RN Fundamentals HESI Latest Exam
RN Fundamentals HESI Latest Exam Prep Test
Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
The nurse is talking with the spouse of a client admitted to the long-term care center. The client has
end-stage renal cancer and is admitted for palliative care while awaiting hospice placement. The client
often moans and groans, but is otherwise non-communicative and somnolent. What will the nurse
include in the spouse's teaching regarding the care of the client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
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D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause of the
condition. The client will be on bed rest because of the client's debilitated condition. Skin breakdown
is a nursing concern. Measures to prevent skin breakdown should be included in this client's plan of
care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube. The
concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse need to set the
infusion pump to deliver the feeding over 18 hours? _____ Enter a whole number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the night. Which
client statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before."
- Correct Answer :D
Rationale: The client's recognition of a "new" pill requires further assessment to verify that the
medication is correct, if it is a new prescription or a different manufacturer, or if the client needs
further instruction. The time difference may not be as significant in terms of its effect, but this should
be explained. Although comments about cost should be considered when developing a discharge
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plan, option D is a higher priority. The client's feelings C should be acknowledged, but observation of
the five rights of medication administration is most essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an
ambulatory client walking alone toward the stairway at the end of the hall. Which action should the
nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more rapidly. –
Correct Answer :B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be evacuated via the
stairway if at all possible and reminded to walk carefully. Ambulatory clients do not require the
assistance of a wheelchair to be evacuated. Elevators should not be used during a fire, and fire doors
should be kept closed to help contain the fire.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use the
bathroom. I repeat that pattern about three to four times per night." What questions will the nurse
include in this client's assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
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E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?" –
Correct Answer :A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients' pattern of
frequency of urination at night. The goal of the assessment is to try and understand the client's urinary
usual patterns and to determine if there are any modifiable factors that can decrease the frequency of
urinating at night. Urinary frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of normal
saline from the bedside table that is labeled "opened" and dated 48 hours prior to the current date.
Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale: Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of date, so
it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client who
does not speak English?
A.
Ask an interpreter to provide wound care instructions.
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RN Fundamentals HESI Latest Exam Prep Test
Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
The nurse is talking with the spouse of a client admitted to the long-term care center. The client has
end-stage renal cancer and is admitted for palliative care while awaiting hospice placement. The client
often moans and groans, but is otherwise non-communicative and somnolent. What will the nurse
include in the spouse's teaching regarding the care of the client? (Select all that apply.)
A.
Repositioning every 2 hours
B.
Round-the-clock pain medication administration
C.
Assessment for skin breakdown
P a g e 1 | 129
,RN Fundamentals HESI Latest Exam
D.
Back rubs three times a day
E.
Bathing twice a day –
Correct Answer :A, B, C, D
Rationale: The nurse must cleanse soiled areas to remove any irritants; a bath twice a day can dry out
the skin. The goal of palliative care is to make the client comfortable, and not treat the cause of the
condition. The client will be on bed rest because of the client's debilitated condition. Skin breakdown
is a nursing concern. Measures to prevent skin breakdown should be included in this client's plan of
care.
The goal is for the client to take in 1500 calories/day administered through by a feeding tube. The
concentration of the feeding is 1.5 calories/mL. How many mL per hour will the nurse need to set the
infusion pump to deliver the feeding over 18 hours? _____ Enter a whole number. - Correct Answer :56
The nurse is administering the 0900 medications to a client who was admitted during the night. Which
client statement indicates that the nurse should further assess the medication order?
A.
"At home I take my pills at 8:00 am."
B.
"It costs a lot of money to buy all of these pills."
C.
"I get so tired of taking pills every day."
D.
"This is a new pill I have never taken before."
- Correct Answer :D
Rationale: The client's recognition of a "new" pill requires further assessment to verify that the
medication is correct, if it is a new prescription or a different manufacturer, or if the client needs
further instruction. The time difference may not be as significant in terms of its effect, but this should
be explained. Although comments about cost should be considered when developing a discharge
P a g e 2 | 129
,RN Fundamentals HESI Latest Exam
plan, option D is a higher priority. The client's feelings C should be acknowledged, but observation of
the five rights of medication administration is most essential.
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes an
ambulatory client walking alone toward the stairway at the end of the hall. Which action should the
nurse take?
A.
Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B.
Remind the client to walk carefully down the stairs until reaching a lower floor.
C.
Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D.
Open the closest fire doors so that ambulatory clients can evacuate more rapidly. –
Correct Answer :B
Rationale: During evacuation of a unit because of fire, ambulatory clients should be evacuated via the
stairway if at all possible and reminded to walk carefully. Ambulatory clients do not require the
assistance of a wheelchair to be evacuated. Elevators should not be used during a fire, and fire doors
should be kept closed to help contain the fire.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use the
bathroom. I repeat that pattern about three to four times per night." What questions will the nurse
include in this client's assessment? (Select all that apply.)
A.
"How much fluid do you drink after 8:00 in the evening?"
B.
"Does your spouse wake up with you, and use the bathroom after you?"
C.
"What time of day do you take your water pill?"
D.
"Do you drink any alcoholic beverages in the evening?"
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, RN Fundamentals HESI Latest Exam
E.
"When did this pattern of urination start?"
F.
"Do you have any itching or burning when you urinate?" –
Correct Answer :A, C, D, E, F
Rationale: Asking if the spouse also gets up at night does not relate to the clients' pattern of
frequency of urination at night. The goal of the assessment is to try and understand the client's urinary
usual patterns and to determine if there are any modifiable factors that can decrease the frequency of
urinating at night. Urinary frequency is also a sign of a urinary tract infection.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of normal
saline from the bedside table that is labeled "opened" and dated 48 hours prior to the current date.
Which is the best action for the nurse to take?
A.
Use the normal saline solution once more and then discard.
B.
Obtain a new sterile syringe to draw up the labeled saline solution.
C.
Use the saline solution and then relabel the bottle with the current date.
D.
Discard the saline solution and obtain a new unopened bottle. –
Correct Answer :D
Rationale: Solutions labeled as opened within 24 hours may be used for clean procedures, but only
newly opened solutions are considered sterile. This solution is not newly opened and is out of date, so
it should be discarded. Options A, B, and C describe incorrect procedures.
Which action should the nurse implement when providing wound care instructions to a client who
does not speak English?
A.
Ask an interpreter to provide wound care instructions.
P a g e 4 | 129
