Hesi Fundamentals Practice Test Questions (73
Terms) All Correctly Answered and Explained
in Details, A+ Score Solution, Guaranteed pass.
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. - Detailed
Explanation: To avoid shearing forces when repositioning, the client should be
lifted gently across a surface (D). Reddened areas should not be massaged (A)
since this may increase the damage to already traumatized skin. To control pain
and muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured left
hip.
Exact Answer: D
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. - Detailed Explanation: The NGT
should be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20 minutes
(A). (C and D) may be implemented only after the tubing has been flushed.
Exact Answer: B
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.
D. Offer a medication-free period so that the client can do daily activities. -
Detailed Explanation: The most effective management of pain is achieved using
an around-the-clock schedule that provides analgesic medications on a regular
basis (A) and in a timely manner. Analgesics are less effective if pain persists until
it is severe, so an analgesic medication should be administered before the client's
pain peaks (B). Providing comfort is a priority for the client who is dying, but

sedation that impairs the client's ability to interact and experience the time before
life ends should be minimized (C). Offering a medication-free period allows the
serum drug level to fall, which is not an effective method to manage chronic pain
(D).
Exact Answer: A
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. - Detailed Explanation: The priority nursing
action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicate decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of (A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in situations where the
cyanosis is related to mechanical compression (the restraints).
Exact Answer: A

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. - Detailed Explanation: A
lactating woman (B) has the greatest need for additional protein intake. (A, C, and
D) are all conditions that require protein, but do not have the increased metabolic
protein demands of lactation.
Exact Answer: B
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.

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HESI Fundamentals Practice Exam With Answers (73 Solved Questions)

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