NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
When assessing a male client, the nurse finds that he is fatigued, and is experiencing
muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse
plans to check the client’s laboratory values to validate the existence of which?
a. Hyperphosphatemia- muscle cramps, tetany, and perioral numbness or tingling
b. Hypocalcemia - paresthesia, muscle spasms, cramps, tetany, numbness, and seizures
c. Hypermagnesemia - (levels greater than 12 mmol/dL) can lead to cardiovascular
complications (hypotension, and arrhythmias) and neurological disorder (confusion and
lethargy)
d. Hypokalemia- muscle weakness, leg cramps, and cardiac dysrhythmias. Normal range is 3.5-
5.0.
A female client’s significant other has been at her bedside providing reassurances and
support for the past 3 days, as desired by the client. The client’s estranged husband arrives and
demands that the significant other not be allowed to visit or be given condition updates.
Which intervention should the nurse implement?
a. Obtain a prescription from the healthcare provider regarding visitation privileges
b. Request a consultation with the ethics committee for resolution of the situation
c. Encourage the client to speak with her husband regarding his disruptive behavior
d. Communicate the client’s wishes to all members of the multidisciplinary team
(A) is not appropriate. (C) would cause excessive stress to the patient and the patient may not
want to see her estranged husband at all. (D) while appropriate, it does not help calm the
,NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
estranged husband or get him off the premises. (B) is most appropriate and professionals who
are trained in ethical issues like this can take care of the situation.
When measuring vital signs, the nurse observes that a client is using accessory neck
muscles during respirations. What follow-up action should the nurse take first?
a. Determine pulse pressure
b. Auscultate heart sounds
c. Measure oxygen saturation
d. Check for neck vein distention
Using accessory neck muscles during respirations is a serious sign of respiratory distress. The
patient is a having a hard time breathing and as such, the first thing to do would be to
measure oxygen saturation. (A) Pulse pressure is the difference between systolic and
diastolic
blood pressure. It is measured in millimeters of mercury (mmHg). It represents the force that the
heart generates each time it contracts. (B) This has nothing to do with the heart. (D) Neck vein
distention that is present is a sign of increased CVP (force on the aorta) and is not appropriate
here.
To avoid nerve injury, what location should the nurse select to administer a 3 mL
IM injection?
a. Ventrogluteal
b. Outer upper quadrant of the buttock
c. Two inches below the acromion process
,NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
d. Vastus lateralis
2-3mL IM injections should always be made in the ventrogluteal area to minimize discomfort.
Which instruction should the nurse include in the discharge teaching plan for an adult
client with hypernatremia?
a. Monitor daily urine output volume
b. Drink plenty of water whenever thirsty
c. Use salt tablets for sodium content
d. Review food labels for sodium content
Hypernatremia is when a patient has a Sodium level that is too high, therefore it is most
appropriate to teach the patient to check sodium levels on food labels before discharging. (A)
While a high sodium level can decrease urine output, it is most important for the patient to be
able to identify high sodium foods to decrease the risk of developing hypernatremia again.
(B) Drinking too much water when thirsty can cause hyponatremia. (C) is incorrect because
the patient is already at risk for developing high sodium levels again.
While changing a client’s post-operative dressing, the nurse observes a red and swollen
wound with a moderate amount of yellow and green drainage and a foul odor. Given there is
a positive MRSA, which is the most important action for the nurse to take?
A. Force oral fluids
B. Request a nutrition consult
, NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
C. Initiate contact precautions
D. Limit visitors to immediate family only
MRSA is a type of antibiotic resistant bacteria and a patient with this should be placed on contact
precautions. (A) oral fluids will not help rid the patient of the infection. (B) nor nutrition. (D)
limiting visitors to immediate family is not necessary as anyone is at risk for contracting MRSA
from an infected wound.
To prepare a client for the potential side effects of a newly prescribed medication,
what action should the nurse implement?
a. Assess the client for health alterations that may be impacted by the effects of the medication
b. Teach the client how to administer the medication to promote the best absorption
c. Administer a half dose and observe the client for side effects before administering a
full dosage
d. Encourage the client to drink plenty of fluids to promote effective drug distribution
Before a new medication is given, an initial assessment should be completed to create a baseline
for the patient; then the RN will be able to re-evaluate the patient and see if there have been any
health alterations caused by the new medication. (B) this has nothing to do with potential side
effects. (C) You should always administer a new medication as prescribed by the MD. (D) The
amount of fluids the patient drinks will not affect the drug distribution in the body.
