HESI FUNDAMENTALS EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
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 -
CORRECT-ANSWERSA. evaluate the client's mental status for competence to
refuse treatment
A client with chronic renal disease is admitted to the hospital for evaluation
prior to a surgical procedure. Which laboratory test indicated the client's
protein status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin - CORRECT-ANSWERSD. serum albumin
What client statement indicates to the nurse that the client requires
assistance with bathing?
,A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital" - CORRECT-
ANSWERSC. "I don't understand why I'm so weak and tired"
How should a nurse handle linens that are soiled with incontinent feces?
A. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper
B. put the soiled linens in an isolation bag, then place it in the dirty linen
hamper
C. Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room
D. place an isolation hamper in the client's room and discard the linens in it -
CORRECT-ANSWERSD. place an isolation hamper in the client's room and
discard the linens in it
When caring for an immobile client, what nursing diagnosis has the highest
priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity - CORRECT-ANSWERSB. impaired gas
exchange
, The nurse assess an immobile, elderly male client and determines that his
blood pressure is 138/60, his temperature is 95.8F, and his output is 100 mL
of concentrated urine during the last hour. He has wet-sounding lung sounds,
and increased respiratory secretions. Based on these assessment findings,
what nursing action is the most important for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription - CORRECT-ANSWERSC.
turn the patient Q2
The home health nurse visits an elderly female client who had a brain attack
three months ago and is now able to ambulate with the assistance of a quad
cane. Which assessment finding has the greatest implications for this client's
case?
A. The client's pulse rate is 10 beats higher than it was at the last visit one
week ago
B. the client tells the nurse that she does not have much of an appetite
today
C. the husband, who is the caregiver, begins to weep when you ask how he is
doing
D. the nurse notes that there are numerous scatter rubs throughout the
house - CORRECT-ANSWERSD. the nurse notes that there are numerous
scatter rubs throughout the house
CORRECT QUESTIONS AND ANSWERS
2025
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 -
CORRECT-ANSWERSA. evaluate the client's mental status for competence to
refuse treatment
A client with chronic renal disease is admitted to the hospital for evaluation
prior to a surgical procedure. Which laboratory test indicated the client's
protein status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin - CORRECT-ANSWERSD. serum albumin
What client statement indicates to the nurse that the client requires
assistance with bathing?
,A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital" - CORRECT-
ANSWERSC. "I don't understand why I'm so weak and tired"
How should a nurse handle linens that are soiled with incontinent feces?
A. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper
B. put the soiled linens in an isolation bag, then place it in the dirty linen
hamper
C. Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room
D. place an isolation hamper in the client's room and discard the linens in it -
CORRECT-ANSWERSD. place an isolation hamper in the client's room and
discard the linens in it
When caring for an immobile client, what nursing diagnosis has the highest
priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity - CORRECT-ANSWERSB. impaired gas
exchange
, The nurse assess an immobile, elderly male client and determines that his
blood pressure is 138/60, his temperature is 95.8F, and his output is 100 mL
of concentrated urine during the last hour. He has wet-sounding lung sounds,
and increased respiratory secretions. Based on these assessment findings,
what nursing action is the most important for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription - CORRECT-ANSWERSC.
turn the patient Q2
The home health nurse visits an elderly female client who had a brain attack
three months ago and is now able to ambulate with the assistance of a quad
cane. Which assessment finding has the greatest implications for this client's
case?
A. The client's pulse rate is 10 beats higher than it was at the last visit one
week ago
B. the client tells the nurse that she does not have much of an appetite
today
C. the husband, who is the caregiver, begins to weep when you ask how he is
doing
D. the nurse notes that there are numerous scatter rubs throughout the
house - CORRECT-ANSWERSD. the nurse notes that there are numerous
scatter rubs throughout the house
