HESI RN fundamentals v1 with
Answered Questions
A postoperative client has three different PRN analgesics prescribed for different
levels of pain. The nurse inadvertently administers a dose that is not within the
prescribed parameters. What action should the nurse take first?
A) Determine if the pain was relieved.
B) Complete a medication error report. C) Assess for side effects of the
medication.
D) Document the client's responses. - correct answer ✅C
The unlicensed assistive personnel (UAP) describes the appearance of the bowel
movements of several clients. Which descriptions warrant additional follow-up by
the nurse? (Select all that apply.)
A) Multiple hard pellets.
B) Brown liquid.
C) Formed but soft.
D) Solid with red streaks.
E) Tarry appearance - correct answer ✅A,B,D
An elderly 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 the client's teaching plan?
A: The importance of using vaginal lubricants.
B: Methods used to practice safe sex.
,HESI RN fundamentals v1 with
Answered Questions
C: Information about alternative ways to express sexuality.
D:Intercourse positions that help prevent tears. - correct answer ✅A
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, what action
should the nurse take?
A) Have the client put both arms around the nurse's neck for support.
B) Place the wheelchair on the client's left side.
C) Instruct the client to look at his feet. D) Instruct the client total slow, deep
breaths while transferring - correct answer ✅B
The nurse observes a newly admitted older adult female take short steps and walk
very slowly while pushing a walker in front of her. What action should the nurse
take in response to these observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at a faster pace.
C) Suggest that the client use a wheelchair instead of a walker.
D) Place the client on bed rest until the healthcare provider is notified. - correct
answer ✅A
While suctioning a client's nasopharynx, the nurse observes that the client's
oxygen saturation remains at 94%, which is the same reading obtained prior to
, HESI RN fundamentals v1 with
Answered Questions
starting the procedure. What action should the nurse take in response to this
finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth. - correct answer ✅c
An older woman with end-stage heart disease is hospitalized for severe heart
failure. She is alert, oriented, and requests that no heroic measures are
implemented if her breathing stops. What action should the nurse take first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
C) Set up a family conference to discuss the clients.
D) Consult the palliative care team about the client's care. - correct answer ✅A
A client diagnosed with primary open-angle glaucoma received a prescription for
biotic eye drops, pilocarpine HCl. What instruction should the nurse plan to
include in this client's teaching?
A: "Do not allow the dropper bottle to touch the eye."
B: "Administer the medication directly on the cornea."
C: :Squeeze the eye closed after administering the drops."
D: Wash your hands after administration of eye drops." - correct answer ✅A
Answered Questions
A postoperative client has three different PRN analgesics prescribed for different
levels of pain. The nurse inadvertently administers a dose that is not within the
prescribed parameters. What action should the nurse take first?
A) Determine if the pain was relieved.
B) Complete a medication error report. C) Assess for side effects of the
medication.
D) Document the client's responses. - correct answer ✅C
The unlicensed assistive personnel (UAP) describes the appearance of the bowel
movements of several clients. Which descriptions warrant additional follow-up by
the nurse? (Select all that apply.)
A) Multiple hard pellets.
B) Brown liquid.
C) Formed but soft.
D) Solid with red streaks.
E) Tarry appearance - correct answer ✅A,B,D
An elderly 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 the client's teaching plan?
A: The importance of using vaginal lubricants.
B: Methods used to practice safe sex.
,HESI RN fundamentals v1 with
Answered Questions
C: Information about alternative ways to express sexuality.
D:Intercourse positions that help prevent tears. - correct answer ✅A
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, what action
should the nurse take?
A) Have the client put both arms around the nurse's neck for support.
B) Place the wheelchair on the client's left side.
C) Instruct the client to look at his feet. D) Instruct the client total slow, deep
breaths while transferring - correct answer ✅B
The nurse observes a newly admitted older adult female take short steps and walk
very slowly while pushing a walker in front of her. What action should the nurse
take in response to these observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at a faster pace.
C) Suggest that the client use a wheelchair instead of a walker.
D) Place the client on bed rest until the healthcare provider is notified. - correct
answer ✅A
While suctioning a client's nasopharynx, the nurse observes that the client's
oxygen saturation remains at 94%, which is the same reading obtained prior to
, HESI RN fundamentals v1 with
Answered Questions
starting the procedure. What action should the nurse take in response to this
finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth. - correct answer ✅c
An older woman with end-stage heart disease is hospitalized for severe heart
failure. She is alert, oriented, and requests that no heroic measures are
implemented if her breathing stops. What action should the nurse take first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
C) Set up a family conference to discuss the clients.
D) Consult the palliative care team about the client's care. - correct answer ✅A
A client diagnosed with primary open-angle glaucoma received a prescription for
biotic eye drops, pilocarpine HCl. What instruction should the nurse plan to
include in this client's teaching?
A: "Do not allow the dropper bottle to touch the eye."
B: "Administer the medication directly on the cornea."
C: :Squeeze the eye closed after administering the drops."
D: Wash your hands after administration of eye drops." - correct answer ✅A
