2024 HESI RN FUNDAMENTALS EXAMS
1. After receiving written and verbal instructions from a clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the
medication after getting home. How should the nurse respond?
A. Provide the client with a list of Internet sites that answer frequently asked
questions about medications.
B. Advise the client to obtain a current edition of a drug reference book from a local
bookstore or library.
C. Reassure the client that information about the medication is included in the
written instructions.
D. Encourage the client to call the clinic nurse or health care provider if any
questions arise.: D
Rationale: To ensure safe medication use, the nurse should encourage the client to call the nurse
or health care provider if any questions arise. Options A, B, and C may all include useful
information, but these sources of information cannot evaluate the nature of the client's questions
and the follow-up needed.
2. After the nurse tells an older client that an IV line needs to be inserted, the client
becomes very apprehensive, loudly verbalizing a dislike for all health care providers
and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary. D. Tell the
client a joke as a means of distraction from the procedure.: C Rationale: The nurse
should respond with a calm demeanor to help reduce the client's apprehension. After
responding calmly to the client's apprehension, the nurse may implement to ensure safe
completion of the procedure.
,3. Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C. Insert an indwelling urinary catheter.
, D. Instruct client in the use of adult diapers.: A
Rationale: The best action to decrease the risk of infection in vulnerable clients is handwashing.
Option B is not necessary unless the client has an infection. Option C increases the risk of
infection. Option D does not reduce the risk of infection.
4. By rolling contaminated gloves inside-out, the nurse is affecting which step in the
chain of infection?
A. Mode of transmission
B. Portal of entry
C.Reservoir
D.Portal of exit: A
Rationale: The contaminated gloves serve as the mode of transmission from the portal of exit of
the reservoir to a portal of entry.
5. A client becomes angry while waiting for a supervised break to smoke a cigarette
outside and states, "I want to go outside now and smoke. It takes forever to get
anything done here!" Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff member.
D. Review the schedule of outdoor breaks with the client.: D
Rationale: The best nursing action is to review the schedule of outdoor breaks and provide
concrete information about the schedule. Option A is contraindicated if the client wants to
continue smoking. Option B is insufficient to encourage a trusting relationship with the client.
Option C is preferential for this client only and is inconsistent with unit rules.
6. A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should the
nurse do
, first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device.: D
Rationale: The nurse should first turn off the suction and then confirm placement of the tube in
the stomach before instilling the medications. To prevent immediate removal of the instilled
1. After receiving written and verbal instructions from a clinic nurse about a newly
prescribed medication, a client asks the nurse what to do if questions arise about the
medication after getting home. How should the nurse respond?
A. Provide the client with a list of Internet sites that answer frequently asked
questions about medications.
B. Advise the client to obtain a current edition of a drug reference book from a local
bookstore or library.
C. Reassure the client that information about the medication is included in the
written instructions.
D. Encourage the client to call the clinic nurse or health care provider if any
questions arise.: D
Rationale: To ensure safe medication use, the nurse should encourage the client to call the nurse
or health care provider if any questions arise. Options A, B, and C may all include useful
information, but these sources of information cannot evaluate the nature of the client's questions
and the follow-up needed.
2. After the nurse tells an older client that an IV line needs to be inserted, the client
becomes very apprehensive, loudly verbalizing a dislike for all health care providers
and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed safely.
B. Concentrate on completing the insertion as efficiently as possible.
C. Calmly reassure the client that the discomfort will be temporary. D. Tell the
client a joke as a means of distraction from the procedure.: C Rationale: The nurse
should respond with a calm demeanor to help reduce the client's apprehension. After
responding calmly to the client's apprehension, the nurse may implement to ensure safe
completion of the procedure.
,3. Based on the nursing diagnosis of risk for infection, which intervention is best for the
nurse to implement when providing care for an older incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C. Insert an indwelling urinary catheter.
, D. Instruct client in the use of adult diapers.: A
Rationale: The best action to decrease the risk of infection in vulnerable clients is handwashing.
Option B is not necessary unless the client has an infection. Option C increases the risk of
infection. Option D does not reduce the risk of infection.
4. By rolling contaminated gloves inside-out, the nurse is affecting which step in the
chain of infection?
A. Mode of transmission
B. Portal of entry
C.Reservoir
D.Portal of exit: A
Rationale: The contaminated gloves serve as the mode of transmission from the portal of exit of
the reservoir to a portal of entry.
5. A client becomes angry while waiting for a supervised break to smoke a cigarette
outside and states, "I want to go outside now and smoke. It takes forever to get
anything done here!" Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff member.
D. Review the schedule of outdoor breaks with the client.: D
Rationale: The best nursing action is to review the schedule of outdoor breaks and provide
concrete information about the schedule. Option A is contraindicated if the client wants to
continue smoking. Option B is insufficient to encourage a trusting relationship with the client.
Option C is preferential for this client only and is inconsistent with unit rules.
6. A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should the
nurse do
, first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device.: D
Rationale: The nurse should first turn off the suction and then confirm placement of the tube in
the stomach before instilling the medications. To prevent immediate removal of the instilled
