HESI - Fundamentals Test Bank
(2025/26) | With complete solution |
RATED A+
Low levels of are associated with malnutrition. - - Albumin
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - D. Gently lift the client
when moving into a desired position.
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should the
nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - B. Flush the tube with water.
A client who is in hospice care complains of 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. - A. Give
an around-the-clock schedule for administration of analgesics.
When assessing a client with wrist restraints, the nurse observes that the fingers on
the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - A. Loosen the right wrist restraint.
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
,D. An elderly man being treated for a peptic ulcer. - B. A lactating woman nursing
her 3-day-old infant.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300. - D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300.
While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion - A. Acknowledge that
she is supporting the arm correctly.
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure. - B. A decreased flow rate could result in the formation of a thrombosis.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. - B.
Reassess the client's blood pressure using a larger cuff.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion? - 150 mL/hr
,Twenty sminutes s after sbeginning s a sheat sapplication, s the sclient s states sthat sthe
sheating spad sno slonger s feels swarm senough. s What s is sthe sbest sresponse sby
sthe snurse?
A. That s means s you shave s derived s the s maximum s benefit, s and s the s heat s can sbe
sremoved.
B. Your s blood s vessels s are sbecoming s dilated s and s removing s the sheat s from sthe s site.
C. We s will s increase s the s temperature s 5 s degrees s when s the s pad s no s longer s feels
s warm.
D. The s body's sreceptors sadapt sover stime sas sthey sare sexposed s to sheat. s-
D. sThe sbody's sreceptors sadapt sover s time sas sthey sare sexposed sto sheat.
The snurse s is sinstructing s a sclient s with shigh s cholesterol s about sdiet sand slifestyle
smodification. s What scomment s from sthe sclient sindicates s that sthe steaching s has
sbeen seffective?
A. If sI s exercise s at s least s two stimes s weekly s for sone s hour, s I swill s lower s my
s cholesterol.
B. I s need s to savoid s eating s proteins, s including s red smeat.
C. I s will s limit s my s intake s of sbeef s to s4 sounces s per s week.
D. My sblood slevel s of slow sdensity s lipoproteins s needs sto sincrease. s- C. sI
swill slimit smy sintake sof sbeef sto s4 sounces s per sweek.
The sUAPs s working son sa schronic s neuro s unit s ask sthe snurse s to shelp s them
sdetermine s the ssafest sway sto stransfer san selderly sclient s with sleft-sided sweakness
sfrom sthe sbed sto sthe schair. sWhat smethod s describes sthe scorrect stransfer
sprocedure sfor sthis sclient?
A. Place s the s chair s at s a s right s angle s to sthe s bed s on s the s client's s left sside s before
smoving.
B. Assist s the s client s to sa sstanding s position, s then s place s the s right s hand s on sthe
s armrest.
C. Have s the sclient s place sthe sleft sfoot snext sto sthe schair sand spivot sto sthe sleft
sbefore ssitting.
D. Move sthe schair sparallel s to sthe sright s side sof sthe sbed, sand sstand sthe sclient s on
sthe sright sfoot. s- D. s Move s the s chair s parallel s to s the s right s side s of s the s bed,
sand s stand s the s client son sthe sright sfoot.
An sunlicensed s assistive spersonnel s (UAP) splaces sa sclient sin sa sleft slateral
sposition sprior sto sadministering sa ssoap ssuds senema. sWhich sinstruction sshould
sthe snurse sprovide sthe sUAP?
A. Position s the s client s on s the s right s side s of s the s bed s in sreverse s Trendelenburg.
B. Fill s the s enema s container s with s1000 s ml s of swarm swater sand s 5 sml s of s castile
s soap.
C. Reposition s in sa sSim's s position s with sthe s client's s weight s on sthe s anterior s ilium.
D. Raise s the s side s rails s on sboth s sides s of s the s bed s and s elevate s the s bed s to s waist
slevel. s -
C. s Reposition s in s a s Sim's s position s with sthe s client's s weight s on s the s anterior s ilium.
A sclient swho sis sa sJehovah's s Witness sis sadmitted sto sthe snursing s unit. sWhich
s concern sshould s the snurse s have s for splanning s care sin sterms sof sthe sclient's
s beliefs?
A. sAutopsy s of s the s body s is s prohibited.
, B. sBlood s transfusions s are sforbidden.
C. sAlcohol s use s in sany s form sis s not s allowed.
D. sA s vegetarian s diet s must s be s followed. s- B. sBlood s transfusions s are sforbidden.
The snurse s observes sthat sa smale sclient s has sremoved s the scovering s from san sice
spack sapplied sto shis s knee. sWhat saction sshould s the snurse s take sfirst?
(2025/26) | With complete solution |
RATED A+
Low levels of are associated with malnutrition. - - Albumin
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - D. Gently lift the client
when moving into a desired position.
