1
HESI FUNDMENTALS BSN 225 EXAM NEWEST VERSION -
2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT GUARANTEED SUCCESS
A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a
weight gain of
30 pounds in 4 months, and the client is wearing two sweaters. The client is
diagnosed with
hypothyroidism. Which of the following nursing diagnoses is of highest priority?
A. Impaired physical mobility related to decreased endurance
B. Hypothermia r/t decreased metabolic rate
C. Disturbed thought processes r/t interstitial edema
D. Decreased cardiac output r/t bradycardia
D. Decreased cardiac output r/t bradycardia
Which situation(s) would require the nurse to obtain a focused assessment (select
all that apply)?
*NOTE: 3 types of assessment are comprehensive, focus, and urgent.
Focus on primary, secondary, and tertiary preventions
• A. A patient denying any current health problem
• B. A patient reports itching at the IV site
• C. A patient treated for a fever an hour ago
, 2
• D. A patient requiring a baseline health assessment for employment
• E. A patient with sudden left-sided weakness and slurred speech
• B. A patient reports itching at the IV site
• C. A patient treated for a fever an hour ago
The morning nurse is assigned to care for a patient admitted during the night with
rectal
bleeding. When making rounds, the nurse observes that the patient's face is
ashen in color and
the skin is cool and clammy. The nurse auscultates the patient's heart and lungs.
Which category
of physical assessment is the basis for the nurse's response?
• A. Emergency assessment
• B. Focused assessment
• C. Complete assessment
• D. Initial comprehensive
B. Focused assessment
( key: she auscultated the patients heart and lungs)
A prescription reads phenytoin 0.2 g orally twice daily. The medication label states
that each capsule is 100 mg. TheNnurse prepares how many capsule(s) to
administer 1 dose?
2
You are caring for a client who has been admitted to the
, 3
hospital with a leg ulcer that is infected with vancomycin-
resistant S. aureus (VRSA). Which of these nursing actions can you delegate to an
LPN/LVN?
A. Assess risk for further skin breakdown
B. Plan ways to improve the client's oral protein intake
C. Obtain wound cultures during dressing changes
D. Educate the client about home care of the leg ulcer
C. Obtain wound cultures during dressing changes
(LPN can NOT access or do any care planning or do any patient education. ONLY
RN can. LVN and LPN can ONLY obtain would changes)
The nurse is planning the client assignments for the day. Which is the most
appropriate assignment for an assistive personnel (AP)/nursing assistant?
• A. A client requiring a colostomy irrigation
• B. A client receiving continuous tube feedings
• C. A client who requires urine specimen collections
• D. A client with difficulty swallowing food and fluids
C. A client who requires urine specimen collections
The nurse is planning care for the patient returning from
surgery for a colon resection and ileal pouch-anal
anastomosis. Which interventions does the nurse employ to prevent surgical site
infection? Select all that apply.
, 4
A.) Perform diligent hand hygiene
B.) Hold the patient's scheduled heparin injections
C.) Administer antibiotics within one hour of returning from surgery
D.) Ensure sequential devices are in place and functional
E.) Encourage the patient to use the incentive spirometer every hour while awake
A.) Perform diligent hand hygiene
C.) Administer antibiotics within one hour of returning
A post-operative patient has not voided for 7 hours after
returning to the post-surgical unit. Initially, the nurse should:
• A. Notify the health care provider
• B. Palpate the bladder
• C. Assist the patient to ambulate to the bathroom
• D. Perform the ordered PRN straight catheterization
ANSWER: B. Palpate the bladder
Correct Order:
1st: B. Palpate the bladder
( patient might not need to use the restroom)
2nd: (if they can't pee)
C. Assist the patient to ambulate to the bathroom
HESI FUNDMENTALS BSN 225 EXAM NEWEST VERSION -
2025/2026- 100+ QUESTIONS AND VERIFIED ANSWERS 100%
CORRECT GUARANTEED SUCCESS
A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a
weight gain of
30 pounds in 4 months, and the client is wearing two sweaters. The client is
diagnosed with
hypothyroidism. Which of the following nursing diagnoses is of highest priority?
A. Impaired physical mobility related to decreased endurance
B. Hypothermia r/t decreased metabolic rate
C. Disturbed thought processes r/t interstitial edema
D. Decreased cardiac output r/t bradycardia
D. Decreased cardiac output r/t bradycardia
Which situation(s) would require the nurse to obtain a focused assessment (select
all that apply)?
*NOTE: 3 types of assessment are comprehensive, focus, and urgent.
Focus on primary, secondary, and tertiary preventions
• A. A patient denying any current health problem
• B. A patient reports itching at the IV site
• C. A patient treated for a fever an hour ago
, 2
• D. A patient requiring a baseline health assessment for employment
• E. A patient with sudden left-sided weakness and slurred speech
• B. A patient reports itching at the IV site
• C. A patient treated for a fever an hour ago
The morning nurse is assigned to care for a patient admitted during the night with
rectal
bleeding. When making rounds, the nurse observes that the patient's face is
ashen in color and
the skin is cool and clammy. The nurse auscultates the patient's heart and lungs.
Which category
of physical assessment is the basis for the nurse's response?
• A. Emergency assessment
• B. Focused assessment
• C. Complete assessment
• D. Initial comprehensive
B. Focused assessment
( key: she auscultated the patients heart and lungs)
A prescription reads phenytoin 0.2 g orally twice daily. The medication label states
that each capsule is 100 mg. TheNnurse prepares how many capsule(s) to
administer 1 dose?
2
You are caring for a client who has been admitted to the
, 3
hospital with a leg ulcer that is infected with vancomycin-
resistant S. aureus (VRSA). Which of these nursing actions can you delegate to an
LPN/LVN?
A. Assess risk for further skin breakdown
B. Plan ways to improve the client's oral protein intake
C. Obtain wound cultures during dressing changes
D. Educate the client about home care of the leg ulcer
C. Obtain wound cultures during dressing changes
(LPN can NOT access or do any care planning or do any patient education. ONLY
RN can. LVN and LPN can ONLY obtain would changes)
The nurse is planning the client assignments for the day. Which is the most
appropriate assignment for an assistive personnel (AP)/nursing assistant?
• A. A client requiring a colostomy irrigation
• B. A client receiving continuous tube feedings
• C. A client who requires urine specimen collections
• D. A client with difficulty swallowing food and fluids
C. A client who requires urine specimen collections
The nurse is planning care for the patient returning from
surgery for a colon resection and ileal pouch-anal
anastomosis. Which interventions does the nurse employ to prevent surgical site
infection? Select all that apply.
, 4
A.) Perform diligent hand hygiene
B.) Hold the patient's scheduled heparin injections
C.) Administer antibiotics within one hour of returning from surgery
D.) Ensure sequential devices are in place and functional
E.) Encourage the patient to use the incentive spirometer every hour while awake
A.) Perform diligent hand hygiene
C.) Administer antibiotics within one hour of returning
A post-operative patient has not voided for 7 hours after
returning to the post-surgical unit. Initially, the nurse should:
• A. Notify the health care provider
• B. Palpate the bladder
• C. Assist the patient to ambulate to the bathroom
• D. Perform the ordered PRN straight catheterization
ANSWER: B. Palpate the bladder
Correct Order:
1st: B. Palpate the bladder
( patient might not need to use the restroom)
2nd: (if they can't pee)
C. Assist the patient to ambulate to the bathroom
