NURSING,HESI, -, FUNDAMENTALS, TEST,BANK ,
PRACTICE,QUESTIONS,AND,CORRECT ,
,
ANSWERS,UPDATED,2025, –, 2026
,
,
,
When,turning,an,immobile,bedridden,client,without,assistance,,which,action,by,the,nurse,best,ensure,
s,client,safety?,
A.,Securely,grasp,the,client's,arm,and,leg.,
B.,Put,bed,rails,up,on,the,side,of,bed,opposite,from,the,nurse.,
C.,Correctly,position,and,use,a,turn,sheet.,
D.,Lower,the,head,of,the,client's,bed,slowly.,,,,ANSWER,:,-B,
Rationale:,Because,the,nurse,can,only,stand,on,one,side,of,the,bed,,bed,rails,should,be,up,on,the,opp,
osite,side,to,ensure,that,the,client,does,not,fall,out,of,bed.,Option,A,can,cause,client,injury,to,the,skin
,,,or,joint.,Options,C,and,D,are,useful,techniques,while,turning,a,client,but,have,less,priority,in,terms,of
,,safety,than,use,of,the,bed,rails.,
,
The,nurse,identifies,a,potential,for,infection,in,a,client,with,partial-thickness,(second-
degree),and,fullthickness,(thirddegree),burns.,What,intervention,has,the,highest,priority,in,decreasing,
the,client's,risk,of,infection?,
A.,Administration,of,plasma,expanders,
B.,Use,of,careful,handwashing,technique,
C.,Application,of,a,topical,antibacterial,cream,
D.,Limiting,visitors,to,the,client,with,burns,,,
,ANSWER,:,-B,
Rationale:,Careful,handwashing,technique,is,the,single,most,effective,intervention,for,the,prevention,o
,f,contamination,to,all,clients.,Option,A,reverses,the,hypovolemia,that,initially,accompanies,burn,trau
m,a,but,is,not,related,to,decreasing,the,proliferation,of,infective,organisms.,Options,C,and,D,are,reco
mm,ended,by,various,burn,centers,as,possible,ways,to,reduce,the,chance,of,infection.,Option,B,is,a,pr
oven,,technique,to,prevent,infection.,
,
The,nurse,is,aware,that,malnutrition,is,a,common,problem,among,clients,served,by,a,community,healt
,h,clinic,for,the,homeless.,Which,laboratory,value,is,the,most,reliable,indicator,of,chronic,protein,maln
,utrition?,
A.,Low,serum,albumin,level,
B.,Low,serum,transferrin,level,
C.,High,hemoglobin,level,
D.,High,cholesterol,level,,,,
ANSWER,:,-A,
Rationale:,Long-
term,protein,deficiency,is,required,to,cause,significantly,lowered,serum,albumin,levels.,Albumin,is,ma,
de,by,the,liver,only,when,adequate,amounts,of,amino,acids,(from,protein,breakdown),are,available.,Al
,bumin,has,a,long,halflife,,so,acute,protein,loss,does,not,significantly,alter,serum,levels.,Option,B,is,a,s
erum,protein,with,a,h,alflife,of,only,8,to,10,days,,so,it,will,drop,with,an,acute,protein,deficiency.,Optio
ns,C,and,D,are,not,clinic,al,measures,of,protein,malnutrition.,
,,
In,completing,a,client's,preoperative,routine,,the,nurse,finds,that,the,operative,permit,is,not,signed.,T,
he,client,begins,to,ask,more,questions,about,the,surgical,procedure.,Which,action,should,the,nurse,ta,
ke,next?,
A.,Witness,the,client's,signature,to,the,permit.,
B.,Answer,the,client's,questions,about,the,surgery.,
C.,Inform,the,surgeon,that,the,operative,permit,is,not,signed,and,the,client,has,questions,about,the,su
,rgery.,
D.,Reassure,the,client,that,the,surgeon,will,answer,any,questions,before,the,anesthesia,is,administere,
d.,,,
,ANSWER,:,-C,