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should the
nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - B. Flush the tube with water.
A client who is in hospice care complains of 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. - A. Give
an around-the-clock schedule for administration of analgesics.
When assessing a client with wrist restraints, the nurse observes that the fingers on
the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - A. Loosen the right wrist restraint.
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
,D. An elderly man being treated for a peptic ulcer. - B. A lactating woman nursing
her 3-day-old infant.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the
unit at 1300. What is the best intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed
dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300. - D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300.
While instructing a male client's wife in the performance of passive range-of-motion
exercises to his contracted shoulder, the nurse observes that she is holding his arm
above and below the elbow. What nursing action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion - A. Acknowledge that
she is supporting the arm correctly.
What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure. - B. A decreased flow rate could result in the formation of a thrombosis.
The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood
pressure with a cuff that is too small, but the blood pressure reading obtained is
within the client's usual range. What action is most important for the nurse to
implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure. - B.
Reassess the client's blood pressure using a larger cuff.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion? - 150 mL/hr
,Twenty sminutes s after sbeginning s a sheat sapplication, s the sclient s states sthat sthe
sheating spad sno slonger s feels swarm senough. s What s is sthe sbest sresponse sby
sthe snurse?
A. That s means s you shave s derived s the s maximum s benefit, s and s the s heat s can sbe
sremoved.
B. Your s blood s vessels s are sbecoming s dilated s and s removing s the sheat s from sthe s site.
C. We s will s increase s the s temperature s 5 s degrees s when s the s pad s no s longer s feels
s warm.
D. The s body's sreceptors sadapt sover stime sas sthey sare sexposed s to sheat. s-
D. sThe sbody's sreceptors sadapt sover s time sas sthey sare sexposed sto sheat.
The snurse s is sinstructing s a sclient s with shigh s cholesterol s about sdiet sand slifestyle
smodification. s What scomment s from sthe sclient sindicates s that sthe steaching s has
sbeen seffective?
A. If sI s exercise s at s least s two stimes s weekly s for sone s hour, s I swill s lower s my
s cholesterol.
B. I s need s to savoid s eating s proteins, s including s red smeat.
C. I s will s limit s my s intake s of sbeef s to s4 sounces s per s week.
D. My sblood slevel s of slow sdensity s lipoproteins s needs sto sincrease. s- C. sI
swill slimit smy sintake sof sbeef sto s4 sounces s per sweek.
The sUAPs s working son sa schronic s neuro s unit s ask sthe snurse s to shelp s them
sdetermine s the ssafest sway sto stransfer san selderly sclient s with sleft-sided sweakness
sfrom sthe sbed sto sthe schair. sWhat smethod s describes sthe scorrect stransfer
sprocedure sfor sthis sclient?
A. Place s the s chair s at s a s right s angle s to sthe s bed s on s the s client's s left sside s before
smoving.
B. Assist s the s client s to sa sstanding s position, s then s place s the s right s hand s on sthe
s armrest.
C. Have s the sclient s place sthe sleft sfoot snext sto sthe schair sand spivot sto sthe sleft
sbefore ssitting.
D. Move sthe schair sparallel s to sthe sright s side sof sthe sbed, sand sstand sthe sclient s on
sthe sright sfoot. s- D. s Move s the s chair s parallel s to s the s right s side s of s the s bed,
sand s stand s the s client son sthe sright sfoot.
An sunlicensed s assistive spersonnel s (UAP) splaces sa sclient sin sa sleft slateral
sposition sprior sto sadministering sa ssoap ssuds senema. sWhich sinstruction sshould
sthe snurse sprovide sthe sUAP?
A. Position s the s client s on s the s right s side s of s the s bed s in sreverse s Trendelenburg.
B. Fill s the s enema s container s with s1000 s ml s of swarm swater sand s 5 sml s of s castile
s soap.
C. Reposition s in sa sSim's s position s with sthe s client's s weight s on sthe s anterior s ilium.
D. Raise s the s side s rails s on sboth s sides s of s the s bed s and s elevate s the s bed s to s waist
slevel. s -
C. s Reposition s in s a s Sim's s position s with sthe s client's s weight s on s the s anterior s ilium.
A sclient swho sis sa sJehovah's s Witness sis sadmitted sto sthe snursing s unit. sWhich
s concern sshould s the snurse s have s for splanning s care sin sterms sof sthe sclient's
s beliefs?
A. sAutopsy s of s the s body s is s prohibited.
, B. sBlood s transfusions s are sforbidden.
C. sAlcohol s use s in sany s form sis s not s allowed.
D. sA s vegetarian s diet s must s be s followed. s- B. sBlood s transfusions s are sforbidden.
The snurse s observes sthat sa smale sclient s has sremoved s the scovering s from san sice
spack sapplied sto shis s knee. sWhat saction sshould s the snurse s take sfirst?
