Foundations HESI Questions with Answers
Foundations HESI Questions with Answers
1- Patient tells nurse “I can’t ever seem to get to the bathroom
... [Show More] on time and keep spoiling mysef”. What is the nurse best intervention?
A: Walk patient to commode 30 min after each meal.
2- Doctor prescribe X medicine 45 mg, on hand 30mg in 2ml. What dose to administer?
A: 45/30=1.5
3- Patient to receive Med X. Med computer indicates that dose scanned is twice the amount prescribed. What is the Nurse’s action?
A: Recalculate correct dose
4- Muslim man who underwent surgery is scheduled for dialysis every other day. Today is Tuesday and is very agitated on his way to dialysis. What is the Nurse’s action?
A: Ask interpreter to find out why patient is agitated.
5- Nurse is instilling drop in child ear that is lying on the side (see picture). What is the Nurse’s action?
A: Pull auricle up and out
6- Patient in psychiatric care unit had visit from her boyfriend. After boyfriend leave patient feels lonely and refuses to participate in group activity. What is the nurse’s action?
A: Ask patient to talk about best moment of boyfriend’s visit.
7- Patient is dehydrated and is getting fluid therapy. What is the best way to assess that fluid therapy is working?
A: Urine output
8- Nurse observes cyanosis in patient fingers and toe. What does the nurse observe for?
A: Oxygenation
9- Nurse notice that injection site is swollen, cold to touch, etc. What does the nurse asses for?
A: Capillary refill
10- Nurse observe patient (see picture) with mouth open. What is the nurse’s action?
A: Provide oxygen
11- Nurse plans to finish passive ROM by adducting and abducting patient arm. What does the nurse do next?
A: Move patient arm outward.
12- Patient tells nurse that he is agnostic during a physical assessment. What does the nurse do with this information?
A: Write it in the patient chart
13- Patient who lives with his wife has three month to live. During a visit he tells the nurse that he is ready for hospice. What is the nurse’s action?
A: Arrange for a visit from a hospice representative.
14- Patient suffers from aphasia. Best food item would be.
A: gelatin, pear nectar, applesauce
15- Patient is on all clear diet. Best food items
A: water, ice chip, carbonated drink, ect. (Nothing thick)
16- Patient is on low fat diet. Instructions from the nurse include.
A: Instruct patient to verify fat content of fruits.
17- The nurse knows that student or UAP understand gloving procedure or policy when.
A: Student or UAP wears glove each time before entering a patient’s room.
18- Patient had a stroke and receiving emergency care when daughter came in and shows that patient has a will that says he do not wish to be revived. What is the nurse’s action?
A: inform the Doctor
19- Patient is unable to make decisions. Do doctor knows to listen to whom?
A: The daughter in law with a durable power of attorney.
20- Who has priority of care when it comes to pressure ulcer prevention?
A: The patient with fecal and urinary incontinence.
21- Patient is diagnosed with cancer and is angry at doctor and medical staff. What is the best action?
A: Find out why patient is angry and try to resolve the issue.
22- Kid is undergoing surgery; mother says that it’s her fault and that she is being punished by God. What is the nurse’s best response?
A: “this must be a difficult time for you”
23- Patient has edema in lower extremities and ask the nurse what he can do to diminish swelling. The nurse’s response includes.
A: Dangling your feet over edge of bed.
24- Patient had knee replacement tells the nurse that his morphine no longer works. What is the nurse’s action?
A: Ask doctor to increase dose.
25- Patient with chronic back pain tells the nurse that her medications are no longer effective and that she does not want surgery, acupuncture has been very effective in relieving her pain. What is the nurse’s best response?
A: Acupuncture is a good complimentary medicine to pain therapy
26- Patient tells the nurse that he has gain 2lb a day over a week. What is the nurse’s action?
A: Assess lower extremities.
27- Patient has fecal incontinence and diarrhea for several days. What is the risk?
A: Patient is at risk for electrolyte deficit.
28- Patient with Alzheimer is being discharged to daughter who will be administering medication at home. Best way for nurse to know that daughter understand procedure is?
A: Have daughter administer medication in hospital.
29- To avoid nerve damage, best place to administer a 3ml IM injection is?
A: Ventrogluteal
30- Nurse notices that BP is higher than previous reading. What is the next action?
A: a) take reading from other arm b)…..
31- Prescription is to administer 250mg of X, on hand is X 250 mg/ml. How many ml to administer?
A: 1
32- Patient with UTI had catheter removed at 1900. It is now 0700, what information is most important for nurse on next shift to know?
A: previous input and output measurements
33- The midstream specimen was 30ml. The lab will require the collection to be done over if?
A: there are small colonies of microorganism in the sample.
34- Patient wound is getting larger and not healing. What does the nurse asses for?
A: WBC
35- Patient is experiencing water overload from tap water enema. What to assess for
A: Sodium level
36- Mother of three came for an exam and has a tear in vagina. Nurse teaches patient on?
A: Safe sex practice
37- Nurse observes UAP soaking patient’s foot in basin, what does the nurse instruct the UAP to do?
A: Dry between the toes
38- Family complains that patient on air mattress has not been turned and that there is no sheet covers on bed. What does the nurse tell family?
A: This special bed diminishes the risk of pressure ulcers and does not require a sheet. [Show Less]