Page 1 of 23
“ HESI Fundamentals Exam Practice Questions
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED GUARANTEE PASS
Which of the following statements about a case manager is correct?
A.) "A case manager identifies and implements new and more effective
approaches to problems."
B.) "A case manager has the ability to establish an appropriate care plan based
on the assessment of clients and families."
C.) "A case manager helps clients identify and clarify health problems and
chooses appropriate courses of action to solve these problems."
D.) "A case manager applies a critical thinking approach to ensure appropriate,
individualized nursing care for specific clients and their families."
B
Rationale: A case manager has the ability to establish an appropriate care plan
based on the assessment of clients and families. A change agent helps identify and
implement new and more effective approaches to problems. A counselor helps
clients identify and clarify health problems and choose appropriate courses of action.
A caregiver applies a critical thinking approach to ensure appropriate, individualized
nursing care for clients and their families.
Which nursing theory focuses on the client's self-care needs?
A.) Roy's theory
B.) Orem's theory
C.) Watson's theory
D.) Leininger's theory
B
Rationale: Orem's self-care deficit theory focuses on the client's self-care needs.
According to Roy's theory, the goal of nursing is to help a person adapt to changes in
physiological needs, self-concept, role function, and interdependent relations during
health and illness. Watson's theory of transpersonal caring defines the outcome of
nursing activity with regards to the humanistic aspects of life. The major concept of
Leininger's theory is cultural diversity, with the goal of nursing care being to provide
the client with culturally specific nursing care.
, Page 2 of 23
Which is used for determining the hours of care and staff required for a group
of clients?
A.) Flow sheets
B.) Acuity records
C.) Standardized care plans
D.) Discharge summary forms
B
Rationale: An acuity record is used to determine the hours of care and staff required
for a given group of clients. A client's acuity level is based on the type and number of
nursing interventions. Accurate acuity ratings justify overtime and the number and
qualifications of staff needed to safely care for clients. A flow sheet helps to assess
data about a client; this data includes vital signs and routine repetitive care.
Standardized care plans based on an institution's standards of nursing practice are
preprinted and established guidelines used to care for clients who have similar
health problems. Discharge documentation includes medications, diet, community
resources, follow-up care, and medical contact information in case of an emergency
or query.
A registered nurse is teaching a nursing student about the concepts that make
up a theory. Which point noted by the nursing student needs correction?
A.) Concepts consist of interrelated theories.
B.) Concepts help describe or label phenomena.
C.) Concepts that affect the client system are physiological, psychological,
sociocultural, developmental or spiritual.
D.) Concepts can be simple or complex and relate to an object or event that
comes from individual perceptual experiences.
A
Rationale: A theory consists of interrelated concepts. Concepts help describe or
label phenomena. Concepts that affect the client system are physiological,
psychological, sociocultural, developmental or spiritual. Concepts can be simple or
complex and relate to an object or event that comes from individual perceptual
experiences.
Which nursing diagnosis is an example of a client response to a health
condition?
A.) Risk for acute confusion
B.) Impaired social interaction
C.) Readiness for enhanced nutrition
D.) Readiness for increased family coping
B
Rationale: Impaired social interaction is an example of a client response to a health
condition. Any nursing diagnoses beginning with "risk for" describes human
responses to conditions that have not yet occurred, such as Risk for acute confusion.
A health promotion nursing diagnosis reflects the clinical judgment that the individual
or family client is willing to act to improve their health to prevent the onset of a health
condition which has not yet occurred. Readiness for enhanced nutrition and
readiness for enhanced family coping are examples of health promotion nursing
diagnoses.
, Page 3 of 23
Which of these refers to the accountability element of the decision making
process?
A.) Individuals being answerable for their actions
B.) Freedom of choice and responsibility for the choices
C.) Duties and activities that an individual is employed to perform
D.) Authority to give commands and make final decisions specific to a given
position
A
Rationale: Accountability refers to individuals being answerable for their actions. This
idea means that a nurse has to accept the commitment to provide excellent client
care and the responsibility for the outcomes of the actions. Autonomy refers to the
freedom of choice and responsibility of choices. Responsibility refers to the duties
and activities that an individual is employed to perform. Authority refers to legitimate
power to give commands and make final decisions specific to a given position.
Which feature according to Benner is observed in a nurse at the "proficient"
level?
A.) The nurse learns by means of a set of rules.
B.) The nurse identifies the principles of nursing care.
C.) The nurse identifies problems related to the health care system.
D.) The nurse focuses on managing care rather than managing skills.
D
Rationale: The nurse at the proficient level has more than 2 or 3 years of experience
in the same clinical position. The nurse focuses on managing care rather than
managing and performing skills. The novice nurse learns by means of a set of rules,
which are usually stepwise and linear. The advanced beginner has observational
experience and is able to identify the principles of nursing care. The expert nurse is
skilled at identifying client-centered problems, health care system-related problems,
and the needs of the novice nurse.
In which process of Swanson's theory is the nurse engaging when explaining
neonatal care to a parent?
A.) Enabling
B.) Knowing
C.) Doing for
D.) Being with
A
Rationale: According to Swanson's theory, the nurse is engaging in enabling when
explaining the care of a neonate to a parent. Enabling includes
informing/explaining/supporting/allowing, focusing, generating alternatives,
validating, and giving feedback. The process of knowing includes avoiding
assumptions, centering on the one being cared for, assessing thoroughly, seeking
cues, and engaging the self or both. The process of doing for includes comforting,
anticipating, performing skillfully, protecting, and preserving dignity. The process of
being with includes being there, conveying ability, sharing feelings, and not
burdening.
A nurse is teaching a parent about the different temperaments that a child may
display. What characteristics does a slow-to-warm up child display? Select all
that apply.
