HESI Fundamentals V.2 Test Bank Questions & Answers || Most
Recent Exam Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released 2026-2027
A client complains of abdominal discomfort and nausea while receiving tube
feedings. Which intervention is most appropriate for this problem?
A) Change the feeding container daily.
B) Place the client in semi-Fowler's position while feeding.
C) Give the feedings at room temperature.
D) Stop the feedings and check for residual volume.
D) Stop the feedings and check for residual volume.
Complaints of abdominal discomfort and nausea are common in clients
receiving tube feedings. Stopping the feeding and checking for residual
volume helps assess the reason for the client's nausea and discomfort. If
residual volume is greater than 100 ml, hold the feeding and notify the
physician. Feedings are normally given at room
temperature to minimize abdominal cramping; however, this action doesn't
help assess why nausea and discomfort are occurring. Elevating the head of
the client's bed to at least 30 degrees prevents aspiration during feeding.
Also, feeding containers are
changed daily to prevent bacterial growth.
,The nurse is evaluating the effectiveness of fluid resuscitation during the
emergency period of burn management. Which finding indicates that adequate
fluid replacement has been achieved in the client?
A) Urine output greater than 35 mL/hour.
B) Blood pressure of 90/60 mm Hg.
C) Fluid intake less than urinary output.
D) An increase in body weight.
A) Urine output greater than 35 mL/hour.
A urine output of 30 to 50 mL/h indicates adequate fluid replacement in the
client with burns. An increase in body weight may indicate fluid retention. A
urine output greater than fluid intake does not represent a fluid balance.
Depending on the client, blood
pressure of 90/60 mm Hg could indicate the presence of a hypovolemic state;
by itself, it does not indicate adequate fluid replacement.
What self-care outcome is best for the nurse to use in evaluating a client's
recovery form a stroke that resulted in left-sided hemiparesis?
A) Promote independence by allowing client to perform all self-care activities.
B) Participates in self-care to optimal level of capacity.
C) Client verbalizes importance of hygienic practices in the recovery process.
D) Self-care needs to be completed by the unlicensed assistive personnel.
C) Client verbalizes importance of hygienic practices in the recovery process.
,The nurse observes that there are reddened areas on the cheekbones of a client
receiving oxygen per nasal cannula at 3L/minute, and the client's oxygen
saturation level is 92%. What intervention should the nurse implement?
A) Decrease the flow rate to 1 L/minute.
B) Discontinue the use of the nasal cannula.
C) Apply lubricant to the cannula tubing.
D) Place padding around the cannula tubing.
B) Discontinue the use of the nasal cannula.
A female nursing home resident and her family only speak Spanish. During a
visit, the entire family begins to cry hysterically. When unable to determine
why the family is
upset, what intervention is most important for the nurse to implement?
A) Ask a Spanish speaking staff member to talk with the family.
B) Use a Spanish translation reference to interview the family.
C) Close the door to client's room to provide family privacy.
D) Sit quietly with the family to offer comfort and support.
C) Close the door to client's room to provide family privacy.
The nurse is performing a routine dressing change for a client with a stage 3
pressure ulcer that is red with significant grandution. The wound has a
gauze dressing covering the area. What action should the nurse
implemented?
A) Apply a hydro gel (Duaderm) dressing.
B) Increase the frequency of the dressing changes.
C) Replace the gauze with transparent dressing.
D) Leave the dressing off until consulting with the healthcare provider.
C) Replace the gauze with transparent dressing.
, What intervention should the nurse include in the plan of care for a client who is
being treated with an Unna's paste boot for leg ulcers due to chronic venous
insufficiency?
A) Check capillary refill of toes on lower extremity with Unna's paste boot.
B) Apply dressing to wound area before applying the Unna's paste boot.
C) Wrap the leg from the knee down towards the foot.
D) Remove the Unna's paste boot q8h to assess wound healing.
A) Check capillary refill of toes on lower extremity with Unna's paste boot.
The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the
roller
clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction.
What action should the nurse take first?
A) Check for a blood return.
B) Reposition the client's arm.
C) Remove the IV site dressing.
D) Flush the lock with saline.
B) Reposition the client's arm.
A female client who has breast cancer with metastasis to the liver and spine is
admitted with constant, severe pain despite around-the-clock use of
oxycodone (Percodan) and amitriptyline (Elavil) for pain control at home.
During the admission assessment, which information is most important for the
nurse to obtain?
A) Sensory pattern, area, intensity, and nature of the pain.
B) Trigger points identified by palpation and manual pressure of painful areas.
C) Schedule and total dosages of drugs currently used for breakthrough pain.
D) Sympathetic responses consistent with onset of acute pain.
A) Sensory pattern, area, intensity, and nature of the pain.
