HESI FUNDAMENTALS HERZING
UNIVERSITY HESI FUNDAMENTALS EXAM
TEST BANK 2026 UPDATED QUESTIONS
AND ANSWERS GRADED A+
⩥ A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
client's protein status for the longest length of time? Answer: Serum
albumin
Rationale: Serum albumin has a long half-life.
⩥ What client statement indicates to the nurse that the client requires
assistance with bathing? Answer: "I don't understand why I'm so weak &
tired."
⩥ How should the nurse handle linens that are soiled with incontinent
feces? Answer: Place the soiled linens in a pillow case & deposit them in
the dirty linen hamper
⩥ When caring for an immobile client, what nursing diagnosis has the
highest priority? Answer: Impaired gas exchange
,⩥ The nurse assesses an immobile, elderly male client & determines that
his blood pressure is 138/60, his temperature is 95.8F & his output is
100 mL of concentrated urine during the last hour. He has wet sounding
lungs & increased respiratory secretions. Based on these assessment
findings , what nursing action is most important for the nurse to
implement? Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
⩥ The home health nurse visits an elderly female client who had a brain
attack 3 months ago & is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for
this client's care? Answer: The nurse notes there are numerous scatter
rugs throughout the house
⩥ The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored drainage
seeping from the wound. What description of this finding should the
nurse include in the client's record? Answer: One-inch pressure sore
draining serous fluid
⩥ Medication is prescribed to be given QID. What schedule should the
nurse use to administer this Rx? Answer: 0800, 1200, 1600, 2000
, ⩥ 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? Answer: 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? Answer: "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? Answer: 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
UNIVERSITY HESI FUNDAMENTALS EXAM
TEST BANK 2026 UPDATED QUESTIONS
AND ANSWERS GRADED A+
⩥ A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test indicates
client's protein status for the longest length of time? Answer: Serum
albumin
Rationale: Serum albumin has a long half-life.
⩥ What client statement indicates to the nurse that the client requires
assistance with bathing? Answer: "I don't understand why I'm so weak &
tired."
⩥ How should the nurse handle linens that are soiled with incontinent
feces? Answer: Place the soiled linens in a pillow case & deposit them in
the dirty linen hamper
⩥ When caring for an immobile client, what nursing diagnosis has the
highest priority? Answer: Impaired gas exchange
,⩥ The nurse assesses an immobile, elderly male client & determines that
his blood pressure is 138/60, his temperature is 95.8F & his output is
100 mL of concentrated urine during the last hour. He has wet sounding
lungs & increased respiratory secretions. Based on these assessment
findings , what nursing action is most important for the nurse to
implement? Answer: Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent
pneumonia from occurring.
⩥ The home health nurse visits an elderly female client who had a brain
attack 3 months ago & is now able to ambulate with the assistance of a
quad cane. Which assessment finding has the greatest implications for
this client's care? Answer: The nurse notes there are numerous scatter
rugs throughout the house
⩥ The nurse removes the dressing on a client's heel that is cover a
pressure sore 1" in diameter & finds that there is straw-colored drainage
seeping from the wound. What description of this finding should the
nurse include in the client's record? Answer: One-inch pressure sore
draining serous fluid
⩥ Medication is prescribed to be given QID. What schedule should the
nurse use to administer this Rx? Answer: 0800, 1200, 1600, 2000
, ⩥ 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? Answer: 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? Answer: "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? Answer: 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
