HESI Fundamentals Exam Practice
Questions With Answers
A ,.female ,.nurse ,.who ,.sometimes ,.tries ,.to ,.save ,.time ,.by ,.putting ,.medications ,.in ,.her ,.uniform ,.pocket ,.
to ,.deliver ,.to ,.clients, ,.confides ,.that ,.after ,.arriving ,.home ,.she ,.found ,.a ,.hydrocodone ,.
(Vicodin) ,.tablet ,.in ,.her ,.pocket. ,.Which ,.possible ,.outcome ,.of ,.this ,.situation ,.should ,.be ,.the ,.nurse's ,.gr
eatest ,.concern?
A.) ,.Accused ,.of ,.diversion.
B.) ,.Reported ,.for ,.stealing.
C.) ,.Reported ,.for ,.a ,.HIPAA ,.violation.
D.) ,.Accused ,.of ,.unprofessional ,.conduct. ,.- ,.(correct ,.answer) ,.-A
Rationale: ,.Even ,.if ,.this ,.is ,.only ,.one ,.incident, ,.the ,.nurse ,.may ,.be ,.suspected ,.of ,.taking ,.medications ,.on
,.a ,.regular ,.basis ,.and ,.the ,.incident ,.could ,.be ,.interpreted ,.as ,.diversion ,.
(A), ,.or ,.diverting ,.narcotics ,.for ,.her ,.own ,.use, ,.which ,.should ,.be ,.reported ,.to ,.the ,.peer ,.review ,.commi
ttee ,.and ,.to ,.the ,.State ,.Board ,.of ,.Nursing. ,.(B, ,.C, ,.and ,.D) ,.are ,.also ,.of ,.concern, ,.but ,.
(A) ,.is ,.the ,.most ,.serious ,.possible ,.outcome.
A ,.male ,.client ,.has ,.a ,.nursing ,.diagnosis ,.of ,."spiritual ,.distress." ,.What ,.intervention ,.is ,.best ,.for ,.the ,.nur
se ,.to ,.implement ,.when ,.caring ,.for ,.this ,.client?
A.) ,.Use ,.distraction ,.techniques ,.during ,.times ,.of ,.spiritual ,.stress ,.and ,.crisis.
B.) ,.Reassure ,.the ,.client ,.that ,.his ,.faith ,.will ,.be ,.regained ,.with ,.time ,.and ,.support.
C.) ,.Consult ,.with ,.the ,.staff ,.chaplain ,.and ,.ask ,.that ,.the ,.chaplain ,.visit ,.with ,.the ,.client.
D.) ,.Use ,.reflective ,.listening ,.techniques ,.when ,.the ,.client ,.expresses ,.spiritual ,.doubts. ,.- ,.
(correct ,.answer) ,.-D
,Rationale: ,.The ,.most ,.beneficial ,.nursing ,.intervention ,.is ,.to ,.use ,.nonjudgmental ,.reflective ,.listening ,.tec
hniques, ,.to ,.allow ,.the ,.client ,.to ,.feel ,.comfortable ,.expressing ,.his ,.concerns ,.(D). ,.
(A ,.and ,.B) ,.are ,.not ,.therapeutic. ,.The ,.client ,.should ,.be ,.consulted ,.before ,.implementing ,.(C).
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-
colored ,.drainage ,.seeping ,.from ,.the ,.wound. ,.What ,.description ,.of ,.this ,.finding ,.should ,.the ,.nurse ,.incl
ude ,.in ,.the ,.client's ,.record?
A.) ,.Stage ,.1 ,.pressure ,.sore ,.draining ,.sero-sanguineous ,.drainage.
B.) ,.Pressure ,.sore ,.at ,.bony ,.prominence ,.with ,.exudate ,.noted.
C.) ,.One-inch ,.pressure ,.sore ,.draining ,.serous ,.fluid.
D.) ,.Pressure ,.sore ,.on ,.heel ,.with ,.a ,.small ,.amount ,.of ,.purulent ,.drainage. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.Serous ,.drainage ,.is ,.clear ,.watery ,.plasma, ,.so ,.
