WGU D236 HESI Fundamentals Practice Exam #1 ACTUAL
EXAM 100 QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) WITH RATIONALES/ EVOLVE HESI
FUNDAMENTALS EXAM 2026-2027 (NEWEST!)
The nurse working in the ED is assessing 4 clients' ability to tolerate
pain. Which client is likely to tolerate a higher level of pain?
1 55y/o woman who has had moderate low back pain for 3 months
Rationale: Experiences with the same type of pain that has
successfully been relieved makes it easier for the client to interpret
the pain sensation and, as a result, the client is better prepared to
take steps to relieve the pain. All other clients are having new
experiences with pain.
A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken
out?" Which response is best for the nurse to provide?
"It may hurt, but we'll give you medicine to help you feel better."
,A low-sodium, low-protein diet is prescribed for a 45y/o client with
renal insufficiency & HTN, who gained 3lbs in the last month. The
nurse
determines that the client has been noncompliant with the diet,
based on which report from the 24hr diet recall?
1. Snack of potato chips & diet soda
2. Lunch of tuna, carrots, fruit & coffee
3. Breakfast of eggs, bacon, toast & coffee
4. Bedtime snack of crackers & milk
What intervention should the nurse include in the care plan for a
client who is being treated with an Unna's paste boot for leg
ulcers due to chronic venous insufficiency?
Check capillary refill of toes on lower extremity with Unna's paste
boot Rationale: Boot becomes rigid after it dries, so it is important
to check
distally for adequate circulation. No bandage should be put under
it. Should be applied from foot & wrapped towards knee. Acts as a
sterile dressing &
should not be removed q8h. Weekly removal is reasonable.
, Male client with nursing diagnosis of "spiritual distress". What
intervention is best for the nurse to implement when caring for
this client?
Use reflective listening techniques when the client expresses
spiritual doubts.
Rationale: Client should be consulted before involving chaplain.
Client with nursing diagnosis of "Spiritual distress r/t loss of hope
secondary to impending death." What intervention is best for the
nurse to implement when caring for this client?
Assist & support the client in establishing short-term goals.
Rationale: Hopefulness is necessary to sustain a meaningful
existence, even close to death.
Nurse who puts meds in her uniform pocket to deliver to clients
confides that after arriving home, she found a hydrocodone
tablet in her pocket.
Which possible outcome of this situation should be the nurse's
greatest concern?
Accused of diversion
EXAM 100 QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) WITH RATIONALES/ EVOLVE HESI
FUNDAMENTALS EXAM 2026-2027 (NEWEST!)
The nurse working in the ED is assessing 4 clients' ability to tolerate
pain. Which client is likely to tolerate a higher level of pain?
1 55y/o woman who has had moderate low back pain for 3 months
Rationale: Experiences with the same type of pain that has
successfully been relieved makes it easier for the client to interpret
the pain sensation and, as a result, the client is better prepared to
take steps to relieve the pain. All other clients are having new
experiences with pain.
A 4y/o boy who is scheduled for a tonsillectomy & adenoidectomy
asks the nurse, "Will it hurt to have my tonsils & adenoids taken
out?" Which response is best for the nurse to provide?
"It may hurt, but we'll give you medicine to help you feel better."
,A low-sodium, low-protein diet is prescribed for a 45y/o client with
renal insufficiency & HTN, who gained 3lbs in the last month. The
nurse
determines that the client has been noncompliant with the diet,
based on which report from the 24hr diet recall?
1. Snack of potato chips & diet soda
2. Lunch of tuna, carrots, fruit & coffee
3. Breakfast of eggs, bacon, toast & coffee
4. Bedtime snack of crackers & milk
What intervention should the nurse include in the care plan for a
client who is being treated with an Unna's paste boot for leg
ulcers due to chronic venous insufficiency?
Check capillary refill of toes on lower extremity with Unna's paste
boot Rationale: Boot becomes rigid after it dries, so it is important
to check
distally for adequate circulation. No bandage should be put under
it. Should be applied from foot & wrapped towards knee. Acts as a
sterile dressing &
should not be removed q8h. Weekly removal is reasonable.
, Male client with nursing diagnosis of "spiritual distress". What
intervention is best for the nurse to implement when caring for
this client?
Use reflective listening techniques when the client expresses
spiritual doubts.
Rationale: Client should be consulted before involving chaplain.
Client with nursing diagnosis of "Spiritual distress r/t loss of hope
secondary to impending death." What intervention is best for the
nurse to implement when caring for this client?
Assist & support the client in establishing short-term goals.
Rationale: Hopefulness is necessary to sustain a meaningful
existence, even close to death.
Nurse who puts meds in her uniform pocket to deliver to clients
confides that after arriving home, she found a hydrocodone
tablet in her pocket.
Which possible outcome of this situation should be the nurse's
greatest concern?
Accused of diversion
