HESI RN FUNDAMENTALS TESTBANK Exam Questions and
Answers latest update 2026 Version V1-V3
A policy requiring the removal of acrylic nails by all nursing personnel was
sw sw sw sw sw sw sw sw sw sw sw sw s
w implemented six months ago. Which assessment measure best determines if
sw sw sw sw sw sw sw sw sw
sw the intended outcome of the policy is being achieved?
sw sw sw sw sw sw sw sw sw A)swNumberswofswtheswstaf
f- induced skin injuries.
sw sw sw
B)s w Clientswsatisfactionswsurvey.
C)s w Rateswofswneedlestickswinjuriesswbyswnurses.
D)swHealthcare-associatedswinfectionswrates.
To assess the quality of an adult client’s pain, what approach should the nurse use? C A)
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
Observe body language and movement.
sw sw sw sw
B) Provide a numeric pain scale. sw sw sw sw
C) Ask the client to describe the pain.
sw sw sw sw sw sw
D) Identifysweffectiveswpainswreliefswmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The doct
sw sw sw sw sw sw sw sw sw sw sw sw sw
or told me I have cancer and do not have long to live.” Which response is best
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
for the nurse to provide?
sw sw sw sw
A) “That’s correct, you do not have long t
sw sw sw sw sw sw sw
o live” D
sw sw
B) “Would you like me to call your minister?”
sw sw sw sw sw sw sw
C) “Don't give up, you still have chemotherap
sw sw sw sw sw sw
y to try.”
sw sw
D) “Yes, your condition is serious.”
sw sw sw sw
,When performing blood pressure measurement to assess for orthostati
sw sw sw sw sw sw sw sw
c hypotension, which action should the nurse implement first? C A) Ap
sw sw sw sw sw sw sw sw sw sw sw
ply the blood pressure cuff securely.
sw sw sw sw sw
B) Recordswtheswclient’sswpulseswrateswandswr
hythm. C) Position the client supine
sw sw sw sw sw sw
for a few minutes. D) Assist the clien
sw sw sw sw sw sw sw
t to stand at bedside.
sw sw sw sw
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
sw sw sw sw sw sw sw sw sw sw sw sw
of a client with pertussis for whom droplet precautions have been implemented.
sw sw sw sw sw sw sw sw sw sw sw
The UAP request a change in assignment, stating she has not yet been fitted fo
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
r a particulate filter mask. What action should the nurse take? D
sw sw sw sw sw sw sw sw sw sw
When evaluating the effectiveness of a client’s nursing care, the nurse first review
sw sw sw sw sw sw sw sw sw sw sw sw
s the expected outcomes identified in the plan of care. What action should the n
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
urse take next? sw sw
A) Modify the nursing interventions to achieve the client’s goals.
sw sw sw sw sw sw sw sw
B) Determine if the expected outcomes were realistic.
sw sw sw sw sw sw
C) Review related professional standards of care.
sw sw sw sw sw
D) Obtain current client data to compare with expected outcomes.
sw sw sw sw sw sw sw sw
A client with limited tolerance for activity needs to walk in the hallway with as
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
sistance. Which instructions should the nurse give to the unlicensed assistive per
sw sw sw sw sw sw sw sw sw sw sw
sonnel (UAP) who assisting with client’s care? (Select all that apply.)
sw sw sw sw sw sw sw sw sw sw
A) Instruct the client about signs of orthostati
sw sw sw sw sw sw
c hypertension
sw
,B) Determine if the client needs to have a gai
sw sw sw sw sw sw sw sw
t belt applied
sw sw
C) Measure the clients vital signs before the cl
sw sw sw sw sw sw sw
ient walks. sw
D) Offer to assist the client to void prior to w
sw sw sw sw sw sw sw sw sw
alking in the hall. sw sw sw
E) Report the onset of any dizziness or ligh
sw sw sw sw sw sw sw
t headedness.
sw
A client has begun a long-
sw sw sw sw sw
term maintenance therapy with lithium, which has a narrow therapeutic inde
sw sw sw sw sw sw sw sw sw sw
x. Which adverse effect is most important for nurse to include in the teachin
sw sw sw sw sw sw sw sw sw sw sw sw sw
g plan? A) Dependence.
sw sw sw
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic heal
sw sw sw sw sw sw sw sw sw sw sw sw
th record. Which statement is most accurate regarding electronic documentation du
sw sw sw sw sw sw sw sw sw sw
ring an interview?
sw sw
A)swTheswinterviewswprocessswisswenhancedswwithswelectronicswdocumentationswandswallowsswtheswclientswtos
w speak at a normal pace.
sw sw sw sw
B)swCompletingswtheswelectronicswrecordswduringswanswinterviewswisswaswlegalswobligationswofswt
he examining
sw
nurse.
