ATI Fundamentals
Practice Exam (HESI)
Questions and Answers
2025 Graded A+
A Sub-Saharan African widowed immigrant woman lives
with her deceased husband's brother and his family,
which includes the brother-in-law's children and the
widow's adult children. Each family member speaks
fluent English. Surgery is recommended for this client.
What is the best plan to obtain consent for surgery for
this client?
a. obtain an interpreter to explain the procedure to
the client
b. encourage the client to make her own
decision regarding surgery
c. ask the family members to provide a clarification
of the surgeon's explanation to the client
d. tell the surgeon that the brother-in-law will
decide after explanation of the proposed surgery is
provided to him and the widow - ANSWER-d
The nurse observes an unlicensed assistive personnel
(UAP) checking a client's blood pressure with a cuff that
is too small, but the blood pressure reading obtained is
within the client's usual range. Which action is most
important for the nurse to implement?
,a. tell the UAP to use a larger cuff at the next
scheduled assessment
b. reassess the client's blood pressure using a larger cuff
c. have the unit educator review this procedure with
the UAPs
d. teach the UAP the correct technique for assessing
blood pressure - ANSWER-b
The nurse is completing a mental assessment for a client
who is demonstrating slow thought processes,
personality changes, and emotional lability. Which area
of the brain controls these neuro-cognitive functions?
a. Thalamus
b. hypothalamus
c. frontal lobe
d. parietal lobe - ANSWER-c
An older client who is resident in a long term care
facility has been bedridden for a week. Which finding
should the nurse identify as a client risk factor for
pressure ulcers? a. generalized dry skin b. localized dry
skin on lower extremities c. red flush over entire skin
surface
d. rashes in the axillary, groin, and skin fold
regions - ANSWER-d
The healthcare provider prescribes the diuretic
metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available
in 5 mg tablets. How much should the nurse plan to
,administer? A.
½ tablet.
B. 1 tablet.
C. 1½ tablets.
D. 2 tablets. - ANSWER-c
The nurse observes that a male client has removed the
covering from an ice pack applied to his knee. What
action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
-
ANSWER-a
Which action is most important for the nurse to
implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - ANSWER-c
A client who is in hospice care reports increasing amounts
of pain. The healthcare provider prescribes an analgesic
every four hours as needed. Which action should the nurse
, implement?
a. Give an around-the-clock schedule for
administration of analgesics.
b. Administer analgesic medication as needed when
the pain is severe.
c. Provide medication to keep the client sedated
and unaware of stimuli.
d. Offer a medication-free period so that the client
can do daily activities. - ANSWER-a
A resident in a skilled nursing facility for short-term
rehabilitation after a hip replacement tells the nurse, "I
don't want any more blood taken for those useless tests."
Which narrative documentation should the nurse enter in
the client's medical record?
a. Healthcare provider notified of failure to
collect specimens for prescribed blood studies.
b. Blood specimens not collected because client
no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to
have blood specimens collected for testing.
d. Client irritable, uncooperative, and refuses to have
blood collected. Healthcare provider notified. - ANSWER-
c
Practice Exam (HESI)
Questions and Answers
2025 Graded A+
A Sub-Saharan African widowed immigrant woman lives
with her deceased husband's brother and his family,
which includes the brother-in-law's children and the
widow's adult children. Each family member speaks
fluent English. Surgery is recommended for this client.
What is the best plan to obtain consent for surgery for
this client?
a. obtain an interpreter to explain the procedure to
the client
b. encourage the client to make her own
decision regarding surgery
c. ask the family members to provide a clarification
of the surgeon's explanation to the client
d. tell the surgeon that the brother-in-law will
decide after explanation of the proposed surgery is
provided to him and the widow - ANSWER-d
The nurse observes an unlicensed assistive personnel
(UAP) checking a client's blood pressure with a cuff that
is too small, but the blood pressure reading obtained is
within the client's usual range. Which action is most
important for the nurse to implement?
,a. tell the UAP to use a larger cuff at the next
scheduled assessment
b. reassess the client's blood pressure using a larger cuff
c. have the unit educator review this procedure with
the UAPs
d. teach the UAP the correct technique for assessing
blood pressure - ANSWER-b
The nurse is completing a mental assessment for a client
who is demonstrating slow thought processes,
personality changes, and emotional lability. Which area
of the brain controls these neuro-cognitive functions?
a. Thalamus
b. hypothalamus
c. frontal lobe
d. parietal lobe - ANSWER-c
An older client who is resident in a long term care
facility has been bedridden for a week. Which finding
should the nurse identify as a client risk factor for
pressure ulcers? a. generalized dry skin b. localized dry
skin on lower extremities c. red flush over entire skin
surface
d. rashes in the axillary, groin, and skin fold
regions - ANSWER-d
The healthcare provider prescribes the diuretic
metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available
in 5 mg tablets. How much should the nurse plan to
,administer? A.
½ tablet.
B. 1 tablet.
C. 1½ tablets.
D. 2 tablets. - ANSWER-c
The nurse observes that a male client has removed the
covering from an ice pack applied to his knee. What
action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
-
ANSWER-a
Which action is most important for the nurse to
implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - ANSWER-c
A client who is in hospice care reports increasing amounts
of pain. The healthcare provider prescribes an analgesic
every four hours as needed. Which action should the nurse
, implement?
a. Give an around-the-clock schedule for
administration of analgesics.
b. Administer analgesic medication as needed when
the pain is severe.
c. Provide medication to keep the client sedated
and unaware of stimuli.
d. Offer a medication-free period so that the client
can do daily activities. - ANSWER-a
A resident in a skilled nursing facility for short-term
rehabilitation after a hip replacement tells the nurse, "I
don't want any more blood taken for those useless tests."
Which narrative documentation should the nurse enter in
the client's medical record?
a. Healthcare provider notified of failure to
collect specimens for prescribed blood studies.
b. Blood specimens not collected because client
no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to
have blood specimens collected for testing.
d. Client irritable, uncooperative, and refuses to have
blood collected. Healthcare provider notified. - ANSWER-
c
