FUNDAMENTAL HESI EXAMINATION
GRADED A+
A 35- year- old female client with cancer refuses to allow the nurse to insert an IV
for a scheduled chemotherapy treatment, and states that she is ready to go home to
die. What intervention should the nurse initiate?
A. Review the client's medical record for an advance directive.
B. Determine if a do- not- resuscitate prescription has been obtained.
C. Document that the client is being discharged against medical advice.
D. Evaluate the client's mental status for competence to refuse treatment. -
ANSWER-C
A client with chronic renal disease is admitted to the hospital for evaluation prior
to a surgical procedure. Which laboratory test indicates the client's protein status
for the longest length of time?
A. Trasnferrin
B. Prealbumin
C. Serum albumin
D. Urine urea nitrogen - ANSWER-C
What client statement indicates to the nurse that the client requires assistance with
bathing?
A. "I wasn't able to pack a bag before I left for the hospital."
B. "I don't understand why I'm so weak and tired."
, C. "I only bathe ever other day."
D. "I left my eyeglasses at home." - ANSWER-B
How should the nurses handle linens that are soiled with incontinent feces?
A. Put the soiled linens in an isolation bag, then place it in the dirty linen hamper.
B. Place an isolation hamper in the client's room and discard the linens in it.
C. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
D. Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room. - ANSWER-A
When caring for an immobile client, what nursing diagnosis has the highest
priority?
A. Risk for fluid volume deficit.
B. Impaired gas exchange.
C. Risk for impaired skin integrity.
D. Altered tissue perfusion. - ANSWER-D
The nurse assesses an immobile, elderly male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F, and his output is 100 ml of
concentrated urine during the last hour. He has wet- sounding lung sounds, and
increased respiratory secretions. Based on these assessment findings, what nursing
action is most important for the nurse to implement?
A. Administer a PRN antihypertensive prescription.
B. Provide the client with an additional blanket.
C. Encourage additional fluid intake.
GRADED A+
A 35- year- old female client with cancer refuses to allow the nurse to insert an IV
for a scheduled chemotherapy treatment, and states that she is ready to go home to
die. What intervention should the nurse initiate?
A. Review the client's medical record for an advance directive.
B. Determine if a do- not- resuscitate prescription has been obtained.
C. Document that the client is being discharged against medical advice.
D. Evaluate the client's mental status for competence to refuse treatment. -
ANSWER-C
A client with chronic renal disease is admitted to the hospital for evaluation prior
to a surgical procedure. Which laboratory test indicates the client's protein status
for the longest length of time?
A. Trasnferrin
B. Prealbumin
C. Serum albumin
D. Urine urea nitrogen - ANSWER-C
What client statement indicates to the nurse that the client requires assistance with
bathing?
A. "I wasn't able to pack a bag before I left for the hospital."
B. "I don't understand why I'm so weak and tired."
, C. "I only bathe ever other day."
D. "I left my eyeglasses at home." - ANSWER-B
How should the nurses handle linens that are soiled with incontinent feces?
A. Put the soiled linens in an isolation bag, then place it in the dirty linen hamper.
B. Place an isolation hamper in the client's room and discard the linens in it.
C. Place the soiled linens in a pillow case and deposit them in the dirty linen
hamper.
D. Ask the housekeeping staff to pick up the soiled linen from the dirty utility
room. - ANSWER-A
When caring for an immobile client, what nursing diagnosis has the highest
priority?
A. Risk for fluid volume deficit.
B. Impaired gas exchange.
C. Risk for impaired skin integrity.
D. Altered tissue perfusion. - ANSWER-D
The nurse assesses an immobile, elderly male client and determines that his blood
pressure is 138/60, his temperature is 95.8 F, and his output is 100 ml of
concentrated urine during the last hour. He has wet- sounding lung sounds, and
increased respiratory secretions. Based on these assessment findings, what nursing
action is most important for the nurse to implement?
A. Administer a PRN antihypertensive prescription.
B. Provide the client with an additional blanket.
C. Encourage additional fluid intake.
