HESI RN FUNDAMENTALS V1: EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A confused elderly male client is having trouble sleeping at night
and is sometimes found wondering in the hallway. What nursing
intervention should the nurse implement first?
A: Apply wrist restraints to prevent wandering.
B: Provide a back rub at bedtime.
C: Leave the door to his room open slightly.
D: Administer a PRN sedative prescription.
Provide a back rub at bedtime.
A post-operative client has three different PRN analgesics
prescribed for different levels of pain. The nurse inadvertently
administers a dose that is not within the prescribed parameters.
What action should the nurse take first?
A: Determine if the pain was relieved.
B: Complete a medication error report.
C: Assess for side effects of the medication.
D: Document the client's responses.
Assess for side effects of the medication.
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to
save his life. The healthcare provider knows the client has good
,prognosis and refuses to write a DNR prescription. What action
should the nurse take?
A: Initiate an ethics committee review of the case.
B: Ensure resuscitation is available.
C: Place a DNR bracelet on the client's arm.
D: Ask the family to review options with the client.
Initiate an ethics committee review of the case.
The nurse is preparing to feed a newly administered elderly male
client who is debilitated but is able to respond to most
commands. Before starting to feed the client, which information is
most important for the nurse to obtain?
A: Client's respiratory rate and lung sounds.
B: Prescribed diet.
C: Client's ability to chew and swallow.
D: Current medications.
Client's ability to chew and swallow.
The nurse enters the room of a client with Clostridium difficile
infection to administer an IV antibiotic. The UAP is in the room
cleaning the client's buttocks and states the client has been
incontinent with diarrhea. The UAP is wearing gloves but not a
gown. What action should the nurse implement first?
A: Advise the UAP to put on a gown.
B: Observe the appearance of the diarrhea.
C: Hang the scheduled dose of antibiotic.
D: Assess the client's skin integrity.
Advise the UAP to put on a gown.
After reviewing the admission assessment of a client with chronic
pain, which interventions should the nurse include in this client's
, plan of care?(SATA)
A: Provide comfort measures such as topical warm application
and tactile massage.
B: Encourage increased fluid intake and measure urinary output
Q8 hours.
C: Implement a 24-hour schedule of routine administration of
prescribed analgesic.
D: Determine client's subjective measure of pain using a
numerical pain scale.
E: Assist the client to ambulate as much as possible during
waking hours.
Provide comfort measures such as topical warm application and
tactile massage.
Implement a 24-hour schedule of routine administration of
prescribed analgesic.
Determine client's subjective measure of pain using a numerical
pain scale.
Assist the client to ambulate as much as possible during waking
hours.
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
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
A confused elderly male client is having trouble sleeping at night
and is sometimes found wondering in the hallway. What nursing
intervention should the nurse implement first?
A: Apply wrist restraints to prevent wandering.
B: Provide a back rub at bedtime.
C: Leave the door to his room open slightly.
D: Administer a PRN sedative prescription.
Provide a back rub at bedtime.
A post-operative client has three different PRN analgesics
prescribed for different levels of pain. The nurse inadvertently
administers a dose that is not within the prescribed parameters.
What action should the nurse take first?
A: Determine if the pain was relieved.
B: Complete a medication error report.
C: Assess for side effects of the medication.
D: Document the client's responses.
Assess for side effects of the medication.
A young male client with testicular cancer has a living will that
describes his desire that no extraordinary measures be taken to
save his life. The healthcare provider knows the client has good
,prognosis and refuses to write a DNR prescription. What action
should the nurse take?
A: Initiate an ethics committee review of the case.
B: Ensure resuscitation is available.
C: Place a DNR bracelet on the client's arm.
D: Ask the family to review options with the client.
Initiate an ethics committee review of the case.
The nurse is preparing to feed a newly administered elderly male
client who is debilitated but is able to respond to most
commands. Before starting to feed the client, which information is
most important for the nurse to obtain?
A: Client's respiratory rate and lung sounds.
B: Prescribed diet.
C: Client's ability to chew and swallow.
D: Current medications.
Client's ability to chew and swallow.
The nurse enters the room of a client with Clostridium difficile
infection to administer an IV antibiotic. The UAP is in the room
cleaning the client's buttocks and states the client has been
incontinent with diarrhea. The UAP is wearing gloves but not a
gown. What action should the nurse implement first?
A: Advise the UAP to put on a gown.
B: Observe the appearance of the diarrhea.
C: Hang the scheduled dose of antibiotic.
D: Assess the client's skin integrity.
Advise the UAP to put on a gown.
After reviewing the admission assessment of a client with chronic
pain, which interventions should the nurse include in this client's
, plan of care?(SATA)
A: Provide comfort measures such as topical warm application
and tactile massage.
B: Encourage increased fluid intake and measure urinary output
Q8 hours.
C: Implement a 24-hour schedule of routine administration of
prescribed analgesic.
D: Determine client's subjective measure of pain using a
numerical pain scale.
E: Assist the client to ambulate as much as possible during
waking hours.
Provide comfort measures such as topical warm application and
tactile massage.
Implement a 24-hour schedule of routine administration of
prescribed analgesic.
Determine client's subjective measure of pain using a numerical
pain scale.
Assist the client to ambulate as much as possible during waking
hours.
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