Rationale:,The,surgeon,should,be,informed,immediately,that,the,permit,is,not,signed.,It,is,the,surgeon
,'s,responsibility,to,explain,the,procedure,to,the,client,and,obtain,the,client's,signature,on,the,permit.,
,Although,the,nurse,can,witness,an,operative,permit,,the,procedure,must,first,be,explained,by,the,hea
l,th,care,provider,or,surgeon,,including,answering,the,client's,questions.,The,client's,questions,should,
b,e,addressed,before,the,permit,is,signed.,
,
The,nurse,is,assessing,several,clients,prior,to,surgery.,Which,factor,in,a,client's,history,poses,the,great,
est,threat,for,complications,to,occur,during,surgery?,
A.,Taking,birth,control,pills,for,the,past,2,years,
B.,Taking,anticoagulants,for,the,past,year,
C.,Recently,completing,antibiotic,therapy,
D.,Having,taken,laxatives,PRN,for,the,last,6,months,
,,,ANSWER,:,-
B,Rationale:,
Anticoagulants,increase,the,risk,for,bleeding,during,surgery,,which,can,pose,a,threat,for,the,developm,
ent,of,surgical,complications.,The,health,care,provider,should,be,informed,that,the,client,is,taking,thes
,e,drugs.,Although,clients,who,take,birth,control,pills,may,be,more,susceptible,to,the,development,of,t
,hrombi,,such,problems,usually,occur,postoperatively.,A,client,with,option,C,or,D,is,at,less,of,a,surgical
,,risk,than,with,option,B.,
,
, When,assisting,a,client,from,the,bed,to,a,chair,,which,procedure,is,best,for,the,nurse,to,follow?,
A.,Place,the,chair,parallel,to,the,bed,,with,its,back,toward,the,head,of,the,bed,and,assist,the,client,in,,
moving,to,the,chair.,
B.,With,the,nurse's,feet,spread,apart,and,knees,aligned,with,the,client's,knees,,stand,and,pivot,the,cli,
ent,into,the,chair.,
C.,Assist,the,client,to,a,standing,position,by,gently,lifting,upward,,underneath,the,axillae.,
D.,Stand,beside,the,client,,place,the,client's,arms,around,the,nurse's,neck,,and,gently,move,the,client,,
to,the,chair.,,,,
ANSWER,:,-B,
Rationale:,Option,B,describes,the,correct,positioning,of,the,nurse,and,affords,the,nurse,a,wide,base,of
,,support,while,stabilizing,the,client's,knees,when,assisting,to,a,standing,position.,The,chair,should,be,
p,laced,at,a,45degree,angle,to,the,bed,,with,the,back,of,the,chair,toward,the,head,of,the,bed.,Clients,
should,never,b,e,lifted,under,the,axillae;,this,could,damage,nerves,and,strain,the,nurse's,back.,The,clie
nt,should,be,in,structed,to,use,the,arms,of,the,chair,and,should,never,place,his,or,her,arms,around,th
e,nurse's,neck;,t,his,places,undue,stress,on,the,nurse's,neck,and,back,and,increases,the,risk,for,a,fall.,
,
Which,step(s),should,the,nurse,take,when,administering,ear,drops,to,an,adult,client?,(Select,all,that,a,
pply.),
A.,Place,the,client,in,a,side-lying,position.,
B.,Pull,the,auricle,upward,and,outward.,
C.,Hold,the,dropper,6,cm,above,the,ear,canal.,
D.,Place,a,cotton,ball,into,the,inner,canal.,
E.,Pull,the,auricle,down,and,back.,,,,
ANSWER,:,-A,,B,
Rationale:,The,correct,answers,(A,and,B),are,the,appropriate,administration,of,ear,drops.,The,dropper,
,should,be,held,1,cm,(½,inch),above,the,ear,canal,(C).,A,cotton,ball,should,be,placed,in,the,outermost,
,canal,(D).,The,auricle,is,pulled,down,and,back,for,a,child,younger,than,3,years,of,age,,but,not,an,adul
