HESI Fundamentals Exam Questions Ans
xc xc xc xc
wers Verified A+
xc xc
axc35xcyearxcoldxcfemalexcclientxcwithxccancerxcrefusesxctoxcallowxcthexcnursexctoxcinsertxcanxcIVxcfor
xcaxcscheduledxcchemotherapyxctreatment,xcandxcstatesxcthatxcshexcisxcreadyxctoxcgoxchomexcandx
cdie.xcWhatxcinterventionxcshouldxcthexcnursexcinitiate?xc
A.xcevaluatexcthexcclient'sxcmentalxcstatusxcforxccompetencexctoxcrefusexctreatment
B.xcreviewxcthexcclient'sxcmedicalxcrecordxcforxcanxcadvancexcdirective
C.xcdeterminexcifxcaxcDNRxcprescriptionxchasxcbeenxcobtained
D.xcdocumentxcthatxcthexcclientxcisxcbeingxcdischargedxcagainstxcmedicalxcadvicexc-
xccorrectxcanswers-
A.xcevaluatexcthexcclient'sxcmentalxcstatusxcforxccompetencexctoxcrefusexctreatment
Axcclientxcwithxcchronicxcrenalxcdiseasexcisxcadmittedxctoxcthexchospitalxcforxcevaluationxcpriorxctoxc
axcsurgicalxcprocedure.xcWhichxclaboratoryxctestxcindicatedxcthexcclient'sxcproteinxcstatusxcforxcth
exclongestxclengthxcofxctime.
A.xcUrinexcureaxc
B.xctransferrin
C.xcprealbumin
D.xcserumxcalbuminxc-xccorrectxcanswers-D.xcserumxcalbumin
Whatxcclientxcstatementxcindicatesxctoxcthexcnursexcthatxcthexcclientxcrequiresxcassistancexcwithxc
bathing?
A.xc"Ixconlyxcbathexceveryxcotherxcday"
B.xc"Ixcleftxcmyxceyeglassesxcatxchome"
C.xc"Ixcdon'txcunderstandxcwhyxcI'mxcsoxcweakxcandxctired"
D.xc"Ixcwasn'txcablexctoxcpackxcaxcbagxcbeforexcIxcleftxcforxcthexchospital"xc-xccorrectxcanswers-
C.xc"Ixcdon'txcunderstandxcwhyxcI'mxcsoxcweakxcandxctired"
Howxcshouldxcaxcnursexchandlexclinensxcthatxcarexcsoiledxcwithxcincontinentxcfeces?
A.xcPlacexcthexcsoiledxclinensxcinxcaxcpillowxccasexcandxcdepositxcthemxcinxcthexcdirtyxclinenxchamp
er
B.xcputxcthexcsoiledxclinensxcinxcanxcisolationxcbag,xcthenxcplacexcitxcinxcthexcdirtyxclinenxchamper
C.xcAskxcthexchousekeepingxcstaffxctoxcpickxcupxcthexcsoiledxclinenxcfromxcthexcdirtyxcutilityxcroom
D.xcplacexcanxcisolationxchamperxcinxcthexcclient'sxcroomxcandxcdiscardxcthexclinensxcinxcitxc-
xccorrectxcanswers-
D.xcplacexcanxcisolationxchamperxcinxcthexcclient'sxcroomxcandxcdiscardxcthexclinensxcinxcit
Whenxccaringxcforxcanxcimmobilexcclient,xcwhatxcnursingxcdiagnosisxchasxcthexchighestxcpriority?
A.xcalteredxctissuexcperfusion
B.xcimpairedxcgasxcexchange
C.xcriskxcforxcfluidxcvolumexcdeficit
D.xcriskxcforxcimpairedxcskinxcintegrityxc-xccorrectxcanswers-B.xcimpairedxcgasxcexchange
Thexcnursexcassessxcanxcimmobile,xcelderlyxcmalexcclientxcandxcdeterminesxcthatxchisxcbloodxcpr
essurexcisxc138/60,xchisxctemperaturexcisxc95.8F,xcandxchisxcoutputxcisxc100xcmLxcofxcconcentrate
dxcurinexcduringxcthexclastxchour.xcHexchasxcwet-
, soundingxclungxcsounds,xcandxcincreasedxcrespiratoryxcsecretions.xcBasedxconxcthesexcassess
mentxcfindings,xcwhatxcnursingxcactionxcisxcthexcmostxcimportantxcforxcthexcnursexctoxcimplement?
