HESI Fundamentals Practice Test B
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1. 1.What is the rationale for using the nursing process in planning care for
clients?
A. As a scientific process to identify nursing diagnoses of a clients' healthcare
problems.
B. To establish nursing theory that incorporates the biopsychosocial nature of
humans.
C. As a tool to organize thinking and clinical decision making about clients'
healthcare needs.
D. To promote the management of client care in collaboration with other
healthcare professionals.: C (The nursing process is a problem-solving approach that provides an orga-
nized, systematic, decision making process to effectively address the client's needs and problems. The nursing process
includes an organized framework using knowledge, judgments, and actions by the nurse as the client's plan of care is
determined, and encompasses assessment, analysis, planning, implementation, and evaluation of client care (C). (A,
B, and D) do not support the basis for using the nursing process.
Correct Answer: C)
2. 2.What activity should the nurse use in the evaluation phase of the nursing
process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been alleviated.
D. Examine the effectiveness of nursing interventions toward meeting client
outcomes.: In the nursing process, the evaluation component examines the effectiveness of nursing interventions
in achieving client outcomes (D). (A) is an evaluation of client satisfaction, not outcomes. (B) is a written record of the
plan of care. Although (C) may occur when client outcomes are achieved, evaluation is best determined by attainment
of measurable client outcomes.
Correct Answer: D
3. 3.Which statement is an example of a correctly written nursing diagnosis
statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract infection.
C. Risk for impaired tissue integrity related to client's refusal to turn.
D. Ineffective coping related to response to positive biopsy test results.: The first
, HESI Fundamentals Practice Test B
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part of the nursing diagnosis statement is the diagnostic label and is followed by related to the cause, which should
direct the nurse to the appropriate interventions. (D) best fits this criteria. (A and B) contain a medical diagnosis. (C)
includes an observable cause, but (D) focuses on the client's response, which the nurse can provide support, reflection,
and dialogue.
Correct Answer: D
4. 4.What action by the nurse demonstrates culturally sensitive care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care and cultural folk
remedies.
D. Applies knowledge of a cultural group unless a client embraces Western
customs.: Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it
is strictly forbidden. So asking permission before touching a client (A) demonstrates culturally sensitive care. (B, C, and
D) do not demonstrate cultural awareness.
Correct Answer: A
5. 5.A nurse is becoming increasingly frustrated by the family members' efforts
to participate in the care of a hospitalized client. What action should the nurse
implement to cope with these feelings of frustration?
A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the
client.: Acknowledging a client's beliefs and customs related to sickness and health care are valuable components
in the plan of care that prevents conflict between the goals of nursing and the client's cultural practices. Cultural
sensitivity begins with examining one's own cultural values (B) to compare, recognize, and acknowledge cultural bias.
(A and C) do not consider the family's needs to care for the client and are not the best ways to cope with the nurse's
frustration. Although (D) may be an option, examining one's cultural differences allows the nurse to cope, empathize,
and implement culturally specific interventions pertaining to the needs of the client and the family.
Correct Answer: B
6. 6.Which technique is most important for the nurse to implement when per-
forming a physical assessment?
A. A head-to-toe approach.
, HESI Fundamentals Practice Test B
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B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model.: The most important factor in performing a physical
assessment is following a consistent and systematic technique (C) each time an assessment is performed to minimize
variation in sequence which may increase the likelihood of omitting a step or exam of an isolated area. The method of
completing a physical assessment (A, B, and D) may be at the discretion of the examiner, but a consistent sequence by
the examiner provides a reliable method to ensure thorough review of the clients' history, complaints, or body systems.
Correct Answer: C
7. 7.A 73-year-old Hispanic client is seen at the community health clinic with
a history of protein malnutrition. What information should the nurse obtain
first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client.: A client's dietary habits should be
determined first by the client's dietary recall (B) before suggesting protein sources or supplements (A and C) as options
in the client's diet. Although grains and legumes (D) contain incomplete proteins that reduces the essential amino acid
pools inside the cells, the client's cultural preferences should be illicited after confirming the client's dietary history.
Correct Answer: B
8. 8.The nurse formulates the nursing diagnosis of, "Ineffective health mainte-
nance related to lack of motivation" for a client with Type 2 diabetes. Which
finding supports this nursing diagnosis?
A. Does not check capillary blood glucose as directed.
B. Occasionally forgets to take daily prescribed medication.
C. Cannot identify signs or symptoms of high and low blood glucose.
D. Eats anything and does not think diet makes a difference in health.: The nursing
diagnosis of ineffective health maintenance refers to an inability to identify, manage, and/or seek out help to maintain
health, and is best exemplified in the client belief or understanding about diet and health maintenance (D). (A) indicates
noncompliance with an action to be done in the management of diabetes. (B) represents inattentiveness. (C) reflects
knowledge deficit.
