HESI Fundamentals Exam
1. A male client with an infected B. Combination of plant proteins to provide essential
wound tells the nurse that he fol- amino acids.
lows a macrobiotic diet. Which
type of foods should the nurse A macrobiotic diet is high in whole-grain cereals, veg-
recommend that the client select etables, sea vegetables, beans, and vegetarian soups,
from the hospital menu? and the client needs essential amino acids to provide
complete proteins to heal the infected wound. Although
A. Low fat and low sodium foods. a macrobiotic diet contains no source of animal protein,
B. Combination of plant proteins essential amino acids should be obtained by combining
to provide essential amino acids. plant (incomplete) proteins to provide complete (all es-
C. Limited complex carbohydrates sential amino acids) proteins (B) for anabolic processes.
and fiber. (A, C, and D) do not provide the client with food choices
D. Increased amount of vitamin C consistent with a macrobiotic diet and protein needs.
and beta carotene rich foods.
2. When making the bed of a client D. Drape the top sheet and covers loosely over the bed
who needs a bed cradle, which ac- cradle.
tion should the nurse include?
A bed cradle is used to keep the top bedclothes off
A. Teach the client to call for help the client, so the nurse should drape the top sheet and
before getting out of bed. covers loosely over the cradle (D). A client using a bed
B. Keep both the upper and lower cradle may still be able to ambulate independently (A)
side rails in a raised position. and does not require raised side rails (B). (C) causes the
C. Keep the bed in the lowest posi- nurse to use poor body mechanics.
tion while changing the sheets.
D. Drape the top sheet and covers
loosely over the bed cradle.
3. What client statement indicates to B. "I don't understand why I'm so weak and tired."
the nurse that the client requires
assistance with bathing?
, HESI Fundamentals Exam
A. "I wasn't able to pack a bag be-
fore I left for the hospital."
B. "I don't understand why I'm so
weak and tired."
C. "I only bathe every other day."
D. "I left my eyeglasses at home."
4. The home health nurse visits an C. The nurse notes that there are numerous scatter rugs
elderly female client who had a throughout the house.
stroke three months ago and is
now able to ambulate with the as-
sistance of a quad cane. Which as-
sessment finding has the greatest
implications for this client's care?
A. The husband, who is the care-
giver, begins to weep when the
nurse asks how he is doing.
B. The client tells the nurse that
she does not have much of an ap-
petite today.
C. The nurse notes that there are
numerous scatter rugs through-
out the house.
D. The client's pulse rate is 10
beats higher than it was at the last
visit one week ago.
5. What activity should the nurse use D. Examine the effectiveness of nursing interventions
in the evaluation phase of the toward meeting client outcomes.
, HESI Fundamentals Exam
nursing process?
A. Ask a client to evaluate the nurs-
ing care provided.
B. Document the nursing care
plan in the progress notes.
C. Determine whether a client's
health problems have been allevi-
ated.
D. Examine the effectiveness
of nursing interventions toward
meeting client outcomes.
6. A client is demonstrating a posi- B. Ask the client about numbness or tingling in the
tive Chvostek's sign. What action hands.
should the nurse take?
A positive Chvostek's sign is an indication of hypocal-
A. Observe the client's pupil size cemia, so the client should be assessed for the subjec-
and response to light. tive symptoms of hypocalcemia, such as numbness or
B. Ask the client about numbness tingling of the hands (B) or feet. (A and C) are unre-
or tingling in the hands. lated assessment data. (D) is contraindicated because
C. Assess the client's serum potas- the client is hypocalcemic and needs additional dietary
sium level. calcium.
D. Restrict dietary intake of calci-
um-rich foods.
7. The daughter of an older woman B. "It's highly likely that she will recover and return to her
who became depressed following pre-illness state."
the death of her husband asks,
"My mother was always well-ad-
justed until my father died. Will
she tend to be sick from now on?"
, HESI Fundamentals Exam
Which response is best for the
nurse to provide?
A. "She is almost sure to be less
able to adapt than before."
B. "It's highly likely that she will re-
cover and return to her pre-illness
state."
C. "If you can interest her in some-
thing besides religion, it will help
her stay well."
D. "Cultural strains contribute to
each woman's tendencies for re-
currences of depression."
8. When assessing a client with an B. The clamp on the urinary drainage bag is open.
indwelling urinary catheter, which
observation requires the most
immediate intervention by the
nurse?
A. The drainage tubing is secured
over the siderail.
B. The clamp on the urinary
drainage bag is open.
C. There are no dependent loops
in the drainage tubing.
D. The urinary drainage bag is at-
tached to the bed frame.
9. A 75-year-old client who has a D. Determine who is legally empowered to make deci-
history of end stage renal failure sions.