A.xcencouragexcadditionalxcadditionalxcfluidxcintakexc
B.xcprovidexcthexcclientxcwithxcanxcadditionalxcblanket
C.xcturnxcthexcpatientxcQ2
D.xcadministerxcaxcPRNxcantixchypertensivexcprescriptionxc-xccorrectxcanswers-
C.xcturnxcthexcpatientxcQ2
Thexchomexchealthxcnursexcvisitsxcanxcelderlyxcfemalexcclientxcwhoxchadxcaxcbrainxcattackxcthreexc
monthsxcagoxcandxcisxcnowxcablexctoxcambulatexcwithxcthexcassistancexcofxcaxcquadxccane.xcWhich
xcassessmentxcfindingxchasxcthexcgreatestxcimplicationsxcforxcthisxcclient'sxccase?
A.xcThexcclient'sxcpulsexcratexcisxc10xcbeatsxchigherxcthanxcitxcwasxcatxcthexclastxcvisitxconexcweekxca
go
B.xcthexcclientxctellsxcthexcnursexcthatxcshexcdoesxcnotxchavexcmuchxcofxcanxcappetitexctoday
C.xcthexchusband,xcwhoxcisxcthexccaregiver,xcbeginsxctoxcweepxcwhenxcyouxcaskxchowxchexcisxcdoin
g
D.xcthexcnursexcnotesxcthatxctherexcarexcnumerousxcscatterxcrubsxcthroughoutxcthexchousexc-
xccorrectxcanswers-
D.xcthexcnursexcnotesxcthatxctherexcarexcnumerousxcscatterxcrubsxcthroughoutxcthexchouse
Thexcnursexcremovesxcthexcdressingxconxcaxcclient'sxcheelxcthatxcisxccoveringxcaxcpressurexcsorexc
one-inchxcinxcdiameterxcandxcfindsxcthatxctherexcisxcstraw-
coloredxcdrainagexcseepingxcfromxcthexcwound.xcWhatxcdescriptionxcofxcthisxcfindingxcshouldxcth
excnursexcincludexcinxcthexcclient'sxcrecord?
A.xcstagexc1xcpressurexcsorexcdrainingxcsero-anguineousxcdrainage
B.xcone-inchxcpressurexcsorexcdrainingxcserousxcfluid
C.xcpressurexcsorexcdrainingxcserousxcfluid
D.xcpressurexcsorexconxcheelxcwithxcaxcsmallxcamountxcofxcpurulentxcdrainagexc-
xccorrectxcanswers-B.xcone-inchxcpressurexcsorexcdrainingxcserousxcfluid
AxcmedicationxcisxcprescribedxctoxcbexcgivenxcQID.xcWhatxcschedulexcshouldxcthexcnursexcusexctox
cadministerxcthisxcprescription?
A.xc800
B.xc0800,xc1200,xc1600,xc2000
C.xceveryxcotherxcdayxcatxc0800
D.xc0800,xc1200,xc1600,xc2000,xc0000,xc0400xc-xccorrectxcanswers-
B.xc0800,xc1200,xc1600,xc2000
Thexcnursexcworkingxcinxcthexcemergencyxcdepartmentxcisxcassessingxcfourxcclient'sxcabilityxctoxct
oleratexcpain.xcWhichxcclientxcisxclikelyxctoxctoleratexcaxchigherxclevelxcofxcpain.
A.xcAxc23-year-oldxcwomanxcwhoxcsprainedxcherxckneexcwhilexcbiking
B.xcaxc55-year-oldxcwomanxcwhoxchasxchadxcmoderatexclowxcbackxcpainxcforxcthreexcmonths
C.xcAxc10-year-oldxcwhoxcwasxcburnedxcbyxcaxccampxcfirexcearlierxctoday
D.xcAxc70xcyear-oldxcwhoxchasxcaxcpostoperativexcinfectionxcfromxcaxcsurgeryxconexcweekxcagoxc-
xccorrectxcanswers-B.xcaxc55-year-
oldxcwomanxcwhoxchasxchadxcmoderatexclowxcbackxcpainxcforxcthreexcmonths
Axc4-
yearxcoldxcboyxcwhoxcisxcscheduledxcforxcaxctonsillectomyxcandxcadenoidectomyxcasksxcthexcnurs
e,xc"xcwillxcitxchurtxctoxchavexcmyxctonsilsxcandxcadenoidsxctakenxcout?"xcWhichxcresponsexcisxcbestx
cforxcthexcnursexctoxcprovide?