Correct Answer: D
, HESI Fundamentals Practice Test B
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9. 9.Which statement correctly identifies a written learning objective for a client
with peripheral vascular disease?
A. The nurse will provide client instruction for daily foot care.
B. The client will demonstrate proper trimming toenail technique.
C. Upon discharge, the client will list three ways to protect the feet from injury.
D. After instruction, the nurse will ensure the client understands foot care
rationale.: An objective should contain four elements: who will perform the activity or acquire the desired behavior,
the actual behavior that the learner will exhibit, the condition under which the behavior is to be demonstrated, and
the specific criteria to be used to measure success. (C) is a concise statement that is a learning objective that defines
exactly how the client will demonstrate mastery of the content. (A, B, and D) lack one or more of these elements.
Correct Answer: C
10. 10.A middle-aged woman who enjoys being a teacher and mentor feels
that she should pass down her legacy of knowledge and skills to the younger
generation. According to Erikson, she is involved in what developmental stage?
A. Generativity.
B. Ego integrity.
C. Identification.
D. Valuing wisdom.: Healthy middle-aged adults focus on establishing the next generation by nurturing and
guiding, which is describe by Erikson as the developmental stage of generativity (A), and is characteristic of middle
adulthood. (B, C and D) are not stages of this age group according to Erickson's psychosocial developmental theory.
Correct Answer: A
11. 11.Which statement best describes durable power of attorney for health
care?
A. The client signs a document that designates another person to make legally
binding healthcare decisions if client is unable to do so.
B. The healthcare decisions made by another person designated by the client
are not legally binding.
C. Instructions about actions to be taken in the event of a client's terminal or
irreversible condition are not legally binding.
D. Directions regarding care in the event of a terminal or irreversible condition
must be documented to ensure that they are legally binding.: The durable power of
attorney is a legal document or a form of advance directive that designates another person to voice healthcare decisions
Study online at https://quizlet.com/_1naiuu
1. 1.What is the rationale for using the nursing process in planning care for
clients?
A. As a scientific process to identify nursing diagnoses of a clients' healthcare
problems.
B. To establish nursing theory that incorporates the biopsychosocial nature of
humans.
C. As a tool to organize thinking and clinical decision making about clients'
healthcare needs.
D. To promote the management of client care in collaboration with other
healthcare professionals.: C (The nursing process is a problem-solving approach that provides an orga-
nized, systematic, decision making process to effectively address the client's needs and problems. The nursing process
includes an organized framework using knowledge, judgments, and actions by the nurse as the client's plan of care is
determined, and encompasses assessment, analysis, planning, implementation, and evaluation of client care (C). (A,
B, and D) do not support the basis for using the nursing process.
Correct Answer: C)
2. 2.What activity should the nurse use in the evaluation phase of the nursing
process?
A. Ask a client to evaluate the nursing care provided.
B. Document the nursing care plan in the progress notes.
C. Determine whether a client's health problems have been alleviated.
D. Examine the effectiveness of nursing interventions toward meeting client
outcomes.: In the nursing process, the evaluation component examines the effectiveness of nursing interventions
in achieving client outcomes (D). (A) is an evaluation of client satisfaction, not outcomes. (B) is a written record of the
plan of care. Although (C) may occur when client outcomes are achieved, evaluation is best determined by attainment
of measurable client outcomes.
Correct Answer: D
3. 3.Which statement is an example of a correctly written nursing diagnosis
statement?
A. Altered tissue perfusion related to congestive heart failure.
B. Altered urinary elimination related to urinary tract infection.
C. Risk for impaired tissue integrity related to client's refusal to turn.
D. Ineffective coping related to response to positive biopsy test results.: The first
, HESI Fundamentals Practice Test B
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part of the nursing diagnosis statement is the diagnostic label and is followed by related to the cause, which should
direct the nurse to the appropriate interventions. (D) best fits this criteria. (A and B) contain a medical diagnosis. (C)
includes an observable cause, but (D) focuses on the client's response, which the nurse can provide support, reflection,
and dialogue.
Correct Answer: D
4. 4.What action by the nurse demonstrates culturally sensitive care?
A. Asks permission before touching a client.
B. Avoids questions about male-female relationships.
C. Explains the differences between Western medical care and cultural folk
remedies.
D. Applies knowledge of a cultural group unless a client embraces Western
customs.: Physical contact, such as touching the head, in some cultures is a sign of respect, whereas in others, it
is strictly forbidden. So asking permission before touching a client (A) demonstrates culturally sensitive care. (B, C, and
D) do not demonstrate cultural awareness.
Correct Answer: A
5. 5.A nurse is becoming increasingly frustrated by the family members' efforts
to participate in the care of a hospitalized client. What action should the nurse
implement to cope with these feelings of frustration?
