HESI Nursing Fundamentals
Assignment Exam
HESI Nursing Fundamentals Assignment Exam 2025 –
100 +Verified Questions with Correct Answers &
Detailed Rationales | Graded A+
,A nursing student is learning about Henderson's theory. Which of these statements by the
student indicates effective learning?
"Henderson's theory focuses on assisting an individual."
"Henderson's theory defines the role of a nurse in helping a client achieve a peaceful death."
"Henderson's theory describes the spiritual domain of an individual."
Rationale: A client's self-care needs are best described under Orem's theory for maintaining
health and well-being. As per Henderson's theory, there are 14 basic needs of an individual
which should be fulfilled. Henderson's theory focuses on the nurse assisting an individual to
carry out any daily activities that will contribute to an individual's health. The nurse should
also help the client have a peaceful death in case of severe morbid conditions. Henderson's
theory describes different domains of an individual's life such as the physiological,
psychological, sociocultural, spiritual, and developmental domains.
A block nurse is caring for an elderly couple in the neighborhood. What kind of service does
block nursing offer to the elderly clients?
Running Errands
Rationale: Block nursing involves the services of nurses living within a neighborhood. The
nurse generally provides services for older clients or those who are unable to leave their
homes. Therefore running errands is one of the services offered by the block nurse. The
primary health care provider's offices provide primary health care, which includes
diagnostics and treatment. School health, occupational health, primary health care
provider's offices, and community health centers provide health screening. Communicable
disease control is offered by occupational health services.
A nurse is caring for a client who is having diarrhea. To prevent an adverse outcome, the nurse
should most closely monitor what patient data or assessment finding?
,Fluid and electrolyte balance
Rationale: Monitoring fluid and electrolyte balance is the most important nursing intervention
because excess loss of fluid through the multiple loose bowel movements associated with
diarrhea lead to alteration in fluid and electrolyte imbalance. Although skin may become
excoriated with diarrhea, this is not a life-threatening condition and therefore not the nursing
priority. Even though absorption of nutrients is decreased with diarrhea malnutrition, it is not a
life-threatening condition and therefore not the priority nursing intervention. Fluid intake and
output provides information about fluid balance only, without taking into consideration the
loss of electrolytes that accompanies diarrhea and therefore is not the best choice.
The nurse instructs a client that, in addition to building bones and teeth, calcium is also
important for what?
Blood Clotting
Rationale:Calcium is important for blood coagulation. When tissue damage occurs, serum
calcium is necessary to promote coagulation by activating certain clotting factors. Calcium
acts as a catalyst in the clotting process in both the extrinsic and intrinsic pathways. Calcium
is responsible for a number of body functions, such as bone health, blood clotting, and
muscle contraction and nerve impulses; however, it is not directly related to bile and blood
production or digestion of fats.
A primary nurse receives prescriptions for a newly admitted client and has difficulty reading
the healthcare provider's writing. Who should the nurse ask for clarification of this
prescription?
Healthcare provider who wrote the prescription
Rationale: The healthcare provider who wrote the prescription should be called for
clarification. The nurse is liable and responsible if the prescription is misinterpreted. Only the
healthcare provider who wrote an undecipherable prescription can correctly clarify the
prescription, not the nurse practitioner, house healthcare provider, or nurse manager.
A nurse is evaluating situations based on the responses of several clients. Which client's
statement confirms that he or she has reached the Integrity versus Despair stage according to
Erikson's theory of psychosocial development?
"Looking back at my entire life, I find that I have actually achieved nothing."
"In the twilight of my life, I regret not fulfilling the promises I made to my wife."
, "Now that I am at the end of the road, I think I am the luckiest person on the earth because
God has given me everything that I had asked for."
Rationale:According to Erikson's theory of psychosocial development, the Integrity versus
Despair stage deals with older adults who view their lives with a sense of satisfaction or
consider themselves as failures. A client who says that he or she realizes that he or she has
achieved nothing is in the Integrity versus Despair stage. Another example of this stage is a
client who states that he or she regrets not fulfilling the promises made to his or her partner.
A further example is a client who says that he or she believes himself or herself to be the
luckiest person on the earth because God has given him or her everything that he or she had
asked for. An example of the Intimacy versus Isolation stage is a client who says that he or
she was in love but his or her partner ditched him or her for someone who is good-looking,
An example of the Generativity versus Self-Absorption stage is a client who requests good
medications that can help him or her get back to work as soon as possible in order to
support his or her family.
Which of these measures does a nurse take during the working phase of a helping
relationship?
Using appropriate self-disclosure and confrontation
Rationale:During the working phase of a helping relationship, the nurse uses appropriate
self-disclosure and confrontation. Evaluation of goal achievements with the client is
performed during the termination phase. The nurse anticipates health concerns or issues
that may arise during the preinteraction phase. The nurse prioritizes the client's problems
and identifies his or her goals during the orientation.
A client is hospitalized for treatment of severe hypertension. Captopril and alprazolam are
prescribed. Shortly after admission, the client says, "I don't think any of you know what you
are doing. You are just guessing what I need." What does the nurse determine as the probable
cause of this behavior?
Fear of the health problem
Rationale:Clients adapting to illness frequently feel afraid and helpless and strike out at
health team members as a way of maintaining control or denying their fear. There is no
evidence that the client denies the existence of the health problem. Although disorders such
as brain attacks and atherosclerosis, which are associated with hypertension, may lead to
cerebral anoxia, there is insufficient evidence to support this conclusion. Captopril (an
antihypertensive) is a renin-angiotensin antagonist that reduces blood pressure and does not
cause behavioral changes; alprazolam is prescribed to reduce anxiety.
