FUNDAMENTALS HESI (LPN) 2026
A male client has right-sided hemiplegia following a left cerebrovascular
accident (CVA). His sitting balance has improved, and he is now able to
sit in a wheelchair. To assist the client in transferring from the bed to a
wheelchair, which action should the nurse take? - correct answer✔ ✔
Place the wheelchair on the client's left side.
A 19-year-old client is admitted to the hospital with severe right lower
quadrant abdominal pain. The father is requesting to know his son's
laboratory test results. Which is the best response for the nurse to
provide? - correct answer✔ ✔ "I can only give medical information
to your son because he is an adult."
A 75-year-old male presents to the emergency department (ED) with
poorly controlled diabetes. He had been experiencing polyuria, nausea
and vomiting, confusion, and unstable blood sugars. The client was
stabilized in the ED and transferred to the medical unit for continued
stabilization and management. The client has a history of smoking and
has smoked one pack per day for the past 40 years. There is a history of
moderate obesity, insulin dependent diabetes, and mobility issues. He
requires the use of a walker for mobility. - correct answer✔ ✔
Actions to Take Choices:
- Offload coccyx and other bony prominences
- Cleanse and dress wound
Potential Conditions Choices:
,- Pressure injury
Parameters to Monitor Choices:
- Wound status
- Documentation of skin prevention measures
An older adult woman comes to the clinic because of vaginal bleeding.
The healthcare provider finds a vaginal tear, which the client reports is
likely to have occurred during unprotected sexual intercourse. Which
content is most important for the nurse to include in this client's teaching
plan? - correct answer✔ ✔ The importance of using vaginal
lubricants.
The nurse uses a sterile syringe to obtain a urine specimen from a
client's indwelling urinary catheter. After placing the specimen in a
biohazard bag, the nurse transports the specimen to the laboratory.
During which part of this procedure should the nurse wear gloves? -
correct answer✔ ✔ Using the syringe to remove the specimen from
the catheter.
While measuring vital signs, the nurse observes that a client is using
accessory neck muscles during respirations. Which follow- up action
should the nurse take first? - correct answer✔ ✔ Measure oxygen
saturation.
,Which action should the nurse implement when inserting an indwelling
catheter for an uncircumcised male client? - correct answer✔ ✔
Advance the catheter before inflating balloon.
A client with a sprained ankle is seen at the clinic and is given a pair of
crutches. When the client stands with the aid of the crutches, the nurse
notes a space of three finger-widths between the top of the crutch and
the client's axilla. Which action should the nurse take? - correct answer
✔ ✔ Proceed with teaching the client how to walk with the crutches.
When entering a client's room, the nurse observes the client holding up
an arm and coughing non-productively into the upper sleeve. Which
action should the nurse take? - correct answer✔ ✔ Provide a box of
tissues for the client to use when coughing.
The nurse is documenting wound care in a client's electronic medical
record (EMR) when the computer system shuts down. Which action
should the nurse implement first? - correct answer✔ ✔ Notify
information services department of the situation.
The nurse is obtaining a systolic blood pressure by palpation. While
inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg.
Which action should the nurse take? - correct answer✔ ✔ Inflate
blood pressure cuff to 120 mm Hg.
, A client who had emergency gallbladder surgery yesterday is getting
ready for discharge. The client speaks very little English. When teaching
wound care, which method should the nurse use to evaluate the client's
understanding of self care at home? - correct answer✔ ✔ Have the
client demonstrate prescribed wound care.
The client is a 2-year-old female with diarrhea and dehydration. She was
born at 32 weeks vaginally and was in the neonatal intensive care unit
(NICU) for several weeks before being discharged home. She is
developmentally appropriate.
Patient Data
The nurse pulled a bottle of potassium from the automated medication
administration system. They went to the medication room to pull up the
medication, and immediately went to the client's room to administer the
dose. The nurse did not realize that they needed to calculate and pull the
appropriate dose from the bottle and gave the entire volume for a total of
40 mEq.
