Comprehensive HESI Test Bank for Nursing
Fundamentals Q&A 2026 Study Guide.
The nurse notes that there are
The home health nurse visits an
numerous scatter rugs throughout
elderly female client who had a
the house. Scatter rugs pose a
brain attack three months ago and
safety hazard because the client
is now able to ambulate with the
can trip on them when ambulating,
assistance of the quad cane. Which
so this finding has the greatest
assessment finding has the
significance in planning this client's
greatest implications for this clients
care
care?
Pulse rate decreases from 78 to 52
The nurse is digitally removing a beats/min.
fecal impaction for a client. The
Parasympathetic reactions can
nurse should stop the procedure
occur as a result of digital
and take corrective action if which
stimulation of the anal sphincter,
client reaction is noted?
which should be stopped if the client
experiences a vagal response, such
as bradycardia
Cradle the client's heel.
The nurse is providing passive Passive ROM exercise for the hip
range of motion exercises to the hip and knee is provided by supporting
and knee for a client who is the joints of the knee and ankle and
unconscious. After supporting the gently moving the limb in a slow,
client's knee with one hand, what smooth, firm but gentle manner,
action should the nurse take next? followed by bending the knee and
moving it toward the chest as far as
it will go. Bed should be raised to a
comfortable working level first
,A client who has moderate, Continue gabapentin
persistent, chronic neuropathic pain
*step 1 drugs are nonopioid
due to diabetic neuropathy takes analgesics
gabapentin (neurontin) and
ibuprofen daily. If step 2 of the *step 2 and 3 are narcotics and
WHO pain relief ladder is should be given around the clock
prescribed, which drug protocol rather than by the clients PRN
should be implemented? requests
The nurse is preparing to irrigate a Draw up the irrigating solution into
client's indwelling urinary catheter the syringe.
using an open technique. What To irrigate an indwelling urinary
action should the nurse take after catheter, the nurse should first
applying gloves? apply gloves, then draw up the
irrigating solution into the syringe.
The syringe is then attached to the
catheter and the fluid instilled, using
aseptic technique. Once the
irrigating solution is instilled, the
client's catheter should be secured
to the drainage
, tubing. The urinary drainage bag
can be emptied whenever intake
and output measurement is
indicated, and the instilled irrigating
fluid can be subtracted from the
output at that time.
Emptying the urinary catheter
drainage bag for a client with
Which client care requires the Alzheimer's disease
nurse to wear barrier gloves as
required by the protocol for *possible contact with body
standard precautions? secretions, excretions, or broken
skin is an indication for wearing
barrier gloves. Emptying a urine
drainage bag requires the use of
gloves.
Position prone with a small pillow
What action should the nurse below the diaphragm
implement to prevent the
formation of a sacral ulcer for a *this maintains alignment and
client who is immobile? provides the best pressure relief over
the sacral bony prominence
What intervention should the nurse Check capillary refill of toes on lower
include in the plan of care for a extremity with Unna's paste boot
client who is being treated with an *it becomes rigid after it dries so it is
Unna's paste boot for leg ulcers important to check distally for
due to chronic venous adequate circulation
insufficiency?
The nurse is administering an Reposition the client's arm.
intermittent infusion of an antibiotic
to a client whose intravenous If the client's elbow is bent, the IV
access is an antecubital saline lock. may be unable to infuse, resulting
After the nurse opens the roller in an obstruction alarm, so the
clamp on the IV tubing, the alarm nurse should first attempt to
on the infusion pump indicates an reposition the client's arm to
obstruction. What action should the alleviate any obstruction.
nurse take first?
, A female client who has breast Sensory pain, area, intensity, and
cancer with metastasis to the liver nature of the pain.
and spine is admitted with PAIN components should be
constant, severe pain despite assessed in every pain assessment
around-the-clock use of and are essential in identifying
oxycodone and amitriptyline for appropriate therapy for the client's
pain control at home. During the specific type and severity of pain,
admission assessment, which which may indicate the onset of
information is most important for disease progression or
the nurse to obtain? complications.
A male client is on contact Dispose of soiled dressings in
precautions due to an infected plastic bags that are securely
draining wound and is being closed.
discharged home. The client lives at Contact precautions require the use
home with his wife and their of a barrier that prevents contact with
adolescent daughter. What wound secretions on soiled
discharge instruction should the dressings, which are best disposed
nurse include for the client? of in tightly closed plastic bags
Fundamentals Q&A 2026 Study Guide.
