HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
The nurse observes a newly admitted older adult female take short
steps and walk very slowly while pushing a walker in front of her.
What action should the nurse take in response to these
observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at faster pace.
C) Suggest that the the client use a wheelchair instead of a walker.
D) Place client on bedrest until the healthcare provider is notified. -
correct answer ✅A) Complete a full fall risk assessment of the
client.
While suctioning a client's nasopharynx, the nurse observes that
the client's oxygen saturation remains at 94%, which is the same
reading obtained prior to starting the procedure. What action
should the nurse take in response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
,HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
D) Apply an oxygen mask over the client's nose and mouth. -
correct answer ✅C) Complete the intermittent suction of the
nasopharynx.
An older woman with end stage heart disease is hospitalized for
severe heart failure. She is alert, oriented, and requests that no
heroic measures are implemented if her breathing stops. What
action should the nurse take first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
C) Set up a family conference to discuss the client's.
D) Consult the palliative care team about client's care. -
correct answer ✅A) Discuss with the client her meaning of heroic
measures.
A client diagnosed with primary open-angle glaucoma received a
prescription for biotic eye drops, pilocarpine HCl (Pilocarpine).
What instruction should the nurse plan to include in this client's
teaching?
A) "Do not allow the dropper bottle to touch the eye."
,HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
B) "Administer the medication directly on the cornea."
C) "Squeeze your eye closed after administering the drops."
D) "Wash your hands after each administration of eye drops." -
correct answer ✅A) "Do not allow the dropper bottle to touch the
eye."
When assessing a client who starts to wheeze related data should
obtain?
A) Presence of radiation.
B) Heart sounds.
C) Body temperature.
D) Precipitating factors. -
correct answer ✅D) Precipitating factors.
The home health nurse is reviewing the personal care of an elderly
client who lives alone. Which client assessment findings indicate
the need to assign unlicensed assistive personnel (UAP) to provide
routine foot care and file the client's toenails? Select all that apply.
A) Syncope when bending.
, HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
B) Hand tremors.
C) Diminished visual acuity.
D) Urinary incontinence.
E) Shuffling gait. -
correct answer ✅A) Syncope when bending.
B) Hand tremors.
C) Diminished visual acuity.
A client is discharged to a long-term care facility with an indwelling
urinary catheter. Which nursing action should be included in the
plan to reduce the client's risk for infection related to the catheter?
A) Flush the catheter daily with sterile saline.
B) Encourage increased intake of oral fluids.
C) Administer a PRN antipyretic if a fever develops.
D) Secure the drainage bag at bladder level during transport. -
correct answer ✅B) Encourage increased intake of oral fluids.
To assess the quality of an adult client's pain, what approach should
the nurse use?
Questions & Answers (Grade A+)
The nurse observes a newly admitted older adult female take short
steps and walk very slowly while pushing a walker in front of her.
What action should the nurse take in response to these
observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at faster pace.
C) Suggest that the the client use a wheelchair instead of a walker.
D) Place client on bedrest until the healthcare provider is notified. -
correct answer ✅A) Complete a full fall risk assessment of the
client.
While suctioning a client's nasopharynx, the nurse observes that
the client's oxygen saturation remains at 94%, which is the same
reading obtained prior to starting the procedure. What action
should the nurse take in response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
,HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
D) Apply an oxygen mask over the client's nose and mouth. -
correct answer ✅C) Complete the intermittent suction of the
nasopharynx.
An older woman with end stage heart disease is hospitalized for
severe heart failure. She is alert, oriented, and requests that no
heroic measures are implemented if her breathing stops. What
action should the nurse take first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
C) Set up a family conference to discuss the client's.
D) Consult the palliative care team about client's care. -
correct answer ✅A) Discuss with the client her meaning of heroic
measures.
A client diagnosed with primary open-angle glaucoma received a
prescription for biotic eye drops, pilocarpine HCl (Pilocarpine).
What instruction should the nurse plan to include in this client's
teaching?
A) "Do not allow the dropper bottle to touch the eye."
,HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
B) "Administer the medication directly on the cornea."
C) "Squeeze your eye closed after administering the drops."
D) "Wash your hands after each administration of eye drops." -
correct answer ✅A) "Do not allow the dropper bottle to touch the
eye."
When assessing a client who starts to wheeze related data should
obtain?
A) Presence of radiation.
B) Heart sounds.
C) Body temperature.
D) Precipitating factors. -
correct answer ✅D) Precipitating factors.
The home health nurse is reviewing the personal care of an elderly
client who lives alone. Which client assessment findings indicate
the need to assign unlicensed assistive personnel (UAP) to provide
routine foot care and file the client's toenails? Select all that apply.
A) Syncope when bending.
, HESI Fundamentals V.2 Exam
Questions & Answers (Grade A+)
B) Hand tremors.
C) Diminished visual acuity.
D) Urinary incontinence.
E) Shuffling gait. -
correct answer ✅A) Syncope when bending.
B) Hand tremors.
C) Diminished visual acuity.
A client is discharged to a long-term care facility with an indwelling
urinary catheter. Which nursing action should be included in the
plan to reduce the client's risk for infection related to the catheter?
A) Flush the catheter daily with sterile saline.
B) Encourage increased intake of oral fluids.
C) Administer a PRN antipyretic if a fever develops.
D) Secure the drainage bag at bladder level during transport. -
correct answer ✅B) Encourage increased intake of oral fluids.
To assess the quality of an adult client's pain, what approach should
the nurse use?
