HESI FUNDAMENTALS 2024/2025 EXAM STUDY QUESTIONS
WITH VERIFIED ANSWERS GUARANTEED PASS | RATED A+
1. A 35-year-old female client with cancer refuses to allow the nurse to insert an IV for a
scheduled chemotherapy treatment, and states that she is ready to go home to die. What
intervention should the nurse initiate?
a. Review the client's medical record for an advance directive.
b. Determine if a do-not-resuscitate prescription has been obtained.
c. Document that the client is being discharged against medical advice.
d. Evaluate the client's mental status for competence to refuse treatment. - Answer>>> D
2. A client is admitted with a stage four pressure ulcer that has a black, hardened surface and a
light-pink wound bed with a malodorous green drainage. Which dressing is best for the nurse to
use first?
A. Hydrogel.
B. Exudate absorber.
C. Wet to moist dressing.
D. Transparent adhesive film. - Answer>>> C
3. Which action should the nurse implement when using the confrontation technique during a
vision exam?
a. Use an ophthalmoscope to watch the client's pupil constrict when a strong light is shown on it.
b. Stand behind the client and direct the client to tell the nurse when an object enters the
peripheral field of vision.
c. Show the client a series of four cards with printing of varying sizes and ask which card the
client sees most clearly.
d. Sit facing the client and while look directly at the client's face, move an object inward from the
periphery. - Answer>>> D
4. A male client is on contact precautions due to an infected draining wound and is being
discharged home. The client lives at home with his wife and their adolescent daughter. What
discharge instruction should the nurse include for the client?
a. Use disposable plates and utensils.
b. Stay in a room with the door closed.
c. Dispose of soiled dressings in plastic bags that are securely closed.
, d. Others who are in the same room with the client should wear a mask. - Answer>>> C
5. An adult is now alert and oriented following abdominal surgery. What position is most
appropriate for the client?
A. Semi-Fowler's
B. Prone
C. Supine
D. Sim's - Answer>>> A
6. An older female client with rheumatoid arthritis is complaining of severe joint pain that is
caused by the weight of the linen on her legs. What action should the nurse implement first?
A. Apply flannel pajamas to provide warmth.
B. Administer a PRN dose of ibuprofen.
C. Perform range of motion exercises in a warm tub.
D. Drape the sheets over the footboard of the bed. - Answer>>> D
7. The charge nurse observes that a demographic screen has been left open on a hallway computer
by a nurse who is responding to a call light because the unlicensed assistive personnel(UAP) is
involved in a personal phone call. Which action should the charge nurse take first?
a) Page the unit manager to address the situation.
b) Close the demographic screen on the computer.
c) Instruct the UAP to end the phone call immediately.
d) Send a UAP into the client's room to relieve the nurse. - Answer>>> B
8. A female client informs the nurse that she uses herbal therapies to supplement her diet and
manage common ailments. What information should the nurse offer the client about general useof
herbal supplements?
a) Most herbs are toxic or carcinogenic and should be used only when proven effective.
b) There is no evidence that herbs are safe or effective as compared to conventional
supplements in maintaining health.
c) Herbs should be obtained from manufacturers with a history of quality control of their
supplements.
d) Herbal therapies may mask the symptoms of serious disease, so frequent medical evaluation
is required during use. - Answer>>> C
, 9. What intervention should the nurse include in the plan of care for a client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency?
a) Check capillary refill of toes on lower extremity with Unna's paste boot.
b) Apply dressing to wound area before applying the Unna's paste boot.
c) Wrap the leg from the knee down towards the foot.
d) Remove the Unna's paste boot q8h to assess wound healing. - Answer>>> A
10. The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the roller clamp
on the IV tubing, the alarm on the infusion pump indicates an obstruction. What action should
the nurse take first?
a) Check for a blood return.
b) Reposition the client's arm.
c) Remove the IV site dressing.
d) Flush the lock with saline. - Answer>>> B
11. A high school senior is complaining of a persistent cough and admits to smoking 10 to 15
cigarettes daily for the past year. He is convinced that he is hopelessly addicted to tobacco since he
tried unsuccessfully to quit smoking last week. Which intervention is best for the nurse to
implement?
