HESI Fundamentals Exam Questions With Accurate Answers 100%
Guarantee Pass 2026/2027
1. Why is it crucial to identify who is legally empowered to make decisions for a
client discontinuing dialysis?
It facilitates the referral to hospice care.
It ensures that the client's wishes are respected and that decisions
are made by the appropriate individual.
It helps in assessing the client's current health status.
It allows for a review of the client's medical history.
2. In a scenario where a 6-year-old child is anxious about an upcoming surgery
and asks similar questions about pain, how should the nurse adapt their
response based on the child's age and understanding?
The nurse should explain that some discomfort is normal but
emphasize that there will be medication to help manage it.
The nurse should focus solely on the benefits of the surgery without
mentioning pain.
The nurse should avoid discussing pain to prevent further anxiety.
The nurse should tell the child that surgery is completely painless.
3. What is the purpose of applying a dressing to a wound area before using an
Unna's paste boot?
To reduce swelling in the lower extremity.
To protect the wound and promote healing.
To allow for better circulation in the leg.
To prevent infection by applying antiseptic.
,4. A 35 year old female client refuses to allow the nurse to insert an IV for a
scheduled chemotherapy treatment. The patient states she is ready to go
home and die. What intervention should the nurse initiate?
Determine if the client is competent to refuse medical treatment.
Document that the client is being discharged against medical advice.
Review the medical record for an advanced directive.
Determine if the physician has written a DNR.
5. What dietary intervention can help promote bowel elimination in a
postoperative client?
Suggest the client to avoid fiber-rich foods.
Advise the client to eat more red meat.
Encourage the client to drink milk before meals.
Provide warm prune juice before the client goes to bed at night.
6. Why is it important for the nurse to witness the client's signature on the
consent form?
It is a legal requirement that protects the healthcare provider.
It ensures that the client has understood the procedure and agrees
to it.
It allows the nurse to take responsibility for the procedure.
It confirms that the client has already discussed the procedure with
the provider.
7. What is the recommended technique for lifting heavy objects to prevent
injury?
, Lift with your back straight
Use only your arms to lift
Bend at the knees when lifting heavy objects
Twist your body while lifting
8. Why is 'impaired gas exchange' considered a higher priority nursing diagnosis
for an immobile client compared to other diagnoses?
Tissue perfusion is not significantly impacted by immobility.
Fluid volume deficit is more common in immobile clients than gas
exchange issues.
Immobility primarily affects skin integrity, thus making it a higher
priority.
Immobility can lead to respiratory complications, making impaired
gas exchange a critical concern.
9. A nurse is changing bed linens for a client who is on bed rest. Which action
should the nurse take?
Place the soiled linens on the chair while making the bed.
Shake the clean linens to unfold.
Place the linens on the floor until able to place them in a linen bag.
Hold the linens away from the body and clothing.
10. Discuss why the 55-year-old woman with chronic low back pain might
tolerate pain differently compared to the other clients.
Younger individuals always have a lower pain tolerance.
Pain tolerance is solely determined by age.
, Chronic pain can lead to increased pain tolerance due to the
body's adaptation to ongoing discomfort.
Acute pain is always more intense than chronic pain.
11. Why is it important for a nurse to assess a client's mental status when they
refuse treatment?
To ensure the client is competent to make informed decisions about
their care
To prepare for the client's discharge against medical advice
To determine if the client has a legal document regarding their
treatment preferences
To check if the client has a DNR order in place
12. Discuss the significance of ambulation assistance for a client recovering from
a brain attack.
Ambulation assistance is crucial for promoting independence and
preventing falls in clients recovering from a brain attack.
Ambulation assistance is unnecessary for clients who have fully
recovered.
Ambulation assistance is primarily for psychological support.
Ambulation assistance only serves to slow down recovery.
13. What is the primary instruction the nurse should give to the UAP regarding a
client with intractable pain during a bed bath?
