HESI FANDEMENTER
EXIT EXAM WITH
CORRECT QUESTION
AND ANSWERS
2024/2025
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the
clients buttocks, heels, and scapula are evident on the mattress overlay. What action should the
practical nurse implement?
A. Turn the mattress overlay to the opposite side
B. No action is needed b/c this is the mechanism of action for the overlay
C. Apply a different pressure relieving device and assess its effectiveness for this client
D. Reinforce with cushions b/w the mattress and overlay where the imprints are located -
,ANSWER ✓✓✓C. Apply a different pressure relieving device and assess its effectiveness for
this client
The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client
response should the nurse evaluate to determine cyanosis in this particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be determined
C. The lips and mucus membranes of a client with dark skin are dusky in color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis - ANSWER ✓✓✓C.
The lips and mucus membranes of a client with dark skin are dusky in color
Causes of cyanosis include hypoxemia and decreased cardiac output, which provides clues to
respiratory status with changes in skin color and mucous membranes. Cyanosis, a late sign of
hypoxemia, is best observed in tissue that has superficial capillary supply, such as mucous
membranes, the conjunctiva, lips, palms, and under the tongue, which is readily visible in dark
skin
Which technique should the PN use to most accurately assess a client's baseline BP during a
routine health exam?
A. Measure the pressure in each arm while the client sits with both arms supported at heart
level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
D. Take additional measurements for readings with a 10 mm Hg difference - ANSWER ✓✓✓A.
Measure the pressure in each arm while the client sits with both arms supported at heart level
BP should be taken initially in both arms while the client is seated or supine with the arm bared,
supported, and positioned at the level of the heart
,A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO)
status. The healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid
should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ANSWER ✓✓✓C. Water
Water or ice chips are the first choices of clear fluids for rehydration by mouth
An older client who is admitted to the hospital with dehydration and electrolyte imbalance is
confused and incontinent of urine. Which action provides the best strategy for the practical
nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - ANSWER ✓✓✓D. Establish a 2-hour voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence management b/c it
provides the client who is confused an opportunity to empty the bladder which minimizes
incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the incidence of urinary
tract infections in a client with an indwelling catheter?
, A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID - ANSWER ✓✓✓C. Cleanse perineal
area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus and catheter junction
with soap and water
A male client is upset with the healthcare provider's recommendation that he should consent to
an above-knee amputation. He tells the practical nurse (PN), if they want to cut off my leg, they
should just shoot me instead. How should the PN respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER ✓✓✓A. Ask the client
how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and recreational
activities, which triggers a grieving process for the client. Determining the client's perception of
the procedure's impact on his lifestyle is therapeutic and allows the client to explore and
discuss feelings
A client with cancer who has been taking opioid analgesics for two years now requires
increased doses to obtain pain relief. he client expresses fear about becoming addicted to
these drugs. What information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction
EXIT EXAM WITH
CORRECT QUESTION
AND ANSWERS
2024/2025
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the
clients buttocks, heels, and scapula are evident on the mattress overlay. What action should the
practical nurse implement?
A. Turn the mattress overlay to the opposite side
B. No action is needed b/c this is the mechanism of action for the overlay
C. Apply a different pressure relieving device and assess its effectiveness for this client
D. Reinforce with cushions b/w the mattress and overlay where the imprints are located -
,ANSWER ✓✓✓C. Apply a different pressure relieving device and assess its effectiveness for
this client
The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client
response should the nurse evaluate to determine cyanosis in this particular client?
A. Cyanosis in a client with dark skin is seen in the sclera
B. Abnormal skin color changes in a client with dark skin cannot be determined
C. The lips and mucus membranes of a client with dark skin are dusky in color
D. Blanching the soles of the feet in a client with dark skin reveals cyanosis - ANSWER ✓✓✓C.
The lips and mucus membranes of a client with dark skin are dusky in color
Causes of cyanosis include hypoxemia and decreased cardiac output, which provides clues to
respiratory status with changes in skin color and mucous membranes. Cyanosis, a late sign of
hypoxemia, is best observed in tissue that has superficial capillary supply, such as mucous
membranes, the conjunctiva, lips, palms, and under the tongue, which is readily visible in dark
skin
Which technique should the PN use to most accurately assess a client's baseline BP during a
routine health exam?
A. Measure the pressure in each arm while the client sits with both arms supported at heart
level
B. Calculate avg BP using readings obtained in both arms
C. Obtain BP first with client lying supine and then when standing
D. Take additional measurements for readings with a 10 mm Hg difference - ANSWER ✓✓✓A.
Measure the pressure in each arm while the client sits with both arms supported at heart level
BP should be taken initially in both arms while the client is seated or supine with the arm bared,
supported, and positioned at the level of the heart
,A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO)
status. The healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid
should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ANSWER ✓✓✓C. Water
Water or ice chips are the first choices of clear fluids for rehydration by mouth
An older client who is admitted to the hospital with dehydration and electrolyte imbalance is
confused and incontinent of urine. Which action provides the best strategy for the practical
nurse (PN) to implement for the client's incontinence?
A. Insert an indwelling urinary catheter
B. Apply absorbent incontinence pads
C. Restrict fluids after the evening meal
D. Establish a 2-hour voiding schedule - ANSWER ✓✓✓D. Establish a 2-hour voiding schedule
A 2 hour voiding schedule is the best strategy for urinary incontinence management b/c it
provides the client who is confused an opportunity to empty the bladder which minimizes
incontinence due to overfilling
Which intervention should the practical nurse (PN) implement to reduce the incidence of urinary
tract infections in a client with an indwelling catheter?
, A. Irrigate cath with sterile distilled water
B. Dilute an antiseptic solution in the perineal wash
C. Cleanse perineal area with soap and water BID and PRN
D. Apply an antibiotic ointment around urinary meatus BID - ANSWER ✓✓✓C. Cleanse perineal
area with soap and water BID and PRN
Daily perineal care BID and PRN should include cleansing of the meatus and catheter junction
with soap and water
A male client is upset with the healthcare provider's recommendation that he should consent to
an above-knee amputation. He tells the practical nurse (PN), if they want to cut off my leg, they
should just shoot me instead. How should the PN respond?
A. Ask the client how the surgery might effect his lifestyle
B. Offer to stay with the client wile he makes his decision
C. Express sympathy that there is no other choice possible
D. Explain how many others function well with a prosthesis - ANSWER ✓✓✓A. Ask the client
how the surgery might effect his lifestyle
Limb amputation alters body image and changes the client's ADLs, work, and recreational
activities, which triggers a grieving process for the client. Determining the client's perception of
the procedure's impact on his lifestyle is therapeutic and allows the client to explore and
discuss feelings
A client with cancer who has been taking opioid analgesics for two years now requires
increased doses to obtain pain relief. he client expresses fear about becoming addicted to
these drugs. What information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction
