HESI FUNDAMENTALS EXAM QUESTIONS | TESTED AND
TRIED ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last month. The nurse determines that the client has
been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select
all that apply.)
Ans>> Snack of potato chips, and diet soda.
Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
Breakfast of eggs, bacon, toast, and coffee.
Bedtime snack of crackers and milk.
While preparing to insert a rectal suppository in a male adult client, the nurse observes that the
client is holding his breath while bearing down. What action should the nurse implement?
Ans>> Instruct the client to take slow deep breaths and stop bearing down.
1
,During administration of a rectal suppository, the client is asked to take slow deep breaths
through the mouth to relax the anal sphineter down
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Ans>> Sensory pattern, area, intensity, and nature of the pain.
The components of every pain assessment should include sensory patterns, area, intensity, and
nature (PAIN)
Which statement best describes durable power of attorney for health care?
Ans>> The client signs a document that designates another person to make legally binding
healthcare decisions if client is unable to do so.
The durable power of attorney is a legal document or a form of advance directive that
designates another person to voice healthcare decisions when the client is unable to do so.
2
, A client provides the nurse with information about the reason for seeking care. The nurse realizes
that some information about past hospitalizations is missing. How should the nurse obtain this
information?
Ans>> Elicit specific facts about past hospitalizations with direct questions.
Direct questions should be used after the client's opening narrative to fill in any details that have
been left out or during the review of systems to elicit specific facts about past health problems.
The nurse formulates the nursing diagnosis of, "Ineffective health maintenance related to lack of
motivation" for a client with Type 2 diabetes. Which finding supports this nursing diagnosis?
Ans>> Eats anything and does not think diet makes a difference in health.
The nursing diagnosis of ineffective health maintenance refers to an inability to identify, manage,
and/or seek out help to maintain health, and is best exemplified in the client belief understanding
about diet and health maintainance
What action by the nurse demonstrates culturally sensitive care? on these implement?
Ans>> Asks permission before touching a client.
3
TRIED ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and
hypertension, who gained 3 pounds in the last month. The nurse determines that the client has
been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select
all that apply.)
Ans>> Snack of potato chips, and diet soda.
Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee.
Breakfast of eggs, bacon, toast, and coffee.
Bedtime snack of crackers and milk.
While preparing to insert a rectal suppository in a male adult client, the nurse observes that the
client is holding his breath while bearing down. What action should the nurse implement?
Ans>> Instruct the client to take slow deep breaths and stop bearing down.
1
,During administration of a rectal suppository, the client is asked to take slow deep breaths
through the mouth to relax the anal sphineter down
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Ans>> Sensory pattern, area, intensity, and nature of the pain.
The components of every pain assessment should include sensory patterns, area, intensity, and
nature (PAIN)
Which statement best describes durable power of attorney for health care?
Ans>> The client signs a document that designates another person to make legally binding
healthcare decisions if client is unable to do so.
The durable power of attorney is a legal document or a form of advance directive that
designates another person to voice healthcare decisions when the client is unable to do so.
2
, A client provides the nurse with information about the reason for seeking care. The nurse realizes
that some information about past hospitalizations is missing. How should the nurse obtain this
information?
Ans>> Elicit specific facts about past hospitalizations with direct questions.
Direct questions should be used after the client's opening narrative to fill in any details that have
been left out or during the review of systems to elicit specific facts about past health problems.
The nurse formulates the nursing diagnosis of, "Ineffective health maintenance related to lack of
motivation" for a client with Type 2 diabetes. Which finding supports this nursing diagnosis?
Ans>> Eats anything and does not think diet makes a difference in health.
The nursing diagnosis of ineffective health maintenance refers to an inability to identify, manage,
and/or seek out help to maintain health, and is best exemplified in the client belief understanding
about diet and health maintainance
What action by the nurse demonstrates culturally sensitive care? on these implement?
Ans>> Asks permission before touching a client.
3
