HESI FUNDAMENTALS EXAM 2020
(Detail Solutions and Resource for the test)
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
, b. Send an email to facility administration
reporting the action
c. Write an anonymous complaint to a professional
website
d. Post a comment about the action on a staff
discussion board
10. At 0100 on a male client’s second postoperative night, the
client states he is unstable to sleep and plans to read until feeling
sleepy. What action should the nurse implement?
a. Leave the room and close the door to the client’s
room
b. Assess the appearance of the client’s surgical
dressing
c. Bring the client a prescribed PRN sedative-
hypnotic
d. Discuss symptoms of sleep deprivation with the
client
11. The nursing staff in the cardiovascular intensive care unit are
creating a continuous quality improvement project on social
media that addresses coronary artery disease (CAD). Which
action should the nurse implement to protect client privacy?
a. b. Remove identifying information
c. Share material from of the clients who participated credible, peer
reviewed sources only Recall that authored content
d. may be legally discoverable Respect all
copyright laws when adding website content
12. A male client with unstable angina needs a cardiac
catheterization, so the healthcare provider explains the risks and
benefits of the procedure, and then leaves to set up for the
procedure. When the nurse presents the consent form for
signature, the client hesitates and asks how the wires will keep
his heart going. Which action should the nurse take?
a. Answer the client’s specific questions with a
short understandable explanation
b. c. Postpone the procedure until the client
understands the risks and benefits
Call the client’s next of kin and ask
them to provide verbal consent
, c. Page the healthcare provider to return
(Detail Solutions and Resource for the test)
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
, b. Send an email to facility administration
reporting the action
c. Write an anonymous complaint to a professional
website
d. Post a comment about the action on a staff
discussion board
10. At 0100 on a male client’s second postoperative night, the
client states he is unstable to sleep and plans to read until feeling
sleepy. What action should the nurse implement?
a. Leave the room and close the door to the client’s
room
b. Assess the appearance of the client’s surgical
dressing
c. Bring the client a prescribed PRN sedative-
hypnotic
d. Discuss symptoms of sleep deprivation with the
client
11. The nursing staff in the cardiovascular intensive care unit are
creating a continuous quality improvement project on social
media that addresses coronary artery disease (CAD). Which
action should the nurse implement to protect client privacy?
a. b. Remove identifying information
c. Share material from of the clients who participated credible, peer
reviewed sources only Recall that authored content
d. may be legally discoverable Respect all
copyright laws when adding website content
12. A male client with unstable angina needs a cardiac
catheterization, so the healthcare provider explains the risks and
benefits of the procedure, and then leaves to set up for the
procedure. When the nurse presents the consent form for
signature, the client hesitates and asks how the wires will keep
his heart going. Which action should the nurse take?
a. Answer the client’s specific questions with a
short understandable explanation
b. c. Postpone the procedure until the client
understands the risks and benefits
Call the client’s next of kin and ask
them to provide verbal consent
, c. Page the healthcare provider to return