Assignment Exam
HESI Nursing Fundamentals Assignment Exam 2025 –
100 +Verified Questions with Correct Answers &
Detailed Rationales | Graded A+
,A nursing student is learning about Henderson's theory. Which of these statements by the
student indicates effective learning?
"Henderson's theory focuses on assisting an individual."
"Henderson's theory defines the role of a nurse in helping a client achieve a peaceful death."
"Henderson's theory describes the spiritual domain of an individual."
Rationale: A client's self-care needs are best described under Orem's theory for maintaining
health and well-being. As per Henderson's theory, there are 14 basic needs of an individual
which should be fulfilled. Henderson's theory focuses on the nurse assisting an individual to
carry out any daily activities that will contribute to an individual's health. The nurse should
also help the client have a peaceful death in case of severe morbid conditions. Henderson's
theory describes different domains of an individual's life such as the physiological,
psychological, sociocultural, spiritual, and developmental domains.
A block nurse is caring for an elderly couple in the neighborhood. What kind of service does
block nursing offer to the elderly clients?
Running Errands
Rationale: Block nursing involves the services of nurses living within a neighborhood. The
nurse generally provides services for older clients or those who are unable to leave their
homes. Therefore running errands is one of the services offered by the block nurse. The
primary health care provider's offices provide primary health care, which includes
diagnostics and treatment. School health, occupational health, primary health care
provider's offices, and community health centers provide health screening. Communicable
disease control is offered by occupational health services.
A nurse is caring for a client who is having diarrhea. To prevent an adverse outcome, the nurse
should most closely monitor what patient data or assessment finding?
,Fluid and electrolyte balance
Rationale: Monitoring fluid and electrolyte balance is the most important nursing intervention
because excess loss of fluid through the multiple loose bowel movements associated with
diarrhea lead to alteration in fluid and electrolyte imbalance. Although skin may become
excoriated with diarrhea, this is not a life-threatening condition and therefore not the nursing
priority. Even though absorption of nutrients is decreased with diarrhea malnutrition, it is not a
life-threatening condition and therefore not the priority nursing intervention. Fluid intake and
output provides information about fluid balance only, without taking into consideration the
loss of electrolytes that accompanies diarrhea and therefore is not the best choice.
The nurse instructs a client that, in addition to building bones and teeth, calcium is also
important for what?
Blood Clotting
Rationale:Calcium is important for blood coagulation. When tissue damage occurs, serum
calcium is necessary to promote coagulation by activating certain clotting factors. Calcium
acts as a catalyst in the clotting process in both the extrinsic and intrinsic pathways. Calcium
is responsible for a number of body functions, such as bone health, blood clotting, and
muscle contraction and nerve impulses; however, it is not directly related to bile and blood
production or digestion of fats.
A primary nurse receives prescriptions for a newly admitted client and has difficulty reading
the healthcare provider's writing. Who should the nurse ask for clarification of this
prescription?
Healthcare provider who wrote the prescription
Rationale: The healthcare provider who wrote the prescription should be called for
clarification. The nurse is liable and responsible if the prescription is misinterpreted. Only the
healthcare provider who wrote an undecipherable prescription can correctly clarify the
prescription, not the nurse practitioner, house healthcare provider, or nurse manager.
A nurse is evaluating situations based on the responses of several clients. Which client's
statement confirms that he or she has reached the Integrity versus Despair stage according to
Erikson's theory of psychosocial development?
"Looking back at my entire life, I find that I have actually achieved nothing."
"In the twilight of my life, I regret not fulfilling the promises I made to my wife."
, "Now that I am at the end of the road, I think I am the luckiest person on the earth because
God has given me everything that I had asked for."
Rationale:According to Erikson's theory of psychosocial development, the Integrity versus
Despair stage deals with older adults who view their lives with a sense of satisfaction or
consider themselves as failures. A client who says that he or she realizes that he or she has
achieved nothing is in the Integrity versus Despair stage. Another example of this stage is a
client who states that he or she regrets not fulfilling the promises made to his or her partner.
A further example is a client who says that he or she believes himself or herself to be the
luckiest person on the earth because God has given him or her everything that he or she had
asked for. An example of the Intimacy versus Isolation stage is a client who says that he or
she was in love but his or her partner ditched him or her for someone who is good-looking,
An example of the Generativity versus Self-Absorption stage is a client who requests good
medications that can help him or her get back to work as soon as possible in order to
support his or her family.
Which of these measures does a nurse take during the working phase of a helping
relationship?
Using appropriate self-disclosure and confrontation
Rationale:During the working phase of a helping relationship, the nurse uses appropriate
self-disclosure and confrontation. Evaluation of goal achievements with the client is
performed during the termination phase. The nurse anticipates health concerns or issues
that may arise during the preinteraction phase. The nurse prioritizes the client's problems
and identifies his or her goals during the orientation.
A client is hospitalized for treatment of severe hypertension. Captopril and alprazolam are
prescribed. Shortly after admission, the client says, "I don't think any of you know what you
are doing. You are just guessing what I need." What does the nurse determine as the probable
cause of this behavior?
Fear of the health problem
Rationale:Clients adapting to illness frequently feel afraid and helpless and strike out at
health team members as a way of maintaining control or denying their fear. There is no
evidence that the client denies the existence of the health problem. Although disorders such
as brain attacks and atherosclerosis, which are associated with hypertension, may lead to
cerebral anoxia, there is insufficient evidence to support this conclusion. Captopril (an
antihypertensive) is a renin-angiotensin antagonist that reduces blood pressure and does not
cause behavioral changes; alprazolam is prescribed to reduce anxiety.