Recent Exam Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released 2026-2027
A client complains of abdominal discomfort and nausea while receiving tube
feedings. Which intervention is most appropriate for this problem?
A) Change the feeding container daily.
B) Place the client in semi-Fowler's position while feeding.
C) Give the feedings at room temperature.
D) Stop the feedings and check for residual volume.
D) Stop the feedings and check for residual volume.
Complaints of abdominal discomfort and nausea are common in clients
receiving tube feedings. Stopping the feeding and checking for residual
volume helps assess the reason for the client's nausea and discomfort. If
residual volume is greater than 100 ml, hold the feeding and notify the
physician. Feedings are normally given at room
temperature to minimize abdominal cramping; however, this action doesn't
help assess why nausea and discomfort are occurring. Elevating the head of
the client's bed to at least 30 degrees prevents aspiration during feeding.
Also, feeding containers are
changed daily to prevent bacterial growth.
,The nurse is evaluating the effectiveness of fluid resuscitation during the
emergency period of burn management. Which finding indicates that adequate
fluid replacement has been achieved in the client?
A) Urine output greater than 35 mL/hour.
B) Blood pressure of 90/60 mm Hg.
C) Fluid intake less than urinary output.
D) An increase in body weight.
A) Urine output greater than 35 mL/hour.
A urine output of 30 to 50 mL/h indicates adequate fluid replacement in the
client with burns. An increase in body weight may indicate fluid retention. A
urine output greater than fluid intake does not represent a fluid balance.
Depending on the client, blood
pressure of 90/60 mm Hg could indicate the presence of a hypovolemic state;
by itself, it does not indicate adequate fluid replacement.
What self-care outcome is best for the nurse to use in evaluating a client's
recovery form a stroke that resulted in left-sided hemiparesis?
A) Promote independence by allowing client to perform all self-care activities.
B) Participates in self-care to optimal level of capacity.
C) Client verbalizes importance of hygienic practices in the recovery process.
D) Self-care needs to be completed by the unlicensed assistive personnel.
C) Client verbalizes importance of hygienic practices in the recovery process.
,The nurse observes that there are reddened areas on the cheekbones of a client
receiving oxygen per nasal cannula at 3L/minute, and the client's oxygen
saturation level is 92%. What intervention should the nurse implement?
A) Decrease the flow rate to 1 L/minute.
B) Discontinue the use of the nasal cannula.
C) Apply lubricant to the cannula tubing.
D) Place padding around the cannula tubing.
B) Discontinue the use of the nasal cannula.
A female nursing home resident and her family only speak Spanish. During a
visit, the entire family begins to cry hysterically. When unable to determine
why the family is
upset, what intervention is most important for the nurse to implement?
A) Ask a Spanish speaking staff member to talk with the family.
B) Use a Spanish translation reference to interview the family.
C) Close the door to client's room to provide family privacy.
D) Sit quietly with the family to offer comfort and support.
C) Close the door to client's room to provide family privacy.
The nurse is performing a routine dressing change for a client with a stage 3
pressure ulcer that is red with significant grandution. The wound has a
gauze dressing covering the area. What action should the nurse
implemented?
A) Apply a hydro gel (Duaderm) dressing.
B) Increase the frequency of the dressing changes.
C) Replace the gauze with transparent dressing.
D) Leave the dressing off until consulting with the healthcare provider.
C) Replace the gauze with transparent dressing.
, What intervention should the nurse include in the plan of care for a client who is
being treated with an Unna's paste boot for leg ulcers due to chronic venous
insufficiency?
A) Check capillary refill of toes on lower extremity with Unna's paste boot.
B) Apply dressing to wound area before applying the Unna's paste boot.
C) Wrap the leg from the knee down towards the foot.
D) Remove the Unna's paste boot q8h to assess wound healing.
A) Check capillary refill of toes on lower extremity with Unna's paste boot.
The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the
roller
clamp on the IV tubing, the alarm on the infusion pump indicates an obstruction.
What action should the nurse take first?
A) Check for a blood return.
B) Reposition the client's arm.
C) Remove the IV site dressing.
D) Flush the lock with saline.
B) Reposition the client's arm.
A female client who has breast cancer with metastasis to the liver and spine is
admitted with constant, severe pain despite around-the-clock use of
oxycodone (Percodan) and amitriptyline (Elavil) for pain control at home.
During the admission assessment, which information is most important for the
nurse to obtain?
A) Sensory pattern, area, intensity, and nature of the pain.
B) Trigger points identified by palpation and manual pressure of painful areas.
C) Schedule and total dosages of drugs currently used for breakthrough pain.
D) Sympathetic responses consistent with onset of acute pain.
A) Sensory pattern, area, intensity, and nature of the pain.
