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HESI FUNDAMENTALS EXAM
2024 ACTUAL EXAM COMPLETE
100 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The nurse is teaching an obese client, newly diagnosed
with arteriosclerosis, about reducing the risk of a heart
attack or stroke. Which health promotion brochure is most
important for the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" -
....ANSWER...C
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client,
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because the most significant risk factor contributing to
development of arteriosclerosis is excess dietary fat,
particularly saturated fat and cholesterol. Option A does
not address the underlying causes of arteriosclerosis.
Options B and D are also important factors for reversing
arteriosclerosis but are not as important as lowering
cholesterol.
The nurse finds a client crying behind a locked bathroom
door. The client will not open the door. Which action
should the nurse implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay
and keep talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the
bathroom.
D. Talk to the client and attempt to find out why the client
is crying. - ....ANSWER...D
Rationale: The nurse's first concern should be for the
client's safety, so an immediate assessment of the client's
situation is needed. Option A is incorrect; the nurse should
implement the intervention. The nurse may offer to stay
nearby after first assessing the situation more fully.
Although option C may be correct, the nurse should
determine if the client's safety is compromised and offer
assistance, even if it is refused.
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A client in a long-term care facility reports to the nurse
that he has not had a bowel movement in 2 days. Which
intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune
juice at mealtimes.
B. Notify the health care provider and request a
prescription for a large-volume enema.
C. Assess the client's medical record to determine the
client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to
five 8-ounce glasses per day. - ....ANSWER...C
Rationale: This client may not routinely have a daily
bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any
intervention. Option A, B, or D may then be implemented,
if warranted.
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.
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D. Purchase a newer model wheelchair. - ....ANSWER...B
Rationale: The most important teaching is to change
positions frequently because pressure is the most
significant factor related to the development of pressure
ulcers. Increased vitamin and fluid intake may also be
beneficial and promote healing and reduce further risk.
Option D is an intervention of last resort because this will
be very expensive for the client.
Urinary catheterization is prescribed for a postoperative
female client who has been unable to void for 8 hours. The
nurse inserts the catheter, but no urine is seen in the tubing.
Which action will the nurse take next?
A. Clamp the catheter and recheck it in 60 minutes.
B. Pull the catheter back 3 inches and redirect upward.
C. Leave the catheter in place and reattempt with another
catheter.
D. Notify the health care provider of a possible
obstruction. - ....ANSWER...C
Rationale: It is likely that the first catheter is in the
vagina, rather than the bladder. Leaving the first catheter in
place will help locate the meatus when attempting the
second catheterization. The client should have at least 240
mL of urine after 8 hours. Option A does not resolve the
problem. Option B will not change the location of the
catheter unless it is completely removed, in which case a
HESI FUNDAMENTALS EXAM
2024 ACTUAL EXAM COMPLETE
100 QUESTIONS WITH
DETAILED VERIFIED ANSWERS
AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The nurse is teaching an obese client, newly diagnosed
with arteriosclerosis, about reducing the risk of a heart
attack or stroke. Which health promotion brochure is most
important for the nurse to provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You" -
....ANSWER...C
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client,
,2|Page
because the most significant risk factor contributing to
development of arteriosclerosis is excess dietary fat,
particularly saturated fat and cholesterol. Option A does
not address the underlying causes of arteriosclerosis.
Options B and D are also important factors for reversing
arteriosclerosis but are not as important as lowering
cholesterol.
The nurse finds a client crying behind a locked bathroom
door. The client will not open the door. Which action
should the nurse implement first?
A. Instruct an unlicensed assistive personnel (UAP) to stay
and keep talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the
bathroom.
D. Talk to the client and attempt to find out why the client
is crying. - ....ANSWER...D
Rationale: The nurse's first concern should be for the
client's safety, so an immediate assessment of the client's
situation is needed. Option A is incorrect; the nurse should
implement the intervention. The nurse may offer to stay
nearby after first assessing the situation more fully.
Although option C may be correct, the nurse should
determine if the client's safety is compromised and offer
assistance, even if it is refused.
,3|Page
A client in a long-term care facility reports to the nurse
that he has not had a bowel movement in 2 days. Which
intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune
juice at mealtimes.
B. Notify the health care provider and request a
prescription for a large-volume enema.
C. Assess the client's medical record to determine the
client's normal bowel pattern.
D. Instruct the caregiver to increase the client's fluids to
five 8-ounce glasses per day. - ....ANSWER...C
Rationale: This client may not routinely have a daily
bowel movement, so the nurse should first assess this
client's normal bowel habits before attempting any
intervention. Option A, B, or D may then be implemented,
if warranted.
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.
, 4|Page
D. Purchase a newer model wheelchair. - ....ANSWER...B
Rationale: The most important teaching is to change
positions frequently because pressure is the most
significant factor related to the development of pressure
ulcers. Increased vitamin and fluid intake may also be
beneficial and promote healing and reduce further risk.
Option D is an intervention of last resort because this will
be very expensive for the client.
Urinary catheterization is prescribed for a postoperative
female client who has been unable to void for 8 hours. The
nurse inserts the catheter, but no urine is seen in the tubing.
Which action will the nurse take next?
A. Clamp the catheter and recheck it in 60 minutes.
B. Pull the catheter back 3 inches and redirect upward.
C. Leave the catheter in place and reattempt with another
catheter.
D. Notify the health care provider of a possible
obstruction. - ....ANSWER...C
Rationale: It is likely that the first catheter is in the
vagina, rather than the bladder. Leaving the first catheter in
place will help locate the meatus when attempting the
second catheterization. The client should have at least 240
mL of urine after 8 hours. Option A does not resolve the
problem. Option B will not change the location of the
catheter unless it is completely removed, in which case a