Which medication error prevention techniques would have helped to
avoid this error? Select all that apply - correct answer✔ ✔ - Question
unusually large or small doses
- Do not allow other activity to interrupt medication administration
- Double check the dosage of high risk medications with another nurse
A male client has right-sided hemiplegia following a left cerebrovascular
accident (CVA). His sitting balance has improved, and he is now able to
sit in a wheelchair. To assist the client in transferring from the bed to a
wheelchair, which action should the nurse take? - correct answer✔ ✔
Place the wheelchair on the client's left side.
A 19-year-old client is admitted to the hospital with severe right lower
quadrant abdominal pain. The father is requesting to know his son's
laboratory test results. Which is the best response for the nurse to
provide? - correct answer✔ ✔ "I can only give medical information
to your son because he is an adult."
A 75-year-old male presents to the emergency department (ED) with
poorly controlled diabetes. He had been experiencing polyuria, nausea
and vomiting, confusion, and unstable blood sugars. The client was
stabilized in the ED and transferred to the medical unit for continued
stabilization and management. The client has a history of smoking and
has smoked one pack per day for the past 40 years. There is a history of
moderate obesity, insulin dependent diabetes, and mobility issues. He
requires the use of a walker for mobility. - correct answer✔ ✔
Actions to Take Choices:
- Offload coccyx and other bony prominences
- Cleanse and dress wound
Potential Conditions Choices:
,- Pressure injury
Parameters to Monitor Choices:
- Wound status
- Documentation of skin prevention measures
An older adult woman comes to the clinic because of vaginal bleeding.
The healthcare provider finds a vaginal tear, which the client reports is
likely to have occurred during unprotected sexual intercourse. Which
content is most important for the nurse to include in this client's teaching
plan? - correct answer✔ ✔ The importance of using vaginal
lubricants.
The nurse uses a sterile syringe to obtain a urine specimen from a
client's indwelling urinary catheter. After placing the specimen in a
biohazard bag, the nurse transports the specimen to the laboratory.
During which part of this procedure should the nurse wear gloves? -
correct answer✔ ✔ Using the syringe to remove the specimen from
the catheter.
While measuring vital signs, the nurse observes that a client is using
accessory neck muscles during respirations. Which follow- up action
should the nurse take first? - correct answer✔ ✔ Measure oxygen
saturation.
,Which action should the nurse implement when inserting an indwelling
catheter for an uncircumcised male client? - correct answer✔ ✔
Advance the catheter before inflating balloon.
A client with a sprained ankle is seen at the clinic and is given a pair of
crutches. When the client stands with the aid of the crutches, the nurse
notes a space of three finger-widths between the top of the crutch and
the client's axilla. Which action should the nurse take? - correct answer
✔ ✔ Proceed with teaching the client how to walk with the crutches.
When entering a client's room, the nurse observes the client holding up
an arm and coughing non-productively into the upper sleeve. Which
action should the nurse take? - correct answer✔ ✔ Provide a box of
tissues for the client to use when coughing.
The nurse is documenting wound care in a client's electronic medical
record (EMR) when the computer system shuts down. Which action
should the nurse implement first? - correct answer✔ ✔ Notify
information services department of the situation.
The nurse is obtaining a systolic blood pressure by palpation. While
inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg.
Which action should the nurse take? - correct answer✔ ✔ Inflate
blood pressure cuff to 120 mm Hg.
, A client who had emergency gallbladder surgery yesterday is getting
ready for discharge. The client speaks very little English. When teaching
wound care, which method should the nurse use to evaluate the client's
understanding of self care at home? - correct answer✔ ✔ Have the
client demonstrate prescribed wound care.
The client is a 2-year-old female with diarrhea and dehydration. She was
born at 32 weeks vaginally and was in the neonatal intensive care unit
(NICU) for several weeks before being discharged home. She is
developmentally appropriate.
Patient Data
The nurse pulled a bottle of potassium from the automated medication
administration system. They went to the medication room to pull up the
medication, and immediately went to the client's room to administer the
dose. The nurse did not realize that they needed to calculate and pull the
appropriate dose from the bottle and gave the entire volume for a total of
40 mEq.
Which medication error prevention techniques would have helped to
avoid this error? Select all that apply - correct answer✔ ✔ - Question
unusually large or small doses
- Do not allow other activity to interrupt medication administration
- Double check the dosage of high risk medications with another nurse
