FUNDAMENTAL HESI PRACTICE EXAM #1
QUESTIONS WITH 1005 CORRECT ANSWERS.
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 to die. What intervention should the
nurse initiate? ANS - Evaluate the clients mental status for competence to refuse treatment.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicates the client's protein status for the longest length of time?
ANS - Serum albumin.
What client statement indicates to the nurse that the client requires assistance with bathing? ANS - "I
don't understand why I'm so weak and tires."
How should the nurse handle linens that are soiled with incontinent feces? ANS - Place the soiled linen
in a pillow case and deposit them in the dirty linen hamper.
When caring for an immobile client, what nursing diagnosis has the highest priority? ANS - Impaired gas
exchange.
The nurse assesses an immobile, elderly male client and determines that his blood pressure is 138/60,
his temperature is 95.8F, and his output is 100ml of concentrated urine during the last hour. He has wet-
sounding lung sounds, and increased respiratory secretions. Based on these assessment findings, what
nursing action is most important for the nurse to implement? ANS - Turn the client q2h.
The home health nurse visits an elderly female client who had a brain attack three months ago and is
now able to ambulate with the assistance of a quad cane. Which assessment finding has the greatest
implications for this client's care? ANS - The nurse notes that there are numerous scatter rugs
throughout the house.
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter
and finds that there is straw-colored drainage seeping from the wound. What description of this finding
should the nurse include in the client's record? ANS - One-inch pressure sore draining serous fluid.
, A medication is prescribed to be given QID. What schedule should the nurse use to administer this
prescription? ANS - 0800, 1200, 1600, 2000.
The nurse working n the emergency department is assessing four clients' ability to tolerate pain. Which
client is likely to tolerate a higher level of pain? ANS - A 55-year-old woman who has had moderate low
back pain for three months.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the nurse, "will it hurt to
have my tonsils and adenoids taken out?" Which responses is best for the nurse to provide? ANS - "It
may hurt but we'll give you medicine to help you feel better."
A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been
noncompliant with the diet, based on which report from the 24-hour dietary recall?
A. Bedtime snack of crackers and milk.
B. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad, sherbet, and iced tea.
E. Snack of potato chips, and diet soda. ANS - A.B.C and E
D is a meal that is in compliance with a low sodium, low protein diet.
What intervention should the nurse include in the plan of care for a client who is being treated with an
Unna's paste boot for leg ulcers due to chronic venous insufficiency? ANS - Check capillary refill of toes
on lower extremity with Unna's paste boot.
A male client has a nursing diagnosis of "spiritual distress." What intervention is best for the nurse to
implement when caring for this client? ANS - Use reflective listening techniques when the client
expresses spiritual doubts.
A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to impending
death." What intervention is best for the nurse to implement when caring for this client? ANS - Assist
and support the client in establishing short-term goals.
QUESTIONS WITH 1005 CORRECT ANSWERS.
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 to die. What intervention should the
nurse initiate? ANS - Evaluate the clients mental status for competence to refuse treatment.
A client with chronic renal disease is admitted to the hospital for evaluation prior to a surgical
procedure. Which laboratory test indicates the client's protein status for the longest length of time?
ANS - Serum albumin.
What client statement indicates to the nurse that the client requires assistance with bathing? ANS - "I
don't understand why I'm so weak and tires."
How should the nurse handle linens that are soiled with incontinent feces? ANS - Place the soiled linen
in a pillow case and deposit them in the dirty linen hamper.
When caring for an immobile client, what nursing diagnosis has the highest priority? ANS - Impaired gas
exchange.
The nurse assesses an immobile, elderly male client and determines that his blood pressure is 138/60,
his temperature is 95.8F, and his output is 100ml of concentrated urine during the last hour. He has wet-
sounding lung sounds, and increased respiratory secretions. Based on these assessment findings, what
nursing action is most important for the nurse to implement? ANS - Turn the client q2h.
The home health nurse visits an elderly female client who had a brain attack three months ago and is
now able to ambulate with the assistance of a quad cane. Which assessment finding has the greatest
implications for this client's care? ANS - The nurse notes that there are numerous scatter rugs
throughout the house.
The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter
and finds that there is straw-colored drainage seeping from the wound. What description of this finding
should the nurse include in the client's record? ANS - One-inch pressure sore draining serous fluid.
, A medication is prescribed to be given QID. What schedule should the nurse use to administer this
prescription? ANS - 0800, 1200, 1600, 2000.
The nurse working n the emergency department is assessing four clients' ability to tolerate pain. Which
client is likely to tolerate a higher level of pain? ANS - A 55-year-old woman who has had moderate low
back pain for three months.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the nurse, "will it hurt to
have my tonsils and adenoids taken out?" Which responses is best for the nurse to provide? ANS - "It
may hurt but we'll give you medicine to help you feel better."
A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been
noncompliant with the diet, based on which report from the 24-hour dietary recall?
A. Bedtime snack of crackers and milk.
B. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad, sherbet, and iced tea.
E. Snack of potato chips, and diet soda. ANS - A.B.C and E
D is a meal that is in compliance with a low sodium, low protein diet.
What intervention should the nurse include in the plan of care for a client who is being treated with an
Unna's paste boot for leg ulcers due to chronic venous insufficiency? ANS - Check capillary refill of toes
on lower extremity with Unna's paste boot.
A male client has a nursing diagnosis of "spiritual distress." What intervention is best for the nurse to
implement when caring for this client? ANS - Use reflective listening techniques when the client
expresses spiritual doubts.
A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to impending
death." What intervention is best for the nurse to implement when caring for this client? ANS - Assist
and support the client in establishing short-term goals.