C)swTheswnurseswhasswlimitedswabilityswtoswobserveswnonverbalswcommunicationswwhileswenteringswth
e assessment electronically.
sw sw
, D)swTheswclient’sswcomfortswlevelswisswincreasedswwhenswtheswnurseswbreakssweyeswcontactswtoswtypeswnot
es into the record.
sw sw sw
A client who lives in an assisted living facility develops cognitive impairmen
sw sw sw sw sw sw sw sw sw sw sw
t following a stroke. Informed consent is needed to provide additional nursi
sw sw sw sw sw sw sw sw sw sw sw
ng services. Who should nurse contact?
sw sw sw sw sw
A)swTheswclient’sswoldestswlivingswchild,swaswlawyer,swwhoswisswvisitingswfromswoutswofswtown.
B)swAswdaughtersw-in-lawswdesignatedswasswtheswclient’sswDurableswPowerswofswAttorneysw(DPOA).
C)sw Theswclient’sswyoungestswson,swidentifiedswbyswfamilyswmembersswasswtheswfamilyswspokesperson.
D)swTheswclient’sswspouseswwhoswlivesswinswtheswindependentswlivingswunitswofswtheswfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methi
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
cillin resistant staphylococcus aureus (MRSA). The nurse plans interventions to pr
sw sw sw sw sw sw sw sw sw sw
event multiple re- sw sw
entries to the client’s room. In which order should the nurse perform the interven
sw sw sw sw sw sw sw sw sw sw sw sw sw
tions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
sw sw sw sw sw sw sw sw
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
sw sw sw sw sw sw sw sw
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
sw sw sw sw sw sw sw sw
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
sw sw sw sw sw sw sw sw
What self- sw
care outcome is best for the nurse to use in evaluating a client’s recovery form a s
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
troke that resulted in left- sided hemiparesis?
sw sw sw sw sw sw
A)swPromoteswindependenceswbyswallowingswclientswtoswperformswallswself-careswactivities.
B)s w Participatesswinswself-careswtoswoptimalswlevelswofswcapacity.
C)s w Clientswverbalizesswimportanceswofswhygienicswpracticesswinswtheswrecoveryswprocess.
Answers latest update 2026 Version V1-V3
A policy requiring the removal of acrylic nails by all nursing personnel was
sw sw sw sw sw sw sw sw sw sw sw sw s
w implemented six months ago. Which assessment measure best determines if
sw sw sw sw sw sw sw sw sw
sw the intended outcome of the policy is being achieved?
sw sw sw sw sw sw sw sw sw A)swNumberswofswtheswstaf
f- induced skin injuries.
sw sw sw
B)s w Clientswsatisfactionswsurvey.
C)s w Rateswofswneedlestickswinjuriesswbyswnurses.
D)swHealthcare-associatedswinfectionswrates.
To assess the quality of an adult client’s pain, what approach should the nurse use? C A)
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
Observe body language and movement.
sw sw sw sw
B) Provide a numeric pain scale. sw sw sw sw
C) Ask the client to describe the pain.
sw sw sw sw sw sw
D) Identifysweffectiveswpainswreliefswmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The doct
sw sw sw sw sw sw sw sw sw sw sw sw sw
or told me I have cancer and do not have long to live.” Which response is best
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
for the nurse to provide?
sw sw sw sw
A) “That’s correct, you do not have long t
sw sw sw sw sw sw sw
o live” D
sw sw
B) “Would you like me to call your minister?”
sw sw sw sw sw sw sw
C) “Don't give up, you still have chemotherap
sw sw sw sw sw sw
y to try.”
sw sw
D) “Yes, your condition is serious.”
sw sw sw sw
,When performing blood pressure measurement to assess for orthostati
sw sw sw sw sw sw sw sw
c hypotension, which action should the nurse implement first? C A) Ap
sw sw sw sw sw sw sw sw sw sw sw
ply the blood pressure cuff securely.
sw sw sw sw sw
B) Recordswtheswclient’sswpulseswrateswandswr
hythm. C) Position the client supine
sw sw sw sw sw sw
for a few minutes. D) Assist the clien
sw sw sw sw sw sw sw
t to stand at bedside.
sw sw sw sw
Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
sw sw sw sw sw sw sw sw sw sw sw sw
of a client with pertussis for whom droplet precautions have been implemented.
