HESI Fundamentals Exam question with correct
answers
a ,.35 ,.year ,.old ,.female ,.client ,.with ,.cancer ,.refuses ,.to ,.allow ,.the ,.nurse ,.to ,.insert ,.an ,.IV ,.for ,.a ,.schedule
d ,.chemotherapy ,.treatment, ,.and ,.states ,.that ,.she ,.is ,.ready ,.to ,.go ,.home ,.and ,.die. ,.What ,.intervention ,.
should ,.the ,.nurse ,.initiate? ,.
A. ,.evaluate ,.the ,.client's ,.mental ,.status ,.for ,.competence ,.to ,.refuse ,.treatment
B. ,.review ,.the ,.client's ,.medical ,.record ,.for ,.an ,.advance ,.directive
C. ,.determine ,.if ,.a ,.DNR ,.prescription ,.has ,.been ,.obtained
D. ,.document ,.that ,.the ,.client ,.is ,.being ,.discharged ,.against ,.medical ,.advice ,.- ,.(correct ,.answer) ,.-
A. ,.evaluate ,.the ,.client's ,.mental ,.status ,.for ,.competence ,.to ,.refuse ,.treatment
A ,.client ,.with ,.chronic ,.renal ,.disease ,.is ,.admitted ,.to ,.the ,.hospital ,.for ,.evaluation ,.prior ,.to ,.a ,.surgical ,.p
rocedure. ,.Which ,.laboratory ,.test ,.indicated ,.the ,.client's ,.protein ,.status ,.for ,.the ,.longest ,.length ,.of ,.tim
e.
A. ,.Urine ,.urea ,.
B. ,.transferrin
C. ,.prealbumin
D. ,.serum ,.albumin ,.- ,.(correct ,.answer) ,.-D. ,.serum ,.albumin
What ,.client ,.statement ,.indicates ,.to ,.the ,.nurse ,.that ,.the ,.client ,.requires ,.assistance ,.with ,.bathing?
A. ,."I ,.only ,.bathe ,.every ,.other ,.day"
B. ,."I ,.left ,.my ,.eyeglasses ,.at ,.home"
C. ,."I ,.don't ,.understand ,.why ,.I'm ,.so ,.weak ,.and ,.tired"
D. ,."I ,.wasn't ,.able ,.to ,.pack ,.a ,.bag ,.before ,.I ,.left ,.for ,.the ,.hospital" ,.- ,.(correct ,.answer) ,.-
C. ,."I ,.don't ,.understand ,.why ,.I'm ,.so ,.weak ,.and ,.tired"
How ,.should ,.a ,.nurse ,.handle ,.linens ,.that ,.are ,.soiled ,.with ,.incontinent ,.feces?
, A. ,.Place ,.the ,.soiled ,.linens ,.in ,.a ,.pillow ,.case ,.and ,.deposit ,.them ,.in ,.the ,.dirty ,.linen ,.hamper
B. ,.put ,.the ,.soiled ,.linens ,.in ,.an ,.isolation ,.bag, ,.then ,.place ,.it ,.in ,.the ,.dirty ,.linen ,.hamper
C. ,.Ask ,.the ,.housekeeping ,.staff ,.to ,.pick ,.up ,.the ,.soiled ,.linen ,.from ,.the ,.dirty ,.utility ,.room
D. ,.place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it ,.- ,.(correct ,.answer) ,.-
D. ,.place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it
When ,.caring ,.for ,.an ,.immobile ,.client, ,.what ,.nursing ,.diagnosis ,.has ,.the ,.highest ,.priority?
A. ,.altered ,.tissue ,.perfusion
B. ,.impaired ,.gas ,.exchange
C. ,.risk ,.for ,.fluid ,.volume ,.deficit
D. ,.risk ,.for ,.impaired ,.skin ,.integrity ,.- ,.(correct ,.answer) ,.-B. ,.impaired ,.gas ,.exchange
The ,.nurse ,.assess ,.an ,.immobile, ,.elderly ,.male ,.client ,.and ,.determines ,.that ,.his ,.blood ,.pressure ,.is ,.138/
60, ,.his ,.temperature ,.is ,.95.8F, ,.and ,.his ,.output ,.is ,.100 ,.mL ,.of ,.concentrated ,.urine ,.during ,.the ,.last ,.hou
r. ,.He ,.has ,.wet-
sounding ,.lung ,.sounds, ,.and ,.increased ,.respiratory ,.secretions. ,.Based ,.on ,.these ,.assessment ,.findings, ,.
what ,.nursing ,.action ,.is ,.the ,.most ,.important ,.for ,.the ,.nurse ,.to ,.implement?