The nurse notes that there are
The home health nurse visits an
numerous scatter rugs throughout
elderly female client who had a
the house. Scatter rugs pose a
brain attack three months ago and
safety hazard because the client
is now able to ambulate with the
can trip on them when ambulating,
assistance of the quad cane. Which
so this finding has the greatest
assessment finding has the
significance in planning this client's
greatest implications for this clients
care
care?
Pulse rate decreases from 78 to 52
The nurse is digitally removing a beats/min.
fecal impaction for a client. The
Parasympathetic reactions can
nurse should stop the procedure
occur as a result of digital
and take corrective action if which
stimulation of the anal sphincter,
client reaction is noted?
which should be stopped if the client
experiences a vagal response, such
as bradycardia
Cradle the client's heel.
The nurse is providing passive Passive ROM exercise for the hip
range of motion exercises to the hip and knee is provided by supporting
and knee for a client who is the joints of the knee and ankle and
unconscious. After supporting the gently moving the limb in a slow,
client's knee with one hand, what smooth, firm but gentle manner,
action should the nurse take next? followed by bending the knee and
moving it toward the chest as far as
it will go. Bed should be raised to a
comfortable working level first
,A client who has moderate, Continue gabapentin
persistent, chronic neuropathic pain
*step 1 drugs are nonopioid
due to diabetic neuropathy takes analgesics
gabapentin (neurontin) and
ibuprofen daily. If step 2 of the *step 2 and 3 are narcotics and
WHO pain relief ladder is should be given around the clock
prescribed, which drug protocol rather than by the clients PRN
should be implemented? requests
The nurse is preparing to irrigate a Draw up the irrigating solution into
client's indwelling urinary catheter the syringe.
using an open technique. What To irrigate an indwelling urinary
action should the nurse take after catheter, the nurse should first
applying gloves? apply gloves, then draw up the
irrigating solution into the syringe.
The syringe is then attached to the
catheter and the fluid instilled, using
aseptic technique. Once the
irrigating solution is instilled, the
client's catheter should be secured
to the drainage
, tubing. The urinary drainage bag
can be emptied whenever intake
and output measurement is
indicated, and the instilled irrigating
fluid can be subtracted from the
output at that time.
Emptying the urinary catheter
drainage bag for a client with
Which client care requires the Alzheimer's disease
nurse to wear barrier gloves as
required by the protocol for *possible contact with body
standard precautions? secretions, excretions, or broken
skin is an indication for wearing
barrier gloves. Emptying a urine
drainage bag requires the use of
gloves.
Position prone with a small pillow
What action should the nurse below the diaphragm
implement to prevent the
formation of a sacral ulcer for a *this maintains alignment and
client who is immobile? provides the best pressure relief over
the sacral bony prominence
What intervention should the nurse Check capillary refill of toes on lower
include in the plan of care for a extremity with Unna's paste boot
client who is being treated with an *it becomes rigid after it dries so it is
Unna's paste boot for leg ulcers important to check distally for
due to chronic venous adequate circulation
insufficiency?
The nurse is administering an Reposition the client's arm.
intermittent infusion of an antibiotic
to a client whose intravenous If the client's elbow is bent, the IV
access is an antecubital saline lock. may be unable to infuse, resulting
After the nurse opens the roller in an obstruction alarm, so the
clamp on the IV tubing, the alarm nurse should first attempt to
on the infusion pump indicates an reposition the client's arm to
obstruction. What action should the alleviate any obstruction.
nurse take first?
, A female client who has breast Sensory pain, area, intensity, and
cancer with metastasis to the liver nature of the pain.
and spine is admitted with PAIN components should be
constant, severe pain despite assessed in every pain assessment
around-the-clock use of and are essential in identifying
oxycodone and amitriptyline for appropriate therapy for the client's
pain control at home. During the specific type and severity of pain,
admission assessment, which which may indicate the onset of
information is most important for disease progression or
the nurse to obtain? complications.
A male client is on contact Dispose of soiled dressings in
precautions due to an infected plastic bags that are securely
draining wound and is being closed.
discharged home. The client lives at Contact precautions require the use
home with his wife and their of a barrier that prevents contact with
adolescent daughter. What wound secretions on soiled
discharge instruction should the dressings, which are best disposed
nurse include for the client? of in tightly closed plastic bags
