HESI Fundamentals Practice Exam: Complete
Solutions with Expert-Verified, Top-Tier Questions
for Academic Excellence
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and
a continuous pump infusion. He reports that he had a bad bout of severe coughing a few
minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
CORRECT ANS- -c
The nurse observes that a male client has removed the covering from an ice pack applied to
his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - CORRECT ANS- -a
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - CORRECT ANS- -c
,A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse
implement?
a. Give an around-the-clock schedule for administration of analgesics.
b. Administer analgesic medication as needed when the pain is severe.
c. Provide medication to keep the client sedated and unaware of stimuli.
d. Offer a medication-free period so that the client can do daily activities. - CORRECT ANS-
-a
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement
tells the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
a. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
b. Blood specimens not collected because client no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to have blood specimens collected for
testing.
d. Client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - CORRECT ANS- -c
The nurse plans to obtain health assessment information from a primary source. Which
option is a primary source for the completion of the health assessment?
a. client
b. healthcare provider
c. a family member
d. previous medical records - CORRECT ANS- -a
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis
using a goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
, B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
D. Change in the circumference of the joint in centimeters. - CORRECT ANS- -c
A female client asks the nurse to find someone who can translate her treatment concerns
into her native language. Which action should the nurse take?
a. Explain that anyone who speaks her language can answer her questions.
b. Provide a translator only in an emergency situation.
c. Ask a family member or friend of the client to translate.
d. Request and document the name of the certified translator. - CORRECT ANS- -d
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care plan.
c. At the end of the shift so full attention can be given to the client's needs.
d. Immediately after the assessments are completed - CORRECT ANS- -d
An older client who is unresponsive following a cerebral vascular accident (CVA) is
receiving bolus enteral feedings through a gastrostomy tube (GT). What is the best position
for the client for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sim's
d. supine - CORRECT ANS- -b
Solutions with Expert-Verified, Top-Tier Questions
for Academic Excellence
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and
a continuous pump infusion. He reports that he had a bad bout of severe coughing a few
minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare
provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
CORRECT ANS- -c
The nurse observes that a male client has removed the covering from an ice pack applied to
his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - CORRECT ANS- -a
Which action is most important for the nurse to implement when donning sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first. - CORRECT ANS- -c
,A client who is in hospice care reports increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse
implement?
a. Give an around-the-clock schedule for administration of analgesics.
b. Administer analgesic medication as needed when the pain is severe.
c. Provide medication to keep the client sedated and unaware of stimuli.
d. Offer a medication-free period so that the client can do daily activities. - CORRECT ANS-
-a
A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement
tells the nurse, "I don't want any more blood taken for those useless tests." Which narrative
documentation should the nurse enter in the client's medical record?
a. Healthcare provider notified of failure to collect specimens for prescribed blood studies.
b. Blood specimens not collected because client no longer wants blood tests performed.
c. Healthcare provider notified of client's refusal to have blood specimens collected for
testing.
d. Client irritable, uncooperative, and refuses to have blood collected. Healthcare provider
notified. - CORRECT ANS- -c
The nurse plans to obtain health assessment information from a primary source. Which
option is a primary source for the completion of the health assessment?
a. client
b. healthcare provider
c. a family member
d. previous medical records - CORRECT ANS- -a
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis
using a goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
, B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
D. Change in the circumference of the joint in centimeters. - CORRECT ANS- -c
A female client asks the nurse to find someone who can translate her treatment concerns
into her native language. Which action should the nurse take?
a. Explain that anyone who speaks her language can answer her questions.
b. Provide a translator only in an emergency situation.
c. Ask a family member or friend of the client to translate.
d. Request and document the name of the certified translator. - CORRECT ANS- -d
At the beginning of the shift, the nurse assesses a client who is admitted from the post-
anesthesia care unit (PACU). When should the nurse document the client's findings?
a. At the beginning, middle, and end of the shift.
b. After client priorities are identified for the development of the nursing care plan.
c. At the end of the shift so full attention can be given to the client's needs.
d. Immediately after the assessments are completed - CORRECT ANS- -d
An older client who is unresponsive following a cerebral vascular accident (CVA) is
receiving bolus enteral feedings through a gastrostomy tube (GT). What is the best position
for the client for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sim's
d. supine - CORRECT ANS- -b
