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HESI RN Fundamentals Questions with
Detailed Verified Answers
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is harmful
to bathe during my period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with the
client. Ans: Teach the importance of personal hygiene during
menstruation with the client.
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.
D.Purchase a newer model wheelchair Ans: Change positions in the
chair at least every hour.
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After a needle stick occurs while removing the cap from a sterile needle,
which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C.Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Ans: Select
another sterile needle.
After receiving written and verbal instructions from a clinic nurse about a
newly prescribed medication, a client asks the nurse what to do if
questions arise about the medication after getting home. How should the
nurse respond?
A. Provide the client with a list of Internet sites that answer frequently
asked questions about medications.
B. Advise the client to obtain a current edition of a drug reference book
from a local bookstore or library.
C.Reassure the client that information about the medication is included in
the written instructions.
D. Encourage the client to call the clinic nurse or health care provider if
any questions arise. Ans: Encourage the client to call the clinic nurse or
health care provider if any questions arise.
After the nurse tells an older client that an IV line needs to be inserted,
the client becomes very apprehensive, loudly verbalizing a dislike for all
health care providers and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
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C. Calmly reassure the client that the discomfort will be temporary.
D. Tell the client a joke as a means of distraction from the procedure.
Ans: Calmly reassure the client that the discomfort will be temporary.
Based on the nursing diagnosis of risk for infection, which intervention is
best for the nurse to implement when providing care for an older
incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C.Insert an indwelling urinary catheter
D. Instruct client in the use of adult diapers. Ans: Maintain standard
precautions.
By rolling contaminated gloves inside-out, the nurse is affecting which
step in the chainof infection?
A.Mode of transmission
B.Portal of entry
C.Reservoir
D.Portal of exit Ans: Mode of transmission
A client becomes angry while waiting for a supervised break to smoke a
cigarette outsideand states, "I want to go outside now and smoke. It
takes forever to get anything done here!" Which intervention is best for
the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
HESI RN Fundamentals Questions with
Detailed Verified Answers
A 20-year-old female client with a noticeable body odor has refused to
shower for the last 3 days. She states, "I have been told that it is harmful
to bathe during my period." Which action should the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D.Teach the importance of personal hygiene during menstruation with the
client. Ans: Teach the importance of personal hygiene during
menstruation with the client.
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.
D.Purchase a newer model wheelchair Ans: Change positions in the
chair at least every hour.
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After a needle stick occurs while removing the cap from a sterile needle,
which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C.Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Ans: Select
another sterile needle.
After receiving written and verbal instructions from a clinic nurse about a
newly prescribed medication, a client asks the nurse what to do if
questions arise about the medication after getting home. How should the
nurse respond?
A. Provide the client with a list of Internet sites that answer frequently
asked questions about medications.
B. Advise the client to obtain a current edition of a drug reference book
from a local bookstore or library.
C.Reassure the client that information about the medication is included in
the written instructions.
D. Encourage the client to call the clinic nurse or health care provider if
any questions arise. Ans: Encourage the client to call the clinic nurse or
health care provider if any questions arise.
After the nurse tells an older client that an IV line needs to be inserted,
the client becomes very apprehensive, loudly verbalizing a dislike for all
health care providers and nurses. How should the nurse respond?
A. Ask the client to remain quiet so the procedure can be performed
safely.
B. Concentrate on completing the insertion as efficiently as possible.
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C. Calmly reassure the client that the discomfort will be temporary.
D. Tell the client a joke as a means of distraction from the procedure.
Ans: Calmly reassure the client that the discomfort will be temporary.
Based on the nursing diagnosis of risk for infection, which intervention is
best for the nurse to implement when providing care for an older
incontinent client?
A. Maintain standard precautions.
B. Initiate contact isolation measures.
C.Insert an indwelling urinary catheter
D. Instruct client in the use of adult diapers. Ans: Maintain standard
precautions.
By rolling contaminated gloves inside-out, the nurse is affecting which
step in the chainof infection?
A.Mode of transmission
B.Portal of entry
C.Reservoir
D.Portal of exit Ans: Mode of transmission
A client becomes angry while waiting for a supervised break to smoke a
cigarette outsideand states, "I want to go outside now and smoke. It
takes forever to get anything done here!" Which intervention is best for
the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
