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HESI FUNDAMENTALS
• A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infectionrate.
d. Rate of needle-stick injuries bynurse.
• A male client presents to the clinics stating that he has a high stress job and is
having difficulty falling asleep at night. .The client reports having a constant
headache and is seeking medication to help the sleep. Which intervention
should the nurse implement?
a. Determine the client’s sleep and activity pattern
b. Obtain prescription for client to take when stressed
c. Refer client for a sleep study and neurological follow-up
d. Teach coping strategies to use when feeling stressed
• The nurse is teaching a client about use of the syringes and needles for home
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administration of medications. Which action by the client indicates an
understanding of standard precaution?
a. Remove needle before discarding used syringes
b. Wear gloves to dispose of the needle and syringe
c. Done a face mask before administering the medication
d. Washes hands before handling the needle and syringe
• While interviewing a client, the nurse records the assessment in the electronic
health record. Which statement is most accurate regarding electronic
documentation during an interview?
a. The client’s comfort level is increased when the nurse breaks
eye contact to type notes into the record
b. The interview process is enhanced with electronic
documentation and allows the client to speak at a normal pace
c. The nurse has limited ability to observe nonverbal
communication while entering the assessment electronically
d. Completing the electronic record during an interview is a
legal obligation of the examining nurse
• The nurse observes an UAP positioning a newly admitted client who has a
seizure disorder. The client is supine and the UAP is placing soft pillows along
the side rails. Which action should the nurse implement?
a. Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows
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b. Ensure that the UAP has placed pillows effectively to protect
the client
c. Ask the UAP to use some pillows to prop the client in a side-
lying position
d. Assume responsibility for placing the pillows while the UAP
complete another task
• The nurse is preparing to assist a newly admitted client with personal hygiene
measures. The client...the client’s gag reflex. Which action should the nurse
include?
A. Offer smalls sips of water through astraw
B. Place tongue blade on back half oftongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
• The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection
container
D. Discard the contents of the urinal
• A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be
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HESI FUNDAMENTALS
• A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infectionrate.
d. Rate of needle-stick injuries bynurse.
• A male client presents to the clinics stating that he has a high stress job and is
having difficulty falling asleep at night. .The client reports having a constant
headache and is seeking medication to help the sleep. Which intervention
should the nurse implement?
a. Determine the client’s sleep and activity pattern
b. Obtain prescription for client to take when stressed
c. Refer client for a sleep study and neurological follow-up
d. Teach coping strategies to use when feeling stressed
• The nurse is teaching a client about use of the syringes and needles for home
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administration of medications. Which action by the client indicates an
understanding of standard precaution?
a. Remove needle before discarding used syringes
b. Wear gloves to dispose of the needle and syringe
c. Done a face mask before administering the medication
d. Washes hands before handling the needle and syringe
• While interviewing a client, the nurse records the assessment in the electronic
health record. Which statement is most accurate regarding electronic
documentation during an interview?
a. The client’s comfort level is increased when the nurse breaks
eye contact to type notes into the record
b. The interview process is enhanced with electronic
documentation and allows the client to speak at a normal pace
c. The nurse has limited ability to observe nonverbal
communication while entering the assessment electronically
d. Completing the electronic record during an interview is a
legal obligation of the examining nurse
• The nurse observes an UAP positioning a newly admitted client who has a
seizure disorder. The client is supine and the UAP is placing soft pillows along
the side rails. Which action should the nurse implement?
a. Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows
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b. Ensure that the UAP has placed pillows effectively to protect
the client
c. Ask the UAP to use some pillows to prop the client in a side-
lying position
d. Assume responsibility for placing the pillows while the UAP
complete another task
• The nurse is preparing to assist a newly admitted client with personal hygiene
measures. The client...the client’s gag reflex. Which action should the nurse
include?
A. Offer smalls sips of water through astraw
B. Place tongue blade on back half oftongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
• The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection
container
D. Discard the contents of the urinal
• A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be
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