HESI FUNDAMENTALS PRACTICE QUESTIONS AND
ANSWERS LATEST VERSION WITH GREAT
RATIONALES GRADED A+
Zinc and potassium -
You are a new graduate nurse working with a nurse who has been out of school for
10 years. The seasoned nurse states, "I don't see the difference between this clinical
reasoning and the nursing process." Which of the following statements would be an
appropriate response? (Select all that apply.)
Which statement is included in the clinical reasoning communication category?
Which phrase indicates that reporting of errors is valued and is free of reprisal or
personal risk?
Which of the following concepts would a nurse think has the strongest link to safety?
(Select all that apply.)
When rolling a patient with hemiplegia onto her side while moving into the prone
position, the nurse should place a pillow on the patient's abdomen.
When repositioning a patient, what can the nurse do to prevent the patient's hips
from rolling outward?
When repositioning a patient, what can the nurse do to prevent the patient's hips
from rolling outward?
When positioning a hemiplegic patient in the supported Fowler's position, what is the
primary reason a trochanter roll is placed alongside the patient's legs?
When positioning a hemiplegic patient in the supported Fowler's position, what is the
primary reason a trochanter roll is placed alongside the patient's legs?
What the nurse personally brings to the caring encounter
What is the primary benefit to classifying errors as either active or latent?
Vitamins and minerals
Verify all immunizations. -
Value -
Using experiential knowledge, the nurse begins to put everything together to make
sense of it.
Used to evaluate whether the nursing care plan should be revised
Use the affected arm as a guide during rolling.
Use a mechanical lift to transfer the patient from the bed to the chair.
Trousseau sign is likely present in patients who have diarrhea or dehydration
because dehydration can cause increased neuromuscular excitability.
Treatment error -
To which position would the nurse assist the patient who is experiencing difficulty
with breathing?
To which position would the nurse assist the patient who is experiencing difficulty
with breathing?
To reduce the risk of contracture
To reduce the risk of a fall while the side rails are down
To promote safety, the nurse manager sensitive to point-of-care (sharp-end) and
systems-level (blunt-end) exemplars works closely with administrators to address
which organizational system exemplar?
To cushion the legs
To control pain -
The three elements of nursing competency described in the Quality and Safety for
Nurses (QSEN) initiative are knowledge, skill, and which other element?
, HESI FUNDAMENTALS PRACTICE QUESTIONS AND
ANSWERS LATEST VERSION WITH GREAT
RATIONALES GRADED A+
The Tanner Model is used primarily to explain nursing interventions to other health
care professionals. -
The Tanner Model is based on nursing theory that incorporates the biopsychosocial
nature of humans.
The Tanner Model is a scientific-based method of diagnosing the patient's health
care problems.
The Tanner Model has four aspects of clinical judgment.
The patient has two major risk factors for hyperkalemia: massive sudden cell death
from a crushing injury (potassium shift from cells into the extracellular fluid) and
massive blood transfusion (rapid potassium intake).
The nurse's previous experiences, values, and emotions -
The nurse uses clinical judgment to compare actual nursing outcomes to the
expected nursing outcomes to:
The nurse teaches a student nurse about how to apply the Tanner Model of Clinical
Judgment when providing patient care. Which statement made by the student nurse
indicates that teaching was successful?
The nurse suspects that a patient has a decreased cellular volume with a possible
electrolyte imbalance. The provider has ordered blood chemistry laboratory tests.
What is the most important nursing intervention for this patient until laboratory results
confirm this suspicion?
The nurse is working with a patient who has been complaining of nausea and
diarrhea. The nurse suspects dehydration. Which sign does the nurse expect to see?
The nurse is reviewing skin care of an immobilized patient with an unlicensed
assistive employee. The nurse knows the employee understands the importance of
skin care when making which statement?
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side?
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side?
The nurse is caring for a patient who will be discharged following a fracture to the
forearm. Which of the following should the nurse include in the discharge
instructions?
The nurse is caring for a patient who sustained a hip fracture and had an open
reduction and internal fixation (ORIF) of a hip fracture. The patient will be getting out
of bed for the first time postoperatively. Which should the nurse do next?
The nurse is caring for a patient who has a suspected fracture. Which of the
following assessments is most important for the nurse to perform first?
The nurse is admitting an older adult with left-sided heart failure. The nursing
assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse
anticipates which of the following orders?
The normal action of ADH is renal reabsorption of water, which dilutes the blood.
Excessive ADH causes hyponatremia, which is manifested by a decreased level of
consciousness because the osmotic shift of water into the brain cells impairs their
function.
The mathematical calculation process by which a nurse verifies a medication
dosage.
