HESI FUNDAMENTALS LATEST
PRACTICE EXAM
Which client care activity requires the nurse to wear barrier gloves as
required by the protocol for Standard Precautions? - ANSWERS-
Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease
What action should the nurse implement when adding sterile liquids to a
sterile field? - ANSWERS-Consider the sterile field contaminated if it
becomes wet during the procedure
HCP is performing a sterile procedure at client's bedside. Nurse observes
HCP break sterility. What is the best action for the nurse to implement? -
ANSWERS-Identify the break in surgical asepsis & provide another set
of sterile supplies
Older client who is able to stand but not ambulate receives a prescription
to be mobilized into a chair as tolerated during each day. What is the
best action for the nurse to implement when assisting the client from the
bed to the chair? - ANSWERS-Place a transfer belt around the client,
assist to stand & pivot to a chair that is placed at a right angle to bed
END OF
PAGE
1
, HESI FUNDAMENTALS LATEST
PRACTICE EXAM
What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile? - ANSWERS-Position prone
with a small pillow below the diaphragm
What is most important for the nurse to implement when placing a client
in the Sim's position? - ANSWERS-Raise the bed to a wasit-high
working level
Nurse is providing passive ROM exercises to hip & knee for
unconscious client. After supporting the client's knee with one hand,
what action should the nurse take? - ANSWERS-Cradle the client's heel
The nurse is caring for a client who is weak from inactivity because of a
2-week hospitalization. In planning care for the client, the nurse should
include which ROM exercises? - ANSWERS-Active ROM exercises to
both arms & legs 2-3 times daily
The nurse is digitally removing a fecal impaction for a client. The nurse
should stop the procedure & take corrective action if which client
reaction is noted? - ANSWERS-Pulse rate decreases from 78 to 52
beats/min
END OF
PAGE
2
, HESI FUNDAMENTALS LATEST
PRACTICE EXAM
A client provides the nurse with information about the reason for
seeking care. Nurse realizes some info about past hospitalizations is
missing. How should the nurse obtain this information? - ANSWERS-
Elicit specific fats about past hospitalizations with direct questions
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which supplement should nurse encourage client to include
in dietary plan? - ANSWERS-Vitamin B12
A client is admitted with a stage 4 pressure ulcer that has a black,
hardened surface & a light pink wound bed with malodorous green
drainage. Which dressing is best for the nurse to use first? - ANSWERS-
Wet to moist
While caring for a child & mother from Cambodia, which action should
the nurse implement to accommodate the clients' cultural needs? -
ANSWERS-Speak initially with the oldest family member to show
respect
The nurse is preparing to give a client with dehydration IV fluids
delivered at a continuous rate of 175 mL/hr. Which infusion device
should the nurse use? - ANSWERS-Cassette infusion pump
END OF
PAGE
3
PRACTICE EXAM
Which client care activity requires the nurse to wear barrier gloves as
required by the protocol for Standard Precautions? - ANSWERS-
Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease
What action should the nurse implement when adding sterile liquids to a
sterile field? - ANSWERS-Consider the sterile field contaminated if it
becomes wet during the procedure
HCP is performing a sterile procedure at client's bedside. Nurse observes
HCP break sterility. What is the best action for the nurse to implement? -
ANSWERS-Identify the break in surgical asepsis & provide another set
of sterile supplies
Older client who is able to stand but not ambulate receives a prescription
to be mobilized into a chair as tolerated during each day. What is the
best action for the nurse to implement when assisting the client from the
bed to the chair? - ANSWERS-Place a transfer belt around the client,
assist to stand & pivot to a chair that is placed at a right angle to bed
END OF
PAGE
1
, HESI FUNDAMENTALS LATEST
PRACTICE EXAM
What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile? - ANSWERS-Position prone
with a small pillow below the diaphragm
What is most important for the nurse to implement when placing a client
in the Sim's position? - ANSWERS-Raise the bed to a wasit-high
working level
Nurse is providing passive ROM exercises to hip & knee for
unconscious client. After supporting the client's knee with one hand,
what action should the nurse take? - ANSWERS-Cradle the client's heel
The nurse is caring for a client who is weak from inactivity because of a
2-week hospitalization. In planning care for the client, the nurse should
include which ROM exercises? - ANSWERS-Active ROM exercises to
both arms & legs 2-3 times daily
The nurse is digitally removing a fecal impaction for a client. The nurse
should stop the procedure & take corrective action if which client
reaction is noted? - ANSWERS-Pulse rate decreases from 78 to 52
beats/min
END OF
PAGE
2
, HESI FUNDAMENTALS LATEST
PRACTICE EXAM
A client provides the nurse with information about the reason for
seeking care. Nurse realizes some info about past hospitalizations is
missing. How should the nurse obtain this information? - ANSWERS-
Elicit specific fats about past hospitalizations with direct questions
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which supplement should nurse encourage client to include
in dietary plan? - ANSWERS-Vitamin B12
A client is admitted with a stage 4 pressure ulcer that has a black,
hardened surface & a light pink wound bed with malodorous green
drainage. Which dressing is best for the nurse to use first? - ANSWERS-
Wet to moist
While caring for a child & mother from Cambodia, which action should
the nurse implement to accommodate the clients' cultural needs? -
ANSWERS-Speak initially with the oldest family member to show
respect
The nurse is preparing to give a client with dehydration IV fluids
delivered at a continuous rate of 175 mL/hr. Which infusion device
should the nurse use? - ANSWERS-Cassette infusion pump
END OF
PAGE
3
