NURSING HESI FUNDAMENTALS EXAM
PAPER 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ what action should the nurse take in a psychiatric situation when the
client describes a physical problem? Answer: assess. example: if a client
has schizophrenia complains of chest pain take their blood pressure
⩥ basic communication principles Answer: establish trust,
nonjudgemental attitude,active listening, offer self, accept client's
feelings, validate client's statements, matter of fact approach
⩥ nausea is a common complaint after ECT Answer: vomiting by an
unconscious can lead to aspiration. maintain a paten airway
⩥ common physiological responses to anxiety Answer: increased heart
rate, and blood pressure, rapid shallow respirations, dry mouth, tight
feeling in throat, tremors, muscle twitching, anorexia, urinary frequency,
palmar sweating
⩥ nurse-client anxiety Answer: anxiety is contagious, nurse needs to
asses on anxiety level and remain calm. it helps gain control, decrease
anxiety, and increase feelings of security
,⩥ desensitization Answer: is the nursing intervention for phobia
disorders. --assess client to recognize the factors associated with feared
stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
⩥ the nurse should place an anxious client where there are reduced
environmental stimuli Answer: quiet area of the unit away from the
nurse's station
⩥ the best time for interaction with a client is at the completion of the
performed ritual Answer: the client's anxiety is lowest at this time and its
an optimal time for learning
⩥ compulsive acts are used in response to anxiety, which may or may
not be related to the obsession. its the nurse's responsibility help
alleviate anxiety Answer: its the nurse's responsibility help alleviate
anxiety, interfering will increase the anxiety
⩥ as long as the client's acts are free of violence: nurse should....
Answer: -actively listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
,⩥ ford clients with PTSD, the nurse should.... Answer: -actively listen to
client's stories of experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve
regarding possible means of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the
same traumatic event
⩥ be aware of your own feelings when dealing with this somatoform
clients. Answer: the pain is real to the person experiencing it
⩥ theses disorders cannot be explained medically, it results from internal
conflict. the nurse should... Answer: -acknowledge the symptom or
complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
⩥ avoid giving clients with dissociative disorders too much information
about past events at one time Answer: the various types of amnestic that
accompany dissociative disorders provide protection from pain and too
much to soon can cause decompensation
⩥ personality disorders are long standing behavioral traits that are
maladaptive responses to anxiety and that cause difficulty in relating to
, and working with other individuals Answer: persons with personality
disorders are usually comfortable with their disorders and believe that
they are right and the world is wrong and have little motivation
⩥ people with anorexia gain pleasure from providing others with food
and watching them eat Answer: these behaviors reinforce their
perception of self-control. don not allow these clients to plan or prepare
food for unit-based activities
⩥ individuals with Bulimia often use syrup of ipecac to induce vomiting.
if ipecac is not vomited and is absorbed, cardiotoxicity may occur and
cause conduction disturbances, cardiac dysrhythmias, fatal myocarditis,
and circulatory failure Answer: because heart failure is not usually seen
in this age group, it is often overlooked. assess for edema and listen to
breath sounds
⩥ physical assessment and nutritional support are a priority, the
physiological implication are great. nursing interventions should
increase self-esteem and develop a positive body image. Answer: family
therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
⩥ the most important s/s of depression are a depressed mood with a loss
of interest in the pleasures in life Answer: the client has a sustained loss
⩥ s/s of depression Answer: -significant change in appetite
PAPER 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ what action should the nurse take in a psychiatric situation when the
client describes a physical problem? Answer: assess. example: if a client
has schizophrenia complains of chest pain take their blood pressure
⩥ basic communication principles Answer: establish trust,
nonjudgemental attitude,active listening, offer self, accept client's
feelings, validate client's statements, matter of fact approach
⩥ nausea is a common complaint after ECT Answer: vomiting by an
unconscious can lead to aspiration. maintain a paten airway
⩥ common physiological responses to anxiety Answer: increased heart
rate, and blood pressure, rapid shallow respirations, dry mouth, tight
feeling in throat, tremors, muscle twitching, anorexia, urinary frequency,
palmar sweating
⩥ nurse-client anxiety Answer: anxiety is contagious, nurse needs to
asses on anxiety level and remain calm. it helps gain control, decrease
anxiety, and increase feelings of security
,⩥ desensitization Answer: is the nursing intervention for phobia
disorders. --assess client to recognize the factors associated with feared
stimuli.
-teach and practice with client alternative coping strategies
-expose client to feared stimuli
-provide positive reinforcement
⩥ the nurse should place an anxious client where there are reduced
environmental stimuli Answer: quiet area of the unit away from the
nurse's station
⩥ the best time for interaction with a client is at the completion of the
performed ritual Answer: the client's anxiety is lowest at this time and its
an optimal time for learning
⩥ compulsive acts are used in response to anxiety, which may or may
not be related to the obsession. its the nurse's responsibility help
alleviate anxiety Answer: its the nurse's responsibility help alleviate
anxiety, interfering will increase the anxiety
⩥ as long as the client's acts are free of violence: nurse should....
Answer: -actively listen to the clients obsessive themes
-acknowledge the effects that ritualistic acts have on the client
-demonstrate empathy
-avoid being judgmental
,⩥ ford clients with PTSD, the nurse should.... Answer: -actively listen to
client's stories of experiences surrounding the traumatic event
-assess suicide risk
-assist client to develop objectivity about the event and problem solve
regarding possible means of controlling anxiety related to the event
-encourage group therapy with other clients who have experienced the
same traumatic event
⩥ be aware of your own feelings when dealing with this somatoform
clients. Answer: the pain is real to the person experiencing it
⩥ theses disorders cannot be explained medically, it results from internal
conflict. the nurse should... Answer: -acknowledge the symptom or
complaint
-reaffirm that diagnostic test results reveal no organic pathology
-determine the secondary gains acquired by the client
⩥ avoid giving clients with dissociative disorders too much information
about past events at one time Answer: the various types of amnestic that
accompany dissociative disorders provide protection from pain and too
much to soon can cause decompensation
⩥ personality disorders are long standing behavioral traits that are
maladaptive responses to anxiety and that cause difficulty in relating to
, and working with other individuals Answer: persons with personality
disorders are usually comfortable with their disorders and believe that
they are right and the world is wrong and have little motivation
⩥ people with anorexia gain pleasure from providing others with food
and watching them eat Answer: these behaviors reinforce their
perception of self-control. don not allow these clients to plan or prepare
food for unit-based activities
⩥ individuals with Bulimia often use syrup of ipecac to induce vomiting.
if ipecac is not vomited and is absorbed, cardiotoxicity may occur and
cause conduction disturbances, cardiac dysrhythmias, fatal myocarditis,
and circulatory failure Answer: because heart failure is not usually seen
in this age group, it is often overlooked. assess for edema and listen to
breath sounds
⩥ physical assessment and nutritional support are a priority, the
physiological implication are great. nursing interventions should
increase self-esteem and develop a positive body image. Answer: family
therapy is most effective because issues of control are common in these
(eating disorders.) therapy is usually long term
⩥ the most important s/s of depression are a depressed mood with a loss
of interest in the pleasures in life Answer: the client has a sustained loss
⩥ s/s of depression Answer: -significant change in appetite
