2025 HESI Fundamentals V2 Questions AND
Verified Answers Guaranteed Grade A+ 100%
Correct
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider
explains the risks and benefits of the procedure, and then leaves to set up for the
procedure.
When the nurse presents the consent form for signature, the client hesitates and
asks how the
wires will keep his heart going. Which action should the nurse take?
a. ANSWER the client's specific questions with a short understandable explanation
b. Postpone the procedure until the client understands the risks and benefits
c. Call the client's next of kin and ask them to provide verbal consent
d. Page the healthcare provider to return and provide additional explanation -
ANSWER -d
A patient should not sign a consent if they do not completely understand the
procedure, benefits
and risks. Although you may have an understanding of the procedure, it is the
Physician and
physician ONLY who can review the process of the procedure and benefits/risks
with the client.
That task is out of your scope as an RN.
The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise
the hinge joints, which action should the nurse instruct the client to perform?
a. Tilt the pelvis forwards and backwards
b. Bend the arm by flexing the ulnar to the humerus
c. Turn the head to the right and left
d. Extend the arm at the ide and rotate in circles - ANSWER -b
Active range of motion is when the patient is completing the physical activity with
physical
,assistance or manipulation from the nurse. The elbow is a hinge joint, as stated in
the question,
and should be exercised by bending the forearm (ulnar) to the humerus (bicep area)
A postoperative 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 actions should the nurse take first?
a. Access for side effects of the medication.
b. Document the client's responses.
c. Complete a medication error report.
d. Determine if the pain was relieved. - ANSWER -a
This is a medication error. The first step in addressing a medication error is to
access for any side
effects of the medication on the patient. Certain analgesics may cause respiratory
depression, so
it is essential to monitor for vital sign changes or respiratory distress. Once noting
the patient is
stable, you may then contact the provider, document the response, and complete a
medication
error report.
When assessing a male client, the nurse finds that he is fatigued, and is
experiencing muscle
weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the
nurse plans to
check the client's laboratory values to validate the existence of which?
a. hyperphosphatemia
b. hypocalcemia
c. hypermagnesia
d. hypokalemia - ANSWER -ANS: D
rationale
a: muscle cramps, tetany, and perioral numbness or tingling
, b: paresthesia, muscle spasm, cramps, tetany, numbness and seizures
c. (levels greater than 12 mmol/dL) can lead to cardiovascular complications
(hypotension and arrythmias) and neurological disorder (confusion and lethargy)
d: muscle weakness, leg cramps, and cardiac dysrhythmias. normal range 3.5-5
A female client's significant other has been at her bedside providing reassurances
and
support for the past 3 days, as desired by the client. The client's estranged husband
arrives and
demands that the significant other not be allowed to visit or be given condition
updates. Which
intervention should the nurse implement?
a. Obtain a prescription from the healthcare provider regarding visitation privileges
b. Request a consultation with the ethics committee for resolution of the situation
c. Encourage the client to speak with her husband regarding his disruptive behavior
d. Communicate the client's wishes to all members of the multidisciplinary team -
ANSWER -b
(A) is not appropriate. (C) would cause excessive stress to the patient and the
patient may not
want to see her estranged husband at all. (D) while appropriate, it does not help
calm the
estranged husband or get him off the premises. (B) is most appropriate and
professionals who are
trained in ethical issues like this can take care of the situation.
When measuring vital signs, the nurse observes that a client is using accessory
neck muscles
during respirations. What follow-up action should the nurse take first?
a. Determine pulse pressure
b. Auscultate heart sounds
c. Measure oxygen saturation
d. Check for neck vein distention - ANSWER -c
Using accessory neck muscles during respirations is a serious sign of respiratory
distress. The
Verified Answers Guaranteed Grade A+ 100%
Correct
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider
explains the risks and benefits of the procedure, and then leaves to set up for the
procedure.
When the nurse presents the consent form for signature, the client hesitates and
asks how the
wires will keep his heart going. Which action should the nurse take?
a. ANSWER the client's specific questions with a short understandable explanation
b. Postpone the procedure until the client understands the risks and benefits
c. Call the client's next of kin and ask them to provide verbal consent
d. Page the healthcare provider to return and provide additional explanation -
ANSWER -d
A patient should not sign a consent if they do not completely understand the
procedure, benefits
and risks. Although you may have an understanding of the procedure, it is the
Physician and
physician ONLY who can review the process of the procedure and benefits/risks
with the client.
That task is out of your scope as an RN.
The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise
the hinge joints, which action should the nurse instruct the client to perform?
a. Tilt the pelvis forwards and backwards
b. Bend the arm by flexing the ulnar to the humerus
c. Turn the head to the right and left
d. Extend the arm at the ide and rotate in circles - ANSWER -b
Active range of motion is when the patient is completing the physical activity with
physical
,assistance or manipulation from the nurse. The elbow is a hinge joint, as stated in
the question,
and should be exercised by bending the forearm (ulnar) to the humerus (bicep area)
A postoperative 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 actions should the nurse take first?
a. Access for side effects of the medication.
b. Document the client's responses.
c. Complete a medication error report.
d. Determine if the pain was relieved. - ANSWER -a
This is a medication error. The first step in addressing a medication error is to
access for any side
effects of the medication on the patient. Certain analgesics may cause respiratory
depression, so
it is essential to monitor for vital sign changes or respiratory distress. Once noting
the patient is
stable, you may then contact the provider, document the response, and complete a
medication
error report.
When assessing a male client, the nurse finds that he is fatigued, and is
experiencing muscle
weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the
nurse plans to
check the client's laboratory values to validate the existence of which?
a. hyperphosphatemia
b. hypocalcemia
c. hypermagnesia
d. hypokalemia - ANSWER -ANS: D
rationale
a: muscle cramps, tetany, and perioral numbness or tingling
, b: paresthesia, muscle spasm, cramps, tetany, numbness and seizures
c. (levels greater than 12 mmol/dL) can lead to cardiovascular complications
(hypotension and arrythmias) and neurological disorder (confusion and lethargy)
d: muscle weakness, leg cramps, and cardiac dysrhythmias. normal range 3.5-5
A female client's significant other has been at her bedside providing reassurances
and
support for the past 3 days, as desired by the client. The client's estranged husband
arrives and
demands that the significant other not be allowed to visit or be given condition
updates. Which
intervention should the nurse implement?
a. Obtain a prescription from the healthcare provider regarding visitation privileges
b. Request a consultation with the ethics committee for resolution of the situation
c. Encourage the client to speak with her husband regarding his disruptive behavior
d. Communicate the client's wishes to all members of the multidisciplinary team -
ANSWER -b
(A) is not appropriate. (C) would cause excessive stress to the patient and the
patient may not
want to see her estranged husband at all. (D) while appropriate, it does not help
calm the
estranged husband or get him off the premises. (B) is most appropriate and
professionals who are
trained in ethical issues like this can take care of the situation.
When measuring vital signs, the nurse observes that a client is using accessory
neck muscles
during respirations. What follow-up action should the nurse take first?
a. Determine pulse pressure
b. Auscultate heart sounds
c. Measure oxygen saturation
d. Check for neck vein distention - ANSWER -c
Using accessory neck muscles during respirations is a serious sign of respiratory
distress. The
