HESI FUNDAMENTALS EXAM |ACTUAL QUESTIONS
& VERIFIED ANSWERS 2026-2027 UPDATED
EDITION |GRADED A+
Question 1
A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo &
states that she's ready to go home to die. What intervention should the nurse initiate?
CORRECT ANSWER
Evaluate the client's mental status for competence to refuse treatment
Rationale: Competent clients have the right to refuse treatment. The nurse cannot
document until the HCP is notified of the patient's wishes & a d/c RX is obtained. Advance
directives & DNR are not necessary for competent client to refuse care.
Question 2
A client with chronic renal disease is admitted to the hospital for evaluation prior to a
surgical procedure. Which laboratory test indicates client's protein status for the longest
length of time?
CORRECT ANSWER
Serum albumin
Rationale: Serum albumin has a long half-life.
Question 3
What client statement indicates to the nurse that the client requires assistance with
bathing?
CORRECT ANSWER
1
@THE STUDY VAULT
,"I don't understand why I'm so weak & tired."
Question 4
How should the nurse handle linens that are soiled with incontinent feces?
CORRECT ANSWER
Place the soiled linens in a pillow case & deposit them in the dirty linen hamper
Question 5
When caring for an immobile client, what nursing diagnosis has the highest priority?
CORRECT ANSWER
Impaired gas exchange
Question 6
The nurse assesses an immobile, elderly male client & determines that his blood pressure
is 138/60, his temperature is 95.8F & his output is 100 mL of concentrated urine during the
last hour. He has wet sounding lungs & increased respiratory secretions. Based on these
assessment findings , what nursing action is most important for the nurse to implement?
CORRECT ANSWER
Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent pneumonia from
occurring.
Question 7
2
@THE STUDY VAULT
, The home health nurse visits an elderly female client who had a brain attack 3 months ago
& is now able to ambulate with the assistance of a quad cane. Which assessment finding
has the greatest implications for this client's care?
CORRECT ANSWER
The nurse notes there are numerous scatter rugs throughout the house
Question 8
The nurse removes the dressing on a client's heel that is cover a pressure sore 1" in
diameter & finds that there is straw-colored drainage seeping from the wound. What
description of this finding should the nurse include in the client's record?
CORRECT ANSWER
One-inch pressure sore draining serous fluid
Question 9
Medication is prescribed to be given QID. What schedule should the nurse use to
administer this Rx?
CORRECT ANSWER
0800, 1200, 1600, 2000
Question 10
The nurse working in the ED is assessing 4 clients' ability to tolerate pain. Which client is
likely to tolerate a higher level of pain?
CORRECT ANSWER
1 55y/o woman who has had moderate low back pain for 3 months
3
@THE STUDY VAULT
& VERIFIED ANSWERS 2026-2027 UPDATED
EDITION |GRADED A+
Question 1
A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo &
states that she's ready to go home to die. What intervention should the nurse initiate?
CORRECT ANSWER
Evaluate the client's mental status for competence to refuse treatment
Rationale: Competent clients have the right to refuse treatment. The nurse cannot
document until the HCP is notified of the patient's wishes & a d/c RX is obtained. Advance
directives & DNR are not necessary for competent client to refuse care.
Question 2
A client with chronic renal disease is admitted to the hospital for evaluation prior to a
surgical procedure. Which laboratory test indicates client's protein status for the longest
length of time?
CORRECT ANSWER
Serum albumin
Rationale: Serum albumin has a long half-life.
Question 3
What client statement indicates to the nurse that the client requires assistance with
bathing?
CORRECT ANSWER
1
@THE STUDY VAULT
,"I don't understand why I'm so weak & tired."
Question 4
How should the nurse handle linens that are soiled with incontinent feces?
CORRECT ANSWER
Place the soiled linens in a pillow case & deposit them in the dirty linen hamper
Question 5
When caring for an immobile client, what nursing diagnosis has the highest priority?
CORRECT ANSWER
Impaired gas exchange
Question 6
The nurse assesses an immobile, elderly male client & determines that his blood pressure
is 138/60, his temperature is 95.8F & his output is 100 mL of concentrated urine during the
last hour. He has wet sounding lungs & increased respiratory secretions. Based on these
assessment findings , what nursing action is most important for the nurse to implement?
CORRECT ANSWER
Turn the client q2h
Rationale: It will help move & drain respiratory secretions & prevent pneumonia from
occurring.
Question 7
2
@THE STUDY VAULT
, The home health nurse visits an elderly female client who had a brain attack 3 months ago
& is now able to ambulate with the assistance of a quad cane. Which assessment finding
has the greatest implications for this client's care?
CORRECT ANSWER
The nurse notes there are numerous scatter rugs throughout the house
Question 8
The nurse removes the dressing on a client's heel that is cover a pressure sore 1" in
diameter & finds that there is straw-colored drainage seeping from the wound. What
description of this finding should the nurse include in the client's record?
CORRECT ANSWER
One-inch pressure sore draining serous fluid
Question 9
Medication is prescribed to be given QID. What schedule should the nurse use to
administer this Rx?
CORRECT ANSWER
0800, 1200, 1600, 2000
Question 10
The nurse working in the ED is assessing 4 clients' ability to tolerate pain. Which client is
likely to tolerate a higher level of pain?
CORRECT ANSWER
1 55y/o woman who has had moderate low back pain for 3 months
3
@THE STUDY VAULT