a) Encourage the student to associate with non-smokers only while attempting to stop smoking.
b) Tell the student that he is still young and should continue to try various smoking cessation
methods.
c) Describe cigarette smoking as a habit that requires a strong will to overcome its addictiveness.
d) Provide the student with the latest research data describing the long-term effects of tobacco
use. - Answer>>> A
12. When making the bed of a client who needs a bed cradle, which action should the nurse
include?
a) Teach the client to call for help before getting out of bed.
b) Keep both the upper and lower side rails in a raised position.
c) Keep the bed in the lowest position while changing the sheets.
d) Drape the top sheet and covers loosely over the bed cradle. - Answer>>> D
, 13. A male client has a nursing diagnosis of "spiritual distress." What intervention is best for the
nurse 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. - Answer>>> D
14. An older client who is able to stand but not to ambulate receives a prescription to be
mobilized into a chair as tolerated during each day. What is the best action for the nurse to
implement when assisting the client from the bed to the chair?
a) Use a mechanical lift to transfer from the bed to a chair.
b) Place a roller board under the client who is sitting on the side of the bed and slide the client to
the chair.
c) Lift the client out of bed to the chair with another staff member using a coordinated effort on
the count of three.
d) Place a transfer belt around the client, assist to stand, and pivot to a chair that is placed at a
right angle to the bed. - Answer>>> D
15. A female client informs the nurse that she uses herbal therapies to supplement her diet and
manage common ailments. What information should the nurse offer the client about general use
of herbal supplements?
a) Most herbs are toxic or carcinogenic and should be used only when proven effective.
b) There is no evidence that herbs are safe or effective as compared to conventional
supplements in maintaining health.
c) Herbs should be obtained from manufacturers with a history of quality control of their
supplements.
d) Herbal therapies may mask the symptoms of serious disease, so frequent medical evaluation
is required during use. - Answer>>> C
15. A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this
client?
a) Help the client to accept the final stage of life.
b) Assist and support the client in establishing short-term goals.
WITH VERIFIED ANSWERS GUARANTEED PASS | RATED A+
1. A 35-year-old female client with cancer refuses to allow the nurse to insert an IV for a
scheduled chemotherapy treatment, and states that she is ready to go home to die. What
intervention should the nurse initiate?
a. Review the client's medical record for an advance directive.
b. Determine if a do-not-resuscitate prescription has been obtained.
c. Document that the client is being discharged against medical advice.
d. Evaluate the client's mental status for competence to refuse treatment. - Answer>>> D
2. A client is admitted with a stage four pressure ulcer that has a black, hardened surface and a
light-pink wound bed with a malodorous green drainage. Which dressing is best for the nurse to
use first?
A. Hydrogel.
B. Exudate absorber.
C. Wet to moist dressing.
D. Transparent adhesive film. - Answer>>> C
3. Which action should the nurse implement when using the confrontation technique during a
vision exam?
a. Use an ophthalmoscope to watch the client's pupil constrict when a strong light is shown on it.
b. Stand behind the client and direct the client to tell the nurse when an object enters the
peripheral field of vision.
c. Show the client a series of four cards with printing of varying sizes and ask which card the
client sees most clearly.
d. Sit facing the client and while look directly at the client's face, move an object inward from the
periphery. - Answer>>> D
4. A male client is on contact precautions due to an infected draining wound and is being
discharged home. The client lives at home with his wife and their adolescent daughter. What
discharge instruction should the nurse include for the client?
a. Use disposable plates and utensils.
b. Stay in a room with the door closed.
c. Dispose of soiled dressings in plastic bags that are securely closed.
, d. Others who are in the same room with the client should wear a mask. - Answer>>> C
5. An adult is now alert and oriented following abdominal surgery. What position is most
appropriate for the client?
A. Semi-Fowler's
B. Prone
C. Supine
D. Sim's - Answer>>> A
6. An older female client with rheumatoid arthritis is complaining of severe joint pain that is
caused by the weight of the linen on her legs. What action should the nurse implement first?
