HESI RN FUNDAMENTALS EXAM REAL EXAM QUESTIONS AND CORRECT ANSWERS
Nursing assistant cannot do anything with: - ANSWER>>>assessing, change
dressing or wounds, no
teaching
Which patient would you assess first: - ANSWER>>>1st-Which patient can I look at
and they will die if I don't do something?
2nd-Most critical state
3rd-ABC
4th-SOB you should be very concerned
Triaging colors: Green, Yellow, Red, Black - ANSWER>>>-(not urgent, can get up
and walk)
-(not life threatening, can be treated within 30min-2hours)
-(highest priority, respiratory issues, Loss of consciousness)
-(dead)
1. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6
months ago. Which assessment measure best determines if the intended
outcome of the policy is
being achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by nurse. - ANSWER>>>(C)--Acrylic nails are known
to carry loads of bacteria and increase the risk of healthcare-associated
infections. Therefore, by banning the wearing of acrylic nails, you would expect
the prevalence
of healthcare-associated infections to decrease. Acrylic nails have nothing to do
with staff
induced injuries, needle-stick injuries, or patient satisfaction scores.
2. Which assessment data would provide the most accurate determination of
proper placement of
a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted.
A) Aspirating gastric contents to assure a pH value of 4 or less. - ANSWER>>>(c)--
This is a method used to determine proper placement of NG tubing, but not the
most accurate.
B) Hearing air pass in the stomach after injecting air into the tubing.
This is a method used to determine proper placement of NG tubing, but not the
most accurate.
C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is confirmed via x-ray since it
is the most
accurate way to ensure the tube has not been placed in the lungs, which would
pose an aspiration
risk.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted.
This is not an indicator of proper placement. You could very well be in a lung.
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