xc xc xc xc
wers Verified A+
xc xc
axc35xcyearxcoldxcfemalexcclientxcwithxccancerxcrefusesxctoxcallowxcthexcnursexctoxcinsertxcanxcIVxcfor
xcaxcscheduledxcchemotherapyxctreatment,xcandxcstatesxcthatxcshexcisxcreadyxctoxcgoxchomexcandx
cdie.xcWhatxcinterventionxcshouldxcthexcnursexcinitiate?xc
A.xcevaluatexcthexcclient'sxcmentalxcstatusxcforxccompetencexctoxcrefusexctreatment
B.xcreviewxcthexcclient'sxcmedicalxcrecordxcforxcanxcadvancexcdirective
C.xcdeterminexcifxcaxcDNRxcprescriptionxchasxcbeenxcobtained
D.xcdocumentxcthatxcthexcclientxcisxcbeingxcdischargedxcagainstxcmedicalxcadvicexc-
xccorrectxcanswers-
A.xcevaluatexcthexcclient'sxcmentalxcstatusxcforxccompetencexctoxcrefusexctreatment
Axcclientxcwithxcchronicxcrenalxcdiseasexcisxcadmittedxctoxcthexchospitalxcforxcevaluationxcpriorxctoxc
axcsurgicalxcprocedure.xcWhichxclaboratoryxctestxcindicatedxcthexcclient'sxcproteinxcstatusxcforxcth
exclongestxclengthxcofxctime.
A.xcUrinexcureaxc
B.xctransferrin
C.xcprealbumin
D.xcserumxcalbuminxc-xccorrectxcanswers-D.xcserumxcalbumin
Whatxcclientxcstatementxcindicatesxctoxcthexcnursexcthatxcthexcclientxcrequiresxcassistancexcwithxc
bathing?
A.xc"Ixconlyxcbathexceveryxcotherxcday"
B.xc"Ixcleftxcmyxceyeglassesxcatxchome"
C.xc"Ixcdon'txcunderstandxcwhyxcI'mxcsoxcweakxcandxctired"
D.xc"Ixcwasn'txcablexctoxcpackxcaxcbagxcbeforexcIxcleftxcforxcthexchospital"xc-xccorrectxcanswers-
C.xc"Ixcdon'txcunderstandxcwhyxcI'mxcsoxcweakxcandxctired"
Howxcshouldxcaxcnursexchandlexclinensxcthatxcarexcsoiledxcwithxcincontinentxcfeces?
A.xcPlacexcthexcsoiledxclinensxcinxcaxcpillowxccasexcandxcdepositxcthemxcinxcthexcdirtyxclinenxchamp
er
B.xcputxcthexcsoiledxclinensxcinxcanxcisolationxcbag,xcthenxcplacexcitxcinxcthexcdirtyxclinenxchamper
C.xcAskxcthexchousekeepingxcstaffxctoxcpickxcupxcthexcsoiledxclinenxcfromxcthexcdirtyxcutilityxcroom
D.xcplacexcanxcisolationxchamperxcinxcthexcclient'sxcroomxcandxcdiscardxcthexclinensxcinxcitxc-
xccorrectxcanswers-
D.xcplacexcanxcisolationxchamperxcinxcthexcclient'sxcroomxcandxcdiscardxcthexclinensxcinxcit
Whenxccaringxcforxcanxcimmobilexcclient,xcwhatxcnursingxcdiagnosisxchasxcthexchighestxcpriority?
A.xcalteredxctissuexcperfusion
B.xcimpairedxcgasxcexchange
C.xcriskxcforxcfluidxcvolumexcdeficit
D.xcriskxcforxcimpairedxcskinxcintegrityxc-xccorrectxcanswers-B.xcimpairedxcgasxcexchange
Thexcnursexcassessxcanxcimmobile,xcelderlyxcmalexcclientxcandxcdeterminesxcthatxchisxcbloodxcpr
essurexcisxc138/60,xchisxctemperaturexcisxc95.8F,xcandxchisxcoutputxcisxc100xcmLxcofxcconcentrate
dxcurinexcduringxcthexclastxchour.xcHexchasxcwet-
, soundingxclungxcsounds,xcandxcincreasedxcrespiratoryxcsecretions.xcBasedxconxcthesexcassess
mentxcfindings,xcwhatxcnursingxcactionxcisxcthexcmostxcimportantxcforxcthexcnursexctoxcimplement?
