3/29/25, 8:20
AM
HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (54)
A low-sodium, low-protein diet is Snack of potato chips, and diet soda.
prescribed for a 45-year-old client with
renal insufficiency and hypertension, who Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
gained 3 pounds in the last month. The
nurse determines that the client has been Breakfast of eggs, bacon, toast, and coffee.
noncompliant with the diet, based on
which report from the 24-hour dietary Bedtime snack of crackers and milk.
recall? (Select all that apply.)
While preparing to insert a rectal Instruct the client to take slow deep breaths and stop bearing down.
suppository in a male adult client, the
nurse observes that the client is holding During administration of a rectal suppository, the client is asked to take slow deep
his breaths through the mouth to relax the anal sphineter down
breath while bearing down. What action
should the nurse implement?
A female client who has breast cancer with Sensory pattern, area, intensity, and nature of the pain.
metastasis to the liver and spine is
admitted with constant, severe pain The components of every pain assessment should include sensory patterns, area,
despite around- the-clock use of intensity, and nature (PAIN)
oxycodone (Percodan)
and amitriptyline (Elavil) for pain control at
home. During the admission assessment,
which information is most important for the
nurse to obtain?
The client signs a document that designates another person to make legally binding
healthcare decisions if client is unable to do so.
Which statement best describes durable
power of attorney for health care? The durable power of attorney is a legal document or a form of advance directive
that designates another person to voice healthcare decisions when the client is
unable to do so.
A client provides the nurse with information Elicit specific facts about past hospitalizations with direct questions.
about the reason for seeking care. The
nurse realizes that some information about Direct questions should be used after the client's opening narrative to fill in any
past hospitalizations is missing. How should details that have been left out or during the review of systems to elicit specific facts
the nurse obtain this information? about past health problems.
The nurse formulates the nursing diagnosis Eats anything and does not think diet makes a difference in health.
of, "Ineffective health maintenance
related to lack of motivation" for a client The nursing diagnosis of ineffective health maintenance refers to an inability to
with Type 2 diabetes. Which finding identify, manage, and/or seek out help to maintain health, and is best exemplified in
supports this the client belief understanding about diet and health maintainance
nursing diagnosis?
What action by the nurse demonstrates Asks permission before touching a client.
culturally sensitive care? on these
implement?
1/
8
, 3/29/25, 8:20
AM
The nurse assesses an immobile, elderly Turn the client q2h.
male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F, will help to move and drain respiratory secretions and prevent pneumonia from
and his output is 100 ml of concentrated occurring, so this intervention has the highest priority. Older adults often have an
urine during the last hour. He has wet- increased BP, and a PRN antihypertensive medication is usually prescribed for a BP
sounding lung sounds, and increased over 140 systolic and 90 diastolic
respiratory secretions. Based on these
assessment findings, what nursing action is
most important for the nurse to implement?
A male client arrives at the outpatient Witness the client's signature on the consent form.
surgery center for a scheduled needle
aspiration of the knee.He tells the nurse Written informed consent is required prior to any invasive procedure. The
that he has already given verbal consent healthcare provider must explain the procedure to the client, but the nurse can
for the procedure to the healthcare witness the
provider. What action should the nurse client's signature on a consent form
implement?
The nurse is administering an intermittent Reposition the client's arm.
infusion of an antibiotic to a client
whose intravenous (IV) access is an If the client's elbow is bent, the IV may be unable to infuse, resulting in an
antecubital obstruction alarm, so the nurse should first attempt to reposition the client's arm to
saline lock. After the nurse opens the roller alleviate any obstruction
clamp on the IV tubing, the alarm on the
infusion pump indicates an obstruction.
What action should the nurse take first?
The nurse is preparing to irrigate a client's Draw up the irrigating solution into the syringe.
indwelling urinary catheter using an open
technique. What action should the nurse
take after applying gloves?
A male client with acquired Ask the client if this decision has been discussed with his healthcare provider.
immunodeficiency syndrome (AIDS)
develops cryptococcal meningitis and tells Advance directives are written statements of a person's wishes regarding medical
the nurse he does not want to be care, and verbal directives may be given to a healthcare provider with specific
resuscitated if his breathing stops. What instructions in the presence of two witnesses.
action should the nurse implement?
The nurse is caring for a client who is weak Active ROM exercises to both arms and legs two or three times a day.
from inactivity because of a 2-week
hospitalization. In planning care for Active, rather than passive, ROM is best to restore strength
the client, the nurse should include
which
range of motion (ROM) exercises?
