HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
To assess the quality of an adult client’s pain, what approach should the nurse use?
A A A A A A A A A A A A A A C
A) ObserveAbodyAlanguageAandAmovement.
B) Provide a numeric pain scale.
A A A A
C) Ask the client to describe the pain.
A A A A A A
D) IdentifyAeffectiveApainAreliefAmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The docto
A A A A A A A A A A A A A
r told me I have cancer and do not have long to live.” Which response is best for
A A A A A A A A A A A A A A A A A A
the nurse to provide?
A A A
A) “That’s correct, you do not have long to live” D
A A A A A A A A
B) “Would you like me to call your minister?”
A A A A A A A
C) “Don't give up, you still have chemotherapy to try.”
A A A A A A A A
D) “Yes, your condition is serious.”
A A A A
When performing blood pressure measurement to assess for orthostatic h
A A A A A A A A A
ypotension, which action should the nurse implement first?
A A A A A A A C
A) ApplyAtheAbloodApressureAcuffAsecurely.
B) Record the client’s pulse rate
A A A A A
and rhythm. C) Position the clie
A A A A A
nt supine for a few minutes.
A A A A A
D) Assist the client to stand at bedside.
A A A A A A A
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
A A A A A A A A A A A A
of a client with pertussis for whom droplet precautions have been implemented.
A A A A A A A A A A A A
The UAP request a change in assignment, stating she has not yet been fitted for a
A A A A A A A A A A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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particulate filter mask. What action should the nurse take?
A A A A A A A A D
When evaluating the effectiveness of a client’s nursing care, the nurse first revie
A A A A A A A A A A A A
ws the expected outcomes identified in the plan of care. What action should the n
A A A A A A A A A A A A A A
urse take next?
A A
A) Modify the nursing interventions to achieve the client’s goals.
A A A A A A A A
B) Determine if the expected outcomes were realistic.
A A A A A A
C) Review related professional standards of care.
A A A A A
D) Obtain current client data to compare with expected outcomes.
A A A A A A A A
A policy requiring the removal of acrylic nails by all nursing personnel was imple
A A A A A A A A A A A A A
mented six months ago. Which assessment measure best determines if theintended
A A A A A A A A A A A A
outcome of the policy is being achieved?
A A A A A A
A) NumberAofAtheAstaff-inducedAskinAinjuries.
B) ClientAsatisfactionAsurvey.
C) Rate of needlestick injuries by nurses.
A A A A A
D) Healthcare-associatedAinfectionArates.
A client with limited tolerance for activity needs to walk in the hallway with a
A A A A A A A A A A A A A A
ssistance. Which instructions should the nurse give to the unlicensed assistive
A A A A A A A A A A A
personnel (UAP) who assisting with client’s care? (Select all that apply.)
A A A A A A A A A A
A) Instruct the client about signs of orthostatic hypertension
A A A A A A A
B) Determine if the client needs to have a gait belt applied
A A A A A A A A A A
C) Measure the clients vital signs before the c
A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
lient walks. A
D) Offer to assist the client to void prior to wal
A A A A A A A A A
king in the hall. A A A
E) Report the onset of any dizziness or light headedness.
A A A A A A A A
A client has begun a long-
A A A A A
term maintenance therapy with lithium, which hasa narrow therapeutic index
A A A A A A A A A A
. Which adverse effect is most important for nurse to include in the teaching
A A A A A A A A A A A A A A
plan?
A) Dependence.
A
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic
A A A A A A A A A A A
health record. Which statement is most accurate regarding electronic documentation
A A A A A A A A A A A
during an interview? A A
A) TheAinterviewAprocessAisAenhancedAwithAelectronicAdocumentationAandAallowsAtheAclientAtoA
speak at a normal pace. A A A A
B) CompletingAtheAelectronicArecordAduringAanAinterviewAisAaAlegalAobligationAofAtheAexaminin
g nurse.A
C)
The nurse has limited ability to observe nonverbal co
A A A A A A A A
mmunication while entering the assessment electronically.
A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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D) The client’s comfort level is increased when the nurse breaks eye contact to type notes in
A A A A A A A A A A A A A A A A
to the record.
A A
A client who lives in an assisted living facility develops cognitive impairmen
A A A A A A A A A A A
tfollowing a stroke. Informed consent is needed to provide additional nursing
A A A A A A A A A A A
Aservices. Who should nurse contact?
A A A A
A) TheAclient’sAoldestAlivingAchild,AaAlawyer,AwhoAisAvisitingAfromAoutAofAtown.
B) AAdaughterA-in-lawAdesignatedAasAtheAclient’sADurableAPowerAofAAttorneyA(DPOA).
C) The client’s youngest son, identified by family members as the family spokesperson.
A A A A A A A A A A A
D) TheAclient’sAspouseAwhoAlivesAinAtheAindependentAlivingAunitAofAtheAfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methicil
A A A A A A A A A A A A A A
lin resistant staphylococcus aureus (MRSA). The nurse plans interventionsto preve
A A A A A A A A A A
nt multiple re-
A A
entries to the client’s room. In which order should the nurse perform the interventio
A A A A A A A A A A A A A
ns?
A) ChangeAcoccyxAdressing,AperformAtracheostomyAcare,ArestartAtheAIV.
B) PerformAtracheostomyAcare,AchangeAcoccyxAdressing,ArestartAtheAIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
A A A A A A A A
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
A A A A A A A A A
What self- A
care outcome is best for the nurse to use in evaluating a client’s recoveryform a stro
A A A A A A A A A A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
Answers latest update 2025/2026
To assess the quality of an adult client’s pain, what approach should the nurse use?
