HESI RN Fundamentals v1 &v2 Questions & Answers
• A policy requiring the removal of acrylic nails by all nursing personnel was
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client
The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen
for creatinine
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
, E. Check the urine for color and texture
F. Empty the urinal contents into the 24-hour collection container
G. Discard the contents of the urinal
• 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be most
A. Ask her how she would like to participate in the client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer
• A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week
• The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
• A female client’s significant other has been at her bedside providing reassurance and
support for past 3 days, as desired by the client. The client’s estranged husband arrives and
,demands the significant other not be allowed to visit or be given condition updates. Which
intervention should the nurse implement?
A) Communicate the client’s wishes tall members of the multidisciplinary team.
B) Encourage the client to speak with her husband regarding his disruptive behavior.
C) Request a consultation with the ethics committee for resolution of the situation.
D) Obtain a prescription from the healthcare provider regarding visitation privilages.
• The nurse observes that there are reddened areas on the cheekbones of a client
receiving oxygen per nasal cannula at 3L/minute, and the client’s oxygen saturation
level is 92%. What intervention should the nurse implement?
A) Decrease the flow rate to 1 L/minute.
B) Discontinue the use of the nasal cannula.
C) Apply lubricant to the cannula tubing.
D) Place padding around the cannula tubing.
• A female nursing home resident and her family only speak Spanish. During a visit, the
entire family begins to cry hysterically. When unable to determine why the family is upset,
, what intervention is most important for the nurse to implement?
A) Ask a Spanish speaking staff member to talk with the family.
B) Use a Spanish translation reference to interview the family.
C) Close the door to client’s room to provide family privacy.
D) Sit quietly with the family to offer comfort and support.
• A policy requiring the removal of acrylic nails by all nursing personnel was
A. Offer smalls sips of water through a straw
B. Place tongue blade on back half of tongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client
The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen
for creatinine
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal
, E. Check the urine for color and texture
F. Empty the urinal contents into the 24-hour collection container
G. Discard the contents of the urinal
• 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to be most
A. Ask her how she would like to participate in the client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer
• A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high protein meals
B. Engage in strenuous activity for an hour daily
C. Keep a record of food and drinks consumed daily
D. Participated in a group exercise class 3 times a week
• The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min.
To assess for skin damage related to the cannula, which areas should the nurse
observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
• A female client’s significant other has been at her bedside providing reassurance and
support for past 3 days, as desired by the client. The client’s estranged husband arrives and
,demands the significant other not be allowed to visit or be given condition updates. Which
intervention should the nurse implement?
A) Communicate the client’s wishes tall members of the multidisciplinary team.
B) Encourage the client to speak with her husband regarding his disruptive behavior.
C) Request a consultation with the ethics committee for resolution of the situation.
D) Obtain a prescription from the healthcare provider regarding visitation privilages.
• The nurse observes that there are reddened areas on the cheekbones of a client
receiving oxygen per nasal cannula at 3L/minute, and the client’s oxygen saturation
level is 92%. What intervention should the nurse implement?
A) Decrease the flow rate to 1 L/minute.
B) Discontinue the use of the nasal cannula.
C) Apply lubricant to the cannula tubing.
D) Place padding around the cannula tubing.
• A female nursing home resident and her family only speak Spanish. During a visit, the
entire family begins to cry hysterically. When unable to determine why the family is upset,
, what intervention is most important for the nurse to implement?
A) Ask a Spanish speaking staff member to talk with the family.
B) Use a Spanish translation reference to interview the family.
C) Close the door to client’s room to provide family privacy.
D) Sit quietly with the family to offer comfort and support.
