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HESI FUNDAMENTALS EXAM SPRING 2026/2027 TEST BANK
UPDATED 100% CORRECT ||JUST OUT!!!
The nurse observes an unlicensed assistive personnel (UAP)
checking a client's blood pressure with a cuff that is too small,
but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to
implement? - ANSWER-Reassess the client's blood pressure
using a larger cuff.
A Sub-Saharan African widowed immigrant woman lives with
her deceased husband's brother and his family, which includes
the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery is
recommended for this client. What is the best plan to obtain
consent for surgery for this client? - ANSWER-Tell the surgeon
that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
Which action is most important for the nurse to implement
when donning sterile gloves? - ANSWER-Keep gloved hands
above the elbows.
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A client is receiving alprazolam (Xanax) 0.75 mg PO bid for
anxiety. Alprazolam is available in 0.5 mg scored tablets. How
many tablets should the nurse administer? (Enter numeric value
only.) - ANSWER-1.5
A client's spouse is learning passive range-of-motion for the
client's contracted shoulder. The nurse observes that the
spouse is holding the client's arm above and below the elbow.
Which nursing action should the nurse implement? - ANSWER-
Acknowledge that the spouse is supporting the arm correctly.
A client receives a prescription for azithromycin (Zithro max)
500 mg PO x 3 days. Azithromycin is available as 250 mg scored
tablets. How many tablets should the nurse administer per
dose? (Enter the numerical value only.) - ANSWER-2
A young mother of three children complains of increased
anxiety during her annual physical exam. What information
should the nurse obtain first? - ANSWER-Nutritional history.
When evaluating a client's plan of care, the nurse determines
that a desired outcome was not achieved. Which action should
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the nurse implement first? - ANSWER-Note which actions were
not implemented.
A male client tells the nurse that he does not know where he is
or what year it is. What data should the nurse document that is
most accurate? - ANSWER-Is disoriented to place and time.
The nurse notices that the Hispanic parents of a toddler who
returns from surgery offer the child only the broth that comes
on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? - ANSWER-"Hot" remedies
restore balance after surgery, which is considered a "cold"
condition.
The nurse is assisting an 82-year-old client to ambulate. Which
is the center of gravity for an elderly person? - ANSWER-Upper
Torso
Which intervention is most important for the nurse to
implement for a male client who is experiencing urinary
retention? - ANSWER-Assess for bladder distention.
HESI FUNDAMENTALS EXAM SPRING 2026/2027 TEST BANK
UPDATED 100% CORRECT ||JUST OUT!!!
The nurse observes an unlicensed assistive personnel (UAP)
checking a client's blood pressure with a cuff that is too small,
but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to
implement? - ANSWER-Reassess the client's blood pressure
using a larger cuff.
A Sub-Saharan African widowed immigrant woman lives with
her deceased husband's brother and his family, which includes
the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery is
recommended for this client. What is the best plan to obtain
consent for surgery for this client? - ANSWER-Tell the surgeon
that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
Which action is most important for the nurse to implement
when donning sterile gloves? - ANSWER-Keep gloved hands
above the elbows.
,2|Page
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for
anxiety. Alprazolam is available in 0.5 mg scored tablets. How
many tablets should the nurse administer? (Enter numeric value
only.) - ANSWER-1.5
A client's spouse is learning passive range-of-motion for the
client's contracted shoulder. The nurse observes that the
spouse is holding the client's arm above and below the elbow.
Which nursing action should the nurse implement? - ANSWER-
Acknowledge that the spouse is supporting the arm correctly.
A client receives a prescription for azithromycin (Zithro max)
500 mg PO x 3 days. Azithromycin is available as 250 mg scored
tablets. How many tablets should the nurse administer per
dose? (Enter the numerical value only.) - ANSWER-2
A young mother of three children complains of increased
anxiety during her annual physical exam. What information
should the nurse obtain first? - ANSWER-Nutritional history.
When evaluating a client's plan of care, the nurse determines
that a desired outcome was not achieved. Which action should
, 3|Page
the nurse implement first? - ANSWER-Note which actions were
not implemented.
A male client tells the nurse that he does not know where he is
or what year it is. What data should the nurse document that is
most accurate? - ANSWER-Is disoriented to place and time.
The nurse notices that the Hispanic parents of a toddler who
returns from surgery offer the child only the broth that comes
on the clear liquid tray. Other liquids, including gelatin,
popsicles, and juices, remain untouched. What explanation is
most appropriate for this behavior? - ANSWER-"Hot" remedies
restore balance after surgery, which is considered a "cold"
condition.
The nurse is assisting an 82-year-old client to ambulate. Which
is the center of gravity for an elderly person? - ANSWER-Upper
Torso
Which intervention is most important for the nurse to
implement for a male client who is experiencing urinary
retention? - ANSWER-Assess for bladder distention.
