HESI FUNDAMENTALS 2025 EXAM
HESI FUNDAMENTALS 2025 EXAM INCLUDES 200 ACCURATE AND
VERIFIED QUESTIONS COVERING FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS, PATIENT SAFETY, INFECTION
CONTROL, BASIC CARE AND COMFORT, AND COMMUNICATION
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 a chronic venous insufficiency?
A. check capillary refill of toes on lower extremity with Unna's paste boot
B. apply dressing to a wound area before applying the Unna's paste boot
C. remove the Unna's paste boot Q8H to assess wound healing
D. wrap the leg from the knee down towards to foot - ANSWER-A. check capillary refill of toes
on lower extremity with Unna's paste boot
A male client has a nursing diagnosis of "spiritual distress". What intervention is best for the
nurse to implement when caring for the client.
A. Reassurance the client that his faith will be regained with time and support
B. consult with the staff chaplain and ask that the chaplain visit with the client
C. use reflective listening techniques when the client expresses spiritual doubts
D. use distraction techniques during times of spiritual stress and crisis - ANSWER-C. use
reflective listening techniques when the client expresses spiritual doubts
A client has a nursing diagnosis of "Spiritual distress related to loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this
client?
A. instruct the client's family to focus on positive aspect of the client's life
B. assist and support the client in establishing short-term goals
C. encourage the client to make future plans, even if they are unrealistic
, HESI FUNDAMENTALS 2025 EXAM
D. help the client to accept the final stage of life - ANSWER-B. assist and support the client in
establishing short-term goals
A female nurse who sometimes tries to save time by putting medications in her uniform to
clients, confides that after arriving home she found hydrocodone (Vicodin) tablet in her pocket.
Which possible outcome of this situation should be the nurse's greatest concern?
a. accused of unprofessional conduct
b. accused of diversion
c. reported for stealing
d. reported for a HIPAA violation - ANSWER-b. accused of diversion
A signed consent form indicated a client should have an EKG, but a myelogram was performed
instead. Though the myelogram revealed the cause of the client's back pain, which was
subsequently treated, the client filed a lawsuit against the nurse and healthcare provider for
performing the incorrect procedure. The court is likely to rule in favor of the plantiff because
these events represent which infraction?
A. An unintentional tort because the client benefited from having the myelogram
B. Assault and battery with deliberate intent to deviate from the consent form
C. A quisi-intentional because a similar mistake can happen to anyone
D. failure to respect client autonomy to choose based on international tort law - ANSWER-B.
Assault and battery with deliberate intent to deviate from the consent form
A 75 year old client who has a history of end stage renal failure and advanced lung cancer,
recently had a stroke. Two days ago the healthcare provider discontinued the client's dialysis
treatments, starting the death is inevitable, but the client is discontinues and will not sign a DNR
directive.
A. review the client's most recent laboratory reports
B. determine who is legally empowered to make decisions
C. refer the client and family members for hospice
, HESI FUNDAMENTALS 2025 EXAM
D. notify the patient ethics committee of the client situation - ANSWER-B. determine who is
legally empowered to make decisions
The change nurse assigns a nursing procedure to a new staff nurse who has not previously
performed the procedure. What action is most important for the new staff nurse to take?
A. review the steps in the procedural manual
B. refuse to perform the task that is beyond the nurse's experience
C. ask another nurse to assist while implementing the procedure
D. follow the agency's policy and procedure - ANSWER-B. refuse to perform the task that is
beyond the nurse's experience
Before administering a client's medication, the nurse assesses a change in the client's condition
and decides to withhold the medication until consulting with the health care provider. After
consultation with the health care provider, the dose of the medication is changed and the nurse
administers the newly prescribed dose an hour later than the originally scheduled time. What
action should the nurse implement in response to this situation?
A. Document the events that occurred in the nurse's notes
B. notify the charge nurse that a medication error occurred
C. submit a medication valence report to the supervisor
D. discard the original medication administration record - ANSWER-A. Document the events that
occurred in the nurse's notes
On the third postoperative day following thoracic surgery, a client reports feeling constipated.
Which intervention should the nurse implement to promote bowel elimination?
A. provide warm prune juice before the client goes to bed at night
B. teach the client to splint the incision while walking to the bathroom
C. remind the client to turn every two hours while lying in bed
D. administer an analgesic before the client attempts to defecate - ANSWER-A. provide warm
prune juice before the client goes to bed at night
, HESI FUNDAMENTALS 2025 EXAM
The home health nurse visits an elderly client who lives at home with her husband. The client is
experiencing frequent episodes of diarrhea and bowel incontinence. Which problem, for which
the client is at risk, has the greatest priority when planning the client's care?
A. fluid volume imbalance
B. impaired skin integrity
C. caregiver role strain
D. disturbed sleep pattern - ANSWER-A. fluid volume imbalance
A nurse observes a student nurse taking a copy of a client's medication administration record.
When questioned, the student states, "Another student is scheduled to administer medications
for this client tomorrow, so I am going to make a copy to help my friend prepare for tomorrow's
clinical". What response should the nurse provide first?
A. Ask the nursing supervisor to meet with the students
B. Ask the client if permission was obtained from the client
C. explain the records are hospital property and may not be removed
D. notify the student's clinical instructor of the situation - ANSWER-C. explain the records are
hospital property and may not be removed
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 and die. What intervention
should the nurse initiate?
