NURSING 201 - KEY FUNDAMENTALS SKILLS HESI EXAM

1. 1.ID: 310989309

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.

2. 2.ID: 311018751

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.

C. Administer the medications as prescribed.

D. Crush the tablets and dissolve in sterile water.

3. 3.ID: 310953495

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.

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.

4. 4.ID: 310965989

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.

B. Apply a pulse oximeter to the right hand.

C. Compare hand color bilaterally.

D. Palpate the right radial pulse.

5. 5.ID: 310959857

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.

C. A school-aged child with Type 2 diabetes.

B. Flush the tube with water. Correct

 NURSING 201 2021

Give the missed dose at 1300 and change the schedule to administer daily at

D. An elderly man being treated for a peptic ulcer.

6. 6.ID: 311028939

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.

D.

1300. Correct

7. 7.ID: 310953457

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. Correct

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.

8. 8.ID: 310978673

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. Correct

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.

9. 9.ID: 310949430

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. Correct

C. Have the unit educator review this procedure with the UAPs.

D. Teach the UAP the correct technique for assessing blood pressure.