2/
8
AM
HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (54)
A low-sodium, low-protein diet is Snack of potato chips, and diet soda.
prescribed for a 45-year-old client with
renal insufficiency and hypertension, who Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
gained 3 pounds in the last month. The
nurse determines that the client has been Breakfast of eggs, bacon, toast, and coffee.
noncompliant with the diet, based on
which report from the 24-hour dietary Bedtime snack of crackers and milk.
recall? (Select all that apply.)
While preparing to insert a rectal Instruct the client to take slow deep breaths and stop bearing down.
suppository in a male adult client, the
nurse observes that the client is holding During administration of a rectal suppository, the client is asked to take slow deep
his breaths through the mouth to relax the anal sphineter down
breath while bearing down. What action
should the nurse implement?
A female client who has breast cancer with Sensory pattern, area, intensity, and nature of the pain.
metastasis to the liver and spine is
admitted with constant, severe pain The components of every pain assessment should include sensory patterns, area,
despite around- the-clock use of intensity, and nature (PAIN)
oxycodone (Percodan)
and amitriptyline (Elavil) for pain control at
home. During the admission assessment,
which information is most important for the
nurse to obtain?
The client signs a document that designates another person to make legally binding
healthcare decisions if client is unable to do so.
Which statement best describes durable
power of attorney for health care? The durable power of attorney is a legal document or a form of advance directive
that designates another person to voice healthcare decisions when the client is
unable to do so.
A client provides the nurse with information Elicit specific facts about past hospitalizations with direct questions.
about the reason for seeking care. The
nurse realizes that some information about Direct questions should be used after the client's opening narrative to fill in any
past hospitalizations is missing. How should details that have been left out or during the review of systems to elicit specific facts
the nurse obtain this information? about past health problems.
The nurse formulates the nursing diagnosis Eats anything and does not think diet makes a difference in health.
of, "Ineffective health maintenance
related to lack of motivation" for a client The nursing diagnosis of ineffective health maintenance refers to an inability to
with Type 2 diabetes. Which finding identify, manage, and/or seek out help to maintain health, and is best exemplified in
supports this the client belief understanding about diet and health maintainance
nursing diagnosis?
What action by the nurse demonstrates Asks permission before touching a client.
culturally sensitive care? on these
implement?
1/
8
, 3/29/25, 8:20
AM
The nurse assesses an immobile, elderly Turn the client q2h.
male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F, will help to move and drain respiratory secretions and prevent pneumonia from
and his output is 100 ml of concentrated occurring, so this intervention has the highest priority. Older adults often have an
urine during the last hour. He has wet- increased BP, and a PRN antihypertensive medication is usually prescribed for a BP
sounding lung sounds, and increased over 140 systolic and 90 diastolic
respiratory secretions. Based on these
assessment findings, what nursing action is
most important for the nurse to implement?
A male client arrives at the outpatient Witness the client's signature on the consent form.
surgery center for a scheduled needle
aspiration of the knee.He tells the nurse Written informed consent is required prior to any invasive procedure. The
that he has already given verbal consent healthcare provider must explain the procedure to the client, but the nurse can
for the procedure to the healthcare witness the
provider. What action should the nurse client's signature on a consent form
implement?
The nurse is administering an intermittent Reposition the client's arm.
infusion of an antibiotic to a client
whose intravenous (IV) access is an If the client's elbow is bent, the IV may be unable to infuse, resulting in an
antecubital obstruction alarm, so the nurse should first attempt to reposition the client's arm to
saline lock. After the nurse opens the roller alleviate any obstruction
clamp on the IV tubing, the alarm on the
infusion pump indicates an obstruction.
What action should the nurse take first?
The nurse is preparing to irrigate a client's Draw up the irrigating solution into the syringe.
indwelling urinary catheter using an open
technique. What action should the nurse
take after applying gloves?
A male client with acquired Ask the client if this decision has been discussed with his healthcare provider.
immunodeficiency syndrome (AIDS)
develops cryptococcal meningitis and tells Advance directives are written statements of a person's wishes regarding medical
the nurse he does not want to be care, and verbal directives may be given to a healthcare provider with specific
resuscitated if his breathing stops. What instructions in the presence of two witnesses.
action should the nurse implement?
The nurse is caring for a client who is weak Active ROM exercises to both arms and legs two or three times a day.
from inactivity because of a 2-week
hospitalization. In planning care for Active, rather than passive, ROM is best to restore strength
the client, the nurse should include
which
range of motion (ROM) exercises?
2/
8