A. Apply flannel pajamas to provide warmth.
B. Administer a PRN dose of ibuprofen.
C. Perform range of motion exercises in a warm tub.
D. Drape the sheets over the footboard of the bed. - Answer>>> D
7. The charge nurse observes that a demographic screen has been left open on a hallway computer
by a nurse who is responding to a call light because the unlicensed assistive personnel(UAP) is
involved in a personal phone call. Which action should the charge nurse take first?
a) Page the unit manager to address the situation.
b) Close the demographic screen on the computer.
c) Instruct the UAP to end the phone call immediately.
d) Send a UAP into the client's room to relieve the nurse. - Answer>>> B
8. A female client informs the nurse that she uses herbal therapies to supplement her diet and
manage common ailments. What information should the nurse offer the client about general useof
herbal supplements?
a) Most herbs are toxic or carcinogenic and should be used only when proven effective.
b) There is no evidence that herbs are safe or effective as compared to conventional
supplements in maintaining health.
c) Herbs should be obtained from manufacturers with a history of quality control of their
supplements.
d) Herbal therapies may mask the symptoms of serious disease, so frequent medical evaluation
is required during use. - Answer>>> C
, 9. What intervention should the nurse include in the plan of care for a client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency?
a) Check capillary refill of toes on lower extremity with Unna's paste boot.
b) Apply dressing to wound area before applying the Unna's paste boot.
c) Wrap the leg from the knee down towards the foot.
d) Remove the Unna's paste boot q8h to assess wound healing. - Answer>>> A
10. The nurse is administering an intermittent infusion of an antibiotic to a client whose
intravenous (IV) access is an antecubital saline lock. After the nurse opens the roller clamp
on the IV tubing, the alarm on the infusion pump indicates an obstruction. What action should
the nurse take first?
a) Check for a blood return.
b) Reposition the client's arm.
c) Remove the IV site dressing.
d) Flush the lock with saline. - Answer>>> B
11. A high school senior is complaining of a persistent cough and admits to smoking 10 to 15
cigarettes daily for the past year. He is convinced that he is hopelessly addicted to tobacco since he
tried unsuccessfully to quit smoking last week. Which intervention is best for the nurse to
implement?
a) Encourage the student to associate with non-smokers only while attempting to stop smoking.
b) Tell the student that he is still young and should continue to try various smoking cessation
methods.
c) Describe cigarette smoking as a habit that requires a strong will to overcome its addictiveness.
d) Provide the student with the latest research data describing the long-term effects of tobacco
use. - Answer>>> A
12. When making the bed of a client who needs a bed cradle, which action should the nurse
include?
a) Teach the client to call for help before getting out of bed.
b) Keep both the upper and lower side rails in a raised position.
c) Keep the bed in the lowest position while changing the sheets.
d) Drape the top sheet and covers loosely over the bed cradle. - Answer>>> D
, 13. A male client has a nursing diagnosis of "spiritual distress." What intervention is best for the
nurse 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. - Answer>>> D
14. An older client who is able to stand but not to ambulate receives a prescription to be
mobilized into a chair as tolerated during each day. What is the best action for the nurse to
implement when assisting the client from the bed to the chair?
a) Use a mechanical lift to transfer from the bed to a chair.
b) Place a roller board under the client who is sitting on the side of the bed and slide the client to
the chair.
c) Lift the client out of bed to the chair with another staff member using a coordinated effort on
the count of three.
d) Place a transfer belt around the client, assist to stand, and pivot to a chair that is placed at a
right angle to the bed. - Answer>>> D
15. A female client informs the nurse that she uses herbal therapies to supplement her diet and
manage common ailments. What information should the nurse offer the client about general use
of herbal supplements?
a) Most herbs are toxic or carcinogenic and should be used only when proven effective.
b) There is no evidence that herbs are safe or effective as compared to conventional
supplements in maintaining health.
c) Herbs should be obtained from manufacturers with a history of quality control of their
supplements.
d) Herbal therapies may mask the symptoms of serious disease, so frequent medical evaluation
is required during use. - Answer>>> C
15. A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this
client?
a) Help the client to accept the final stage of life.
b) Assist and support the client in establishing short-term goals.
