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HESI RN FUNDAMENTALS PRACTICE EXAM| HESI
FUNDAMENTALS EXIT EXAM QUESTIONS AND
100% CORRECT ANSWERS LATEST 2025
A 20-year-old female client with a noticeable body odor has refused to shower for
the last 3 days. She states, "I have been told that it is harmful to bathe during my
period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with the client. -
ANSWER: Teach the importance of personal hygiene during menstruation with
the client.
A 65-year-old client who attends an adult daycare program and is wheelchair-
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D.Purchase a newer model wheelchair - ANSWER: Change positions in the chair
at least every hour.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
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C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990 - ANSWER: ANA's Scope and Standards of
Nursing Practice
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is
often awake until midnight playing and is then very difficult to awaken in the
morning forschool. Which assessment data should the nurse obtain in response to
the mother's report?
A.The occurrence of any episodes of sleep apnea
B.The child's blood pressure, pulse, and respirations
C.Length of rapid eye movement (REM) sleep that the child is experiencing
D.Description of the family's home environment - ANSWER: Description of the
family's home environment
During a routine assessment, an obese 50-year-old female client expresses concern
about her sexual relationship with her husband. Which is the best response by the
nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns. - ANSWER: Ask the client to
talk about specific concerns.
During evacuation of a group of clients from a medical unit because of a fire, the
nurse observes an ambulatory client walking alone toward the stairway at the end
of the hall. Which action should the nurse take?
A. Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B. Remind the client to walk carefully down the stairs until reaching a lower floor.
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C. Ask the client to help by assisting a wheelchair-bound client to a nearby
elevator.
D. Open the closest fire doors so that ambulatory clients can evacuate more
rapidly. - ANSWER: Remind the client to walk carefully down the stairs until
reaching a lower floor.
A female client with frequent urinary tract infections (UTIs) asks the nurse to
explain her friend's advice about drinking a glass of juice daily to prevent future
UTIs. Which response is best for the nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics. - ANSWER:
Cranberry juice stops pathogens' adherence to the bladder.
The health care provider has changed a client's prescription from the PO to the IV
route of administration. The nurse should anticipate which change in the
pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects and may need
a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting in a more
rapid effect.
C. The medication will be more highly protein-bound, increasing the duration of
action.
D. The therapeutic index will be increased, placing the client at greater risk for
toxicity. - ANSWER: The onset of action of the drug will occur more rapidly,
resulting in a more rapid effect.
A hospitalized client has had difficulty falling asleep for two nights and is
becoming irritable and restless. Which action by the nurse is best?
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A. Determine the client's usual bedtime routine and include these rituals in the plan
of care as safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the
night.
C. Place a "Do Not Disturb" sign on the door and change assessments from every
4to every 8 hours.
D. Encourage the client to avoid pain medication during the day, which might
increase daytime napping. - ANSWER: Determine the client's usual bedtime
routine and include these rituals in the plan of care as safety allows.
In assisting an older adult client prepare to take a tub bath, which nursing action is
most important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - ANSWER: Check the bath water temperature.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the
surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - ANSWER: Inform the surgeon that the operative
permit is not signed and the client has questions about the surgery.
HESI RN FUNDAMENTALS PRACTICE EXAM| HESI
FUNDAMENTALS EXIT EXAM QUESTIONS AND
100% CORRECT ANSWERS LATEST 2025
A 20-year-old female client with a noticeable body odor has refused to shower for
the last 3 days. She states, "I have been told that it is harmful to bathe during my
period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with the client. -
ANSWER: Teach the importance of personal hygiene during menstruation with
the client.
A 65-year-old client who attends an adult daycare program and is wheelchair-
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?
A. Take a vitamin supplement tablet once a day.
B. Change positions in the chair at least every hour.
C. Increase daily intake of water or other oral fluids.
D.Purchase a newer model wheelchair - ANSWER: Change positions in the chair
at least every hour.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.Americans with Disabilities Act of 1990
B.ANA Code of Ethics with Interpretative Statements
,2|P a g e
C.ANA's Scope and Standards of Nursing Practice
D.Patient's Bill of Rights of 1990 - ANSWER: ANA's Scope and Standards of
Nursing Practice
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is
often awake until midnight playing and is then very difficult to awaken in the
morning forschool. Which assessment data should the nurse obtain in response to
the mother's report?
A.The occurrence of any episodes of sleep apnea
B.The child's blood pressure, pulse, and respirations
C.Length of rapid eye movement (REM) sleep that the child is experiencing
D.Description of the family's home environment - ANSWER: Description of the
family's home environment
During a routine assessment, an obese 50-year-old female client expresses concern
about her sexual relationship with her husband. Which is the best response by the
nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns. - ANSWER: Ask the client to
talk about specific concerns.
During evacuation of a group of clients from a medical unit because of a fire, the
nurse observes an ambulatory client walking alone toward the stairway at the end
of the hall. Which action should the nurse take?
A. Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B. Remind the client to walk carefully down the stairs until reaching a lower floor.
,3|P a g e
C. Ask the client to help by assisting a wheelchair-bound client to a nearby
elevator.
D. Open the closest fire doors so that ambulatory clients can evacuate more
rapidly. - ANSWER: Remind the client to walk carefully down the stairs until
reaching a lower floor.
A female client with frequent urinary tract infections (UTIs) asks the nurse to
explain her friend's advice about drinking a glass of juice daily to prevent future
UTIs. Which response is best for the nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics. - ANSWER:
Cranberry juice stops pathogens' adherence to the bladder.
The health care provider has changed a client's prescription from the PO to the IV
route of administration. The nurse should anticipate which change in the
pharmacokinetic properties of the medication?
A. The client will experience increased tolerance to the drug's effects and may need
a higher dose.
B. The onset of action of the drug will occur more rapidly, resulting in a more
rapid effect.
C. The medication will be more highly protein-bound, increasing the duration of
action.
D. The therapeutic index will be increased, placing the client at greater risk for
toxicity. - ANSWER: The onset of action of the drug will occur more rapidly,
resulting in a more rapid effect.
A hospitalized client has had difficulty falling asleep for two nights and is
becoming irritable and restless. Which action by the nurse is best?
, 4|P a g e
A. Determine the client's usual bedtime routine and include these rituals in the plan
of care as safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the
night.
C. Place a "Do Not Disturb" sign on the door and change assessments from every
4to every 8 hours.
D. Encourage the client to avoid pain medication during the day, which might
increase daytime napping. - ANSWER: Determine the client's usual bedtime
routine and include these rituals in the plan of care as safety allows.
In assisting an older adult client prepare to take a tub bath, which nursing action is
most important?
A. Check the bath water temperature.
B. Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - ANSWER: Check the bath water temperature.
In completing a client's preoperative routine, the nurse finds that the operative
permit is not signed. The client begins to ask more questions about the
surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the
anesthesia is administered. - ANSWER: Inform the surgeon that the operative
permit is not signed and the client has questions about the surgery.