t
,(E).,
,
PRACTICE,QUESTIONS,AND,CORRECT ,
,
ANSWERS,UPDATED,2025, –, 2026
,
,
,
When,turning,an,immobile,bedridden,client,without,assistance,,which,action,by,the,nurse,best,ensure,
s,client,safety?,
A.,Securely,grasp,the,client's,arm,and,leg.,
B.,Put,bed,rails,up,on,the,side,of,bed,opposite,from,the,nurse.,
C.,Correctly,position,and,use,a,turn,sheet.,
D.,Lower,the,head,of,the,client's,bed,slowly.,,,,ANSWER,:,-B,
Rationale:,Because,the,nurse,can,only,stand,on,one,side,of,the,bed,,bed,rails,should,be,up,on,the,opp,
osite,side,to,ensure,that,the,client,does,not,fall,out,of,bed.,Option,A,can,cause,client,injury,to,the,skin
,,,or,joint.,Options,C,and,D,are,useful,techniques,while,turning,a,client,but,have,less,priority,in,terms,of
,,safety,than,use,of,the,bed,rails.,
,
The,nurse,identifies,a,potential,for,infection,in,a,client,with,partial-thickness,(second-
degree),and,fullthickness,(thirddegree),burns.,What,intervention,has,the,highest,priority,in,decreasing,
the,client's,risk,of,infection?,
A.,Administration,of,plasma,expanders,
B.,Use,of,careful,handwashing,technique,
C.,Application,of,a,topical,antibacterial,cream,
D.,Limiting,visitors,to,the,client,with,burns,,,
,ANSWER,:,-B,
Rationale:,Careful,handwashing,technique,is,the,single,most,effective,intervention,for,the,prevention,o
,f,contamination,to,all,clients.,Option,A,reverses,the,hypovolemia,that,initially,accompanies,burn,trau
m,a,but,is,not,related,to,decreasing,the,proliferation,of,infective,organisms.,Options,C,and,D,are,reco
mm,ended,by,various,burn,centers,as,possible,ways,to,reduce,the,chance,of,infection.,Option,B,is,a,pr
oven,,technique,to,prevent,infection.,
,
The,nurse,is,aware,that,malnutrition,is,a,common,problem,among,clients,served,by,a,community,healt
,h,clinic,for,the,homeless.,Which,laboratory,value,is,the,most,reliable,indicator,of,chronic,protein,maln
,utrition?,
A.,Low,serum,albumin,level,
B.,Low,serum,transferrin,level,
C.,High,hemoglobin,level,
D.,High,cholesterol,level,,,,
ANSWER,:,-A,
Rationale:,Long-
term,protein,deficiency,is,required,to,cause,significantly,lowered,serum,albumin,levels.,Albumin,is,ma,
de,by,the,liver,only,when,adequate,amounts,of,amino,acids,(from,protein,breakdown),are,available.,Al
,bumin,has,a,long,halflife,,so,acute,protein,loss,does,not,significantly,alter,serum,levels.,Option,B,is,a,s
erum,protein,with,a,h,alflife,of,only,8,to,10,days,,so,it,will,drop,with,an,acute,protein,deficiency.,Optio
ns,C,and,D,are,not,clinic,al,measures,of,protein,malnutrition.,
,,
In,completing,a,client's,preoperative,routine,,the,nurse,finds,that,the,operative,permit,is,not,signed.,T,
he,client,begins,to,ask,more,questions,about,the,surgical,procedure.,Which,action,should,the,nurse,ta,
ke,next?,
A.,Witness,the,client's,signature,to,the,permit.,
B.,Answer,the,client's,questions,about,the,surgery.,
C.,Inform,the,surgeon,that,the,operative,permit,is,not,signed,and,the,client,has,questions,about,the,su
,rgery.,
D.,Reassure,the,client,that,the,surgeon,will,answer,any,questions,before,the,anesthesia,is,administere,
d.,,,
,ANSWER,:,-C,
Rationale:,The,surgeon,should,be,informed,immediately,that,the,permit,is,not,signed.,It,is,the,surgeon
