HESI Fundamentals Exam Practice
Questions
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.) - ✔✔A 1 mL syringe
Alcohol prep pads
A 24-gauge ¾″ needle
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next? - ✔✔Inform the surgeon the client has questions about the surgery
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is
the first time the client has voided in 4 hours. Which action should the nurse take next? -
✔✔Record the amount on the client's fluid output record
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week? - ✔✔Sodium
An older adult who recently began self-administration of insulin calls the nurse daily to review
the steps that should be taken when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client safely administered the
injections. What is the nurse's best response? - ✔✔"When I watched you give yourself the
injection, you did it correctly."
Ten minutes after signing an operative permit for a fractured hip, an older client states, "The
aliens will be coming to get me soon!" and falls asleep. Which action should the nurse take
next? - ✔✔Assess the client's neurologic status.
,A client is laughing at a television program when the evening nurse enters the room. The client
states, "My foot is hurting. I would like a pain pill." How should the nurse respond? - ✔✔Ask
the client to rate the pain using a 1 to 10 scale.
The nurse evaluates the insertion site of an IV catheter and suspects the IV is infiltrated. Which
findings support the evaluation? (Select all that apply.) - ✔✔The area around the insertion site
is swollen.
The insertion site is cool to the touch.
The client complains of a burning pain at the site
Redness is noted in the area of the insertion site.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will
the nurse include in the client's teaching plan? (Select all that apply.) - ✔✔Sit in an upright
position
Hold breath for 5 seconds after inhaling on the spirometer
Place mouth securely around the mouthpiece of the spirometer
The nurse is at a teen event. Which teen's statement would cause the nurse to input some
safety tips? (Select all that apply.) - ✔✔"My boyfriend and I fool around on occasion, but he
never comes when he is inside me."
"I never use my seatbelt while I am driving. I hate the way it feels."
The nurse is providing care to a client receiving sq heparin every 12 hours at 8:00 am and 8:00
pm. The healthcare provider prescribes an aPTT test. At what time will the nurse plan on
drawing the test? - ✔✔7:00 am
While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes
that one of the side effects is a reduction in sexual drive. Which is the best response by the
nurse? - ✔✔"How will this affect your present sexual activity?"
, The nurse administered 10 mg of diazepam to the preoperative client. What steps will the
nurse take next? (Select all that apply.) - ✔✔Instruct the client not to get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
The nurse is performing an intake interview for a newly admitted client to the rehabilitation
unit. Which questions will the nurse include in the interview? (Select all that apply.) -
✔✔"When do you usually go to bed? And, when do you usually wake up?"
"Do you usually bathe/shower in the morning or in the evening?"
"Do you have any intolerance to food that we need to know about?"
"How long do you think you will be here on the rehabilitation unit?"
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take? - ✔✔Discard the saline solution
and obtain a new unopened bottle.
The nurse who is preparing to give a 14-year-old client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take? -
✔✔Do not give the medication and document the reason.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use
the bathroom. I repeat that pattern about three to four times per night." What questions will
the nurse include in this client's assessment? (Select all that apply.) - ✔✔"How much fluid do
you drink after 8:00 in the evening?"
"What time of day do you take your water pill?"
"Do you drink any alcoholic beverages in the evening?"
"When did this pattern of urination start?"
"Do you have any itching or burning when you urinate?"
Questions
The nurse is preparing to administer 0.32 mL of medication subcutaneously. What supplies will
the nurse need to deliver the medication? (Select all that apply.) - ✔✔A 1 mL syringe
Alcohol prep pads
A 24-gauge ¾″ needle
In completing a client's preoperative routine, the nurse finds that the operative permit is not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next? - ✔✔Inform the surgeon the client has questions about the surgery
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is
the first time the client has voided in 4 hours. Which action should the nurse take next? -
✔✔Record the amount on the client's fluid output record
Which serum laboratory value should the nurse monitor carefully for a client who has a
nasogastric (NG) tube to suction for the past week? - ✔✔Sodium
An older adult who recently began self-administration of insulin calls the nurse daily to review
the steps that should be taken when giving an injection. The nurse has assessed the client's
skills during two previous office visits and knows that the client safely administered the
injections. What is the nurse's best response? - ✔✔"When I watched you give yourself the
injection, you did it correctly."
Ten minutes after signing an operative permit for a fractured hip, an older client states, "The
aliens will be coming to get me soon!" and falls asleep. Which action should the nurse take
next? - ✔✔Assess the client's neurologic status.
,A client is laughing at a television program when the evening nurse enters the room. The client
states, "My foot is hurting. I would like a pain pill." How should the nurse respond? - ✔✔Ask
the client to rate the pain using a 1 to 10 scale.
The nurse evaluates the insertion site of an IV catheter and suspects the IV is infiltrated. Which
findings support the evaluation? (Select all that apply.) - ✔✔The area around the insertion site
is swollen.
The insertion site is cool to the touch.
The client complains of a burning pain at the site
Redness is noted in the area of the insertion site.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will
the nurse include in the client's teaching plan? (Select all that apply.) - ✔✔Sit in an upright
position
Hold breath for 5 seconds after inhaling on the spirometer
Place mouth securely around the mouthpiece of the spirometer
The nurse is at a teen event. Which teen's statement would cause the nurse to input some
safety tips? (Select all that apply.) - ✔✔"My boyfriend and I fool around on occasion, but he
never comes when he is inside me."
"I never use my seatbelt while I am driving. I hate the way it feels."
The nurse is providing care to a client receiving sq heparin every 12 hours at 8:00 am and 8:00
pm. The healthcare provider prescribes an aPTT test. At what time will the nurse plan on
drawing the test? - ✔✔7:00 am
While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes
that one of the side effects is a reduction in sexual drive. Which is the best response by the
nurse? - ✔✔"How will this affect your present sexual activity?"
, The nurse administered 10 mg of diazepam to the preoperative client. What steps will the
nurse take next? (Select all that apply.) - ✔✔Instruct the client not to get out of bed.
Place the call bell within the client's reach.
Place the side rails up, according to institutional policy.
The nurse is performing an intake interview for a newly admitted client to the rehabilitation
unit. Which questions will the nurse include in the interview? (Select all that apply.) -
✔✔"When do you usually go to bed? And, when do you usually wake up?"
"Do you usually bathe/shower in the morning or in the evening?"
"Do you have any intolerance to food that we need to know about?"
"How long do you think you will be here on the rehabilitation unit?"
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take? - ✔✔Discard the saline solution
and obtain a new unopened bottle.
The nurse who is preparing to give a 14-year-old client a prescribed antipsychotic medication
notes that parental consent has not been obtained. Which action should the nurse take? -
✔✔Do not give the medication and document the reason.
The client reports to the clinic nurse, "I sleep for about 2 hours and then I have to get up to use
the bathroom. I repeat that pattern about three to four times per night." What questions will
the nurse include in this client's assessment? (Select all that apply.) - ✔✔"How much fluid do
you drink after 8:00 in the evening?"
"What time of day do you take your water pill?"
"Do you drink any alcoholic beverages in the evening?"
"When did this pattern of urination start?"
"Do you have any itching or burning when you urinate?"