A A A A A A A A A A A A A A C
A) ObserveAbodyAlanguageAandAmovement.
B) Provide a numeric pain scale.
A A A A
C) Ask the client to describe the pain.
A A A A A A
D) IdentifyAeffectiveApainAreliefAmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The docto
A A A A A A A A A A A A A
r told me I have cancer and do not have long to live.” Which response is best for
A A A A A A A A A A A A A A A A A A
the nurse to provide?
A A A
A) “That’s correct, you do not have long to live” D
A A A A A A A A
B) “Would you like me to call your minister?”
A A A A A A A
C) “Don't give up, you still have chemotherapy to try.”
A A A A A A A A
D) “Yes, your condition is serious.”
A A A A
When performing blood pressure measurement to assess for orthostatic h
A A A A A A A A A
ypotension, which action should the nurse implement first?
A A A A A A A C
A) ApplyAtheAbloodApressureAcuffAsecurely.
B) Record the client’s pulse rate
A A A A A
and rhythm. C) Position the clie
A A A A A
nt supine for a few minutes.
A A A A A
D) Assist the client to stand at bedside.
A A A A A A A
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
A A A A A A A A A A A A
of a client with pertussis for whom droplet precautions have been implemented.
A A A A A A A A A A A A
The UAP request a change in assignment, stating she has not yet been fitted for a
A A A A A A A A A A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
particulate filter mask. What action should the nurse take?
A A A A A A A A D
When evaluating the effectiveness of a client’s nursing care, the nurse first revie
A A A A A A A A A A A A
ws the expected outcomes identified in the plan of care. What action should the n
A A A A A A A A A A A A A A
urse take next?
A A
A) Modify the nursing interventions to achieve the client’s goals.
A A A A A A A A
B) Determine if the expected outcomes were realistic.
A A A A A A
C) Review related professional standards of care.
A A A A A
D) Obtain current client data to compare with expected outcomes.
A A A A A A A A
A policy requiring the removal of acrylic nails by all nursing personnel was imple
A A A A A A A A A A A A A
mented six months ago. Which assessment measure best determines if theintended
A A A A A A A A A A A A
outcome of the policy is being achieved?
A A A A A A
A) NumberAofAtheAstaff-inducedAskinAinjuries.
B) ClientAsatisfactionAsurvey.
C) Rate of needlestick injuries by nurses.
A A A A A
D) Healthcare-associatedAinfectionArates.
A client with limited tolerance for activity needs to walk in the hallway with a
A A A A A A A A A A A A A A
ssistance. Which instructions should the nurse give to the unlicensed assistive
A A A A A A A A A A A
personnel (UAP) who assisting with client’s care? (Select all that apply.)
A A A A A A A A A A
A) Instruct the client about signs of orthostatic hypertension
A A A A A A A
B) Determine if the client needs to have a gait belt applied
A A A A A A A A A A
C) Measure the clients vital signs before the c
A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
,HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
lient walks. A
D) Offer to assist the client to void prior to wal
A A A A A A A A A
king in the hall. A A A
E) Report the onset of any dizziness or light headedness.
A A A A A A A A
A client has begun a long-
A A A A A
term maintenance therapy with lithium, which hasa narrow therapeutic index
A A A A A A A A A A
. Which adverse effect is most important for nurse to include in the teaching
A A A A A A A A A A A A A A
plan?
A) Dependence.
A
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic
A A A A A A A A A A A
health record. Which statement is most accurate regarding electronic documentation
A A A A A A A A A A A
during an interview? A A
A) TheAinterviewAprocessAisAenhancedAwithAelectronicAdocumentationAandAallowsAtheAclientAtoA
speak at a normal pace. A A A A
B) CompletingAtheAelectronicArecordAduringAanAinterviewAisAaAlegalAobligationAofAtheAexaminin
g nurse.A
C)
The nurse has limited ability to observe nonverbal co
A A A A A A A A
mmunication while entering the assessment electronically.
A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
, HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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D) The client’s comfort level is increased when the nurse breaks eye contact to type notes in
A A A A A A A A A A A A A A A A
to the record.
A A
A client who lives in an assisted living facility develops cognitive impairmen
A A A A A A A A A A A
tfollowing a stroke. Informed consent is needed to provide additional nursing
A A A A A A A A A A A
Aservices. Who should nurse contact?
A A A A
A) TheAclient’sAoldestAlivingAchild,AaAlawyer,AwhoAisAvisitingAfromAoutAofAtown.
B) AAdaughterA-in-lawAdesignatedAasAtheAclient’sADurableAPowerAofAAttorneyA(DPOA).
C) The client’s youngest son, identified by family members as the family spokesperson.
A A A A A A A A A A A
D) TheAclient’sAspouseAwhoAlivesAinAtheAindependentAlivingAunitAofAtheAfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methicil
A A A A A A A A A A A A A A
lin resistant staphylococcus aureus (MRSA). The nurse plans interventionsto preve
A A A A A A A A A A
nt multiple re-
A A
entries to the client’s room. In which order should the nurse perform the interventio
A A A A A A A A A A A A A
ns?
A) ChangeAcoccyxAdressing,AperformAtracheostomyAcare,ArestartAtheAIV.
B) PerformAtracheostomyAcare,AchangeAcoccyxAdressing,ArestartAtheAIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
A A A A A A A A
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
A A A A A A A A A
What self- A
care outcome is best for the nurse to use in evaluating a client’s recoveryform a stro
A A A A A A A A A A A A A A A A
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2025/2026
