HESI RN FUNDAMENTALS TESTBANK
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2024/25
To assess the quality of an adult client’s pain, what approach should the nurse use?
v v v v v v v v v v v v v v C
A) Observe vbody vlanguage vand vmovement.
B) Provide a numeric pain scale.v v v v
C) Ask vthe vclient vto vdescribe vthe vpain.
D) Identify veffective vpain vrelief vmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The
v v v v v v v v v v v v
v doctor told me I have cancer and do not havelong to live.” Which response is
v v v v v v v v v v v v v v v
v best for the nurse to provide?
v v v v v
A) “That’s correct, you do not have long to live”
v v v v v v v v
D
B) “Would you like me to call your minister?”
v v v v v v v
C) “Don't give up, you still have chemotherapy to try.”
v v v v v v v v
D) “Yes, your condition is serious.”
v v v v
When performing blood pressure measurement to assess for
v v v v v v v
v orthostatic hypotension, which action should thenurse implement
v v v v v v v
v first? C
A) Apply vthe vblood vpressure vcuff vsecurely.
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, B) Record the client’s pulse rate v v v v
and rhythm. C)Position the
v v v v v
client supine for a few
v v v v v
v minutes.
D) Assist the client to stand at bedside.
v v v v v v v
Female unlicensed assistive personnel (UAP) are assigned to take the vital
v v v v v v v v v v
v signs of a client with pertussis for whom droplet precautions have been
v v v v v v v v v v v
v implemented. The UAP request a change in assignment, stating she has not
v v v v v v v v v v v
v yet been fittedfor a particulate filter mask. What action should the nurse
v v v v v v v v v v v v
v take? D
When evaluating the effectiveness of a client’s nursing care, the nurse first
v v v v v v v v v v v
v reviews the expected outcomes identified in the plan of care. What action
v v v v v v v v v v v
v should the nurse take next? v v v v
A) Modify the nursing interventions to achieve the client’s goals.
v v v v v v v v
B) Determine if the expected outcomes were realistic. v v v v v v
C) Review related professional standards of care.
v v v v v
D) Obtain current client data to compare with expected outcomes.
v v v v v v v v
A policy requiring the removal of acrylic nails by all nursing personnel was
v v v v v v v v v v v v
v implemented six months ago. Which assessment measure best determines if the
v v v v v v v v v v
intended outcome of the policy is being achieved?
v v v v v v v v
A) Number vof vthe vstaff-induced vskin vinjuries.
B) Client vsatisfaction vsurvey.
C) Rate vof vneedlestick vinjuries vby vnurses.
D) Healthcare-associated vinfection vrates.
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, A client with limited tolerance for activity needs to walk in the hallway
v v v v v v v v v v v v
v with assistance. Which instructions should the nurse give to the unlicensed
v v v v v v v v v v
v assistivepersonnel (UAP) who assisting with client’s care? (Select all that
v v v v v v v v v v
apply.)
v
A) Instruct the client about signs of orthostatic hypertension
v v v v v v v
B) Determine if the client needs to have a gait belt applied
v v v v v v v v v v
C) Measure the clients vital signs before the v v v v v v
v client walks. v
D) Offer to assist the client to void prior to
v v v v v v v v
v walking in the hall. v v v
E) Report the onset of any dizziness or light headedness.
v v v v v v v v
A client has begun a long-term maintenance therapy with lithium,
v v v v v v v v v
v which has a narrow therapeutic index. Which adverse effect is most
v v v v v v v v v v
v important for nurse to include in the teaching plan?
v v v v v v v v
A) Dependence.
v
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the
v v v v v v v v v v
v electronichealth record. Which statement is most accurate regarding electronic
v v v v v v v v v
v documentationduring an interview? v v v
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, A) The vinterview vprocess vis venhanced vwith velectronic vdocumentation vand vallows vthe vclient
v to speak at a normal pace.
v v v v v
B) Completing vthe velectronic vrecord vduring van vinterview vis va vlegal vobligation vof vthe
v examining nurse. v
C) The nurse has limited ability to observe nonverbal
v v v v v v v
v communication while entering the assessment electronically. v v v v v
D) The client’s comfort level is increased when the nurse breaks eye contact to type notes
v v v v v v v v v v v v v v v
into the record.
v v v
A client who lives in an assisted living facility develops cognitive
v v v v v v v v v v
v impairmentfollowing a stroke. Informed consent is needed to provide
v v v v v v v v v
v additional nursing services. Who should nurse contact?
v v v v v v
A) The vclient’s voldest vliving vchild, va vlawyer, vwho vis vvisiting vfrom vout vof vtown.
B) A vdaughter v-in-law vdesignated vas vthe vclient’s vDurable vPower vof vAttorney v(DPOA).
C) The vclient’s vyoungest vson, videntified vby vfamily vmembers vas vthe vfamily vspokesperson.
D) The vclient’s vspouse vwho vlives vin vthe vindependent vliving vunit vof vthe vfacility.
A client is in contact isolation due to stage IV coccyx wound infected with
v v v v v v v v v v v v v
v methicillin resistant staphylococcus aureus (MRSA). The nurse plans
v v v v v v v
interventionsto prevent multiple re-entries to the client’s room. In which order
v v v v v v v v v v v v
v should the nurse perform the interventions?
v v v v v
A) Change vcoccyx vdressing, vperform vtracheostomy vcare, vrestart vthe vIV.
B) Perform vtracheostomy vcare, vchange vcoccyx vdressing, vrestart vthe vIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
v v v v v v v v
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
v v v v v v v v v
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2024/25
To assess the quality of an adult client’s pain, what approach should the nurse use?
v v v v v v v v v v v v v v C
A) Observe vbody vlanguage vand vmovement.
