RN HESI FUNDAMENTALS VERSION 1 AND VERSION 2 (V1
& V2) ACTUAL TEST QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES A NEW UPDATED VERSIONS
2024-2025 |GUARANTEED PASS.
HESI RN FUNDAMENTALS VERSION 1 (V1)
A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been
told that it is harmful to bathe during my period."
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from
bathing.
B. Offer to give the client a bed bath, avoiding the perineal
area.
C. Obtain written brochures about menstruation to give to the
client.
D. Teach the importance of personal hygiene during
menstruation with the client
Answer- D
Rationale: Because a shower is most beneficial for the client in
terms of hygiene, the client should receive teaching first,
respecting any personal beliefs such as cultural or spiritual
,values. After client teaching, the client may still choose option
A or B. Brochures reinforce the teaching
A 65-year-old client who attends an adult daycare program and
is wheelchair-mobile has redness in the sacral area. Which
instruction is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.
Answer- B
Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor
related to the development of pressure ulcers. Increased
vitamin and fluid intake may also be beneficial and promote
healing and reduce further risk. Option D is an intervention of
last resort because this will be very expensive for the client.
,After a needle stick occurs while removing the cap from a
sterile needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately
Answer- B
Rationale: After a needle stick, the needle is considered used,
so the nurse should discard it and select another needle.
Because the needle was sterile when the nurse was stuck and
the needle was not in contact with any other person's body
fluids, the nurse does not need to complete an incident report
or notify the occupational health nurse. Disinfecting a needle
with an alcohol swab is not in accordance with standards for
safe practice and infection control.
After receiving written and verbal instructions from a clinic
nurse about a newly prescribed medication, a client asks the
nurse what to do if questions arise about the medication after
getting home. How should the nurse respond?
, A. Provide the client with a list of Internet sites that answer
frequently asked questions about medications.
B. Advise the client to obtain a current edition of a drug
reference book from a local bookstore or library.
C. Reassure the client that information about the medication is
included in the written instructions.
D . Encourage the client to call the clinic nurse or health care
provider if any questions arise.
Answer- D
Rationale: To ensure safe medication use, the nurse should
encourage the client to call the nurse or health care provider if
any questions arise. Options A, B, and C may all include useful
information, but these sources of information cannot evaluate
the nature of the client's questions and the follow-up needed.
After the nurse tells an older client that an IV line needs to be
inserted, the client becomes very apprehensive, loudly
verbalizing a dislike for all health care providers and nurses.
How should the nurse respond?
& V2) ACTUAL TEST QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES A NEW UPDATED VERSIONS
2024-2025 |GUARANTEED PASS.
HESI RN FUNDAMENTALS VERSION 1 (V1)
A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been
told that it is harmful to bathe during my period."
Which action should the nurse take first?
A. Accept and document the client's wish to refrain from
bathing.
B. Offer to give the client a bed bath, avoiding the perineal
area.
C. Obtain written brochures about menstruation to give to the
client.
D. Teach the importance of personal hygiene during
menstruation with the client
Answer- D
Rationale: Because a shower is most beneficial for the client in
terms of hygiene, the client should receive teaching first,
respecting any personal beliefs such as cultural or spiritual
,values. After client teaching, the client may still choose option
A or B. Brochures reinforce the teaching
A 65-year-old client who attends an adult daycare program and
is wheelchair-mobile has redness in the sacral area. Which
instruction is most important for the nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D. Purchase a newer model wheelchair.
Answer- B
Rationale: The most important teaching is to change positions
frequently because pressure is the most significant factor
related to the development of pressure ulcers. Increased
vitamin and fluid intake may also be beneficial and promote
healing and reduce further risk. Option D is an intervention of
last resort because this will be very expensive for the client.
,After a needle stick occurs while removing the cap from a
sterile needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately
Answer- B
Rationale: After a needle stick, the needle is considered used,
so the nurse should discard it and select another needle.
Because the needle was sterile when the nurse was stuck and
the needle was not in contact with any other person's body
fluids, the nurse does not need to complete an incident report
or notify the occupational health nurse. Disinfecting a needle
with an alcohol swab is not in accordance with standards for
safe practice and infection control.
After receiving written and verbal instructions from a clinic
nurse about a newly prescribed medication, a client asks the
nurse what to do if questions arise about the medication after
getting home. How should the nurse respond?
, A. Provide the client with a list of Internet sites that answer
frequently asked questions about medications.
B. Advise the client to obtain a current edition of a drug
reference book from a local bookstore or library.
C. Reassure the client that information about the medication is
included in the written instructions.
D . Encourage the client to call the clinic nurse or health care
provider if any questions arise.
Answer- D
Rationale: To ensure safe medication use, the nurse should
encourage the client to call the nurse or health care provider if
any questions arise. Options A, B, and C may all include useful
information, but these sources of information cannot evaluate
the nature of the client's questions and the follow-up needed.
After the nurse tells an older client that an IV line needs to be
inserted, the client becomes very apprehensive, loudly
verbalizing a dislike for all health care providers and nurses.
How should the nurse respond?
