RN Fundamentals HESI Latest Exam
RN Fundamentals HESI Latest Exam 5 Prep
Test Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and
restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care as safety
allows.
B.
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,RN Fundamentals HESI Latest Exam
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to every 8 hours.
D.
Encourage the client to avoid pain medication during the day, which might increase daytime napping.
–
Correct Answer :A
Including habitual rituals that do not interfere with the client's care or safety may allow the client to go
to sleep faster and increase the quality of care. Options B, C, and D decrease the client's standard of
care and compromise safety.
An older adult who recently began self-administration of insulin calls the nurse daily to review the
steps that should be taken when giving an injection. The nurse has assessed the client's skills during
two previous office visits and knows that the client is capable of giving the daily injection. Which
response by the nurse is likely to be most helpful in encouraging the client to assume total
responsibility for the daily injections?
A.
"I know you are capable of giving yourself the insulin."
B.
"Giving yourself the injection seems to make you nervous."
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,RN Fundamentals HESI Latest Exam
C.
"When I watched you give yourself the injection, you did it correctly."
D.
"Tell me what you want me to do to help you give yourself the injection at home." –
Correct Answer :C
Rationale:
The nurse needs to focus on the client's positive behaviors, so focusing on the client's demonstrated
ability to self-administer the injection is likely to reinforce his level of competence without sounding
punitive. Option A does not focus on the specific behaviors related to giving the injection and could be
interpreted as punitive. Option B uses reflective dialogue to assess the client's feelings, but telling the
client that he is nervous may serve as a negative reinforcement of this behavior. Option D reinforces
the client's dependence on the nurse.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
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, RN Fundamentals HESI Latest Exam
D.
Avocado salad, milk, and angel food cake –
Correct Answer :B
Rationale:
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as option
B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided weakness and
needs assistance with ambulation. The caregiver performs a return demonstration of the skill. Which
observation indicates that the caregiver has learned how to perform this procedure correctly?
A.
Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any evidence of
weakness is observed.
B.
Standing on his wife's weak side, the caregiver provides security by holding the gait belt from the
back.
C.
Standing behind his wife, the caregiver provides balance by holding both sides of the gait belt.
D.
Standing slightly in front and to the right of his wife, the caregiver guides her forward by gently pulling
on the gait belt. –
P a g e 4 | 310
RN Fundamentals HESI Latest Exam 5 Prep
Test Bank Review - 250 Most Recently Tested
Questions and Correct Answers with
Rationales/ Fundamentals of Nursing Hesi
Exam Prep (Newest!)
A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and
restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care as safety
allows.
B.
P a g e 1 | 310
,RN Fundamentals HESI Latest Exam
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to every 8 hours.
D.
Encourage the client to avoid pain medication during the day, which might increase daytime napping.
–
Correct Answer :A
Including habitual rituals that do not interfere with the client's care or safety may allow the client to go
to sleep faster and increase the quality of care. Options B, C, and D decrease the client's standard of
care and compromise safety.
An older adult who recently began self-administration of insulin calls the nurse daily to review the
steps that should be taken when giving an injection. The nurse has assessed the client's skills during
two previous office visits and knows that the client is capable of giving the daily injection. Which
response by the nurse is likely to be most helpful in encouraging the client to assume total
responsibility for the daily injections?
A.
"I know you are capable of giving yourself the insulin."
B.
"Giving yourself the injection seems to make you nervous."
P a g e 2 | 310
,RN Fundamentals HESI Latest Exam
C.
"When I watched you give yourself the injection, you did it correctly."
D.
"Tell me what you want me to do to help you give yourself the injection at home." –
Correct Answer :C
Rationale:
The nurse needs to focus on the client's positive behaviors, so focusing on the client's demonstrated
ability to self-administer the injection is likely to reinforce his level of competence without sounding
punitive. Option A does not focus on the specific behaviors related to giving the injection and could be
interpreted as punitive. Option B uses reflective dialogue to assess the client's feelings, but telling the
client that he is nervous may serve as a negative reinforcement of this behavior. Option D reinforces
the client's dependence on the nurse.
The nurse is instructing a client with cholecystitis regarding diet choices. Which meal best meets the
dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
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, RN Fundamentals HESI Latest Exam
D.
Avocado salad, milk, and angel food cake –
Correct Answer :B
Rationale:
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat diet, such as option
B. Option A is a high-protein diet, and options C and D contain high-fat foods, which are
contraindicated for this client.
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided weakness and
needs assistance with ambulation. The caregiver performs a return demonstration of the skill. Which
observation indicates that the caregiver has learned how to perform this procedure correctly?
A.
Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any evidence of
weakness is observed.
B.
Standing on his wife's weak side, the caregiver provides security by holding the gait belt from the
back.
C.
Standing behind his wife, the caregiver provides balance by holding both sides of the gait belt.
D.
Standing slightly in front and to the right of his wife, the caregiver guides her forward by gently pulling
on the gait belt. –
P a g e 4 | 310