(C) ,.provides ,.accurate ,.documentation ,.based ,.on ,.the ,.information ,.provided. ,.Information ,.to ,.stage ,.thi
s ,.pressure ,.score ,.(A) ,.is ,.not ,.provided, ,.and ,.sero-
sanguineous ,.drainage ,.is ,.pale ,.and ,.watery ,.with ,.a ,.combination ,.of ,.plasma ,.and ,.red ,.cells, ,.and ,.may ,.b
e ,.blood-streaked. ,.Exudate ,.(B) ,.is ,.fluid ,.such ,.as ,.pus ,.and ,.serum. ,.Purulent ,.drainage ,.
(D) ,.is ,.thick, ,.yellow, ,.green, ,.or ,.brown ,.indicating ,.the ,.presence ,.of ,.dead ,.or ,.living ,.organisms ,.and ,.whit
e ,.blood ,.cells.
The ,.nurse ,.is ,.preparing ,.to ,.give ,.a ,.client ,.dehydration ,.IV ,.fluids ,.delivered ,.at ,.a ,.continuous ,.rate ,.of ,.17
5 ,.ml/hour. ,.Which ,.infusion ,.device ,.should ,.the ,.nurse ,.use?
A.) ,.Portable ,.syringe ,.pump.
B.) ,.Cassette ,.infusion ,.pump.
C.) ,.Volumetric ,.controller.
D.) ,.Nonvolumetric ,.controller. ,.- ,.(correct ,.answer) ,.-B
Rationale: ,.A ,.cassette ,.pump ,.
(B) ,.should ,.be ,.used ,.to ,.accurately ,.deliver ,.large ,.volumes ,.of ,.fluid ,.over ,.longer ,.periods ,.of ,.time ,.with ,.
,extreme ,.precision, ,.such ,.as ,.ml/hour. ,.A ,.syringe ,.pump ,.(A) ,.is ,.accurate ,.for ,.low-
dose ,.continuous ,.infusion ,.of ,.low-
dose ,.medication ,.at ,.a ,.basal ,.rate, ,.but ,.not ,.large ,.fluid ,.volume ,.replacement. ,.Volumetric ,.
(C) ,.and ,.nonvolumetric ,.
(D) ,.controllers ,.count ,
.drops/minute ,.to ,.administer ,.fluid ,.volume ,.and ,.are ,.inherently ,.inaccurate ,.because ,.of ,.variation ,.in ,.dr
op ,.size.
How ,.should ,.the ,.nurse ,.handle ,.linens ,.that ,.are ,.soiled ,.with ,.incontinent ,.feces?
A.) ,.Put ,.the ,.soiled ,.linens ,.in ,.an ,.isolation ,.bag, ,.then ,.place ,.it ,.in ,.the ,.dirty ,.linen ,.hamper.
B.) ,.Place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it.
C.) ,.Place ,.the ,.soiled ,.linens ,.in ,.a ,.pillow ,.case ,.and ,.deposit ,.them ,.in ,.the ,.dirty ,.linen ,.hamper.
D.) ,.Ask ,.the ,.housekeeping ,.staff ,.to ,.pick ,.up ,.the ,.soiled ,.linen ,.from ,.the ,.dirty ,.utility ,.room. ,.- ,.
(correct ,.answer) ,.-C
Rationale: ,.The ,.nurse ,.should ,.be ,.careful ,.to ,.keep ,.the ,.soiled ,.linens ,.from ,.contaminating ,.the ,.fresh ,.lin
ens, ,.and ,.should ,.handle ,.the ,.soiled ,.linens ,.like ,.any ,.other ,.dirty ,.linen ,.(C). ,.
(A, ,.B, ,.and ,.D) ,.are ,.not ,.indicated.
A ,.low-sodium, ,.low-protein ,.diet ,.is ,.prescribed ,.for ,.a ,.45-year-
old ,.client ,.with ,.renal ,.insufficiency ,.and ,.hypertension, ,.who ,.gained ,.3 ,.pounds ,.in ,.the ,.last ,.month. ,.The ,
.nurse ,.determines ,.that ,.the ,.client ,.has ,.been ,.noncompliant ,.with ,.the ,.diet, ,.based ,.on ,.which ,.report ,.fr
om ,.the ,.24-hour ,.dietary ,.recall? ,.(Select ,.all ,.that ,.apply.)