1. A male client with an infected B. Combination of plant proteins to provide essential
wound tells the nurse that he fol- amino acids.
lows a macrobiotic diet. Which
type of foods should the nurse A macrobiotic diet is high in whole-grain cereals, veg-
recommend that the client select etables, sea vegetables, beans, and vegetarian soups,
from the hospital menu? and the client needs essential amino acids to provide
complete proteins to heal the infected wound. Although
A. Low fat and low sodium foods. a macrobiotic diet contains no source of animal protein,
B. Combination of plant proteins essential amino acids should be obtained by combining
to provide essential amino acids. plant (incomplete) proteins to provide complete (all es-
C. Limited complex carbohydrates sential amino acids) proteins (B) for anabolic processes.
and fiber. (A, C, and D) do not provide the client with food choices
D. Increased amount of vitamin C consistent with a macrobiotic diet and protein needs.
and beta carotene rich foods.
2. When making the bed of a client D. Drape the top sheet and covers loosely over the bed
who needs a bed cradle, which ac- cradle.
tion should the nurse include?
A bed cradle is used to keep the top bedclothes off
A. Teach the client to call for help the client, so the nurse should drape the top sheet and
before getting out of bed. covers loosely over the cradle (D). A client using a bed
B. Keep both the upper and lower cradle may still be able to ambulate independently (A)
side rails in a raised position. and does not require raised side rails (B). (C) causes the
C. Keep the bed in the lowest posi- nurse to use poor body mechanics.
tion while changing the sheets.
D. Drape the top sheet and covers
loosely over the bed cradle.
3. What client statement indicates to B. "I don't understand why I'm so weak and tired."
the nurse that the client requires
assistance with bathing?
, HESI Fundamentals Exam
A. "I wasn't able to pack a bag be-
fore I left for the hospital."
B. "I don't understand why I'm so
weak and tired."
C. "I only bathe every other day."
D. "I left my eyeglasses at home."
4. The home health nurse visits an C. The nurse notes that there are numerous scatter rugs
elderly female client who had a throughout the house.
stroke three months ago and is
now able to ambulate with the as-
sistance of a quad cane. Which as-
sessment finding has the greatest
implications for this client's care?
A. The husband, who is the care-
giver, begins to weep when the
nurse asks how he is doing.
B. The client tells the nurse that
she does not have much of an ap-
petite today.
C. The nurse notes that there are
numerous scatter rugs through-
out the house.
D. The client's pulse rate is 10
beats higher than it was at the last
visit one week ago.
5. What activity should the nurse use D. Examine the effectiveness of nursing interventions
in the evaluation phase of the toward meeting client outcomes.
, HESI Fundamentals Exam
nursing process?
A. Ask a client to evaluate the nurs-
ing care provided.
B. Document the nursing care
plan in the progress notes.
C. Determine whether a client's
health problems have been allevi-
ated.
D. Examine the effectiveness
of nursing interventions toward
meeting client outcomes.
6. A client is demonstrating a posi- B. Ask the client about numbness or tingling in the
tive Chvostek's sign. What action hands.
should the nurse take?
A positive Chvostek's sign is an indication of hypocal-
A. Observe the client's pupil size cemia, so the client should be assessed for the subjec-
and response to light. tive symptoms of hypocalcemia, such as numbness or
B. Ask the client about numbness tingling of the hands (B) or feet. (A and C) are unre-
or tingling in the hands. lated assessment data. (D) is contraindicated because
C. Assess the client's serum potas- the client is hypocalcemic and needs additional dietary
sium level. calcium.
D. Restrict dietary intake of calci-
um-rich foods.
7. The daughter of an older woman B. "It's highly likely that she will recover and return to her
who became depressed following pre-illness state."
the death of her husband asks,
"My mother was always well-ad-
justed until my father died. Will
she tend to be sick from now on?"
, HESI Fundamentals Exam
Which response is best for the
nurse to provide?
A. "She is almost sure to be less
able to adapt than before."
B. "It's highly likely that she will re-
cover and return to her pre-illness
state."
C. "If you can interest her in some-
thing besides religion, it will help
her stay well."
D. "Cultural strains contribute to
each woman's tendencies for re-
currences of depression."
8. When assessing a client with an B. The clamp on the urinary drainage bag is open.
indwelling urinary catheter, which
observation requires the most
immediate intervention by the
nurse?
A. The drainage tubing is secured
over the siderail.
B. The clamp on the urinary
drainage bag is open.
C. There are no dependent loops
in the drainage tubing.
D. The urinary drainage bag is at-
tached to the bed frame.
9. A 75-year-old client who has a D. Determine who is legally empowered to make deci-
history of end stage renal failure sions.
