FUNDAMENTAL HESI, HESI FUNDAMENTALS, HESI FUNDAMENTALS
PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 350 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for fifteen seconds, large amounts of thick yellow secretions return. What
action should the nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again. - Correct Answer-D)
Re-oxygenate the client before attempting to suction again
Suctioning should not be continued for longer than ten to fifteen seconds, since
the client's oxygenation is compromised during this time (D). (A, B, and C) may
be performed after the client is re-oxygenated and additional suctioning is
performed.
A hospitalized male client is receiving nasogastric tube feedings 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?
A) Record the coughing incident. No further action is required at this time.
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, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice EXAM
B) Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D) Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
- Correct Answer-C) After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube
Coughing, vomiting, and suctioning can precipitate displacement of the tip of
the small bore feeding tube upward into the esophagus, placing the client at
increased risk for aspiration. Checking the sample of fluid withdrawn from the
tube (after clearing the tube with 30 ml of air) for acidic (stomach) or alkaline
(intestine) values is a more sensitive method for these tubes, and the nurse
should assess tube placement in this way prior to taking any other action (C). (A
and B) are not indicated. The auscultating method (D) has been found to be
unreliable for small-bore feeding tubes.
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. - Correct Answer-
B) Reposition the client on her side
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, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice EXAM
The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention, (B),
should be attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful, the client
may require an antiemetic (D).
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client with left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before
moving.
B) Assist the client to a standing position, then place the right hand on the
armrest.
C) Have the client place the left foot next to the chair and pivot to the left before
sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the
right foot - Correct Answer-D) Move the chair parallel to the right side of the bed,
and stand the client on the right foot
(D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of
transfer and include the use of poor body mechanics by the caregiver.
When conducting an admission assessment, the nurse should ask the client about
the use of complimentary healing practices. Which statement is accurate
regarding the use of these practices?
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, Fundamental HESI, Hesi Fundamentals, Hesi Fundamentals Practice EXAM
A) Complimentary healing practices interfere with the efficacy of the medical
model of treatment.
B) Conventional medications are likely to interact with folk remedies and cause
adverse effects.
C) Many complimentary healing practices can be used in conjunction with
conventional practices.
D) Conventional medical practices will ultimately replace the use of
complimentary healing practices. - Correct Answer-C) Many complimentary
healing practices can be used in conjunction with conventional practices
Conventional approaches to health care can be depersonalizing and often fail to
take into consideration all aspects of an individual, including body, mind, and
spirit. Often complimentary healing practices can be used in conjunction with
conventional medical practices (C), rather than interfering (A) with conventional
practices, causing adverse effects (B), or replacing conventional medical care (D).
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
A) Determine the etiology of the problem.
B) Prioritize nursing care interventions.
C) Plan appropriate interventions.
D) Collaborate with the client to set goals. - Correct Answer-A) Determine the
etiology of the problem
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