A.) ,.Snack ,.of ,.potato ,.chips, ,.and ,.diet ,.soda.
B.) ,.Lunch ,.of ,.tuna ,.fish ,.sandwich, ,.carrot ,.sticks, ,.fresh ,.fruit, ,.and ,.coffee.
C.) ,.Breakfast ,.of ,.eggs, ,.bacon, ,.toast, ,.and ,.coffee.
D.) ,.Dinner ,.of ,.vegetable ,.lasagna, ,.tossed ,.salad, ,.sherbet, ,.and ,.iced ,.tea.
E.) ,.Bedtime ,.snack ,.of ,.crackers ,.and ,.milk. ,.- ,.(correct ,.answer) ,.-A, ,.B, ,.C, ,.E
, Rationale: ,.Potato ,.chips ,.(A) ,.are ,.high ,.in ,.sodium. ,.Tuna ,.(B) ,.is ,.high ,.in ,.protein. ,.Bacon ,.
(C) ,.and ,.crackers ,.(E) ,.are ,.high ,.in ,.sodium. ,.Only ,.
(D) ,.is ,.a ,.meal ,.that ,.is ,.in ,.compliance ,.with ,.a ,.low ,.sodium, ,.low ,.protein ,.diet.
Which ,.technique ,.is ,.most ,.important ,.for ,.the ,.nurse ,.to ,.implement ,.when ,.performing ,.a ,.physical ,.asses
sment?
A.) ,.A ,.head-to-toe ,.approach.
B.) ,.The ,.medical ,.systems ,.model.
C.) ,.A ,.consistent, ,.systematic ,.approach.
D.) ,.An ,.approach ,.related ,.to ,.a ,.nursing ,.model. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.The ,.most ,.important ,.factor ,.in ,.performing ,.a ,.physical ,.assessment ,.is ,.following ,.a ,.consisten
t ,.and ,.systematic ,.technique ,.
(C) ,.each ,.time ,.an ,.assessment ,.is ,.performed ,.to ,.minimize ,.variation ,.in ,.sequence ,.which ,.may ,.increase ,
.the ,.likelihood ,.of ,.omitting ,.a ,.step ,.or ,.exam ,.of ,.an ,.isolated ,.area. ,.The ,.method ,.of ,.completing ,.a ,.physi
cal ,.assessment ,.
(A, ,.B, ,.and ,.D) ,.may ,.be ,.at ,.the ,.discretion ,.of ,.the ,.examiner, ,.but ,.a ,.consistent ,.sequence ,.by ,.the ,.exami
ner ,.provides ,.a ,.reliable ,.method ,.to ,.ensure ,.thorough ,.review ,.of ,.the ,.clients' ,.history, ,.complaints, ,.or ,.
body ,.systems.
The ,.nurse ,.is ,.evaluating ,.client ,.learning ,.about ,.a ,.low-
sodium ,.diet. ,.Selection ,.of ,.which ,.meal ,.would ,.indicate ,.to ,.the ,.nurse ,.that ,.this ,.client ,.understands ,.the
,.dietary ,.restrictions?
A.) ,.Tossed ,.salad, ,.low-sodium ,.dressing, ,.bacon ,.and ,.tomato ,.sandwich.
B.) ,.New ,.England ,.clam ,.chowder, ,.no-salt ,.crackers, ,.fresh ,.fruit ,.salad.
C.) ,.Skim ,.milk, ,.turkey ,.salad, ,.roll, ,.and ,.vanilla ,.ice ,.cream.
D.) ,.Macaroni ,.and ,.cheese, ,.diet ,.Coke, ,.a ,.slice ,.of ,.cherry ,.pie. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.Skim ,.milk, ,.turkey, ,.bread, ,.and ,.ice ,.cream, ,.while ,.containing ,.some ,.sodium, ,.are ,.considered
,.low-
Questions With Answers
A ,.female ,.nurse ,.who ,.sometimes ,.tries ,.to ,.save ,.time ,.by ,.putting ,.medications ,.in ,.her ,.uniform ,.pocket ,.
to ,.deliver ,.to ,.clients, ,.confides ,.that ,.after ,.arriving ,.home ,.she ,.found ,.a ,.hydrocodone ,.