WITH ANSWERS GRADED A+ 2023 UPDATE
When assessing a male client, the nurse finds that he is fatigued, and is experiencing
muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse
plans to check the client’s laboratory values to validate the existence of which?
a. Hyperphosphatemia- muscle cramps, tetany, and perioral numbness or tingling
b. Hypocalcemia - paresthesia, muscle spasms, cramps, tetany, numbness, and seizures
c. Hypermagnesemia - (levels greater than 12 mmol/dL) can lead to cardiovascular
complications (hypotension, and arrhythmias) and neurological disorder (confusion and
lethargy)
d. Hypokalemia- muscle weakness, leg cramps, and cardiac dysrhythmias. Normal range is 3.5-
5.0.
A female client’s significant other has been at her bedside providing reassurances and
support for the past 3 days, as desired by the client. The client’s estranged husband arrives and
demands that the significant other not be allowed to visit or be given condition updates.
Which intervention should the nurse implement?
a. Obtain a prescription from the healthcare provider regarding visitation privileges
b. Request a consultation with the ethics committee for resolution of the situation
c. Encourage the client to speak with her husband regarding his disruptive behavior
d. Communicate the client’s wishes to all members of the multidisciplinary team
(A) is not appropriate. (C) would cause excessive stress to the patient and the patient may not
want to see her estranged husband at all. (D) while appropriate, it does not help calm the
,NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
estranged husband or get him off the premises. (B) is most appropriate and professionals who
are trained in ethical issues like this can take care of the situation.
When measuring vital signs, the nurse observes that a client is using accessory neck
muscles during respirations. What follow-up action should the nurse take first?
a. Determine pulse pressure
b. Auscultate heart sounds
c. Measure oxygen saturation
d. Check for neck vein distention
Using accessory neck muscles during respirations is a serious sign of respiratory distress. The
patient is a having a hard time breathing and as such, the first thing to do would be to
measure oxygen saturation. (A) Pulse pressure is the difference between systolic and
diastolic
blood pressure. It is measured in millimeters of mercury (mmHg). It represents the force that the
heart generates each time it contracts. (B) This has nothing to do with the heart. (D) Neck vein
distention that is present is a sign of increased CVP (force on the aorta) and is not appropriate
here.
To avoid nerve injury, what location should the nurse select to administer a 3 mL
IM injection?
a. Ventrogluteal
b. Outer upper quadrant of the buttock
c. Two inches below the acromion process
,NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
d. Vastus lateralis
2-3mL IM injections should always be made in the ventrogluteal area to minimize discomfort.
Which instruction should the nurse include in the discharge teaching plan for an adult
client with hypernatremia?
a. Monitor daily urine output volume
b. Drink plenty of water whenever thirsty
c. Use salt tablets for sodium content
d. Review food labels for sodium content
Hypernatremia is when a patient has a Sodium level that is too high, therefore it is most
appropriate to teach the patient to check sodium levels on food labels before discharging. (A)
While a high sodium level can decrease urine output, it is most important for the patient to be
able to identify high sodium foods to decrease the risk of developing hypernatremia again.
(B) Drinking too much water when thirsty can cause hyponatremia. (C) is incorrect because
the patient is already at risk for developing high sodium levels again.
While changing a client’s post-operative dressing, the nurse observes a red and swollen
wound with a moderate amount of yellow and green drainage and a foul odor. Given there is
a positive MRSA, which is the most important action for the nurse to take?
A. Force oral fluids
B. Request a nutrition consult
, NJURSING- P11OO HESI FUNDA EXAM QUESTIONS
WITH ANSWERS GRADED A+ 2023 UPDATE
C. Initiate contact precautions
D. Limit visitors to immediate family only
MRSA is a type of antibiotic resistant bacteria and a patient with this should be placed on contact
precautions. (A) oral fluids will not help rid the patient of the infection. (B) nor nutrition. (D)
limiting visitors to immediate family is not necessary as anyone is at risk for contracting MRSA
from an infected wound.
To prepare a client for the potential side effects of a newly prescribed medication,
what action should the nurse implement?
a. Assess the client for health alterations that may be impacted by the effects of the medication
b. Teach the client how to administer the medication to promote the best absorption
c. Administer a half dose and observe the client for side effects before administering a
full dosage
d. Encourage the client to drink plenty of fluids to promote effective drug distribution
Before a new medication is given, an initial assessment should be completed to create a baseline
for the patient; then the RN will be able to re-evaluate the patient and see if there have been any
health alterations caused by the new medication. (B) this has nothing to do with potential side
effects. (C) You should always administer a new medication as prescribed by the MD. (D) The
amount of fluids the patient drinks will not affect the drug distribution in the body.