sw sw sw sw sw sw sw sw sw sw sw
The UAP request a change in assignment, stating she has not yet been fitted fo
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
r a particulate filter mask. What action should the nurse take? D
sw sw sw sw sw sw sw sw sw sw
When evaluating the effectiveness of a client’s nursing care, the nurse first review
sw sw sw sw sw sw sw sw sw sw sw sw
s the expected outcomes identified in the plan of care. What action should the n
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
urse take next? sw sw
A) Modify the nursing interventions to achieve the client’s goals.
sw sw sw sw sw sw sw sw
B) Determine if the expected outcomes were realistic.
sw sw sw sw sw sw
C) Review related professional standards of care.
sw sw sw sw sw
D) Obtain current client data to compare with expected outcomes.
sw sw sw sw sw sw sw sw
A client with limited tolerance for activity needs to walk in the hallway with as
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
sistance. Which instructions should the nurse give to the unlicensed assistive per
sw sw sw sw sw sw sw sw sw sw sw
sonnel (UAP) who assisting with client’s care? (Select all that apply.)
sw sw sw sw sw sw sw sw sw sw
A) Instruct the client about signs of orthostati
sw sw sw sw sw sw
c hypertension
sw
,B) Determine if the client needs to have a gai
sw sw sw sw sw sw sw sw
t belt applied
sw sw
C) Measure the clients vital signs before the cl
sw sw sw sw sw sw sw
ient walks. sw
D) Offer to assist the client to void prior to w
sw sw sw sw sw sw sw sw sw
alking in the hall. sw sw sw
E) Report the onset of any dizziness or ligh
sw sw sw sw sw sw sw
t headedness.
sw
A client has begun a long-
sw sw sw sw sw
term maintenance therapy with lithium, which has a narrow therapeutic inde
sw sw sw sw sw sw sw sw sw sw
x. Which adverse effect is most important for nurse to include in the teachin
sw sw sw sw sw sw sw sw sw sw sw sw sw
g plan? A) Dependence.
sw sw sw
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the electronic heal
sw sw sw sw sw sw sw sw sw sw sw sw
th record. Which statement is most accurate regarding electronic documentation du
sw sw sw sw sw sw sw sw sw sw
ring an interview?
sw sw
A)swTheswinterviewswprocessswisswenhancedswwithswelectronicswdocumentationswandswallowsswtheswclientswtos
w speak at a normal pace.
sw sw sw sw
B)swCompletingswtheswelectronicswrecordswduringswanswinterviewswisswaswlegalswobligationswofswt
he examining
sw
nurse.
C)swTheswnurseswhasswlimitedswabilityswtoswobserveswnonverbalswcommunicationswwhileswenteringswth
e assessment electronically.
sw sw
, D)swTheswclient’sswcomfortswlevelswisswincreasedswwhenswtheswnurseswbreakssweyeswcontactswtoswtypeswnot
es into the record.
sw sw sw
A client who lives in an assisted living facility develops cognitive impairmen
sw sw sw sw sw sw sw sw sw sw sw
t following a stroke. Informed consent is needed to provide additional nursi
sw sw sw sw sw sw sw sw sw sw sw
ng services. Who should nurse contact?
sw sw sw sw sw
A)swTheswclient’sswoldestswlivingswchild,swaswlawyer,swwhoswisswvisitingswfromswoutswofswtown.
B)swAswdaughtersw-in-lawswdesignatedswasswtheswclient’sswDurableswPowerswofswAttorneysw(DPOA).
C)sw Theswclient’sswyoungestswson,swidentifiedswbyswfamilyswmembersswasswtheswfamilyswspokesperson.
D)swTheswclient’sswspouseswwhoswlivesswinswtheswindependentswlivingswunitswofswtheswfacility.
A client is in contact isolation due to stage IV coccyx wound infected with methi
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
cillin resistant staphylococcus aureus (MRSA). The nurse plans interventions to pr
sw sw sw sw sw sw sw sw sw sw
event multiple re- sw sw
entries to the client’s room. In which order should the nurse perform the interven
sw sw sw sw sw sw sw sw sw sw sw sw sw
tions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
sw sw sw sw sw sw sw sw
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
sw sw sw sw sw sw sw sw
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
sw sw sw sw sw sw sw sw
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
sw sw sw sw sw sw sw sw
What self- sw
care outcome is best for the nurse to use in evaluating a client’s recovery form a s
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
troke that resulted in left- sided hemiparesis?
sw sw sw sw sw sw
A)swPromoteswindependenceswbyswallowingswclientswtoswperformswallswself-careswactivities.
B)s w Participatesswinswself-careswtoswoptimalswlevelswofswcapacity.
C)s w Clientswverbalizesswimportanceswofswhygienicswpracticesswinswtheswrecoveryswprocess.
