HESI
FUNDAMENTALS
PRACTICE EXAM
COMPLETE
QUESTIONS AND
VERIFIED
SOLUTIONS WITH
RATIONALE LATEST
UPDATE THIS YEAR
1. An elderly client who requires
frequent monitoring fell and
1
, fractured a hip. Which nurse is at
greatest risk for a malpractice
judgement?
A. A nurse who worked the 7 to 3
shift at the hospital and wrote
poor nursing notes.
B. The nurse assigned to care for
the client who was at lunch at
the time of the fall.
C. The nurse who transferred the
client to the chair when the fall
occurred.
D. The charge nurse who
completed rounds 30 minutes
before the fall occurred. -
correct answer=✔✔C. The nurse
who transferred the client to
the chair when the fall
occurred.
2. (The four elements of
malpractice are: breach of duty
owed, failure to adhere to the
recognized standard of care,
direct causation of injury, and
2
, evidence of actual injury. The hip
fracture is the actual injury and the
standard of care was "frequent
monitoring." (C) implies the duty
was owed and the injury occurred
while the nurse was in charge of
the client's care. There is no
evidence of negligence in (A, B,
and D). )
3. The nurse observes an
unlicensed assistive personnel
(UAP) taking a client's blood
pressure with a cuff that is too
small, but the blood pressure
reading obtained is within the
client's usual range. What action is
most important for the nurse to
implement?
A. Tell the UAP to use a larger
cuff at the next scheduled
assessment.
3
, B. Reassess the client's blood
pressure using a larger cuff.
C. Have the unit educator review
this procedure with the UAPs.
D. Teach the UAP the correct
technique for assessing blood
pressure. - correct
answer=✔✔B. Reassess the
client's blood pressure using a
larger cuff.
4. (The most important action is
to ensure that an accurate BP
reading is obtained. The nurse
should reassess the BP with the
correct size cuff (B).
Reassessment should not be
postponed (A). Though (C and D)
are likely indicated, these actions
do not have the priority of (B).)
5. An elderly client with a
fractured left hip is on strict
4
FUNDAMENTALS
PRACTICE EXAM
COMPLETE
QUESTIONS AND
VERIFIED
SOLUTIONS WITH
RATIONALE LATEST
UPDATE THIS YEAR
1. An elderly client who requires
frequent monitoring fell and
1
, fractured a hip. Which nurse is at
greatest risk for a malpractice
judgement?
A. A nurse who worked the 7 to 3
shift at the hospital and wrote
poor nursing notes.
B. The nurse assigned to care for
the client who was at lunch at
the time of the fall.
C. The nurse who transferred the
client to the chair when the fall
occurred.
D. The charge nurse who
completed rounds 30 minutes
before the fall occurred. -
correct answer=✔✔C. The nurse
who transferred the client to
the chair when the fall
occurred.
2. (The four elements of
malpractice are: breach of duty
owed, failure to adhere to the
recognized standard of care,
direct causation of injury, and
2
, evidence of actual injury. The hip
fracture is the actual injury and the
standard of care was "frequent
monitoring." (C) implies the duty
was owed and the injury occurred
while the nurse was in charge of
the client's care. There is no
evidence of negligence in (A, B,
and D). )
3. The nurse observes an
unlicensed assistive personnel
(UAP) taking a client's blood
pressure with a cuff that is too
small, but the blood pressure
reading obtained is within the
client's usual range. What action is
most important for the nurse to
implement?
A. Tell the UAP to use a larger
cuff at the next scheduled
assessment.
3
, B. Reassess the client's blood
pressure using a larger cuff.
C. Have the unit educator review
this procedure with the UAPs.
D. Teach the UAP the correct
technique for assessing blood
pressure. - correct
answer=✔✔B. Reassess the
client's blood pressure using a
larger cuff.
4. (The most important action is
to ensure that an accurate BP
reading is obtained. The nurse
should reassess the BP with the
correct size cuff (B).
Reassessment should not be
postponed (A). Though (C and D)
are likely indicated, these actions
do not have the priority of (B).)
5. An elderly client with a
fractured left hip is on strict
4