(Vicodin) ,.tablet ,.in ,.her ,.pocket. ,.Which ,.possible ,.outcome ,.of ,.this ,.situation ,.should ,.be ,.the ,.nurse's ,.gr
eatest ,.concern?
A.) ,.Accused ,.of ,.diversion.
B.) ,.Reported ,.for ,.stealing.
C.) ,.Reported ,.for ,.a ,.HIPAA ,.violation.
D.) ,.Accused ,.of ,.unprofessional ,.conduct. ,.- ,.(correct ,.answer) ,.-A
Rationale: ,.Even ,.if ,.this ,.is ,.only ,.one ,.incident, ,.the ,.nurse ,.may ,.be ,.suspected ,.of ,.taking ,.medications ,.on
,.a ,.regular ,.basis ,.and ,.the ,.incident ,.could ,.be ,.interpreted ,.as ,.diversion ,.
(A), ,.or ,.diverting ,.narcotics ,.for ,.her ,.own ,.use, ,.which ,.should ,.be ,.reported ,.to ,.the ,.peer ,.review ,.commi
ttee ,.and ,.to ,.the ,.State ,.Board ,.of ,.Nursing. ,.(B, ,.C, ,.and ,.D) ,.are ,.also ,.of ,.concern, ,.but ,.
(A) ,.is ,.the ,.most ,.serious ,.possible ,.outcome.
A ,.male ,.client ,.has ,.a ,.nursing ,.diagnosis ,.of ,."spiritual ,.distress." ,.What ,.intervention ,.is ,.best ,.for ,.the ,.nur
se ,.to ,.implement ,.when ,.caring ,.for ,.this ,.client?
A.) ,.Use ,.distraction ,.techniques ,.during ,.times ,.of ,.spiritual ,.stress ,.and ,.crisis.
B.) ,.Reassure ,.the ,.client ,.that ,.his ,.faith ,.will ,.be ,.regained ,.with ,.time ,.and ,.support.
C.) ,.Consult ,.with ,.the ,.staff ,.chaplain ,.and ,.ask ,.that ,.the ,.chaplain ,.visit ,.with ,.the ,.client.
D.) ,.Use ,.reflective ,.listening ,.techniques ,.when ,.the ,.client ,.expresses ,.spiritual ,.doubts. ,.- ,.
(correct ,.answer) ,.-D
,Rationale: ,.The ,.most ,.beneficial ,.nursing ,.intervention ,.is ,.to ,.use ,.nonjudgmental ,.reflective ,.listening ,.tec
hniques, ,.to ,.allow ,.the ,.client ,.to ,.feel ,.comfortable ,.expressing ,.his ,.concerns ,.(D). ,.
(A ,.and ,.B) ,.are ,.not ,.therapeutic. ,.The ,.client ,.should ,.be ,.consulted ,.before ,.implementing ,.(C).
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-
colored ,.drainage ,.seeping ,.from ,.the ,.wound. ,.What ,.description ,.of ,.this ,.finding ,.should ,.the ,.nurse ,.incl
ude ,.in ,.the ,.client's ,.record?
A.) ,.Stage ,.1 ,.pressure ,.sore ,.draining ,.sero-sanguineous ,.drainage.
B.) ,.Pressure ,.sore ,.at ,.bony ,.prominence ,.with ,.exudate ,.noted.
C.) ,.One-inch ,.pressure ,.sore ,.draining ,.serous ,.fluid.
D.) ,.Pressure ,.sore ,.on ,.heel ,.with ,.a ,.small ,.amount ,.of ,.purulent ,.drainage. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.Serous ,.drainage ,.is ,.clear ,.watery ,.plasma, ,.so ,.
