HESI FUNDAMENTALS 2022 QUESTIONS AND ANSWERS
1. A policy requiring the removal of acrylic nails
by all nursing personnel was implemented 6 months
ago. Which assessment measure best determines if
the intended outcome of the policy is being
achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by
nurse.
2. The nurse is preparing to assist a newly
admitted client with personal hygiene measures.
The client...the client’s gag reflex. Which action
should the nurse include?
A. Offer
smalls sips of
water through
a straw B.
Place tongue
blade on back
half of tongue
C. Use a penlight to observe
back of oral cavity D. Auscultate
breath sounds after client swallows 3.
The father of an 11-year-old boy….
inform the father that it is most
important to let the son that nocturnal
emissions are normal
,4. The nurse explains to an older adult male the
procedure for collecting a 24-hour urine specimen
for creatinine clearance.
A. Assess the client for confusion and
reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-
hour collection container
D. Discard the contents of the urinal
5. A 54-year-old male client and his wife were
informed this morning that he has terminal cancer.
Which nursing intervention is likely to be most
A. Ask her how she would like to
participate in the client’s care
B. Provide the wife with information
about hospice
C. Encourage the wife to visit after
painful treatments are completed
D. Refer her to support group for family
members of those dying of cancer
6. A client who has a body mass index (BMI) of
30 is requesting information on the initial approach
to a weight loss plan. Which action should the
nurse recommend?
A. Plan low carbohydrate and high
protein meals Engage in strenuous
activity for an hour daily
B. Keep a record of food and drinks
consumed daily
C. Participated in a group exercise class
3 times a week
, 7. The nurse assesses a client who has a nasal
cannula delivering oxygen at 2 L/min. To assess
for skin damage related to the cannula, which areas
should the nurse observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
8. The nurse observes an unlicensed assistive
personnel (UAP) who is providing a total bed bath
for a confused and lethargic client. The UAP is
soaking the client’s foot in a basin of warm water
placed on the bed. What action should the nurse
take?
a. Remove the basin of water from the
client’s bed immediately
b. Remind the UAP to dry between the
client’s toes completely
c. Advise the UAP that this procedure is
damaging to the skin
d. Add skin cream to the basin of water
while the foot is soaking
9. The nurse in the emergency department
observes a colleague viewing the electronic health
record (EHR) of a client who holds an elected
position in the community. The client is not a part
of the colleague’s assignment. Which action should
the nurse implement?
a. Communicate the colleague’s actions
to the unit charge nurse
1. A policy requiring the removal of acrylic nails
by all nursing personnel was implemented 6 months
ago. Which assessment measure best determines if
the intended outcome of the policy is being
achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate.
d. Rate of needle-stick injuries by
nurse.
2. The nurse is preparing to assist a newly
admitted client with personal hygiene measures.
The client...the client’s gag reflex. Which action
should the nurse include?
A. Offer
smalls sips of
water through
a straw B.
Place tongue
blade on back
half of tongue
C. Use a penlight to observe
back of oral cavity D. Auscultate
breath sounds after client swallows 3.
The father of an 11-year-old boy….
inform the father that it is most
important to let the son that nocturnal
emissions are normal
,4. The nurse explains to an older adult male the
procedure for collecting a 24-hour urine specimen
for creatinine clearance.
A. Assess the client for confusion and
reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-
hour collection container
D. Discard the contents of the urinal
5. A 54-year-old male client and his wife were
informed this morning that he has terminal cancer.
Which nursing intervention is likely to be most
A. Ask her how she would like to
participate in the client’s care
B. Provide the wife with information
about hospice
C. Encourage the wife to visit after
painful treatments are completed
D. Refer her to support group for family
members of those dying of cancer
6. A client who has a body mass index (BMI) of
30 is requesting information on the initial approach
to a weight loss plan. Which action should the
nurse recommend?
A. Plan low carbohydrate and high
protein meals Engage in strenuous
activity for an hour daily
B. Keep a record of food and drinks
consumed daily
C. Participated in a group exercise class
3 times a week
, 7. The nurse assesses a client who has a nasal
cannula delivering oxygen at 2 L/min. To assess
for skin damage related to the cannula, which areas
should the nurse observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
8. The nurse observes an unlicensed assistive
personnel (UAP) who is providing a total bed bath
for a confused and lethargic client. The UAP is
soaking the client’s foot in a basin of warm water
placed on the bed. What action should the nurse
take?
a. Remove the basin of water from the
client’s bed immediately
b. Remind the UAP to dry between the
client’s toes completely
c. Advise the UAP that this procedure is
damaging to the skin
d. Add skin cream to the basin of water
while the foot is soaking
9. The nurse in the emergency department
observes a colleague viewing the electronic health
record (EHR) of a client who holds an elected
position in the community. The client is not a part
of the colleague’s assignment. Which action should
the nurse implement?
a. Communicate the colleague’s actions
to the unit charge nurse
