HESI Fundamentals Exam Questions and
Correct Answers/ Latest Update / Already
Graded
a 35 year old female client with cancer refuses to allow the nurse to
insert an IV for a scheduled chemotherapy treatment, and states that
she is ready to go home and die. What intervention should the nurse
initiate?
A. evaluate the client's mental status for competence to refuse
treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical advice
Ans: A. evaluate the client's mental status for competence to
refuse treatment
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicated the client's protein status for the longest length of time.
A. Urine urea
B. transferrin
C. prealbumin
D. serum albumin
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Ans: D. serum albumin
What client statement indicates to the nurse that the client requires
assistance with bathing?
A. "I only bathe every other day"
B. "I left my eyeglasses at home"
C. "I don't understand why I'm so weak and tired"
D. "I wasn't able to pack a bag before I left for the hospital"
Ans: C. "I don't understand why I'm so weak and tired"
How should a nurse handle linens that are soiled with incontinent
feces?
A. Place the soiled linens in a pillow case and deposit them in the dirty
linen hamper
B. put the soiled linens in an isolation bag, then place it in the dirty
linen hamper
C. Ask the housekeeping staff to pick up the soiled linen from the dirty
utility room
D. place an isolation hamper in the client's room and discard the linens
in it
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Ans: D. place an isolation hamper in the client's room and
discard the linens in it
When caring for an immobile client, what nursing diagnosis has the
highest priority?
A. altered tissue perfusion
B. impaired gas exchange
C. risk for fluid volume deficit
D. risk for impaired skin integrity
Ans: B. impaired gas exchange
The nurse assess an immobile, elderly male client and determines that
his blood pressure is 138/60, his temperature is 95.8F, and his output is
100 mL of concentrated urine during the last hour. He has wet-
sounding lung sounds, and increased respiratory secretions. Based on
these assessment findings, what nursing action is the most important
for the nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription
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