HESI RN FUNDAMENTALS V1 EXAM | QUESTIONS
AND VERIFIED ANSWERS | 100% CORRECT |
GRADED A+ | LATEST 2025/2026 GUIDE
The grandmother of a young adult male admitted to the psychiatric unit
yesterday requests information about her grandson's treatment plan.
Before answering the family member's questions, what action should the
nurse take?
A: Ask the client if he wants this information shared with his
grandmother.
B: Ensure that the signed release of information includes the
grandmother.
C: Consult with the healthcare provider before sharing the information.
D: Reassure the grandmother by providing an honest response.
Ensure that the signed release of information includes the grandmother.
The home health nurse visits a client who has a serum sodium level of
123 mEq/L. To explore possible etiologies for this value, what question
should the nurse ask this client?
A: "How frequently do you eat processed or canned foods?"
B: "Do you drink milk or eat dairy products at each meal?"
C: "How much water and ice chips do you have each day?"
D: "What amount of your daily meals contains fresh vegetables?"
"How much water and ice chips do you have each day?"
,The client in the outpatient clinic complains of experiencing hard,
infrequent stools. Which instruction should the nurse provide this client?
A: "Walk around the block, or further, every day."
B: "Take an over-the-counter laxative every morning."
C: "Try using over-he-counter enemas when needed."
D: "Drink six to eight large glasses of water daily."
"Drink six to eight large glasses of water daily."
The nurse is planning care for a group of patients on a Med-Surg unit
during night shift. Which patient should be closely monitored for sleep
apnea?
A: A woman with restless leg syndrome and COPD.
B: A young woman taking Coumadin and has a diagnosis of insomnia.
C: A male with a bleeding ulcer.
D: A male with multiple problems including diabetes, HTN, and obesity.
A male with multiple problems including diabetes, HTN, and obesity.
A nurse is discharging a patient who has been hospitalized for the last 5
days with pneumonia. While providing discharge instructions, the client
is noticeably anxious. What action is the most important for the nurse to
implement?
A: Encourage the patient to take a PRN anxiety medication.
B: Include a family member in the teaching session.
C: Provide written discharge instructions.
D: Instruct the client to repeat the medication discharge plan.
Provide written discharge instructions.
,A client is 2 days post-op from a thoracic surgery and is complaining of
incisional pain. The client last received pain medication 2 hours ago. He
is rating his pain a 5 on a 1-10 scale. After calling the provider, what is
the nurse's next action?
A: Encourage the client to use guided imagery and slow, rhythmic
breathing.
B: Provide 20 minutes of back massage.
C: Encourage the client to watch TV.
D: Place a hot water circulation device, such as an Aqua K pad.
Encourage the client to use guided imagery and slow, rhythmic
breathing.
It is most important for a nurse to recalculate a patient's Braden score
who develops which problem?
A: Urinary incontinence.
B: Hypoactive bowel sounds.
C: Weakened cough reflex.
D: 2+ pitting edema to both legs.
Urinary incontinence.
Prior to attempting a digital removal of a fecal impaction, it is most
important to perform which assessment?
A: Bowel sounds.
B: Vital Signs.
, C: Breath sounds.
D: Abdominal girth.
Vital Signs.
Which statement is an example of a correctly written nursing diagnosis?
A: Altered tissue perfusion R/T congestive heart failure.
B: Altered urinary elimination R/T urinary tract infection.
C: Risk for impaired tissue integrity R/T client's refusal to turn.
D: Ineffective coping R/T response to positive biopsy test results.
Ineffective coping R/T response to positive biopsy test results.
Which technique is most important for the nurse to implement when
performing a physical assessment?
A: A head-to-toe approach.
B: The medical systems approach.
C: A consistent, systematic approach.
D: An approach related to a nursing model.
A consistent, systematic approach.
The nurse is providing passive ROM exercises to the hip and knee for a
client who is unconscious. After supporting the client's knee with one
hand, what action should the nurse take next?
A: Raise the bed to a comfortable working level.
B: Bend the client's knee.
C: Move the knee toward the chest as far as it will go.