“ HESI Fundamentals Exam Practice Questions
”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED GUARANTEE PASS
Which of the following statements about a case manager is correct?
A.) "A case manager identifies and implements new and more effective
approaches to problems."
B.) "A case manager has the ability to establish an appropriate care plan based
on the assessment of clients and families."
C.) "A case manager helps clients identify and clarify health problems and
chooses appropriate courses of action to solve these problems."
D.) "A case manager applies a critical thinking approach to ensure appropriate,
individualized nursing care for specific clients and their families."
B
Rationale: A case manager has the ability to establish an appropriate care plan
based on the assessment of clients and families. A change agent helps identify and
implement new and more effective approaches to problems. A counselor helps
clients identify and clarify health problems and choose appropriate courses of action.
A caregiver applies a critical thinking approach to ensure appropriate, individualized
nursing care for clients and their families.
Which nursing theory focuses on the client's self-care needs?
A.) Roy's theory
B.) Orem's theory
C.) Watson's theory
D.) Leininger's theory
B
Rationale: Orem's self-care deficit theory focuses on the client's self-care needs.
According to Roy's theory, the goal of nursing is to help a person adapt to changes in
physiological needs, self-concept, role function, and interdependent relations during
health and illness. Watson's theory of transpersonal caring defines the outcome of
nursing activity with regards to the humanistic aspects of life. The major concept of
Leininger's theory is cultural diversity, with the goal of nursing care being to provide
the client with culturally specific nursing care.
, Page 2 of 23
Which is used for determining the hours of care and staff required for a group
of clients?
A.) Flow sheets
B.) Acuity records
C.) Standardized care plans
D.) Discharge summary forms
B
Rationale: An acuity record is used to determine the hours of care and staff required
for a given group of clients. A client's acuity level is based on the type and number of
nursing interventions. Accurate acuity ratings justify overtime and the number and
qualifications of staff needed to safely care for clients. A flow sheet helps to assess
data about a client; this data includes vital signs and routine repetitive care.
Standardized care plans based on an institution's standards of nursing practice are
preprinted and established guidelines used to care for clients who have similar
health problems. Discharge documentation includes medications, diet, community
resources, follow-up care, and medical contact information in case of an emergency
or query.
A registered nurse is teaching a nursing student about the concepts that make
up a theory. Which point noted by the nursing student needs correction?
A.) Concepts consist of interrelated theories.
B.) Concepts help describe or label phenomena.
C.) Concepts that affect the client system are physiological, psychological,
sociocultural, developmental or spiritual.
D.) Concepts can be simple or complex and relate to an object or event that
comes from individual perceptual experiences.
A
Rationale: A theory consists of interrelated concepts. Concepts help describe or
label phenomena. Concepts that affect the client system are physiological,
psychological, sociocultural, developmental or spiritual. Concepts can be simple or
complex and relate to an object or event that comes from individual perceptual
experiences.
Which nursing diagnosis is an example of a client response to a health
condition?
A.) Risk for acute confusion
B.) Impaired social interaction
C.) Readiness for enhanced nutrition
D.) Readiness for increased family coping
B
Rationale: Impaired social interaction is an example of a client response to a health
condition. Any nursing diagnoses beginning with "risk for" describes human
responses to conditions that have not yet occurred, such as Risk for acute confusion.
A health promotion nursing diagnosis reflects the clinical judgment that the individual
or family client is willing to act to improve their health to prevent the onset of a health
condition which has not yet occurred. Readiness for enhanced nutrition and
readiness for enhanced family coping are examples of health promotion nursing
diagnoses.
, Page 3 of 23
Which of these refers to the accountability element of the decision making
process?
A.) Individuals being answerable for their actions
B.) Freedom of choice and responsibility for the choices
C.) Duties and activities that an individual is employed to perform
D.) Authority to give commands and make final decisions specific to a given
position
A
Rationale: Accountability refers to individuals being answerable for their actions. This
idea means that a nurse has to accept the commitment to provide excellent client
care and the responsibility for the outcomes of the actions. Autonomy refers to the
freedom of choice and responsibility of choices. Responsibility refers to the duties
and activities that an individual is employed to perform. Authority refers to legitimate
power to give commands and make final decisions specific to a given position.
Which feature according to Benner is observed in a nurse at the "proficient"
level?
A.) The nurse learns by means of a set of rules.
B.) The nurse identifies the principles of nursing care.
C.) The nurse identifies problems related to the health care system.
D.) The nurse focuses on managing care rather than managing skills.
D
Rationale: The nurse at the proficient level has more than 2 or 3 years of experience
in the same clinical position. The nurse focuses on managing care rather than
managing and performing skills. The novice nurse learns by means of a set of rules,
which are usually stepwise and linear. The advanced beginner has observational
experience and is able to identify the principles of nursing care. The expert nurse is
skilled at identifying client-centered problems, health care system-related problems,
and the needs of the novice nurse.
In which process of Swanson's theory is the nurse engaging when explaining
neonatal care to a parent?
A.) Enabling
B.) Knowing
C.) Doing for
D.) Being with
A
Rationale: According to Swanson's theory, the nurse is engaging in enabling when
explaining the care of a neonate to a parent. Enabling includes
informing/explaining/supporting/allowing, focusing, generating alternatives,
validating, and giving feedback. The process of knowing includes avoiding
assumptions, centering on the one being cared for, assessing thoroughly, seeking
cues, and engaging the self or both. The process of doing for includes comforting,
anticipating, performing skillfully, protecting, and preserving dignity. The process of
being with includes being there, conveying ability, sharing feelings, and not
burdening.
A nurse is teaching a parent about the different temperaments that a child may
display. What characteristics does a slow-to-warm up child display? Select all
that apply.
