BSN 225 - HESI FUNDAMENTALS EXAM WITH
ACTUAL QUESTIONS AND 100% VERIFIED ANSWERS
| LATEST 2025/ 2026 UPDATE | GRADED A+ | 100%
SUCCESS
A client recovering from spinal fusion surgery needs to be turned and
repositioned in bed. What action should the nurse take?
a. push the client over onto one side.
b. after obtaining other staff to assist, position the client to one side of
the bed and together roll the client onto one side of the body.
c. pull the upper body over to one side of the bed; pull the lower body
over to one side of the bed; roll the upper body onto one side; roll the
lower body onto one side.
d. after obtaining other staff to assist, lift the client onto one side of the
body. - correct answer -b. after obtaining other staff to assist, position
the client to one side of the bed and together roll the client onto one
side of the body.
Potassium (mmol/L)
ADMISSION LABS 24 HOURS AGO - 2.8 (2.8 mEq/L)
16 HOURS AGO - 3.1 (3.1 mEq/L)
,8 HOURS AGO - 3.7 (3.7 mEq/L)
NOW. - 4.8 (4.8 mEq/L)
Glucose (mg/dL)
ADMISSION LABS 24 HOURS AGO - 147
16 HOURS AGO - 137
8 HOURS AGO - 107
NOW. - 80
Chloride (mEq/L)
ADMISSION LABS 24 HOURS AGO - 112 mmol/L
16 HOURS AGO - 107 mmol/L
8 HOURS AGO - 107 mmol/L
NOW. - 100 mmol/L
Sodium (mEq/L)
ADMISSION LABS 24 HOURS AGO - 152 mEq/L
16 HOURS AGO - 150 mEq/L
8 HOURS AGO - 144 mEq/L
NOW. - 138 mEq/L
,The nurse is reviewing the laboratory results for a client admitted with
dehydration secondary to viral gastroenteritis. The client is receiving
intravenous rehydration with 5 % dextrose in 0.45% sodium chloride
with 20 mEq/L of potassium chloride. Based on lab results, what action
should the nurse take?
a. hold IV fluids administration and notify health care provider.
b. monitor the client for weakness, paresthesias, palpitati - correct
answer -a. hold IV fluids administration and notify health care provider.
The nurse has provided a cleansing enema to a client on bedrest in
preparation for a colonoscopy. What action should the nurse take when
the client is prepared to expel the enema solution?
a. assist the client to ambulate to the bathroom
b. provide a bedside commode for the client to use.
c. provide a bedpan for the client to use
d. assist the client to ambulate to a chair and provide a bedpan for use -
correct answer -c. provide a bedpan for the client to use
Rationale:
The client is on bedrest and should not be ambulating.
, The nurse is preparing to assess a client for residual urine. Which
technique should the nurse use for this assessment?
a. perform a bladder scan
b. use an indwelling urinary catheter
c. use the crede method
d. palpate the abdomen for bladder distention - correct answer -a.
perform a bladder scan
During the assessment of a client, the nurse notes skin tenting of the
hands and forearms. Which nursing diagnosis should the nurse select to
address this assessment finding?
a. impaired skin integrity
b. alteration in nutrition more than body requirements
c. fluid volume deficit less than body requirements
d. risk for infection - correct answer -c. fluid volume deficit less than
body requirements
ACTUAL QUESTIONS AND 100% VERIFIED ANSWERS
| LATEST 2025/ 2026 UPDATE | GRADED A+ | 100%
SUCCESS
A client recovering from spinal fusion surgery needs to be turned and
repositioned in bed. What action should the nurse take?
a. push the client over onto one side.
b. after obtaining other staff to assist, position the client to one side of
the bed and together roll the client onto one side of the body.
c. pull the upper body over to one side of the bed; pull the lower body
over to one side of the bed; roll the upper body onto one side; roll the
lower body onto one side.
d. after obtaining other staff to assist, lift the client onto one side of the
body. - correct answer -b. after obtaining other staff to assist, position
the client to one side of the bed and together roll the client onto one
side of the body.
Potassium (mmol/L)
ADMISSION LABS 24 HOURS AGO - 2.8 (2.8 mEq/L)
16 HOURS AGO - 3.1 (3.1 mEq/L)
,8 HOURS AGO - 3.7 (3.7 mEq/L)
NOW. - 4.8 (4.8 mEq/L)
Glucose (mg/dL)
ADMISSION LABS 24 HOURS AGO - 147
16 HOURS AGO - 137
8 HOURS AGO - 107
NOW. - 80
Chloride (mEq/L)
ADMISSION LABS 24 HOURS AGO - 112 mmol/L
16 HOURS AGO - 107 mmol/L
8 HOURS AGO - 107 mmol/L
NOW. - 100 mmol/L
Sodium (mEq/L)
ADMISSION LABS 24 HOURS AGO - 152 mEq/L
16 HOURS AGO - 150 mEq/L
8 HOURS AGO - 144 mEq/L
NOW. - 138 mEq/L
,The nurse is reviewing the laboratory results for a client admitted with
dehydration secondary to viral gastroenteritis. The client is receiving
intravenous rehydration with 5 % dextrose in 0.45% sodium chloride
with 20 mEq/L of potassium chloride. Based on lab results, what action
should the nurse take?
a. hold IV fluids administration and notify health care provider.
b. monitor the client for weakness, paresthesias, palpitati - correct
answer -a. hold IV fluids administration and notify health care provider.
The nurse has provided a cleansing enema to a client on bedrest in
preparation for a colonoscopy. What action should the nurse take when
the client is prepared to expel the enema solution?
a. assist the client to ambulate to the bathroom
b. provide a bedside commode for the client to use.
c. provide a bedpan for the client to use
d. assist the client to ambulate to a chair and provide a bedpan for use -
correct answer -c. provide a bedpan for the client to use
Rationale:
The client is on bedrest and should not be ambulating.
, The nurse is preparing to assess a client for residual urine. Which
technique should the nurse use for this assessment?
a. perform a bladder scan
b. use an indwelling urinary catheter
c. use the crede method
d. palpate the abdomen for bladder distention - correct answer -a.
perform a bladder scan
During the assessment of a client, the nurse notes skin tenting of the
hands and forearms. Which nursing diagnosis should the nurse select to
address this assessment finding?
a. impaired skin integrity
b. alteration in nutrition more than body requirements
c. fluid volume deficit less than body requirements
d. risk for infection - correct answer -c. fluid volume deficit less than
body requirements
