greatest xs need xs for x s additional x s protein
xs intake. x s (A, x s C, xs and xs D) xs are xs all xs conditions x s that xs require xs protein, x s but xs
do xs not x s have x s the x s increased x s metabolic x s protein x s demands x s of x s
lactation.
Correct xs Answer: xs B
A xs client xs is xs in x s the xs radiology x s department x s at xs 0900 xs when xs the x s
prescription xs levofloxacin x s (Levaquin) x s 500 xs mg xs IV xs q24h xs is xs scheduled x s to
xs be xs administered. x s The xs client x s returns xs to xs the xs unit xs at xs 1300. xs What
xs is xs the xs best xs intervention xs for xs the xs nurse xs to xs implement?
A. Contact xs the xs healthcare xs provider xs and xs complete xs a xs medication x s variance xs form.
B. Administer x s the xs Levaquin x s at x s 1300 xs and x s resume xs the x s 0900 xs schedule x s in xs the x s
morning.
C. Notify x s the x s charge xs nurse x s and x s complete xs an x s incident xs report xs to x s explain x s the xs
missed x s dose.
D. Give xs the xs missed x s dose xs at x s 1300 x s and x s change x s the xs schedule x s to
x s administer x s daily xs at x s 1300. x s - x s To xs ensure x s that x s a x s therapeutic x s
level x s of x s medication x s is x s maintained, x s the x s nurse x s should x s administer
, x s the xs missed x s dose x s as x s soon x s as x s possible, x s and x s revise x s the x s
administration x s schedule x s accordingly x s to x s prevent xs dangerously x s increasing
x s the x s level x s of x s the x s medication x s in x s the x s bloodstream x s (D). x s The x s
nurse x s should xs document xs the x s reason xs for x s the x s late xs dose, xs but xs (A xs
and x s C) xs are xs not xs warranted. x s (B) xs could x s result x s in xs increased xs blood xs
levels xs of xs the xs drug.
Correct xs Answer: xs D
While xs instructing x s a xs male x s client's x s wife xs in x s the xs performance x s of
xs passive x s range-of-motion x s exercises xs to x s his x s contracted x s shoulder, x s
the x s nurse x s observes x s that x s she x s is x s holding x s his x s arm x s above x s and
x s below xs the x s elbow. x s What x s nursing x s action x s should x s the x s nurse x s
implement?
UPDATED QUESTIONS WITH ATIONALES
AND ANSWERS LATEST UPDATED HESI
FUNDAMENTALS EXAM
The x s nurse x s is x s administering x s medications x s through x s a x s nasogastric x s
tube x s (NGT) x s which x s is x s connected xs to x s suction. x s After x s ensuring x s
correct x s tube x s placement, x s what x s action x s should x s the x s nurse x s take x s
next?
A. Clamp x s the x s tube x s for x s 20 x s minutes.
B. Flush x s the x s tube x s with x s water.
2
C. Administer x s the x s medications x s as xs prescribed.
D. Crush x s the x s tablets x s and x s dissolve x s in x s sterile x s water. xs - x s The x s NGT x s should x s be x s flushed
x s before,
in x s between x s each x s medication xs administered x s (B). x s Once x s all x s
medications x s are x s administered, x s the x s NGT xs should xs be xs clamped xs for xs 20
xs minutes x s (A). xs (C xs and xs D) x s may xs be x s implemented xs only xs after xs the xs
tubing xs has xs been xs flushed.
Correct xs Answer: xs B
A xs client xs who xs is xs in xs hospice xs care xs complains xs of xs increasing xs amounts xs of xs
pain. xs The xs healthcare xs provider xs prescribes xs an xs analgesic xs every xs four xs hours xs
as xs needed. xs Which xs action xs should xs the xs nurse xs implement?
A. Give x s an x s around-the-clock x s schedule x s for xs administration x s of xs analgesics.
B. Administer x s analgesic x s medication x s as x s needed x s when xs the x s pain xs is xs severe.
,C. Provide x s medication xs to x s keep x s the x s client xs sedated xs and x s unaware x s of x s stimuli.
D. Offer xs a x s medication-free x s period xs so xs that x s the x s client x s can xs do x s
daily xs activities. x s - x s The x s most xs effective xs management x s of x s pain x s is x s
achieved x s using x s an x s around-the-clock x s schedule x s that x s provides x s
analgesic xs medications x s on x s a xs regular x s basis x s (A) x s and xs in xs a xs timely x s
manner. x s Analgesics x s are x s less x s effective x s if xs pain xs persists x s until x s it xs is
x s severe, xs so xs an x s analgesic x s medication x s should x s be x s administered x s
before x s the x s client's xs pain xs peaks x s (B). xs Providing xs comfort x s is x s a xs
priority xs for x s the x s client xs who xs is xs dying, xs but x s sedation x s that xs impairs x s
the xs client's x s ability xs to xs interact xs and x s experience xs the xs time x s before
xs life x s ends xs should xs be xs minimized x s (C). x s Offering x s a xs medication-free x s
period x s allows x s the x s serum xs drug x s level x s to x s fall, x s which x s is x s not xs an xs
effective x s method xs to xs manage xs chronic x s pain xs (D).