,'s,responsibility,to,explain,the,procedure,to,the,client,and,obtain,the,client's,signature,on,the,permit.,
,Although,the,nurse,can,witness,an,operative,permit,,the,procedure,must,first,be,explained,by,the,hea
l,th,care,provider,or,surgeon,,including,answering,the,client's,questions.,The,client's,questions,should,
b,e,addressed,before,the,permit,is,signed.,
,
The,nurse,is,assessing,several,clients,prior,to,surgery.,Which,factor,in,a,client's,history,poses,the,great,
est,threat,for,complications,to,occur,during,surgery?,
A.,Taking,birth,control,pills,for,the,past,2,years,
B.,Taking,anticoagulants,for,the,past,year,
C.,Recently,completing,antibiotic,therapy,
D.,Having,taken,laxatives,PRN,for,the,last,6,months,
,,,ANSWER,:,-
B,Rationale:,
Anticoagulants,increase,the,risk,for,bleeding,during,surgery,,which,can,pose,a,threat,for,the,developm,
ent,of,surgical,complications.,The,health,care,provider,should,be,informed,that,the,client,is,taking,thes
,e,drugs.,Although,clients,who,take,birth,control,pills,may,be,more,susceptible,to,the,development,of,t
,hrombi,,such,problems,usually,occur,postoperatively.,A,client,with,option,C,or,D,is,at,less,of,a,surgical
,,risk,than,with,option,B.,
,
, When,assisting,a,client,from,the,bed,to,a,chair,,which,procedure,is,best,for,the,nurse,to,follow?,
A.,Place,the,chair,parallel,to,the,bed,,with,its,back,toward,the,head,of,the,bed,and,assist,the,client,in,,
moving,to,the,chair.,
B.,With,the,nurse's,feet,spread,apart,and,knees,aligned,with,the,client's,knees,,stand,and,pivot,the,cli,
ent,into,the,chair.,
C.,Assist,the,client,to,a,standing,position,by,gently,lifting,upward,,underneath,the,axillae.,
D.,Stand,beside,the,client,,place,the,client's,arms,around,the,nurse's,neck,,and,gently,move,the,client,,
to,the,chair.,,,,
ANSWER,:,-B,
Rationale:,Option,B,describes,the,correct,positioning,of,the,nurse,and,affords,the,nurse,a,wide,base,of
,,support,while,stabilizing,the,client's,knees,when,assisting,to,a,standing,position.,The,chair,should,be,
p,laced,at,a,45degree,angle,to,the,bed,,with,the,back,of,the,chair,toward,the,head,of,the,bed.,Clients,
should,never,b,e,lifted,under,the,axillae;,this,could,damage,nerves,and,strain,the,nurse's,back.,The,clie
nt,should,be,in,structed,to,use,the,arms,of,the,chair,and,should,never,place,his,or,her,arms,around,th
e,nurse's,neck;,t,his,places,undue,stress,on,the,nurse's,neck,and,back,and,increases,the,risk,for,a,fall.,
,
Which,step(s),should,the,nurse,take,when,administering,ear,drops,to,an,adult,client?,(Select,all,that,a,
pply.),
A.,Place,the,client,in,a,side-lying,position.,
B.,Pull,the,auricle,upward,and,outward.,
C.,Hold,the,dropper,6,cm,above,the,ear,canal.,
D.,Place,a,cotton,ball,into,the,inner,canal.,
E.,Pull,the,auricle,down,and,back.,,,,
ANSWER,:,-A,,B,
Rationale:,The,correct,answers,(A,and,B),are,the,appropriate,administration,of,ear,drops.,The,dropper,
,should,be,held,1,cm,(½,inch),above,the,ear,canal,(C).,A,cotton,ball,should,be,placed,in,the,outermost,
,canal,(D).,The,auricle,is,pulled,down,and,back,for,a,child,younger,than,3,years,of,age,,but,not,an,adul
t
,(E).,
,
