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HESI FUNDAMENTALS EXAM SPRING 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
An older female client with rheumatoid arthritis is complaining of severe joint pain
that is caused by the weight of the linen on her legs. What action should the nurse
implement first?
A. apply flannel pajamas to provide warmth
B. administer a PRN dose of ibuprofen
C. Drape the sheets over the foot board of the bed
D. perform ROM exercises in a warm tub - Answer: C. Drape the sheets over the
foot board of the bed
A client is admitted to the hospital with intractable pain. When instruction should
the nurse provide the unlicensed assistive personnel (UAP) who is preparing to
assist this client with a bed bath?
A. a client's pain will be difficult to manage, since the cause is still unknown
B. take measures to promote as much comfort as possible
C. report any signs of drug addiction to the nurse immediately
D. wait until the client's pain is gone before assisting with personal care - Answer:
B. take measures to promote as much comfort as possible
A male client arrives at the out patient surgery center for a scheduled needle
aspiration of the knee. He tells the nurse that he has already given verbal consent
for the procedure to the health care provider. What action should the nurse
implement?
A. verify the client's consent with the health care provider
B. document that the client has given consent for the needle aspiration
C. witness the client's signature on the consent form
D. notify the healthcare provider that the client is ready for the procedure -
Answer: C. witness the client's signature on the consent form
In assessing a client's femoral pulse, the nurse must use deep pulsation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement?
A. document the presence and volume of the pulse palpated
B. elevate the head of the bed and attempt to palpate the site again
C. record the presence of pitting edema in the inguinal area
D. use a thigh cuff to measure the blood pressure in the leg - Answer: A. document
the presence and volume of the pulse palpated
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A nurse is preparing to insert a rectal suppository and observes a small amount of
rectal bleeding. What action should the nurse implement?
A. insert the suppository very gently being careful not to further injure the rectal
bleeding. What action should the nurse implement?
A. insert the suppository very gently being careful not to further the rectal mucosa
B. withhold the administration of the suppository until contacting the healthcare
provider
C. administer the medication as scheduled after assessing the client's vital signs
D. Ask the pharmacist to send an alternate from the prescribed medication to the
unit - Answer: B. withhold the administration of the suppository until contacting
the healthcare provider
The nurse is preparing to irrigate a client's indwelling catheter using an open
technique. What action should the nurse take after applying gloves?
A. Draw up the irrigating solution into the syringe
B. use aseptic technique to instill the irrigating solution
C. empty the client's urinary catheter
D. secure the client's catheter to the drainage tubing - Answer: A. Draw up the
irrigating solution into the syringe
When assessing a client with an indwelling urinary catheter, which observation
requires the most immediate intervention by the nurse?
A. there are no dependent loops in the drainage tubing
B. the clamp on the urinary drainage bag is open
C. the drainage tubing is secured over the siderail
D. the urinary drainage bag is attached to the bed frame - Answer: B. the clamp on
the urinary drainage bag is open
a 35 year old female client with cancer refuses to allow the nurse to insert an IV for
a scheduled chemotherapy treatment, and states that she is ready to go home and
die. What intervention should the nurse initiate?
A. evaluate the client's mental status for competence to refuse treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice - Answer:
A. evaluate the client's mental status for competence to refuse treatment
HESI FUNDAMENTALS EXAM SPRING 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
An older female client with rheumatoid arthritis is complaining of severe joint pain
that is caused by the weight of the linen on her legs. What action should the nurse
implement first?
A. apply flannel pajamas to provide warmth
B. administer a PRN dose of ibuprofen
C. Drape the sheets over the foot board of the bed
D. perform ROM exercises in a warm tub - Answer: C. Drape the sheets over the
foot board of the bed
A client is admitted to the hospital with intractable pain. When instruction should
the nurse provide the unlicensed assistive personnel (UAP) who is preparing to
assist this client with a bed bath?
A. a client's pain will be difficult to manage, since the cause is still unknown
B. take measures to promote as much comfort as possible
C. report any signs of drug addiction to the nurse immediately
D. wait until the client's pain is gone before assisting with personal care - Answer:
B. take measures to promote as much comfort as possible
A male client arrives at the out patient surgery center for a scheduled needle
aspiration of the knee. He tells the nurse that he has already given verbal consent
for the procedure to the health care provider. What action should the nurse
implement?
A. verify the client's consent with the health care provider
B. document that the client has given consent for the needle aspiration
C. witness the client's signature on the consent form
D. notify the healthcare provider that the client is ready for the procedure -
Answer: C. witness the client's signature on the consent form
In assessing a client's femoral pulse, the nurse must use deep pulsation to feel the
pulsation while the client is in a supine position. What action should the nurse
implement?
A. document the presence and volume of the pulse palpated
B. elevate the head of the bed and attempt to palpate the site again
C. record the presence of pitting edema in the inguinal area
D. use a thigh cuff to measure the blood pressure in the leg - Answer: A. document
the presence and volume of the pulse palpated
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A nurse is preparing to insert a rectal suppository and observes a small amount of
rectal bleeding. What action should the nurse implement?
A. insert the suppository very gently being careful not to further injure the rectal
bleeding. What action should the nurse implement?
A. insert the suppository very gently being careful not to further the rectal mucosa
B. withhold the administration of the suppository until contacting the healthcare
provider
C. administer the medication as scheduled after assessing the client's vital signs
D. Ask the pharmacist to send an alternate from the prescribed medication to the
unit - Answer: B. withhold the administration of the suppository until contacting
the healthcare provider
The nurse is preparing to irrigate a client's indwelling catheter using an open
technique. What action should the nurse take after applying gloves?
A. Draw up the irrigating solution into the syringe
B. use aseptic technique to instill the irrigating solution
C. empty the client's urinary catheter
D. secure the client's catheter to the drainage tubing - Answer: A. Draw up the
irrigating solution into the syringe
When assessing a client with an indwelling urinary catheter, which observation
requires the most immediate intervention by the nurse?
A. there are no dependent loops in the drainage tubing
B. the clamp on the urinary drainage bag is open
C. the drainage tubing is secured over the siderail
D. the urinary drainage bag is attached to the bed frame - Answer: B. the clamp on
the urinary drainage bag is open
a 35 year old female client with cancer refuses to allow the nurse to insert an IV for
a scheduled chemotherapy treatment, and states that she is ready to go home and
die. What intervention should the nurse initiate?
A. evaluate the client's mental status for competence to refuse treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice - Answer:
A. evaluate the client's mental status for competence to refuse treatment