A. ,.encourage ,.additional ,.additional ,.fluid ,.intake ,.
B. ,.provide ,.the ,.client ,.with ,.an ,.additional ,.blanket
C. ,.turn ,.the ,.patient ,.Q2
D. ,.administer ,.a ,.PRN ,.anti ,.hypertensive ,.prescription ,.- ,.(correct ,.answer) ,.-C. ,.turn ,.the ,.patient ,.Q2
The ,.home ,.health ,.nurse ,.visits ,.an ,.elderly ,.female ,.client ,.who ,.had ,.a ,.brain ,.attack ,.three ,.months ,.ago ,.
and ,.is ,.now ,.able ,.to ,.ambulate ,.with ,.the ,.assistance ,.of ,.a ,.quad ,.cane. ,.Which ,.assessment ,.finding ,.has ,.
the ,.greatest ,.implications ,.for ,.this ,.client's ,.case?
A. ,.The ,.client's ,.pulse ,.rate ,.is ,.10 ,.beats ,.higher ,.than ,.it ,.was ,.at ,.the ,.last ,.visit ,.one ,.week ,.ago
B. ,.the ,.client ,.tells ,.the ,.nurse ,.that ,.she ,.does ,.not ,.have ,.much ,.of ,.an ,.appetite ,.today
C. ,.the ,.husband, ,.who ,.is ,.the ,.caregiver, ,.begins ,.to ,.weep ,.when ,.you ,.ask ,.how ,.he ,.is ,.doing
D. ,.the ,.nurse ,.notes ,.that ,.there ,.are ,.numerous ,.scatter ,.rubs ,.throughout ,.the ,.house ,.- ,.
(correct ,.answer) ,.-D. ,.the ,.nurse ,.notes ,.that ,.there ,.are ,.numerous ,.scatter ,.rubs ,.throughout ,.the ,.house
The ,.nurse ,.removes ,.the ,.dressing ,.on ,.a ,.client's ,.heel ,.that ,.is ,.covering ,.a ,.pressure ,.sore ,.one-
inch ,.in ,.diameter ,.and ,.finds ,.that ,.there ,.is ,.straw-
answers
a ,.35 ,.year ,.old ,.female ,.client ,.with ,.cancer ,.refuses ,.to ,.allow ,.the ,.nurse ,.to ,.insert ,.an ,.IV ,.for ,.a ,.schedule
d ,.chemotherapy ,.treatment, ,.and ,.states ,.that ,.she ,.is ,.ready ,.to ,.go ,.home ,.and ,.die. ,.What ,.intervention ,.
should ,.the ,.nurse ,.initiate? ,.
A. ,.evaluate ,.the ,.client's ,.mental ,.status ,.for ,.competence ,.to ,.refuse ,.treatment
B. ,.review ,.the ,.client's ,.medical ,.record ,.for ,.an ,.advance ,.directive
C. ,.determine ,.if ,.a ,.DNR ,.prescription ,.has ,.been ,.obtained
D. ,.document ,.that ,.the ,.client ,.is ,.being ,.discharged ,.against ,.medical ,.advice ,.- ,.(correct ,.answer) ,.-
A. ,.evaluate ,.the ,.client's ,.mental ,.status ,.for ,.competence ,.to ,.refuse ,.treatment
A ,.client ,.with ,.chronic ,.renal ,.disease ,.is ,.admitted ,.to ,.the ,.hospital ,.for ,.evaluation ,.prior ,.to ,.a ,.surgical ,.p
rocedure. ,.Which ,.laboratory ,.test ,.indicated ,.the ,.client's ,.protein ,.status ,.for ,.the ,.longest ,.length ,.of ,.tim
e.
A. ,.Urine ,.urea ,.
B. ,.transferrin
C. ,.prealbumin
D. ,.serum ,.albumin ,.- ,.(correct ,.answer) ,.-D. ,.serum ,.albumin
What ,.client ,.statement ,.indicates ,.to ,.the ,.nurse ,.that ,.the ,.client ,.requires ,.assistance ,.with ,.bathing?
