HESI Fundamentals Practice TestFinal 2

HESI Fundamentals Practice Test/Final 2

(NCLEX)

An adult is now alert and oriented following abdominal surgery. What position is most appropriate for the client?

• Semi-Fowler's
• Prone
• Supine
• Sim's - CORRECT ANSWER A

This position allows for greater thoracic expansion and puts less pressure on the suture line Following a craniotomy, the nurse positioned a client in low fowler's for which reason?

• To promote comfort
• To promote drainage from operation site
• To promote thoracic expansion
• To prevent circulatory overload - CORRECT ANSWER

B 1 / 3

The nurse is caring for a woman who had a CVA and has right-sided hemiplegia.Which action is least appropriate?

• Performing ROM exercise when bathing her
• Changing her position every two hours
• Suctioning the client supine and pulling the bed sheets tightly across her feet
• Placing her in the prone position for one hour three times a day - CORRECT

ANSWER C

The sheets should not be drawn tightly across the feet as this may cause foot drop The nurse is to help their client with right-sided hemiplegia get up into the wheelchair. How should the nurse place the wheelchair?

• On the left side of the bed facing the foot of the bed
• On the right side of the bed facing the head of the bed
• Perpendicular to the bed on the right side
• Facing the bed in the left side of the bed - CORRECT ANSWER

A The client can then stand on the unaffected foot and pivot to sit down When caring for a client in hemorrhagic shock, how should the nurse position the client?

• Flat in bed with legs elevated
• Flat in bed
• Trendelenburg position 2 / 3

• Semi-Fowler's position - CORRECT ANSWER A

Mr. Landon is to have a tracheostomy performed. What is the top nursing priority?

• Shave the neck
• Establish a means of communication
• Insert a Foley catheter
• Start an IV - CORRECT ANSWER B

Mr. Landon is to have a tracheostomy performed. Which nursing action is essential during tracheal suctioning?

• Using a lubricant such as petroleum jelly
• Administering 100% oxygen before and after suctioning
• Making sure that the suction catheter is open or on during insertion
• Assisting the client to assume a supine position during suctioning -

CORRECT ANSWER B--To prevent hypoxia Mr. Landon is to have a tracheostomy performed. Which of the following actions is most appropriate for the nurse to take when suctioning the tracheostomy?

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