A. Suggest that other cultural practices be substituted by the family members.
B. Examine one's own culturally based values, beliefs, attitudes, and practices.
C. Explain to the family that multiple visitors are exhausting to the client.
D. Allow the situation to continue until a family member's action may harm the
client.: Acknowledging a client's beliefs and customs related to sickness and health care are valuable components
in the plan of care that prevents conflict between the goals of nursing and the client's cultural practices. Cultural
sensitivity begins with examining one's own cultural values (B) to compare, recognize, and acknowledge cultural bias.
(A and C) do not consider the family's needs to care for the client and are not the best ways to cope with the nurse's
frustration. Although (D) may be an option, examining one's cultural differences allows the nurse to cope, empathize,
and implement culturally specific interventions pertaining to the needs of the client and the family.
Correct Answer: B
6. 6.Which technique is most important for the nurse to implement when per-
forming a physical assessment?
A. A head-to-toe approach.
, HESI Fundamentals Practice Test B
Study online at https://quizlet.com/_1naiuu
B. The medical systems model.
C. A consistent, systematic approach.
D. An approach related to a nursing model.: The most important factor in performing a physical
assessment is following a consistent and systematic technique (C) each time an assessment is performed to minimize
variation in sequence which may increase the likelihood of omitting a step or exam of an isolated area. The method of
completing a physical assessment (A, B, and D) may be at the discretion of the examiner, but a consistent sequence by
the examiner provides a reliable method to ensure thorough review of the clients' history, complaints, or body systems.
Correct Answer: C
7. 7.A 73-year-old Hispanic client is seen at the community health clinic with
a history of protein malnutrition. What information should the nurse obtain
first?
A. Amount of liquid protein supplements consumed daily.
B. Foods and liquids consumed during the past 24 hours.
C. Usual weekly intake of milk products and red meats.
D. Grains and legume combinations used by the client.: A client's dietary habits should be
determined first by the client's dietary recall (B) before suggesting protein sources or supplements (A and C) as options
in the client's diet. Although grains and legumes (D) contain incomplete proteins that reduces the essential amino acid
pools inside the cells, the client's cultural preferences should be illicited after confirming the client's dietary history.
Correct Answer: B
8. 8.The nurse formulates the nursing diagnosis of, "Ineffective health mainte-
nance related to lack of motivation" for a client with Type 2 diabetes. Which
finding supports this nursing diagnosis?
A. Does not check capillary blood glucose as directed.
B. Occasionally forgets to take daily prescribed medication.
C. Cannot identify signs or symptoms of high and low blood glucose.
D. Eats anything and does not think diet makes a difference in health.: The nursing
diagnosis of ineffective health maintenance refers to an inability to identify, manage, and/or seek out help to maintain
health, and is best exemplified in the client belief or understanding about diet and health maintenance (D). (A) indicates
noncompliance with an action to be done in the management of diabetes. (B) represents inattentiveness. (C) reflects
knowledge deficit.
Correct Answer: D
, HESI Fundamentals Practice Test B
Study online at https://quizlet.com/_1naiuu
9. 9.Which statement correctly identifies a written learning objective for a client
with peripheral vascular disease?
A. The nurse will provide client instruction for daily foot care.
B. The client will demonstrate proper trimming toenail technique.
C. Upon discharge, the client will list three ways to protect the feet from injury.
D. After instruction, the nurse will ensure the client understands foot care
rationale.: An objective should contain four elements: who will perform the activity or acquire the desired behavior,
the actual behavior that the learner will exhibit, the condition under which the behavior is to be demonstrated, and
the specific criteria to be used to measure success. (C) is a concise statement that is a learning objective that defines
exactly how the client will demonstrate mastery of the content. (A, B, and D) lack one or more of these elements.
Correct Answer: C
10. 10.A middle-aged woman who enjoys being a teacher and mentor feels
that she should pass down her legacy of knowledge and skills to the younger
generation. According to Erikson, she is involved in what developmental stage?
A. Generativity.
B. Ego integrity.
C. Identification.
D. Valuing wisdom.: Healthy middle-aged adults focus on establishing the next generation by nurturing and
guiding, which is describe by Erikson as the developmental stage of generativity (A), and is characteristic of middle
adulthood. (B, C and D) are not stages of this age group according to Erickson's psychosocial developmental theory.
Correct Answer: A
11. 11.Which statement best describes durable power of attorney for health
care?
A. The client signs a document that designates another person to make legally
binding healthcare decisions if client is unable to do so.
B. The healthcare decisions made by another person designated by the client
are not legally binding.
C. Instructions about actions to be taken in the event of a client's terminal or
irreversible condition are not legally binding.
D. Directions regarding care in the event of a terminal or irreversible condition
must be documented to ensure that they are legally binding.: The durable power of
attorney is a legal document or a form of advance directive that designates another person to voice healthcare decisions
