HESI RN
FUNDAMENTALS
800+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 800+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,1. The nurse is discharging an adult woman who was hospitalized for
5 days for treatment of pneumonia. While the nurse is reviewing the
prescribed medications, the client appears anxious. What action is
most important for the nurse to implement?
A. Encourage client to take PRN antianxiety drug.
B. Include a family member in teaching session.
C. Provide written instructions that are easy to follow.
D. Instruct the client to repeat the medication plan.
Correct Answer: C
Rationale: It is critical that the client take the medications as prescribed to
prevent reoccurrence of infection, but discharge instructions can be
overwhelming and not fully understood or remembered. Simple written
instructions (C) are likely to enhance the client's understanding and
ultimately her compliance with the medication regimen. If they are
experiencing generalized anxiety, an anxiolytic (A) may be needed but is
not the best intervention to ensure medication regimen compliance.
Including the family (B) is not as reliable as providing written instructions.
Having the client repeat information (D) reinforces understanding but
doesn't ensure they'll remember later.
2. Which assessment finding is most significant in determining the
level of assistance a client needs with personal care?
A. 2+ pitting edema of lower extremities.
B. Red rash in groin and under breasts
C. Firm abdomen with hypoactive bowel sounds.
D: Disorientation to time, place, and person.
Correct Answer: D
Rationale: A client who is disoriented (D) requires assistance with personal
care. The nurse should further assess the amount of direction and
assistance they'll need. (A, B, C) have less impact on client's ability of self-
care than (D).
, 3. The nurse notices a male client as he moves from the bed to a
chair, but when asked about his pain he denies having any pain.
Which intervention should the nurse implement first?
A. Monitor the client's nonverbal behavior.
B. Review the pain medications prescribed.
C. Ask the client what is making him grimace.
D: Administer a PRN oral pain med.
Correct Answer: C
Rationale: Grimacing is a nonverbal sign of pain so first this sign should be
clarified (C). The nurse should continue to monitor nonverbal signs of pain
(A) is the client continues to deny pain. The pain medications should be
reviewed (B) to determine what is prescribed and then administered (D) if
the client admits to any pain or discomfort.
4. The charge nurse observes a new graduate nurse demonstrate the
administration of two different liquid medications through a
gastrostomy tube used for continuous feedings. What actions should
the charge nurse take?
A. Confirm that the nurse has determined the amount of gastric residual.
B. Advise the nurse to use the plunger when giving medications.
C. Add the liquid volumes when documenting fluid intake.
D. Instruct the nurse to administer each medication separately.
E. Encourage the nurse to flush the tube with more water.
Correct Answer: A, C, D
Rationale: (A, C, D) are correct. The amount of gastric residual volume
should be confirmed prior to administration of medications or feedings (A)
and fluid intake should be recorded (C) which includes liquid medications
and water to flush the tube before and after (D) each medication is
administered.
FUNDAMENTALS
800+ PRACTICE QUESTIONS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass the Exam with Confidence
This Document contains:
➢ 800+ Questions with Correct Answers
➢ Passing Score Guarantee
➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
, DIGITAL DOCUMENT PREVIEW
PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
If you require further clarification or in need of any study
resources, feel free to Message me.
,1. The nurse is discharging an adult woman who was hospitalized for
5 days for treatment of pneumonia. While the nurse is reviewing the
prescribed medications, the client appears anxious. What action is
most important for the nurse to implement?
A. Encourage client to take PRN antianxiety drug.
B. Include a family member in teaching session.
C. Provide written instructions that are easy to follow.
D. Instruct the client to repeat the medication plan.
Correct Answer: C
Rationale: It is critical that the client take the medications as prescribed to
prevent reoccurrence of infection, but discharge instructions can be
overwhelming and not fully understood or remembered. Simple written
instructions (C) are likely to enhance the client's understanding and
ultimately her compliance with the medication regimen. If they are
experiencing generalized anxiety, an anxiolytic (A) may be needed but is
not the best intervention to ensure medication regimen compliance.
Including the family (B) is not as reliable as providing written instructions.
Having the client repeat information (D) reinforces understanding but
doesn't ensure they'll remember later.
2. Which assessment finding is most significant in determining the
level of assistance a client needs with personal care?
A. 2+ pitting edema of lower extremities.
B. Red rash in groin and under breasts
C. Firm abdomen with hypoactive bowel sounds.
D: Disorientation to time, place, and person.
Correct Answer: D
Rationale: A client who is disoriented (D) requires assistance with personal
care. The nurse should further assess the amount of direction and
assistance they'll need. (A, B, C) have less impact on client's ability of self-
care than (D).
, 3. The nurse notices a male client as he moves from the bed to a
chair, but when asked about his pain he denies having any pain.
Which intervention should the nurse implement first?
A. Monitor the client's nonverbal behavior.
B. Review the pain medications prescribed.
C. Ask the client what is making him grimace.
D: Administer a PRN oral pain med.
Correct Answer: C
Rationale: Grimacing is a nonverbal sign of pain so first this sign should be
clarified (C). The nurse should continue to monitor nonverbal signs of pain
(A) is the client continues to deny pain. The pain medications should be
reviewed (B) to determine what is prescribed and then administered (D) if
the client admits to any pain or discomfort.
4. The charge nurse observes a new graduate nurse demonstrate the
administration of two different liquid medications through a
gastrostomy tube used for continuous feedings. What actions should
the charge nurse take?
A. Confirm that the nurse has determined the amount of gastric residual.
B. Advise the nurse to use the plunger when giving medications.
C. Add the liquid volumes when documenting fluid intake.
D. Instruct the nurse to administer each medication separately.
E. Encourage the nurse to flush the tube with more water.
Correct Answer: A, C, D
Rationale: (A, C, D) are correct. The amount of gastric residual volume
should be confirmed prior to administration of medications or feedings (A)
and fluid intake should be recorded (C) which includes liquid medications
and water to flush the tube before and after (D) each medication is
administered.
