3/23/25, 8:54 AM HESI Nursing Fundamentals
HESI RN Nursing Fundamentals NEWEST VERSION 2024-2025
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ COMPLETE EXAM FOR
STUDY
An older female client with Answer
rheumatoid arthritis is :D
complaining of severe joint Ration
pain that is caused by the ale
weight of the linen on her legs. The nurse should first provide an immediate comfort measure
What action should the nurse to address the client's complaint about the linens and drape
implement first? the linens over the footboard of the bed (D) instead of
tucking them under the mattress, which can add pressure
A) Apply flannel pajamas
perceived by the client as the source of her pain. (A, B, and
to provide warmth.
C) may be components of the client's plan of care, but the
B) Administer a PRN dose of
ibuprofen. nurse should first address the client's complaint.
C) Perform range of motion
exercises in a warm tub.
D) Drape the sheets over the
footboard of the bed.
A 35-year-old female client Answer
with cancer refuses to allow : D
the nurse to insert an IV for a Ration
scheduled chemotherapy ale
treatment, and states that she Competent clients have the right to refuse treatment, so the
is ready to go home to die. nurse should first ensure that the client is competent (D). (A
What intervention should the and C) are not necessary for a competent client to refuse
nurse initiate? treatment. The nurse cannot document (C) until the
healthcare provider is
A) Review the client's medical notified of the client's wishes and a discharge prescription is obtained.
record for an advance
directive.
B) Determine if a do-not-
resuscitate prescription
has been obtained.
1/53
,3/23/25, 8:54 AM HESI Nursing Fundamentals
C) Document that the
client is being discharged
against medical advice.
D) Evaluate the client's
mental status for
competence to refuse
treatment.
2/53
,3/23/25, 8:54 AM HESI Nursing Fundamentals
A client has a nursing diagnosis Answer
of, "Spiritual distress related to : B
a loss of hope, Ration
secondary to impending death." ale
What intervention is best for Hopefulness is necessary to sustain a meaningful existence,
the nurse to even close to death. The nurse should help the client set short-
implement when caring for this term goals, and recognize the achievement of immediate goals
client?
(B), such as seeing a family member, or listening to music. (A) is
A) Help the client to accept the too vague to be a helpful intervention. (C) does not help the
final stage of life. client deal with this nursing diagnosis. (D) might be
B) Assist and support the implemented, but does not have the priority of (B).
client in establishing
short-term goals.
C) Encourage the client to
make future plans, even if
they are unrealistic.
D) Instruct the client's family to
focus on
positive aspects of the client's
life.
A male client with venous Answer
incompetence stands up and :B
his blood pressure Ration
subsequently drops. Which ale
finding should the nurse When postural hypotension occurs, the body attempts to
identify as a compensatory restore arterial pressure by stimulating the baro-receptors to
response? increase the heart rate (B), not decrease it (A).
Peripheral vasoconstriction, not dilation (C), of the veins and
A) Bradycardia. arterioles occurs with venous incompetence through the
B) Increase in pulse rate. baro-receptor reflex. A decrease in cardiac
C) Peripheral vasodilation. output, not an increase (D), occurs when orthostatic hypotension
occurs.
D) Increase in cardiac output.
In evaluating client care, which Answer
action should the nurse take :A
first? Ration
ale
A) Determine if the expected In evaluating care, the nurse should first determine if the
outcomes of care were expected outcomes of the plan of care were achieved.
achieved.
B) Review the rationales used
as the basis of nursing
actions.
3/53
, 3/23/25, 8:54 AM HESI Nursing Fundamentals
C) Document the care plan
goals that were successfully
met.
D) Prioritize interventions to be
added to
the client's plan of care.
When caring for an immobile Answer
client, what nursing diagnosis : B
has the highest priority? Ration
ale
A) Risk for fluid volume deficit. The ABCs of caring for clients are airway, breathing, and
B) Impaired gas exchange. circulation. Impaired gas exchange (B) implies that the client
C) Risk for impaired skin integrity. is having trouble with breathing, which has the highest
D) Altered tissue perfusion. priority of the nursing diagnoses listed. Though an
immobilized client
presents a multitude of nursing care challenges, (A, C, and D) do not
have the
priority of (B).
What action is most important Answer
for the nurse to implement :A
when placing a client in the Ration
Sim's position? ale
A waist-high bed height (A) is a comfortable and safe working
A) Raise the bed to a waist- height to maintain the nurse's proper body mechanics and
high working level. prevent back injury. The head should be flat for a Sim's side-
B) Elevate the head of the bed 45
degrees. lying position, not raised (B). (C) is implemented after the
C) Place a pillow behind the client is
client's back. positioned laterally. (D) brings the client closer to the nurse when being
turned.
D)Bring the client to one edge of
the bed.
The nurse is preparing to irrigate Answer
a client's indwelling urinary :B
catheter using an open Ration
technique. What action should ale
the nurse take after applying To irrigate an indwelling urinary catheter, the nurse should first apply
gloves, then
gloves? draw up the irrigating solution into the syringe (B). The
syringe is then attached to the catheter and the fluid instilled,
A) Empty the client's urinary
using aseptic technique (D). Once the irrigating
drainage bag.
solution is instilled, the client's catheter should be secured to the
B) Draw up the irrigating drainage tubing (C).