(C) ,.provides ,.accurate ,.documentation ,.based ,.on ,.the ,.information ,.provided. ,.Information ,.to ,.stage ,.thi
s ,.pressure ,.score ,.(A) ,.is ,.not ,.provided, ,.and ,.sero-
sanguineous ,.drainage ,.is ,.pale ,.and ,.watery ,.with ,.a ,.combination ,.of ,.plasma ,.and ,.red ,.cells, ,.and ,.may ,.b
e ,.blood-streaked. ,.Exudate ,.(B) ,.is ,.fluid ,.such ,.as ,.pus ,.and ,.serum. ,.Purulent ,.drainage ,.
(D) ,.is ,.thick, ,.yellow, ,.green, ,.or ,.brown ,.indicating ,.the ,.presence ,.of ,.dead ,.or ,.living ,.organisms ,.and ,.whit
e ,.blood ,.cells.
The ,.nurse ,.is ,.preparing ,.to ,.give ,.a ,.client ,.dehydration ,.IV ,.fluids ,.delivered ,.at ,.a ,.continuous ,.rate ,.of ,.17
5 ,.ml/hour. ,.Which ,.infusion ,.device ,.should ,.the ,.nurse ,.use?
A.) ,.Portable ,.syringe ,.pump.
B.) ,.Cassette ,.infusion ,.pump.
C.) ,.Volumetric ,.controller.
D.) ,.Nonvolumetric ,.controller. ,.- ,.(correct ,.answer) ,.-B
Rationale: ,.A ,.cassette ,.pump ,.
(B) ,.should ,.be ,.used ,.to ,.accurately ,.deliver ,.large ,.volumes ,.of ,.fluid ,.over ,.longer ,.periods ,.of ,.time ,.with ,.
,extreme ,.precision, ,.such ,.as ,.ml/hour. ,.A ,.syringe ,.pump ,.(A) ,.is ,.accurate ,.for ,.low-
dose ,.continuous ,.infusion ,.of ,.low-
dose ,.medication ,.at ,.a ,.basal ,.rate, ,.but ,.not ,.large ,.fluid ,.volume ,.replacement. ,.Volumetric ,.
(C) ,.and ,.nonvolumetric ,.
(D) ,.controllers ,.count ,
.drops/minute ,.to ,.administer ,.fluid ,.volume ,.and ,.are ,.inherently ,.inaccurate ,.because ,.of ,.variation ,.in ,.dr
op ,.size.
How ,.should ,.the ,.nurse ,.handle ,.linens ,.that ,.are ,.soiled ,.with ,.incontinent ,.feces?
A.) ,.Put ,.the ,.soiled ,.linens ,.in ,.an ,.isolation ,.bag, ,.then ,.place ,.it ,.in ,.the ,.dirty ,.linen ,.hamper.
B.) ,.Place ,.an ,.isolation ,.hamper ,.in ,.the ,.client's ,.room ,.and ,.discard ,.the ,.linens ,.in ,.it.
C.) ,.Place ,.the ,.soiled ,.linens ,.in ,.a ,.pillow ,.case ,.and ,.deposit ,.them ,.in ,.the ,.dirty ,.linen ,.hamper.
D.) ,.Ask ,.the ,.housekeeping ,.staff ,.to ,.pick ,.up ,.the ,.soiled ,.linen ,.from ,.the ,.dirty ,.utility ,.room. ,.- ,.
(correct ,.answer) ,.-C
Rationale: ,.The ,.nurse ,.should ,.be ,.careful ,.to ,.keep ,.the ,.soiled ,.linens ,.from ,.contaminating ,.the ,.fresh ,.lin
ens, ,.and ,.should ,.handle ,.the ,.soiled ,.linens ,.like ,.any ,.other ,.dirty ,.linen ,.(C). ,.
(A, ,.B, ,.and ,.D) ,.are ,.not ,.indicated.
A ,.low-sodium, ,.low-protein ,.diet ,.is ,.prescribed ,.for ,.a ,.45-year-
old ,.client ,.with ,.renal ,.insufficiency ,.and ,.hypertension, ,.who ,.gained ,.3 ,.pounds ,.in ,.the ,.last ,.month. ,.The ,
.nurse ,.determines ,.that ,.the ,.client ,.has ,.been ,.noncompliant ,.with ,.the ,.diet, ,.based ,.on ,.which ,.report ,.fr
om ,.the ,.24-hour ,.dietary ,.recall? ,.(Select ,.all ,.that ,.apply.)