The information from the chart
ANSWERS LATEST VERSION WITH GREAT
RATIONALES GRADED A+
Zinc and potassium -
You are a new graduate nurse working with a nurse who has been out of school for
10 years. The seasoned nurse states, "I don't see the difference between this clinical
reasoning and the nursing process." Which of the following statements would be an
appropriate response? (Select all that apply.)
Which statement is included in the clinical reasoning communication category?
Which phrase indicates that reporting of errors is valued and is free of reprisal or
personal risk?
Which of the following concepts would a nurse think has the strongest link to safety?
(Select all that apply.)
When rolling a patient with hemiplegia onto her side while moving into the prone
position, the nurse should place a pillow on the patient's abdomen.
When repositioning a patient, what can the nurse do to prevent the patient's hips
from rolling outward?
When repositioning a patient, what can the nurse do to prevent the patient's hips
from rolling outward?
When positioning a hemiplegic patient in the supported Fowler's position, what is the
primary reason a trochanter roll is placed alongside the patient's legs?
When positioning a hemiplegic patient in the supported Fowler's position, what is the
primary reason a trochanter roll is placed alongside the patient's legs?
What the nurse personally brings to the caring encounter
What is the primary benefit to classifying errors as either active or latent?
Vitamins and minerals
Verify all immunizations. -
Value -
Using experiential knowledge, the nurse begins to put everything together to make
sense of it.
Used to evaluate whether the nursing care plan should be revised
Use the affected arm as a guide during rolling.
Use a mechanical lift to transfer the patient from the bed to the chair.
Trousseau sign is likely present in patients who have diarrhea or dehydration
because dehydration can cause increased neuromuscular excitability.
Treatment error -
To which position would the nurse assist the patient who is experiencing difficulty
with breathing?
To which position would the nurse assist the patient who is experiencing difficulty
with breathing?
To reduce the risk of contracture
To reduce the risk of a fall while the side rails are down
To promote safety, the nurse manager sensitive to point-of-care (sharp-end) and
systems-level (blunt-end) exemplars works closely with administrators to address
which organizational system exemplar?
To cushion the legs
To control pain -
The three elements of nursing competency described in the Quality and Safety for
Nurses (QSEN) initiative are knowledge, skill, and which other element?
, HESI FUNDAMENTALS PRACTICE QUESTIONS AND
ANSWERS LATEST VERSION WITH GREAT
RATIONALES GRADED A+
The Tanner Model is used primarily to explain nursing interventions to other health
care professionals. -
The Tanner Model is based on nursing theory that incorporates the biopsychosocial
nature of humans.
The Tanner Model is a scientific-based method of diagnosing the patient's health
care problems.
The Tanner Model has four aspects of clinical judgment.
The patient has two major risk factors for hyperkalemia: massive sudden cell death
from a crushing injury (potassium shift from cells into the extracellular fluid) and
massive blood transfusion (rapid potassium intake).
The nurse's previous experiences, values, and emotions -
The nurse uses clinical judgment to compare actual nursing outcomes to the
expected nursing outcomes to:
The nurse teaches a student nurse about how to apply the Tanner Model of Clinical
Judgment when providing patient care. Which statement made by the student nurse
indicates that teaching was successful?
The nurse suspects that a patient has a decreased cellular volume with a possible
electrolyte imbalance. The provider has ordered blood chemistry laboratory tests.
What is the most important nursing intervention for this patient until laboratory results
confirm this suspicion?
The nurse is working with a patient who has been complaining of nausea and
diarrhea. The nurse suspects dehydration. Which sign does the nurse expect to see?
The nurse is reviewing skin care of an immobilized patient with an unlicensed
assistive employee. The nurse knows the employee understands the importance of
skin care when making which statement?
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side?
The nurse is preparing to move a patient with hemiplegia into the prone position.
What action should the nurse take when rolling the patient onto her side?
The nurse is caring for a patient who will be discharged following a fracture to the
forearm. Which of the following should the nurse include in the discharge
instructions?
The nurse is caring for a patient who sustained a hip fracture and had an open
reduction and internal fixation (ORIF) of a hip fracture. The patient will be getting out
of bed for the first time postoperatively. Which should the nurse do next?
The nurse is caring for a patient who has a suspected fracture. Which of the
following assessments is most important for the nurse to perform first?
The nurse is admitting an older adult with left-sided heart failure. The nursing
assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse
anticipates which of the following orders?
The normal action of ADH is renal reabsorption of water, which dilutes the blood.
Excessive ADH causes hyponatremia, which is manifested by a decreased level of
consciousness because the osmotic shift of water into the brain cells impairs their
function.
The mathematical calculation process by which a nurse verifies a medication
dosage.
The information from the chart