4/53
HESI RN Nursing Fundamentals NEWEST VERSION 2024-2025
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ COMPLETE EXAM FOR
STUDY
An older female client with Answer
rheumatoid arthritis is :D
complaining of severe joint Ration
pain that is caused by the ale
weight of the linen on her legs. The nurse should first provide an immediate comfort measure
What action should the nurse to address the client's complaint about the linens and drape
implement first? the linens over the footboard of the bed (D) instead of
tucking them under the mattress, which can add pressure
A) Apply flannel pajamas
perceived by the client as the source of her pain. (A, B, and
to provide warmth.
C) may be components of the client's plan of care, but the
B) Administer a PRN dose of
ibuprofen. nurse should first address the client's complaint.
C) Perform range of motion
exercises in a warm tub.
D) Drape the sheets over the
footboard of the bed.
A 35-year-old female client Answer
with cancer refuses to allow : D
the nurse to insert an IV for a Ration
scheduled chemotherapy ale
treatment, and states that she Competent clients have the right to refuse treatment, so the
is ready to go home to die. nurse should first ensure that the client is competent (D). (A
What intervention should the and C) are not necessary for a competent client to refuse
nurse initiate? treatment. The nurse cannot document (C) until the
healthcare provider is
A) Review the client's medical notified of the client's wishes and a discharge prescription is obtained.
record for an advance
directive.
B) Determine if a do-not-
resuscitate prescription
has been obtained.
1/53
,3/23/25, 8:54 AM HESI Nursing Fundamentals
C) Document that the
client is being discharged
against medical advice.
D) Evaluate the client's
mental status for
competence to refuse
treatment.
2/53
,3/23/25, 8:54 AM HESI Nursing Fundamentals
A client has a nursing diagnosis Answer
of, "Spiritual distress related to : B
a loss of hope, Ration
secondary to impending death." ale
What intervention is best for Hopefulness is necessary to sustain a meaningful existence,
the nurse to even close to death. The nurse should help the client set short-
implement when caring for this term goals, and recognize the achievement of immediate goals
client?
(B), such as seeing a family member, or listening to music. (A) is
A) Help the client to accept the too vague to be a helpful intervention. (C) does not help the
final stage of life. client deal with this nursing diagnosis. (D) might be
B) Assist and support the implemented, but does not have the priority of (B).
client in establishing
short-term goals.
C) Encourage the client to
make future plans, even if
they are unrealistic.
D) Instruct the client's family to
focus on
positive aspects of the client's
life.
A male client with venous Answer
incompetence stands up and :B
his blood pressure Ration
subsequently drops. Which ale
finding should the nurse When postural hypotension occurs, the body attempts to
identify as a compensatory restore arterial pressure by stimulating the baro-receptors to
response? increase the heart rate (B), not decrease it (A).
Peripheral vasoconstriction, not dilation (C), of the veins and
A) Bradycardia. arterioles occurs with venous incompetence through the
B) Increase in pulse rate. baro-receptor reflex. A decrease in cardiac
C) Peripheral vasodilation. output, not an increase (D), occurs when orthostatic hypotension
occurs.
D) Increase in cardiac output.
In evaluating client care, which Answer
action should the nurse take :A
first? Ration
ale
A) Determine if the expected In evaluating care, the nurse should first determine if the
outcomes of care were expected outcomes of the plan of care were achieved.
achieved.
B) Review the rationales used
as the basis of nursing
actions.
3/53
, 3/23/25, 8:54 AM HESI Nursing Fundamentals
C) Document the care plan
goals that were successfully
met.
D) Prioritize interventions to be
added to
the client's plan of care.
When caring for an immobile Answer
client, what nursing diagnosis : B
has the highest priority? Ration
ale
A) Risk for fluid volume deficit. The ABCs of caring for clients are airway, breathing, and
B) Impaired gas exchange. circulation. Impaired gas exchange (B) implies that the client
C) Risk for impaired skin integrity. is having trouble with breathing, which has the highest
D) Altered tissue perfusion. priority of the nursing diagnoses listed. Though an
immobilized client
presents a multitude of nursing care challenges, (A, C, and D) do not
have the
priority of (B).
What action is most important Answer
for the nurse to implement :A
when placing a client in the Ration
Sim's position? ale
A waist-high bed height (A) is a comfortable and safe working
A) Raise the bed to a waist- height to maintain the nurse's proper body mechanics and
high working level. prevent back injury. The head should be flat for a Sim's side-
B) Elevate the head of the bed 45
degrees. lying position, not raised (B). (C) is implemented after the
C) Place a pillow behind the client is
client's back. positioned laterally. (D) brings the client closer to the nurse when being
turned.
D)Bring the client to one edge of
the bed.
The nurse is preparing to irrigate Answer
a client's indwelling urinary :B
catheter using an open Ration
technique. What action should ale
the nurse take after applying To irrigate an indwelling urinary catheter, the nurse should first apply
gloves, then
gloves? draw up the irrigating solution into the syringe (B). The
syringe is then attached to the catheter and the fluid instilled,
A) Empty the client's urinary
using aseptic technique (D). Once the irrigating
drainage bag.
solution is instilled, the client's catheter should be secured to the
B) Draw up the irrigating drainage tubing (C).
4/53
