1|Page
Exam (elaborations)
TESTBANK FOR HESI Extra Credit Modules 1, 2, 3,
4, 5, 6, 7, 8, 9 & 10 Exams 2025/2026 (multiple versions
of each module) 2911 PAGES - with all 100%
CORRECT ANSWERS SHOWN.
When turning an immobile bedridden client without assistance, which
action by the nurse best ensures client safety? A. Securely grasp the
client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed
rails should be up on the opposite side to ensure that the client does not
fall out of bed. Option A can cause client injury to the skin or joint.
Options C and D are useful techniques while turning a client but have
less priority in terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with
partialthickness (second-degree) and full-thickness (third-degree) burns.
What intervention has the highest priority in decreasing the client's risk
of
infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
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D. Limiting visitors to the client with burns - ANSWER-B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is
not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible
ways to reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse is aware that malnutrition is a common problem among clients
served by a community health clinic for the homeless. Which laboratory
value is the most reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - ANSWER-A
Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made by the
liver only when adequate amounts of amino acids (from protein
breakdown) are available. Albumin has a long half-life, so acute protein
loss does not significantly alter serum levels. Option B is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute
protein deficiency. Options C and D are not clinical measures of protein
malnutrition.
In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions
about the surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the
client has questions about the surgery.
,3|Page
D. Reassure the client that the surgeon will answer any questions before
the anesthesia is administered. - ANSWER-C
Rationale: The surgeon should be informed immediately that the permit
is not signed. It is the surgeon's responsibility to explain the procedure
to the client and obtain the client's signature on the permit. Although the
nurse can witness an operative permit, the procedure must first be
explained by the health care provider or surgeon, including answering
the client's questions. The client's questions should be addressed before
the permit is signed.
The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur
during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - ANSWER-B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can
pose a threat for the development of surgical complications. The health
care provider should be informed that the client is taking these drugs.
Although clients who take birth control pills may be more susceptible to
the development of thrombi, such problems usually occur
postoperatively. A client with option C or D is at less of a surgical risk
than with option B.
When assisting a client from the bed to a chair, which procedure is best
for the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of
the bed and assist the client in moving to the chair.
, 4|Page
B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair.
C. Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D. Stand beside the client, place the client's arms around the nurse's
neck, and gently move the client to the chair. - ANSWER-B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed
at a 45-degree angle to the bed, with the back of the chair toward the
head of the bed. Clients should never be lifted under the axillae; this
could damage nerves and strain the nurse's back. The client should be
Exam (elaborations)
TESTBANK FOR HESI Extra Credit Modules 1, 2, 3,
4, 5, 6, 7, 8, 9 & 10 Exams 2025/2026 (multiple versions
of each module) 2911 PAGES - with all 100%
CORRECT ANSWERS SHOWN.
When turning an immobile bedridden client without assistance, which
action by the nurse best ensures client safety? A. Securely grasp the
client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed
rails should be up on the opposite side to ensure that the client does not
fall out of bed. Option A can cause client injury to the skin or joint.
Options C and D are useful techniques while turning a client but have
less priority in terms of safety than use of the bed rails.
The nurse identifies a potential for infection in a client with
partialthickness (second-degree) and full-thickness (third-degree) burns.
What intervention has the highest priority in decreasing the client's risk
of
infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
,2|Page
D. Limiting visitors to the client with burns - ANSWER-B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is
not related to decreasing the proliferation of infective organisms.
Options C and D are recommended by various burn centers as possible
ways to reduce the chance of infection. Option B is a proven technique
to prevent infection.
The nurse is aware that malnutrition is a common problem among clients
served by a community health clinic for the homeless. Which laboratory
value is the most reliable indicator of chronic protein malnutrition?
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level - ANSWER-A
Rationale: Long-term protein deficiency is required to cause
significantly lowered serum albumin levels. Albumin is made by the
liver only when adequate amounts of amino acids (from protein
breakdown) are available. Albumin has a long half-life, so acute protein
loss does not significantly alter serum levels. Option B is a serum
protein with a half-life of only 8 to 10 days, so it will drop with an acute
protein deficiency. Options C and D are not clinical measures of protein
malnutrition.
In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions
about the surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the
client has questions about the surgery.
,3|Page
D. Reassure the client that the surgeon will answer any questions before
the anesthesia is administered. - ANSWER-C
Rationale: The surgeon should be informed immediately that the permit
is not signed. It is the surgeon's responsibility to explain the procedure
to the client and obtain the client's signature on the permit. Although the
nurse can witness an operative permit, the procedure must first be
explained by the health care provider or surgeon, including answering
the client's questions. The client's questions should be addressed before
the permit is signed.
The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur
during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months - ANSWER-B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can
pose a threat for the development of surgical complications. The health
care provider should be informed that the client is taking these drugs.
Although clients who take birth control pills may be more susceptible to
the development of thrombi, such problems usually occur
postoperatively. A client with option C or D is at less of a surgical risk
than with option B.
When assisting a client from the bed to a chair, which procedure is best
for the nurse to follow?
A. Place the chair parallel to the bed, with its back toward the head of
the bed and assist the client in moving to the chair.
, 4|Page
B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair.
C. Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D. Stand beside the client, place the client's arms around the nurse's
neck, and gently move the client to the chair. - ANSWER-B
Rationale: Option B describes the correct positioning of the nurse and
affords the nurse a wide base of support while stabilizing the client's
knees when assisting to a standing position. The chair should be placed
at a 45-degree angle to the bed, with the back of the chair toward the
head of the bed. Clients should never be lifted under the axillae; this
could damage nerves and strain the nurse's back. The client should be