B) Provide a numeric pain scale.v v v v
C) Ask vthe vclient vto vdescribe vthe vpain.
D) Identify veffective vpain vrelief vmeasures.
A client who has been diagnosed with terminal cancer tells the nurse, “The
v v v v v v v v v v v v
v doctor told me I have cancer and do not havelong to live.” Which response is
v v v v v v v v v v v v v v v
v best for the nurse to provide?
v v v v v
A) “That’s correct, you do not have long to live”
v v v v v v v v
D
B) “Would you like me to call your minister?”
v v v v v v v
C) “Don't give up, you still have chemotherapy to try.”
v v v v v v v v
D) “Yes, your condition is serious.”
v v v v
When performing blood pressure measurement to assess for
v v v v v v v
v orthostatic hypotension, which action should thenurse implement
v v v v v v v
v first? C
A) Apply vthe vblood vpressure vcuff vsecurely.
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, B) Record the client’s pulse rate v v v v
and rhythm. C)Position the
v v v v v
client supine for a few
v v v v v
v minutes.
D) Assist the client to stand at bedside.
v v v v v v v
Female unlicensed assistive personnel (UAP) are assigned to take the vital
v v v v v v v v v v
v signs of a client with pertussis for whom droplet precautions have been
v v v v v v v v v v v
v implemented. The UAP request a change in assignment, stating she has not
v v v v v v v v v v v
v yet been fittedfor a particulate filter mask. What action should the nurse
v v v v v v v v v v v v
v take? D
When evaluating the effectiveness of a client’s nursing care, the nurse first
v v v v v v v v v v v
v reviews the expected outcomes identified in the plan of care. What action
v v v v v v v v v v v
v should the nurse take next? v v v v
A) Modify the nursing interventions to achieve the client’s goals.
v v v v v v v v
B) Determine if the expected outcomes were realistic. v v v v v v
C) Review related professional standards of care.
v v v v v
D) Obtain current client data to compare with expected outcomes.
v v v v v v v v
A policy requiring the removal of acrylic nails by all nursing personnel was
v v v v v v v v v v v v
v implemented six months ago. Which assessment measure best determines if the
v v v v v v v v v v
intended outcome of the policy is being achieved?
v v v v v v v v
A) Number vof vthe vstaff-induced vskin vinjuries.
B) Client vsatisfaction vsurvey.
C) Rate vof vneedlestick vinjuries vby vnurses.
D) Healthcare-associated vinfection vrates.
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, A client with limited tolerance for activity needs to walk in the hallway
v v v v v v v v v v v v
v with assistance. Which instructions should the nurse give to the unlicensed
v v v v v v v v v v
v assistivepersonnel (UAP) who assisting with client’s care? (Select all that
v v v v v v v v v v
apply.)
v
A) Instruct the client about signs of orthostatic hypertension
v v v v v v v
B) Determine if the client needs to have a gait belt applied
v v v v v v v v v v
C) Measure the clients vital signs before the v v v v v v
v client walks. v
D) Offer to assist the client to void prior to
v v v v v v v v
v walking in the hall. v v v
E) Report the onset of any dizziness or light headedness.
v v v v v v v v
A client has begun a long-term maintenance therapy with lithium,
v v v v v v v v v
v which has a narrow therapeutic index. Which adverse effect is most
v v v v v v v v v v
v important for nurse to include in the teaching plan?
v v v v v v v v
A) Dependence.
v
B) Toxicity.
C) Interaction.
D) Tolerance.
While interviewing a client, the nurse records the assessment in the
v v v v v v v v v v
v electronichealth record. Which statement is most accurate regarding electronic
v v v v v v v v v
v documentationduring an interview? v v v
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
, A) The vinterview vprocess vis venhanced vwith velectronic vdocumentation vand vallows vthe vclient
v to speak at a normal pace.
v v v v v
B) Completing vthe velectronic vrecord vduring van vinterview vis va vlegal vobligation vof vthe
v examining nurse. v
C) The nurse has limited ability to observe nonverbal
v v v v v v v
v communication while entering the assessment electronically. v v v v v
D) The client’s comfort level is increased when the nurse breaks eye contact to type notes
v v v v v v v v v v v v v v v
into the record.
v v v
A client who lives in an assisted living facility develops cognitive
v v v v v v v v v v
v impairmentfollowing a stroke. Informed consent is needed to provide
v v v v v v v v v
v additional nursing services. Who should nurse contact?
v v v v v v
A) The vclient’s voldest vliving vchild, va vlawyer, vwho vis vvisiting vfrom vout vof vtown.
B) A vdaughter v-in-law vdesignated vas vthe vclient’s vDurable vPower vof vAttorney v(DPOA).
C) The vclient’s vyoungest vson, videntified vby vfamily vmembers vas vthe vfamily vspokesperson.
D) The vclient’s vspouse vwho vlives vin vthe vindependent vliving vunit vof vthe vfacility.
A client is in contact isolation due to stage IV coccyx wound infected with
v v v v v v v v v v v v v
v methicillin resistant staphylococcus aureus (MRSA). The nurse plans
v v v v v v v
interventionsto prevent multiple re-entries to the client’s room. In which order
v v v v v v v v v v v v
v should the nurse perform the interventions?
v v v v v
A) Change vcoccyx vdressing, vperform vtracheostomy vcare, vrestart vthe vIV.
B) Perform vtracheostomy vcare, vchange vcoccyx vdressing, vrestart vthe vIV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
v v v v v v v v
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
v v v v v v v v v
HESI RN FUNDAMENTALS TESTBANK Exam Questions and
v v v v v v
Answers latest update 2022/2023
v v v v
