3/29/25, 8:21 Fundamentals HESI |
AM
FUNDAMENTALS HESI EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (15)
A 35- year- old female client with C
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.
A client with chronic renal disease is C
admitted to the hospital for evaluation
prior to a surgical procedure. Which
laboratory test indicates the client's protein
status for the longest length of time?
A. Trasnferrin
B.Prealbumin
C. Serum albumin
D.Urine urea nitrogen
What client statement indicates to the B
nurse that the client requires assistance
with bathing?
A. "I wasn't able to pack a bag before I
left for the hospital."
B."I don't understand why I'm so weak and
tired."
C. "I only bathe ever other day."
D."I left my eyeglasses at home."
How should the nurses handle linens that A
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.
1/
5
, 3/29/25, 8:21 Fundamentals HESI |
AM
When caring for an immobile client, what D
nursing diagnosis has the highest priority?
A. Risk for fluid volume deficit.
B.Impaired gas exchange.
C. Risk for impaired skin integrity.
D.Altered tissue perfusion.
The nurse assesses an immobile, elderly A
male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F,
and his output is 100 ml of
concentrated urine during the last hour.
He has wet-
sounding lung sounds, and increased
respiratory secretions. Based on these
assessment findings, what nursing action is
most important for the nurse to implement?
A. Administer a PRN
antihypertensive prescription.
B.Provide the client with an additional
blanket.
C. Encourage additional fluid intake.
The home health nurse visits an elderly B
female client who had a brain attack three
months ago and is now able to ambulate
with the assistance of a quad cane. Which
assessment finding has the greatest
implications for this client's care?
A. The husband, who is the caregiver,
begins to weep when the nurse asks
how he is doing.
B. The client tells the nurse that
she does notes that there are
numerous
C. The nurse notes that there are
numerous scatter rugs throughout the
house.
D.The client's pulse rate is 10 beats higher
than it was at the last visit one week ago.
The nurse removes the dressing on a C
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 include in the
client's record?
A. Stage 1 pressure sore draining sero-
sanguineous drainage.
B.Pressure sore at bony prominence
with exude noted.
2/
5
AM
FUNDAMENTALS HESI EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (15)
A 35- year- old female client with C
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.
A client with chronic renal disease is C
admitted to the hospital for evaluation
prior to a surgical procedure. Which
laboratory test indicates the client's protein
status for the longest length of time?
A. Trasnferrin
B.Prealbumin
C. Serum albumin
D.Urine urea nitrogen
What client statement indicates to the B
nurse that the client requires assistance
with bathing?
A. "I wasn't able to pack a bag before I
left for the hospital."
B."I don't understand why I'm so weak and
tired."
C. "I only bathe ever other day."
D."I left my eyeglasses at home."
How should the nurses handle linens that A
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.
1/
5
, 3/29/25, 8:21 Fundamentals HESI |
AM
When caring for an immobile client, what D
nursing diagnosis has the highest priority?
A. Risk for fluid volume deficit.
B.Impaired gas exchange.
C. Risk for impaired skin integrity.
D.Altered tissue perfusion.
The nurse assesses an immobile, elderly A
male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F,
and his output is 100 ml of
concentrated urine during the last hour.
He has wet-
sounding lung sounds, and increased
respiratory secretions. Based on these
assessment findings, what nursing action is
most important for the nurse to implement?
A. Administer a PRN
antihypertensive prescription.
B.Provide the client with an additional
blanket.
C. Encourage additional fluid intake.
The home health nurse visits an elderly B
female client who had a brain attack three
months ago and is now able to ambulate
with the assistance of a quad cane. Which
assessment finding has the greatest
implications for this client's care?
A. The husband, who is the caregiver,
begins to weep when the nurse asks
how he is doing.
B. The client tells the nurse that
she does notes that there are
numerous
C. The nurse notes that there are
numerous scatter rugs throughout the
house.
D.The client's pulse rate is 10 beats higher
than it was at the last visit one week ago.
The nurse removes the dressing on a C
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 include in the
client's record?
A. Stage 1 pressure sore draining sero-
sanguineous drainage.
B.Pressure sore at bony prominence
with exude noted.
2/
5
