HESI Fundamentals 2020
1. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved.
A. Number of staff induced injury
B. Client satisfaction survey
C. Health care-associated infection rate.
D. Rate of needle-stick injuries by nurse.
2. The nurse is preparing to assist a newly admitted client with personal hygiene
measures. The client...the client’s gag reflex. Which action should the nurse include?
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
3. The father of an 11-year-old boy….
inform the father that it is most important to let the son that nocturnal
emissions are normal
4. The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
E.
5. A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be most
A. Ask her how she would like to participate in the client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of
cancer
6. A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week
7. The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
8. The nurse observes unlicensed assistive personnel (UAP) who is providing a total
bed bath for a confused and lethargic client. The UAP is soaking the client’s foot in a
basin of warm water placed on the bed. What action should the nurse take?
A. Remove the basin of water from the client’s bed immediately
B. Remind the UAP to dry between the client’s toes completely
C. Advise the UAP that this procedure is damaging to the skin
D. Add skin cream to the basin of water while the foot is soaking
9. The nurse in the emergency department observes a colleague viewing the
electronic health record (EHR) of a client who holds an elected position in the
community. The client is not a part of the colleague’s assignment. Which action should
the nurse implement?
A. Communicate the colleague’s actions to the unit charge nurse
B. Send an email to facility administration reporting the action
C. Write an anonymous complaint to a professional website
1. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved.
A. Number of staff induced injury
B. Client satisfaction survey
C. Health care-associated infection rate.
D. Rate of needle-stick injuries by nurse.
2. The nurse is preparing to assist a newly admitted client with personal hygiene
measures. The client...the client’s gag reflex. Which action should the nurse include?
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
3. The father of an 11-year-old boy….
inform the father that it is most important to let the son that nocturnal
emissions are normal
4. The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
E.
5. A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be most
A. Ask her how she would like to participate in the client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of
cancer
6. A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week
7. The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
8. The nurse observes unlicensed assistive personnel (UAP) who is providing a total
bed bath for a confused and lethargic client. The UAP is soaking the client’s foot in a
basin of warm water placed on the bed. What action should the nurse take?
A. Remove the basin of water from the client’s bed immediately
B. Remind the UAP to dry between the client’s toes completely
C. Advise the UAP that this procedure is damaging to the skin
D. Add skin cream to the basin of water while the foot is soaking
9. The nurse in the emergency department observes a colleague viewing the
electronic health record (EHR) of a client who holds an elected position in the
community. The client is not a part of the colleague’s assignment. Which action should
the nurse implement?
A. Communicate the colleague’s actions to the unit charge nurse
B. Send an email to facility administration reporting the action
C. Write an anonymous complaint to a professional website