D: Cradle the client's heel.
AND VERIFIED ANSWERS | 100% CORRECT |
GRADED A+ | LATEST 2025/2026 GUIDE
The grandmother of a young adult male admitted to the psychiatric unit
yesterday requests information about her grandson's treatment plan.
Before answering the family member's questions, what action should the
nurse take?
A: Ask the client if he wants this information shared with his
grandmother.
B: Ensure that the signed release of information includes the
grandmother.
C: Consult with the healthcare provider before sharing the information.
D: Reassure the grandmother by providing an honest response.
Ensure that the signed release of information includes the grandmother.
The home health nurse visits a client who has a serum sodium level of
123 mEq/L. To explore possible etiologies for this value, what question
should the nurse ask this client?
A: "How frequently do you eat processed or canned foods?"
B: "Do you drink milk or eat dairy products at each meal?"
C: "How much water and ice chips do you have each day?"
D: "What amount of your daily meals contains fresh vegetables?"
"How much water and ice chips do you have each day?"
,The client in the outpatient clinic complains of experiencing hard,
infrequent stools. Which instruction should the nurse provide this client?
A: "Walk around the block, or further, every day."
B: "Take an over-the-counter laxative every morning."
C: "Try using over-he-counter enemas when needed."
D: "Drink six to eight large glasses of water daily."
"Drink six to eight large glasses of water daily."
The nurse is planning care for a group of patients on a Med-Surg unit
during night shift. Which patient should be closely monitored for sleep
apnea?
A: A woman with restless leg syndrome and COPD.
B: A young woman taking Coumadin and has a diagnosis of insomnia.
C: A male with a bleeding ulcer.
D: A male with multiple problems including diabetes, HTN, and obesity.
A male with multiple problems including diabetes, HTN, and obesity.
A nurse is discharging a patient who has been hospitalized for the last 5
days with pneumonia. While providing discharge instructions, the client
is noticeably anxious. What action is the most important for the nurse to
implement?
A: Encourage the patient to take a PRN anxiety medication.
B: Include a family member in the teaching session.
C: Provide written discharge instructions.
D: Instruct the client to repeat the medication discharge plan.
Provide written discharge instructions.
,A client is 2 days post-op from a thoracic surgery and is complaining of
incisional pain. The client last received pain medication 2 hours ago. He
is rating his pain a 5 on a 1-10 scale. After calling the provider, what is
the nurse's next action?
A: Encourage the client to use guided imagery and slow, rhythmic
breathing.
B: Provide 20 minutes of back massage.
C: Encourage the client to watch TV.
D: Place a hot water circulation device, such as an Aqua K pad.
Encourage the client to use guided imagery and slow, rhythmic
breathing.
It is most important for a nurse to recalculate a patient's Braden score
who develops which problem?
A: Urinary incontinence.
B: Hypoactive bowel sounds.
C: Weakened cough reflex.
D: 2+ pitting edema to both legs.
Urinary incontinence.
Prior to attempting a digital removal of a fecal impaction, it is most
important to perform which assessment?
A: Bowel sounds.
B: Vital Signs.
, C: Breath sounds.
D: Abdominal girth.
Vital Signs.
Which statement is an example of a correctly written nursing diagnosis?
A: Altered tissue perfusion R/T congestive heart failure.
B: Altered urinary elimination R/T urinary tract infection.
C: Risk for impaired tissue integrity R/T client's refusal to turn.
D: Ineffective coping R/T response to positive biopsy test results.
Ineffective coping R/T response to positive biopsy test results.
Which technique is most important for the nurse to implement when
performing a physical assessment?
A: A head-to-toe approach.
B: The medical systems approach.
C: A consistent, systematic approach.
D: An approach related to a nursing model.
A consistent, systematic approach.
The nurse is providing passive ROM exercises to the hip and knee for a
client who is unconscious. After supporting the client's knee with one
hand, what action should the nurse take next?
A: Raise the bed to a comfortable working level.
B: Bend the client's knee.
C: Move the knee toward the chest as far as it will go.
D: Cradle the client's heel.