3
Correct xs Answer: xs A
When xs assessing xs a xs client x s with xs wrist xs restraints, xs the xs nurse xs observes x s
that xs the xs fingers xs on xs the xs right xs hand xs are xs blue. x s What x s action x s should
x s the xs nurse x s implement x s first?
A. Loosen x s the x s right x s wrist x s restraint.
B. Apply x s a x s pulse x s oximeter x s to x s the x s right x s hand.
C. Compare x s hand x s color x s bilaterally.
D. Palpate x s the x s right x s radial x s pulse. xs - x s The x s priority xs nursing x s action x s is x s
to x s restore x s circulation x s by x s loosening xs the x s restraint x s (A), x s because x s blue x s
fingers x s (cyanosis) x s indicates x s decreased x s circulation. x s (C x s and x s D) x s are xs
also xs important x s nursing xs interventions, x s but x s do x s not x s have x s the x s
priority x s of xs (A). xs Pulse x s oximetry xs (B) xs measures x s the x s saturation x s of x s
hemoglobin x s with x s oxygen x s and x s is x s not x s indicated x s in x s situations x s
where x s the xs cyanosis x s is x s related x s to x s mechanical x s compression x s (the x s
restraints).
,Correct xs Answer: xs A
The xs nurse xs is xs assessing xs the xs nutritional xs status x s of x s several xs clients. x s
Which xs client x s has xs the xs greatest xs nutritional xs need xs for xs additional xs intake xs of
xs protein?
A. A x s college-age xs track xs runner x s with xs a x s sprained x s ankle.
B. A x s lactating xs woman x s nursing xs her xs 3-day-old xs infant.
C. A x s school-aged x s child x s with x s Type x s 2 x s diabetes.
4
D. An x s elderly xs man xs being xs treated xs for x s a x s peptic xs ulcer. xs - x s A xs
lactating xs woman xs (B) xs has x s the x s greatest xs need xs for x s additional x s protein
xs intake. x s (A, x s C, xs and xs D) xs are xs all xs conditions x s that xs require xs protein, x s but xs
do xs not x s have x s the x s increased x s metabolic x s protein x s demands x s of x s
lactation.
Correct xs Answer: xs B
A xs client xs is xs in x s the xs radiology x s department x s at xs 0900 xs when xs the x s
prescription xs levofloxacin x s (Levaquin) x s 500 xs mg xs IV xs q24h xs is xs scheduled x s to
xs be xs administered. x s The xs client x s returns xs to xs the xs unit xs at xs 1300. xs What
xs is xs the xs best xs intervention xs for xs the xs nurse xs to xs implement?
A. Contact xs the xs healthcare xs provider xs and xs complete xs a xs medication x s variance xs form.
B. Administer x s the xs Levaquin x s at x s 1300 xs and x s resume xs the x s 0900 xs schedule x s in xs the x s
morning.
C. Notify x s the x s charge xs nurse x s and x s complete xs an x s incident xs report xs to x s explain x s the xs
missed x s dose.
D. Give xs the xs missed x s dose xs at x s 1300 x s and x s change x s the xs schedule x s to
x s administer x s daily xs at x s 1300. x s - x s To xs ensure x s that x s a x s therapeutic x s
level x s of x s medication x s is x s maintained, x s the x s nurse x s should x s administer
, x s the xs missed x s dose x s as x s soon x s as x s possible, x s and x s revise x s the x s
administration x s schedule x s accordingly x s to x s prevent xs dangerously x s increasing
x s the x s level x s of x s the x s medication x s in x s the x s bloodstream x s (D). x s The x s
nurse x s should xs document xs the x s reason xs for x s the x s late xs dose, xs but xs (A xs
and x s C) xs are xs not xs warranted. x s (B) xs could x s result x s in xs increased xs blood xs
levels xs of xs the xs drug.
Correct xs Answer: xs D
While xs instructing x s a xs male x s client's x s wife xs in x s the xs performance x s of
xs passive x s range-of-motion x s exercises xs to x s his x s contracted x s shoulder, x s
the x s nurse x s observes x s that x s she x s is x s holding x s his x s arm x s above x s and
x s below xs the x s elbow. x s What x s nursing x s action x s should x s the x s nurse x s
implement?
