HESI RN Fundamentals Test Bank | Exam
Questions & Answers
Question 1
To assess the quality of an adult client's pain, what approach should the nurse use?
A) Observe body language and movement.
B) Provide a numeric pain scale.
C) Ask the client to describe the pain.
D) Identify effective pain relief measures.
Question 2
A client who has been diagnosed with terminal cancer tells the nurse, "The doctor told
me I have cancer and do not have long to live." Which response is best for the nurse to
provide?
A) "That's correct, you do not have long to live"
B) "Would you like me to call your minister?"
C) "Don't give up, you still have chemotherapy to try."
D) "Yes, your condition is serious."
Question 3
When performing blood pressure measurement to assess for orthostatic hypotension,
which action should the nurse implement first?
A) Apply the blood pressure cuff securely.
B) Record the client's pulse rate and rhythm.
C) Position the client supine for a few minutes.
D) Assist the client to stand at bedside.
Question 4
When evaluating the effectiveness of a client's nursing care, the nurse first reviews the
expected outcomes identified in the plan of care. What action should the nurse take
,next?
A) Modify the nursing interventions to achieve the client's goals.
B) Determine if the expected outcomes were realistic.
C) Review related professional standards of care.
D) Obtain current client data to compare with expected outcomes.
Question 5
A policy requiring the removal of acrylic nails by all nursing personnel was implemented
six months ago. Which assessment measure best determines if the intended outcome of
the policy is being achieved?
A) Number of staff-induced skin injuries.
B) Client satisfaction survey.
C) Rate of needlestick injuries by nurses.
D) Healthcare-associated infection rates.
Question 6
A client with limited tolerance for activity needs to walk in the hallway with assistance.
Which instructions should the nurse give to the unlicensed assistive personnel (UAP)
assisting with client's care? (Select all that apply.)
A) Instruct the client about signs of orthostatic hypertension.
B) Determine if the client needs to have a gait belt applied.
C) Measure the client's vital signs before the client walks.
D) Offer to assist the client to void prior to walking in the hall.
E) Report the onset of any dizziness or lightheadedness.
Question 7
A client has begun a long-term maintenance therapy with lithium, which has a narrow
therapeutic index. Which adverse effect is most important for the nurse to include in the
teaching plan?
A) Dependence.
B) Toxicity.
, C) Interaction.
D) Tolerance.
Question 8
While interviewing a client, the nurse records the assessment in the electronic health
record. Which statement is most accurate regarding electronic documentation during an
interview?
A) The interview process is enhanced with electronic documentation and allows the
client to speak at a normal pace.
B) Completing the electronic record during an interview is a legal obligation of the
examining nurse.
C) The nurse has limited ability to observe nonverbal communication while
entering the assessment electronically.
D) The client's comfort level is increased when the nurse breaks eye contact to type
notes into the record.
Question 9
A client who lives in an assisted living facility develops cognitive impairment following a
stroke. Informed consent is needed to provide additional nursing services. Who should
the nurse contact?
A) The client's oldest living child, a lawyer, who is visiting from out of town.
B) A daughter-in-law designated as the client's Durable Power of Attorney
(DPOA).
C) The client's youngest son, identified by family members as the family spokesperson.
D) The client's spouse who lives in the independent living unit of the facility.
Question 10
A client is in contact isolation due to a stage IV coccyx wound infected with methicillin-
resistant Staphylococcus aureus (MRSA). The nurse plans interventions to prevent
multiple re-entries to the client's room. In which order should the nurse perform the
interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
Questions & Answers
Question 1
To assess the quality of an adult client's pain, what approach should the nurse use?
A) Observe body language and movement.
B) Provide a numeric pain scale.
C) Ask the client to describe the pain.
D) Identify effective pain relief measures.
Question 2
A client who has been diagnosed with terminal cancer tells the nurse, "The doctor told
me I have cancer and do not have long to live." Which response is best for the nurse to
provide?
A) "That's correct, you do not have long to live"
B) "Would you like me to call your minister?"
C) "Don't give up, you still have chemotherapy to try."
D) "Yes, your condition is serious."
Question 3
When performing blood pressure measurement to assess for orthostatic hypotension,
which action should the nurse implement first?
A) Apply the blood pressure cuff securely.
B) Record the client's pulse rate and rhythm.
C) Position the client supine for a few minutes.
D) Assist the client to stand at bedside.
Question 4
When evaluating the effectiveness of a client's nursing care, the nurse first reviews the
expected outcomes identified in the plan of care. What action should the nurse take
,next?
A) Modify the nursing interventions to achieve the client's goals.
B) Determine if the expected outcomes were realistic.
C) Review related professional standards of care.
D) Obtain current client data to compare with expected outcomes.
Question 5
A policy requiring the removal of acrylic nails by all nursing personnel was implemented
six months ago. Which assessment measure best determines if the intended outcome of
the policy is being achieved?
A) Number of staff-induced skin injuries.
B) Client satisfaction survey.
C) Rate of needlestick injuries by nurses.
D) Healthcare-associated infection rates.
Question 6
A client with limited tolerance for activity needs to walk in the hallway with assistance.
Which instructions should the nurse give to the unlicensed assistive personnel (UAP)
assisting with client's care? (Select all that apply.)
A) Instruct the client about signs of orthostatic hypertension.
B) Determine if the client needs to have a gait belt applied.
C) Measure the client's vital signs before the client walks.
D) Offer to assist the client to void prior to walking in the hall.
E) Report the onset of any dizziness or lightheadedness.
Question 7
A client has begun a long-term maintenance therapy with lithium, which has a narrow
therapeutic index. Which adverse effect is most important for the nurse to include in the
teaching plan?
A) Dependence.
B) Toxicity.
, C) Interaction.
D) Tolerance.
Question 8
While interviewing a client, the nurse records the assessment in the electronic health
record. Which statement is most accurate regarding electronic documentation during an
interview?
A) The interview process is enhanced with electronic documentation and allows the
client to speak at a normal pace.
B) Completing the electronic record during an interview is a legal obligation of the
examining nurse.
C) The nurse has limited ability to observe nonverbal communication while
entering the assessment electronically.
D) The client's comfort level is increased when the nurse breaks eye contact to type
notes into the record.
Question 9
A client who lives in an assisted living facility develops cognitive impairment following a
stroke. Informed consent is needed to provide additional nursing services. Who should
the nurse contact?
A) The client's oldest living child, a lawyer, who is visiting from out of town.
B) A daughter-in-law designated as the client's Durable Power of Attorney
(DPOA).
C) The client's youngest son, identified by family members as the family spokesperson.
D) The client's spouse who lives in the independent living unit of the facility.
Question 10
A client is in contact isolation due to a stage IV coccyx wound infected with methicillin-
resistant Staphylococcus aureus (MRSA). The nurse plans interventions to prevent
multiple re-entries to the client's room. In which order should the nurse perform the
interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