A. ,."I ,.only ,.bathe ,.every ,.other ,.day"
B. ,."I ,.left ,.my ,.eyeglasses ,.at ,.home"
C. ,."I ,.don't ,.understand ,.why ,.I'm ,.so ,.weak ,.and ,.tired"
D. ,."I ,.wasn't ,.able ,.to ,.pack ,.a ,.bag ,.before ,.I ,.left ,.for ,.the ,.hospital" ,.- ,.(correct ,.answer) ,.-
C. ,."I ,.don't ,.understand ,.why ,.I'm ,.so ,.weak ,.and ,.tired"
How ,.should ,.a ,.nurse ,.handle ,.linens ,.that ,.are ,.soiled ,.with ,.incontinent ,.feces?
, A. ,.Place ,.the ,.soiled ,.linens ,.in ,.a ,.pillow ,.case ,.and ,.deposit ,.them ,.in ,.the ,.dirty ,.linen ,.hamper
B. ,.put ,.the ,.soiled ,.linens ,.in ,.an ,.isolation ,.bag, ,.then ,.place ,.it ,.in ,.the ,.dirty ,.linen ,.hamper
C. ,.Ask ,.the ,.housekeeping ,.staff ,.to ,.pick ,.up ,.the ,.soiled ,.linen ,.from ,.the ,.dirty ,.utility ,.room
D. ,.place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it ,.- ,.(correct ,.answer) ,.-
D. ,.place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it
When ,.caring ,.for ,.an ,.immobile ,.client, ,.what ,.nursing ,.diagnosis ,.has ,.the ,.highest ,.priority?
A. ,.altered ,.tissue ,.perfusion
B. ,.impaired ,.gas ,.exchange
C. ,.risk ,.for ,.fluid ,.volume ,.deficit
D. ,.risk ,.for ,.impaired ,.skin ,.integrity ,.- ,.(correct ,.answer) ,.-B. ,.impaired ,.gas ,.exchange
The ,.nurse ,.assess ,.an ,.immobile, ,.elderly ,.male ,.client ,.and ,.determines ,.that ,.his ,.blood ,.pressure ,.is ,.138/
60, ,.his ,.temperature ,.is ,.95.8F, ,.and ,.his ,.output ,.is ,.100 ,.mL ,.of ,.concentrated ,.urine ,.during ,.the ,.last ,.hou
r. ,.He ,.has ,.wet-
sounding ,.lung ,.sounds, ,.and ,.increased ,.respiratory ,.secretions. ,.Based ,.on ,.these ,.assessment ,.findings, ,.
what ,.nursing ,.action ,.is ,.the ,.most ,.important ,.for ,.the ,.nurse ,.to ,.implement?
A. ,.encourage ,.additional ,.additional ,.fluid ,.intake ,.
B. ,.provide ,.the ,.client ,.with ,.an ,.additional ,.blanket
C. ,.turn ,.the ,.patient ,.Q2
D. ,.administer ,.a ,.PRN ,.anti ,.hypertensive ,.prescription ,.- ,.(correct ,.answer) ,.-C. ,.turn ,.the ,.patient ,.Q2
The ,.home ,.health ,.nurse ,.visits ,.an ,.elderly ,.female ,.client ,.who ,.had ,.a ,.brain ,.attack ,.three ,.months ,.ago ,.
and ,.is ,.now ,.able ,.to ,.ambulate ,.with ,.the ,.assistance ,.of ,.a ,.quad ,.cane. ,.Which ,.assessment ,.finding ,.has ,.
the ,.greatest ,.implications ,.for ,.this ,.client's ,.case?
A. ,.The ,.client's ,.pulse ,.rate ,.is ,.10 ,.beats ,.higher ,.than ,.it ,.was ,.at ,.the ,.last ,.visit ,.one ,.week ,.ago
B. ,.the ,.client ,.tells ,.the ,.nurse ,.that ,.she ,.does ,.not ,.have ,.much ,.of ,.an ,.appetite ,.today
C. ,.the ,.husband, ,.who ,.is ,.the ,.caregiver, ,.begins ,.to ,.weep ,.when ,.you ,.ask ,.how ,.he ,.is ,.doing
D. ,.the ,.nurse ,.notes ,.that ,.there ,.are ,.numerous ,.scatter ,.rubs ,.throughout ,.the ,.house ,.- ,.
(correct ,.answer) ,.-D. ,.the ,.nurse ,.notes ,.that ,.there ,.are ,.numerous ,.scatter ,.rubs ,.throughout ,.the ,.house
The ,.nurse ,.removes ,.the ,.dressing ,.on ,.a ,.client's ,.heel ,.that ,.is ,.covering ,.a ,.pressure ,.sore ,.one-
inch ,.in ,.diameter ,.and ,.finds ,.that ,.there ,.is ,.straw-