A.) ,.Snack ,.of ,.potato ,.chips, ,.and ,.diet ,.soda.
B.) ,.Lunch ,.of ,.tuna ,.fish ,.sandwich, ,.carrot ,.sticks, ,.fresh ,.fruit, ,.and ,.coffee.
C.) ,.Breakfast ,.of ,.eggs, ,.bacon, ,.toast, ,.and ,.coffee.
D.) ,.Dinner ,.of ,.vegetable ,.lasagna, ,.tossed ,.salad, ,.sherbet, ,.and ,.iced ,.tea.
E.) ,.Bedtime ,.snack ,.of ,.crackers ,.and ,.milk. ,.- ,.(correct ,.answer) ,.-A, ,.B, ,.C, ,.E
, Rationale: ,.Potato ,.chips ,.(A) ,.are ,.high ,.in ,.sodium. ,.Tuna ,.(B) ,.is ,.high ,.in ,.protein. ,.Bacon ,.
(C) ,.and ,.crackers ,.(E) ,.are ,.high ,.in ,.sodium. ,.Only ,.
(D) ,.is ,.a ,.meal ,.that ,.is ,.in ,.compliance ,.with ,.a ,.low ,.sodium, ,.low ,.protein ,.diet.
Which ,.technique ,.is ,.most ,.important ,.for ,.the ,.nurse ,.to ,.implement ,.when ,.performing ,.a ,.physical ,.asses
sment?
A.) ,.A ,.head-to-toe ,.approach.
B.) ,.The ,.medical ,.systems ,.model.
C.) ,.A ,.consistent, ,.systematic ,.approach.
D.) ,.An ,.approach ,.related ,.to ,.a ,.nursing ,.model. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.The ,.most ,.important ,.factor ,.in ,.performing ,.a ,.physical ,.assessment ,.is ,.following ,.a ,.consisten
t ,.and ,.systematic ,.technique ,.
(C) ,.each ,.time ,.an ,.assessment ,.is ,.performed ,.to ,.minimize ,.variation ,.in ,.sequence ,.which ,.may ,.increase ,
.the ,.likelihood ,.of ,.omitting ,.a ,.step ,.or ,.exam ,.of ,.an ,.isolated ,.area. ,.The ,.method ,.of ,.completing ,.a ,.physi
cal ,.assessment ,.
(A, ,.B, ,.and ,.D) ,.may ,.be ,.at ,.the ,.discretion ,.of ,.the ,.examiner, ,.but ,.a ,.consistent ,.sequence ,.by ,.the ,.exami
ner ,.provides ,.a ,.reliable ,.method ,.to ,.ensure ,.thorough ,.review ,.of ,.the ,.clients' ,.history, ,.complaints, ,.or ,.
body ,.systems.
The ,.nurse ,.is ,.evaluating ,.client ,.learning ,.about ,.a ,.low-
sodium ,.diet. ,.Selection ,.of ,.which ,.meal ,.would ,.indicate ,.to ,.the ,.nurse ,.that ,.this ,.client ,.understands ,.the
,.dietary ,.restrictions?
A.) ,.Tossed ,.salad, ,.low-sodium ,.dressing, ,.bacon ,.and ,.tomato ,.sandwich.
B.) ,.New ,.England ,.clam ,.chowder, ,.no-salt ,.crackers, ,.fresh ,.fruit ,.salad.
C.) ,.Skim ,.milk, ,.turkey ,.salad, ,.roll, ,.and ,.vanilla ,.ice ,.cream.
D.) ,.Macaroni ,.and ,.cheese, ,.diet ,.Coke, ,.a ,.slice ,.of ,.cherry ,.pie. ,.- ,.(correct ,.answer) ,.-C
Rationale: ,.Skim ,.milk, ,.turkey, ,.bread, ,.and ,.ice ,.cream, ,.while ,.containing ,.some ,.sodium, ,.are ,.considered
,.low-
