Hesi Fundamentals Practice Exam
HESI FUNDAMENTALS PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
An older client who is admitted to the hospital with dehydration and electrolyte
imbalance is confused and incontinent of urine. Which action provides the best
strategy for the practical nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - Correct Answer-D. Establish a 2-hour
voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to empty
the bladder which minimizes incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
1|Page
, Hesi Fundamentals Practice Exam
D. Apply an antibiotic ointment around urinary meatus BID - Correct Answer-C.
Cleanse perineal area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus and
catheter junction with soap and water
A male client is upset with the healthcare provider's recommendation that he
should consent to an above-knee amputation. He tells the practical nurse (PN), if
they want to cut off my leg, they should just shoot me instead. How should the PN
respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - Correct Answer-A.
Ask the client how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and
recreational activities, which triggers a grieving process for the client.
Determining the client's perception of the procedure's impact on his lifestyle is
therapeutic and allows the client to explore and discuss feelings
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. he client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide?
2|Page
, Hesi Fundamentals Practice Exam
A. Opioid use with cancer does not cause addiction
B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
D. Opiate dosages can be tapered is a client fears addiction - Correct Answer-C.
Prescribed opiates for cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and improve quality of life, making pain relief rather than addiction, the
primary goal
Which intervention should the practical nurse (PN) implement to help a client
cope effectively with chronic pain?
A. Administer around the clock opiate drugs
B. Give scheduled doses of benzodiazapines
C. Recommend avoiding painful activities
D. Encourage using relaxation techniques - Correct Answer-D. Encourage using
relaxation techniques
They can be an effective long-term strategy to help the client control tension,
anxiety, and cope with chronic pain
A young woman, who is the primary caregiver for her mother who has Alzheimer's
disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this
long and my Dad for dying and not caring for her." What response should the PN
offer?
3|Page
, Hesi Fundamentals Practice Exam
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry. - Correct Answer-A. What
you do to cope with these feelings?
A response that invites the client to share feelings and perceptions is the most
therapeutic communication.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that
the client keeps his eyes on the floor and does not make eye contact. How should
the PN interpret this client's behavior?
A. He is uncomfortable with violation of his personal space
B. The client is depressed and concerned about his diagnosis
C. His culture finds sustained eye contact rude and disrespectful
D. The client is reluctant to speak without a tribal shaman there - Correct Answer-
C. His culture finds sustained eye contact rude and disrespectful
Native Americans usually avoid sustained eye contact as a sign of respect
The practical nurse (PN) is caring for a client who is admitted with influenza and
vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes
4|Page
HESI FUNDAMENTALS PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
An older client who is admitted to the hospital with dehydration and electrolyte
imbalance is confused and incontinent of urine. Which action provides the best
strategy for the practical nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - Correct Answer-D. Establish a 2-hour
voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence
management b/c it provides the client who is confused an opportunity to empty
the bladder which minimizes incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the
incidence of urinary tract infections in a client with an indwelling catheter?
A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
1|Page
, Hesi Fundamentals Practice Exam
D. Apply an antibiotic ointment around urinary meatus BID - Correct Answer-C.
Cleanse perineal area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus and
catheter junction with soap and water
A male client is upset with the healthcare provider's recommendation that he
should consent to an above-knee amputation. He tells the practical nurse (PN), if
they want to cut off my leg, they should just shoot me instead. How should the PN
respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - Correct Answer-A.
Ask the client how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and
recreational activities, which triggers a grieving process for the client.
Determining the client's perception of the procedure's impact on his lifestyle is
therapeutic and allows the client to explore and discuss feelings
A client with cancer who has been taking opioid analgesics for two years now
requires increased doses to obtain pain relief. he client expresses fear about
becoming addicted to these drugs. What information should the practical nurse
(PN) provide?
2|Page
, Hesi Fundamentals Practice Exam
A. Opioid use with cancer does not cause addiction
B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
D. Opiate dosages can be tapered is a client fears addiction - Correct Answer-C.
Prescribed opiates for cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize
pain and improve quality of life, making pain relief rather than addiction, the
primary goal
Which intervention should the practical nurse (PN) implement to help a client
cope effectively with chronic pain?
A. Administer around the clock opiate drugs
B. Give scheduled doses of benzodiazapines
C. Recommend avoiding painful activities
D. Encourage using relaxation techniques - Correct Answer-D. Encourage using
relaxation techniques
They can be an effective long-term strategy to help the client control tension,
anxiety, and cope with chronic pain
A young woman, who is the primary caregiver for her mother who has Alzheimer's
disease, tells the practical nurse (PN), "Sometimes I hate my mother for living this
long and my Dad for dying and not caring for her." What response should the PN
offer?
3|Page
, Hesi Fundamentals Practice Exam
A. What you do to cope with these feelings?
B. Have you told your family how you feel?
C. It's normal feel these emotions when you are stressed.
D. Don't worry, at least you can talk about your angry. - Correct Answer-A. What
you do to cope with these feelings?
A response that invites the client to share feelings and perceptions is the most
therapeutic communication.
A male Native American client with tuberculosis is visiting a health care clinic for
follow up treatment. During the interview, the practical nurse (PN) notices that
the client keeps his eyes on the floor and does not make eye contact. How should
the PN interpret this client's behavior?
A. He is uncomfortable with violation of his personal space
B. The client is depressed and concerned about his diagnosis
C. His culture finds sustained eye contact rude and disrespectful
D. The client is reluctant to speak without a tribal shaman there - Correct Answer-
C. His culture finds sustained eye contact rude and disrespectful
Native Americans usually avoid sustained eye contact as a sign of respect
The practical nurse (PN) is caring for a client who is admitted with influenza and
vomiting for 3 days. The client's skin turgor is poor and oral mucous membranes
4|Page
