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HESI FUNDAMENTALS RN EXAM VERSION 5
2024-2025 ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS INCLUDING
RATIONALES (GRADED A+)
The nurse is teaching a male client how to perform progressive
muscle relaxation techniques to relieve insomnia. A week later the
client reports that he is still unable to sleep despite following the
same routine every night. What action should the nurse take first? -
ANSWER-Ask the client to describe the routine he is currently
following.
Rationale:
The nurse should first evaluate whether the client has been
adhering to the original instructions
By rolling contaminated gloves inside out, the nurse is impacting
which step in the chain of infection? - ANSWER-Mode of
transmission
Rationale:
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The contaminated gloves serve as the mode of transmission
The nurse transcribes the postoperative prescriptions for a
client who returns to the unit following surgery and notes that
an antihypertensive medication prescribed preoperatively is
not listed. What action should the nurse take? - ANSWER-Contact
the healthcare provider to renew the prescription for the
medication.
Rationale:
Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the healthcare
provider if the antihypertensive medication is not included in
the postoperative prescriptions
In assisting an older adult client prepare to take a tub bath, which
nursing action is most important? - ANSWER-Check the bath water
temperature.
Rationale:
To prevent burns or excessive chilling, the nurse must check
the bath water temperature
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In completing a client's preoperative routine, the nurse finds that
the operative permit is not signed. The client begins to ask more
questions about the surgical procedure. What action should the
nurse take next? - ANSWER-Inform the surgeon the operative
permit is not signed and the client has questions about the surgery.
Rationale:
The surgeon should be informed immediately that the permit
is not signed
A hospitalized client has had difficulty falling asleep for two nights
and is becoming irritable and restless. What action by the nurse is
best? - ANSWER-Determine the client's usual bedtime routine and
include these rituals in the plan of care as safety allows.
Rationale:
Including habitual rituals that do not interfere with the client's
care or safety may allow the client to go to sleep faster and
increase the quality of care
After the nurse tells an older male client that an IV line needs to be
inserted, he becomes very apprehensive, loudly verbalizing his
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dislike for all healthcare providers and nurses. How should the
nurse respond? - ANSWER-Calmly reassure the client that the
discomfort will be temporary.
Rationale:
The nurse should respond with a calm demeanor (C) to help
reduce the client's apprehension. After responding calmly to
the client's apprehension
A 20-year-old female client with a noticeable body odor has refused
to shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." What action should the nurse
take first? - ANSWER-Discuss the importance of personal hygiene
during menstruation with the client.
Rationale:
Since a shower is most beneficial for the client in terms of
hygiene and mobility, the client should receive teaching first
(D), respecting any personal beliefs, such as cultural or
spiritual values.
HESI FUNDAMENTALS RN EXAM VERSION 5
2024-2025 ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS INCLUDING
RATIONALES (GRADED A+)
The nurse is teaching a male client how to perform progressive
muscle relaxation techniques to relieve insomnia. A week later the
client reports that he is still unable to sleep despite following the
same routine every night. What action should the nurse take first? -
ANSWER-Ask the client to describe the routine he is currently
following.
Rationale:
The nurse should first evaluate whether the client has been
adhering to the original instructions
By rolling contaminated gloves inside out, the nurse is impacting
which step in the chain of infection? - ANSWER-Mode of
transmission
Rationale:
,2|Page
The contaminated gloves serve as the mode of transmission
The nurse transcribes the postoperative prescriptions for a
client who returns to the unit following surgery and notes that
an antihypertensive medication prescribed preoperatively is
not listed. What action should the nurse take? - ANSWER-Contact
the healthcare provider to renew the prescription for the
medication.
Rationale:
Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the healthcare
provider if the antihypertensive medication is not included in
the postoperative prescriptions
In assisting an older adult client prepare to take a tub bath, which
nursing action is most important? - ANSWER-Check the bath water
temperature.
Rationale:
To prevent burns or excessive chilling, the nurse must check
the bath water temperature
,3|Page
In completing a client's preoperative routine, the nurse finds that
the operative permit is not signed. The client begins to ask more
questions about the surgical procedure. What action should the
nurse take next? - ANSWER-Inform the surgeon the operative
permit is not signed and the client has questions about the surgery.
Rationale:
The surgeon should be informed immediately that the permit
is not signed
A hospitalized client has had difficulty falling asleep for two nights
and is becoming irritable and restless. What action by the nurse is
best? - ANSWER-Determine the client's usual bedtime routine and
include these rituals in the plan of care as safety allows.
Rationale:
Including habitual rituals that do not interfere with the client's
care or safety may allow the client to go to sleep faster and
increase the quality of care
After the nurse tells an older male client that an IV line needs to be
inserted, he becomes very apprehensive, loudly verbalizing his
, 4|Page
dislike for all healthcare providers and nurses. How should the
nurse respond? - ANSWER-Calmly reassure the client that the
discomfort will be temporary.
Rationale:
The nurse should respond with a calm demeanor (C) to help
reduce the client's apprehension. After responding calmly to
the client's apprehension
A 20-year-old female client with a noticeable body odor has refused
to shower for the last 3 days. She states, "I have been told that it is
harmful to bathe during my period." What action should the nurse
take first? - ANSWER-Discuss the importance of personal hygiene
during menstruation with the client.
Rationale:
Since a shower is most beneficial for the client in terms of
hygiene and mobility, the client should receive teaching first
(D), respecting any personal beliefs, such as cultural or
spiritual values.