A. evaluate the client's mental status for competence to refuse treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice - ANSWER-A. evaluate
the client's mental status for competence to refuse treatment
HESI FUNDAMENTALS 2025 EXAM INCLUDES 200 ACCURATE AND
VERIFIED QUESTIONS COVERING FOUNDATIONAL NURSING CONCEPTS
SUCH AS THE NURSING PROCESS, PATIENT SAFETY, INFECTION
CONTROL, BASIC CARE AND COMFORT, AND COMMUNICATION
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 a chronic venous insufficiency?
A. check capillary refill of toes on lower extremity with Unna's paste boot
B. apply dressing to a wound area before applying the Unna's paste boot
C. remove the Unna's paste boot Q8H to assess wound healing
D. wrap the leg from the knee down towards to foot - ANSWER-A. check capillary refill of toes
on lower extremity with Unna's paste boot
A male client has a nursing diagnosis of "spiritual distress". What intervention is best for the
nurse to implement when caring for the client.
A. Reassurance the client that his faith will be regained with time and support
B. consult with the staff chaplain and ask that the chaplain visit with the client
C. use reflective listening techniques when the client expresses spiritual doubts
D. use distraction techniques during times of spiritual stress and crisis - ANSWER-C. use
reflective listening techniques when the client expresses spiritual doubts
A client has a nursing diagnosis of "Spiritual distress related to loss of hope, secondary to
impending death." What intervention is best for the nurse to implement when caring for this
client?
A. instruct the client's family to focus on positive aspect of the client's life
B. assist and support the client in establishing short-term goals
C. encourage the client to make future plans, even if they are unrealistic
, HESI FUNDAMENTALS 2025 EXAM
D. help the client to accept the final stage of life - ANSWER-B. assist and support the client in
establishing short-term goals
A female nurse who sometimes tries to save time by putting medications in her uniform to
clients, confides that after arriving home she found hydrocodone (Vicodin) tablet in her pocket.
Which possible outcome of this situation should be the nurse's greatest concern?
a. accused of unprofessional conduct
b. accused of diversion
c. reported for stealing
d. reported for a HIPAA violation - ANSWER-b. accused of diversion
A signed consent form indicated a client should have an EKG, but a myelogram was performed
instead. Though the myelogram revealed the cause of the client's back pain, which was
subsequently treated, the client filed a lawsuit against the nurse and healthcare provider for
performing the incorrect procedure. The court is likely to rule in favor of the plantiff because
these events represent which infraction?
A. An unintentional tort because the client benefited from having the myelogram
B. Assault and battery with deliberate intent to deviate from the consent form
C. A quisi-intentional because a similar mistake can happen to anyone
D. failure to respect client autonomy to choose based on international tort law - ANSWER-B.
Assault and battery with deliberate intent to deviate from the consent form
A 75 year old client who has a history of end stage renal failure and advanced lung cancer,
recently had a stroke. Two days ago the healthcare provider discontinued the client's dialysis
treatments, starting the death is inevitable, but the client is discontinues and will not sign a DNR
directive.
A. review the client's most recent laboratory reports
B. determine who is legally empowered to make decisions
C. refer the client and family members for hospice
, HESI FUNDAMENTALS 2025 EXAM
D. notify the patient ethics committee of the client situation - ANSWER-B. determine who is
legally empowered to make decisions
The change nurse assigns a nursing procedure to a new staff nurse who has not previously
performed the procedure. What action is most important for the new staff nurse to take?
A. review the steps in the procedural manual
B. refuse to perform the task that is beyond the nurse's experience
C. ask another nurse to assist while implementing the procedure
D. follow the agency's policy and procedure - ANSWER-B. refuse to perform the task that is
beyond the nurse's experience
Before administering a client's medication, the nurse assesses a change in the client's condition
and decides to withhold the medication until consulting with the health care provider. After
consultation with the health care provider, the dose of the medication is changed and the nurse
administers the newly prescribed dose an hour later than the originally scheduled time. What
action should the nurse implement in response to this situation?
A. Document the events that occurred in the nurse's notes
B. notify the charge nurse that a medication error occurred
C. submit a medication valence report to the supervisor
D. discard the original medication administration record - ANSWER-A. Document the events that
occurred in the nurse's notes
On the third postoperative day following thoracic surgery, a client reports feeling constipated.
Which intervention should the nurse implement to promote bowel elimination?
A. provide warm prune juice before the client goes to bed at night
B. teach the client to splint the incision while walking to the bathroom
C. remind the client to turn every two hours while lying in bed
D. administer an analgesic before the client attempts to defecate - ANSWER-A. provide warm
prune juice before the client goes to bed at night
, HESI FUNDAMENTALS 2025 EXAM
The home health nurse visits an elderly client who lives at home with her husband. The client is
experiencing frequent episodes of diarrhea and bowel incontinence. Which problem, for which
the client is at risk, has the greatest priority when planning the client's care?
A. fluid volume imbalance
B. impaired skin integrity
C. caregiver role strain
D. disturbed sleep pattern - ANSWER-A. fluid volume imbalance
A nurse observes a student nurse taking a copy of a client's medication administration record.
When questioned, the student states, "Another student is scheduled to administer medications
for this client tomorrow, so I am going to make a copy to help my friend prepare for tomorrow's
clinical". What response should the nurse provide first?
A. Ask the nursing supervisor to meet with the students
B. Ask the client if permission was obtained from the client
C. explain the records are hospital property and may not be removed
D. notify the student's clinical instructor of the situation - ANSWER-C. explain the records are
hospital property and may not be removed
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 and die. What intervention
should the nurse initiate?
A. evaluate the client's mental status for competence to refuse treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice - ANSWER-A. evaluate
the client's mental status for competence to refuse treatment
