OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of
bed. Option A can cause client injury to the skin or joint. Options C and D are
useful techniques while turning a client but have less priority in terms of safety
than use of the bed rails. - CORRECT ANSWER When turning an immobile
bedridden client without assistance, which action by the nurse best ensures
client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is not
related to decreasing the proliferation of infective organisms. Options C and D
are recommended by various burn centers as possible ways to reduce the
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
chance of infection. Option B is a proven technique to prevent infection. -
CORRECT ANSWER The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-degree) burns. What
intervention has the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
A
Rationale: Long-term protein deficiency is required to cause significantly
lowered serum albumin levels. Albumin is made by the liver only when
adequate amounts of amino acids (from protein breakdown) are available.
Albumin has a long half-life, so acute protein loss does not significantly alter
serum levels.
Option B is a serum protein with a half-life of only 8 to 10 days, so it will drop
with an acute protein deficiency. Options C and D are not clinical measures of
protein malnutrition. - CORRECT ANSWER The nurse is aware that malnutrition
is a common problem among clients served by a community health clinic for
the homeless. Which laboratory value is the most reliable indicator of chronic
protein malnutrition?
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
C
Rationale: The surgeon should be informed immediately that the permit is not
signed. It is the surgeon's responsibility to explain the procedure to the client
and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first be
explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit
is signed. - CORRECT ANSWER In completing a client's preoperative routine, the
nurse finds that the operative permit is not signed. The client begins to ask
more questions about the surgical procedure. Which action should the nurse
take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client
has questions about the surgery.
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered.
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a
threat for the development of surgical complications. The health care provider
should be informed that the client is taking these drugs. Although clients who
take birth control pills may be more susceptible to the development of
thrombi, such problems usually occur postoperatively. A client with option C or
D is at less of a surgical risk than with option B. - CORRECT ANSWER The nurse
is assessing several clients prior to surgery. Which factor in a client's history
poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
PRACTICE (2025) GRADED A+
B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of
bed. Option A can cause client injury to the skin or joint. Options C and D are
useful techniques while turning a client but have less priority in terms of safety
than use of the bed rails. - CORRECT ANSWER When turning an immobile
bedridden client without assistance, which action by the nurse best ensures
client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
B
Rationale: Careful handwashing technique is the single most effective
intervention for the prevention of contamination to all clients. Option A
reverses the hypovolemia that initially accompanies burn trauma but is not
related to decreasing the proliferation of infective organisms. Options C and D
are recommended by various burn centers as possible ways to reduce the
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
chance of infection. Option B is a proven technique to prevent infection. -
CORRECT ANSWER The nurse identifies a potential for infection in a client with
partial-thickness (second-degree) and full-thickness (third-degree) burns. What
intervention has the highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders
B. Use of careful handwashing technique
C. Application of a topical antibacterial cream
D. Limiting visitors to the client with burns
A
Rationale: Long-term protein deficiency is required to cause significantly
lowered serum albumin levels. Albumin is made by the liver only when
adequate amounts of amino acids (from protein breakdown) are available.
Albumin has a long half-life, so acute protein loss does not significantly alter
serum levels.
Option B is a serum protein with a half-life of only 8 to 10 days, so it will drop
with an acute protein deficiency. Options C and D are not clinical measures of
protein malnutrition. - CORRECT ANSWER The nurse is aware that malnutrition
is a common problem among clients served by a community health clinic for
the homeless. Which laboratory value is the most reliable indicator of chronic
protein malnutrition?
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level
C
Rationale: The surgeon should be informed immediately that the permit is not
signed. It is the surgeon's responsibility to explain the procedure to the client
and obtain the client's signature on the permit.
Although the nurse can witness an operative permit, the procedure must first be
explained by the health care provider or surgeon, including answering the
client's questions. The client's questions should be addressed before the permit
is signed. - CORRECT ANSWER In completing a client's preoperative routine, the
nurse finds that the operative permit is not signed. The client begins to ask
more questions about the surgical procedure. Which action should the nurse
take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client
has questions about the surgery.
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
, OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered.
B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which can pose a
threat for the development of surgical complications. The health care provider
should be informed that the client is taking these drugs. Although clients who
take birth control pills may be more susceptible to the development of
thrombi, such problems usually occur postoperatively. A client with option C or
D is at less of a surgical risk than with option B. - CORRECT ANSWER The nurse
is assessing several clients prior to surgery. Which factor in a client's history
poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months
OVER 175 EXAM PRACTICE QUESTIONS AND ANSWERS HESI FUNDAMENTALS
PRACTICE (2025) GRADED A+