A.xcencouragexcadditionalxcadditionalxcfluidxcintakexc
B.xcprovidexcthexcclientxcwithxcanxcadditionalxcblanket
C.xcturnxcthexcpatientxcQ2
D.xcadministerxcaxcPRNxcantixchypertensivexcprescriptionxc-xccorrectxcanswers-
C.xcturnxcthexcpatientxcQ2
Thexchomexchealthxcnursexcvisitsxcanxcelderlyxcfemalexcclientxcwhoxchadxcaxcbrainxcattackxcthreexc
monthsxcagoxcandxcisxcnowxcablexctoxcambulatexcwithxcthexcassistancexcofxcaxcquadxccane.xcWhich
xcassessmentxcfindingxchasxcthexcgreatestxcimplicationsxcforxcthisxcclient'sxccase?
A.xcThexcclient'sxcpulsexcratexcisxc10xcbeatsxchigherxcthanxcitxcwasxcatxcthexclastxcvisitxconexcweekxca
go
B.xcthexcclientxctellsxcthexcnursexcthatxcshexcdoesxcnotxchavexcmuchxcofxcanxcappetitexctoday
C.xcthexchusband,xcwhoxcisxcthexccaregiver,xcbeginsxctoxcweepxcwhenxcyouxcaskxchowxchexcisxcdoin
g
D.xcthexcnursexcnotesxcthatxctherexcarexcnumerousxcscatterxcrubsxcthroughoutxcthexchousexc-
xccorrectxcanswers-
D.xcthexcnursexcnotesxcthatxctherexcarexcnumerousxcscatterxcrubsxcthroughoutxcthexchouse
Thexcnursexcremovesxcthexcdressingxconxcaxcclient'sxcheelxcthatxcisxccoveringxcaxcpressurexcsorexc
one-inchxcinxcdiameterxcandxcfindsxcthatxctherexcisxcstraw-
coloredxcdrainagexcseepingxcfromxcthexcwound.xcWhatxcdescriptionxcofxcthisxcfindingxcshouldxcth
excnursexcincludexcinxcthexcclient'sxcrecord?
A.xcstagexc1xcpressurexcsorexcdrainingxcsero-anguineousxcdrainage
B.xcone-inchxcpressurexcsorexcdrainingxcserousxcfluid
C.xcpressurexcsorexcdrainingxcserousxcfluid
D.xcpressurexcsorexconxcheelxcwithxcaxcsmallxcamountxcofxcpurulentxcdrainagexc-
xccorrectxcanswers-B.xcone-inchxcpressurexcsorexcdrainingxcserousxcfluid
AxcmedicationxcisxcprescribedxctoxcbexcgivenxcQID.xcWhatxcschedulexcshouldxcthexcnursexcusexctox
cadministerxcthisxcprescription?
A.xc800
B.xc0800,xc1200,xc1600,xc2000
C.xceveryxcotherxcdayxcatxc0800
D.xc0800,xc1200,xc1600,xc2000,xc0000,xc0400xc-xccorrectxcanswers-
B.xc0800,xc1200,xc1600,xc2000
Thexcnursexcworkingxcinxcthexcemergencyxcdepartmentxcisxcassessingxcfourxcclient'sxcabilityxctoxct
oleratexcpain.xcWhichxcclientxcisxclikelyxctoxctoleratexcaxchigherxclevelxcofxcpain.
A.xcAxc23-year-oldxcwomanxcwhoxcsprainedxcherxckneexcwhilexcbiking
B.xcaxc55-year-oldxcwomanxcwhoxchasxchadxcmoderatexclowxcbackxcpainxcforxcthreexcmonths
C.xcAxc10-year-oldxcwhoxcwasxcburnedxcbyxcaxccampxcfirexcearlierxctoday
D.xcAxc70xcyear-oldxcwhoxchasxcaxcpostoperativexcinfectionxcfromxcaxcsurgeryxconexcweekxcagoxc-
xccorrectxcanswers-B.xcaxc55-year-
oldxcwomanxcwhoxchasxchadxcmoderatexclowxcbackxcpainxcforxcthreexcmonths
Axc4-
yearxcoldxcboyxcwhoxcisxcscheduledxcforxcaxctonsillectomyxcandxcadenoidectomyxcasksxcthexcnurs
e,xc"xcwillxcitxchurtxctoxchavexcmyxctonsilsxcandxcadenoidsxctakenxcout?"xcWhichxcresponsexcisxcbestx
cforxcthexcnursexctoxcprovide?
