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HESI Fundamentals Issues in Nursing Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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HESI Fundamentals Issues in Nursing Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What should a nurse do first if they suspect another nurse is working while impaired? Report the concern to the nursing supervisor immediately. When a nurse makes an error in medication administration, what is the priority action? Assess the client for adverse effects. If a client refuses a prescribed treatment, what is the nurse’s best response? Respect the client’s decision and document the refusal. What is the nurse’s first step when receiving a telephone order from a healthcare provider? Write down and read back the order for confirmation. What should the nurse do if a client requests to see their medical record? Follow facility policy to provide access to the record. 2 When caring for a client who speaks a different language, what is the most appropriate way to obtain informed consent? Use a qualified medical interpreter. What is the nurse’s primary responsibility in maintaining client confidentiality? Only share information with individuals directly involved in the client’s care. What should the nurse do if they notice an unsafe practice by a colleague? Report the unsafe practice according to facility policy. What is the nurse’s role when a client’s advance directive conflicts with family wishes? Advocate for and follow the client’s advance directive. What should the nurse do first when delegated a task outside their legal scope of practice? Refuse the task and explain the legal limitations. If a nurse documents care that was not provided, this is considered what type of legal issue? Falsification of records. 3 When is it appropriate for a nurse to breach client confidentiality? When there is a legal requirement to report, such as suspected abuse. What should the nurse do if a client’s family member requests an update on the client’s condition without permission? Politely decline and protect the client’s privacy. What is the nurse’s first action if they suspect a client is being abused? Ensure the client’s safety and follow mandatory reporting laws. What is the ethical principle of doing good for others known as? Beneficence. What is the nurse’s responsibility when an unlicensed assistive personnel (UAP) makes a clinical judgment about a client’s condition? Clarify that clinical judgments must be made by a licensed nurse. 4 What should a nurse do if they receive an incomplete handoff report? Ask the outgoing nurse to provide the missing information before assuming care. When a nurse delegates a task, what must they

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HESI Fundamentals Issues in Nursing
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What should a nurse do first if they suspect another nurse is working while impaired?


✔✔Report the concern to the nursing supervisor immediately.




When a nurse makes an error in medication administration, what is the priority action?


✔✔Assess the client for adverse effects.




If a client refuses a prescribed treatment, what is the nurse’s best response?


✔✔Respect the client’s decision and document the refusal.




What is the nurse’s first step when receiving a telephone order from a healthcare provider?


✔✔Write down and read back the order for confirmation.




What should the nurse do if a client requests to see their medical record?


✔✔Follow facility policy to provide access to the record.




1

,When caring for a client who speaks a different language, what is the most appropriate way to

obtain informed consent?


✔✔Use a qualified medical interpreter.




What is the nurse’s primary responsibility in maintaining client confidentiality?


✔✔Only share information with individuals directly involved in the client’s care.




What should the nurse do if they notice an unsafe practice by a colleague?


✔✔Report the unsafe practice according to facility policy.




What is the nurse’s role when a client’s advance directive conflicts with family wishes?


✔✔Advocate for and follow the client’s advance directive.




What should the nurse do first when delegated a task outside their legal scope of practice?


✔✔Refuse the task and explain the legal limitations.




If a nurse documents care that was not provided, this is considered what type of legal issue?


✔✔Falsification of records.

2

, When is it appropriate for a nurse to breach client confidentiality?


✔✔When there is a legal requirement to report, such as suspected abuse.




What should the nurse do if a client’s family member requests an update on the client’s condition

without permission?


✔✔Politely decline and protect the client’s privacy.




What is the nurse’s first action if they suspect a client is being abused?


✔✔Ensure the client’s safety and follow mandatory reporting laws.




What is the ethical principle of doing good for others known as?


✔✔Beneficence.




What is the nurse’s responsibility when an unlicensed assistive personnel (UAP) makes a clinical

judgment about a client’s condition?


✔✔Clarify that clinical judgments must be made by a licensed nurse.




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