HESI Fundamentals Exam Questions With
Complete Solutions
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 and die. What intervention
should the nurse initiate?
A. evaluate the client's mental status for competence to refuse
treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical
advice Correct Answers A. evaluate the client's mental status
for competence to refuse treatment
A 4-year old boy who is scheduled for a tonsillectomy and
adenoidectomy asks the nurse, " will it hurt to have my tonsils
and adenoids taken out?" Which response is best for the nurse to
provide?
a. "It won't hurt because you're such a big boy"
b. "It may hurt a little because of the incision made in your
throat"
c. "It won't hurt because we put you to sleep"
d. "It may hurt but we'll give you medicine to help you feel
better" Correct Answers d. "It may hurt but we'll give you
medicine to help you feel better"
a 73 year old Hispanic client is seen at the community health
clinic with a history of protein malnutrition. What information
should the nurse obtain first?
,A. foods and liquids consumed during the past 24 hours
B. amount of liquid protein supplements consumed daily
C. grains and legume combinations used by the client
D. usual weekly intake of milk products and red meats Correct
Answers A. foods and liquids consumed during the past 24
hours
A 75 year old client who has a history of end stage renal failure
and advanced lung cancer, recently had a stroke. Two days ago
the healthcare provider discontinued the client's dialysis
treatments, starting the death is inevitable, but the client is
discontinues and will not sign a DNR directive.
A. review the client's most recent laboratory reports
B. determine who is legally empowered to make decisions
C. refer the client and family members for hospice
D. notify the patient ethics committee of the client situation
Correct Answers B. determine who is legally empowered to
make decisions
A client has a nursing diagnosis of "Spiritual distress related to
loss of hope, secondary to impending death." What intervention
is best for the nurse to implement when caring for this client?
A. instruct the client's family to focus on positive aspect of the
client's life
B. assist and support the client in establishing short-term goals
C. encourage the client to make future plans, even if they are
unrealistic
D. help the client to accept the final stage of life Correct
Answers B. assist and support the client in establishing short-
term goals
, A client is admitted to the hospital with intractable pain. When
instruction should the nurse provide the unlicensed assistive
personnel (UAP) who is preparing to assist this client with a bed
bath?
A. a client's pain will be difficult to manage, since the cause is
still unknown
B. take measures to promote as much comfort as possible
C. report any signs of drug addiction to the nurse immediately
D. wait until the client's pain is gone before assisting with
personal care Correct Answers B. take measures to promote as
much comfort as possible
A client who has been on bedrest for several days now has a
prescription to progress activity as tolerated. When the nurse
assists the client out of bed for the first time, the client becomes
dizzy. What action should the nurse implement?
A. Instruct the patient to remain on bedrest until the healthcare
provider is contracted
B. encourage the client to take several slow, deep breaths while
ambulating
C. advise the client to sit on the side of the bed for a few minutes
before standing again
D. help the client to remain standing by the bedside until the
dizziness is relieved Correct Answers C. advise the client to sit
on the side of the bed for a few minutes before standing again
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicated the client's protein status for the longest length of time.
A. Urine urea
B. transferrin
Complete Solutions
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 and die. What intervention
should the nurse initiate?
A. evaluate the client's mental status for competence to refuse
treatment
B. review the client's medical record for an advance directive
C. determine if a DNR prescription has been obtained
D. document that the client is being discharged against medical
advice Correct Answers A. evaluate the client's mental status
for competence to refuse treatment
A 4-year old boy who is scheduled for a tonsillectomy and
adenoidectomy asks the nurse, " will it hurt to have my tonsils
and adenoids taken out?" Which response is best for the nurse to
provide?
a. "It won't hurt because you're such a big boy"
b. "It may hurt a little because of the incision made in your
throat"
c. "It won't hurt because we put you to sleep"
d. "It may hurt but we'll give you medicine to help you feel
better" Correct Answers d. "It may hurt but we'll give you
medicine to help you feel better"
a 73 year old Hispanic client is seen at the community health
clinic with a history of protein malnutrition. What information
should the nurse obtain first?
,A. foods and liquids consumed during the past 24 hours
B. amount of liquid protein supplements consumed daily
C. grains and legume combinations used by the client
D. usual weekly intake of milk products and red meats Correct
Answers A. foods and liquids consumed during the past 24
hours
A 75 year old client who has a history of end stage renal failure
and advanced lung cancer, recently had a stroke. Two days ago
the healthcare provider discontinued the client's dialysis
treatments, starting the death is inevitable, but the client is
discontinues and will not sign a DNR directive.
A. review the client's most recent laboratory reports
B. determine who is legally empowered to make decisions
C. refer the client and family members for hospice
D. notify the patient ethics committee of the client situation
Correct Answers B. determine who is legally empowered to
make decisions
A client has a nursing diagnosis of "Spiritual distress related to
loss of hope, secondary to impending death." What intervention
is best for the nurse to implement when caring for this client?
A. instruct the client's family to focus on positive aspect of the
client's life
B. assist and support the client in establishing short-term goals
C. encourage the client to make future plans, even if they are
unrealistic
D. help the client to accept the final stage of life Correct
Answers B. assist and support the client in establishing short-
term goals
, A client is admitted to the hospital with intractable pain. When
instruction should the nurse provide the unlicensed assistive
personnel (UAP) who is preparing to assist this client with a bed
bath?
A. a client's pain will be difficult to manage, since the cause is
still unknown
B. take measures to promote as much comfort as possible
C. report any signs of drug addiction to the nurse immediately
D. wait until the client's pain is gone before assisting with
personal care Correct Answers B. take measures to promote as
much comfort as possible
A client who has been on bedrest for several days now has a
prescription to progress activity as tolerated. When the nurse
assists the client out of bed for the first time, the client becomes
dizzy. What action should the nurse implement?
A. Instruct the patient to remain on bedrest until the healthcare
provider is contracted
B. encourage the client to take several slow, deep breaths while
ambulating
C. advise the client to sit on the side of the bed for a few minutes
before standing again
D. help the client to remain standing by the bedside until the
dizziness is relieved Correct Answers C. advise the client to sit
on the side of the bed for a few minutes before standing again
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicated the client's protein status for the longest length of time.
A. Urine urea
B. transferrin