Ensure the client is bathed quickly to minimize discomfort
Report any signs of drug addiction to the nurse immediately
Take measures to promote as much comfort as possible
Guarantee Pass 2026/2027
1. Why is it crucial to identify who is legally empowered to make decisions for a
client discontinuing dialysis?
It facilitates the referral to hospice care.
It ensures that the client's wishes are respected and that decisions
are made by the appropriate individual.
It helps in assessing the client's current health status.
It allows for a review of the client's medical history.
2. In a scenario where a 6-year-old child is anxious about an upcoming surgery
and asks similar questions about pain, how should the nurse adapt their
response based on the child's age and understanding?
The nurse should explain that some discomfort is normal but
emphasize that there will be medication to help manage it.
The nurse should focus solely on the benefits of the surgery without
mentioning pain.
The nurse should avoid discussing pain to prevent further anxiety.
The nurse should tell the child that surgery is completely painless.
3. What is the purpose of applying a dressing to a wound area before using an
Unna's paste boot?
To reduce swelling in the lower extremity.
To protect the wound and promote healing.
To allow for better circulation in the leg.
To prevent infection by applying antiseptic.
,4. A 35 year old female client refuses to allow the nurse to insert an IV for a
scheduled chemotherapy treatment. The patient states she is ready to go
home and die. What intervention should the nurse initiate?
Determine if the client is competent to refuse medical treatment.
Document that the client is being discharged against medical advice.
Review the medical record for an advanced directive.
Determine if the physician has written a DNR.
5. What dietary intervention can help promote bowel elimination in a
postoperative client?
Suggest the client to avoid fiber-rich foods.
Advise the client to eat more red meat.
Encourage the client to drink milk before meals.
Provide warm prune juice before the client goes to bed at night.
6. Why is it important for the nurse to witness the client's signature on the
consent form?
It is a legal requirement that protects the healthcare provider.
It ensures that the client has understood the procedure and agrees
to it.
It allows the nurse to take responsibility for the procedure.
It confirms that the client has already discussed the procedure with
the provider.
7. What is the recommended technique for lifting heavy objects to prevent
injury?
, Lift with your back straight
Use only your arms to lift
Bend at the knees when lifting heavy objects
Twist your body while lifting
8. Why is 'impaired gas exchange' considered a higher priority nursing diagnosis
for an immobile client compared to other diagnoses?
Tissue perfusion is not significantly impacted by immobility.
Fluid volume deficit is more common in immobile clients than gas
exchange issues.
Immobility primarily affects skin integrity, thus making it a higher
priority.
Immobility can lead to respiratory complications, making impaired
gas exchange a critical concern.
9. A nurse is changing bed linens for a client who is on bed rest. Which action
should the nurse take?
Place the soiled linens on the chair while making the bed.
Shake the clean linens to unfold.
Place the linens on the floor until able to place them in a linen bag.
Hold the linens away from the body and clothing.
10. Discuss why the 55-year-old woman with chronic low back pain might
tolerate pain differently compared to the other clients.
Younger individuals always have a lower pain tolerance.
Pain tolerance is solely determined by age.
, Chronic pain can lead to increased pain tolerance due to the
body's adaptation to ongoing discomfort.
Acute pain is always more intense than chronic pain.
11. Why is it important for a nurse to assess a client's mental status when they
refuse treatment?
To ensure the client is competent to make informed decisions about
their care
To prepare for the client's discharge against medical advice
To determine if the client has a legal document regarding their
treatment preferences
To check if the client has a DNR order in place
12. Discuss the significance of ambulation assistance for a client recovering from
a brain attack.
Ambulation assistance is crucial for promoting independence and
preventing falls in clients recovering from a brain attack.
Ambulation assistance is unnecessary for clients who have fully
recovered.
Ambulation assistance is primarily for psychological support.
Ambulation assistance only serves to slow down recovery.
13. What is the primary instruction the nurse should give to the UAP regarding a
client with intractable pain during a bed bath?
Ensure the client is bathed quickly to minimize discomfort
Report any signs of drug addiction to the nurse immediately
Take measures to promote as much comfort as possible
