HESI Fundamentals Exam Practice
Questions
Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibit
formation of aqueous humor for a client with glaucoma?
1
Chlorothiazide (Diuril)
2
Acetazolamide (Diamox)
3
Bendroflumethiazide (Naturetin)
4
Demecarium bromide (Humorsol) - ✔✔2
A client receiving steroid therapy states, "I have difficulty controlling my temper which is so
unlike me, and I don't know why this is happening." What is the nurse's best response?
1
Tell the client it is nothing to worry about.
2
Talk with the client further to identify the specific cause of the problem.
3
Instruct the client to attempt to avoid situations that cause irritation.
4
Interview the client to determine whether other mood swings are being experienced. - ✔✔4
,A client receiving steroid therapy states, "I have difficulty controlling my temper which is so
unlike me, and I don't know why this is happening." What is the nurse's best response?
1
Tell the client it is nothing to worry about.
2
Talk with the client further to identify the specific cause of the problem.
3
Instruct the client to attempt to avoid situations that cause irritation.
4
Interview the client to determine whether other mood swings are being experienced. - ✔✔4
The nurse is caring for a client with a temperature of 104.5 degrees Fahrenheit. The nurse
applies a cooling blanket and administers an antipyretic medication. The nurse explains that the
rationale for these interventions is to:
1
Promote equalization of osmotic pressures.
2
Prevent hypoxia associated with diaphoresis.
3
Promote integrity of intracerebral neurons.
4
Reduce brain metabolism and limit hypoxia. - ✔✔4
A health care provider prescribes 500 mg of an antibiotic intravenous piggyback (IVPB) every 12
hours. The vial of antibiotic contains 1 g and indicates that the addition of 2.5 mL of sterile
water will yield 3 mL of reconstituted solution. How many milliliters of the antibiotic should be
added to the 50 mL IVPB bag? Record your answer using one decimal place. __ mL - ✔✔1.5
,The nurse is caring for a non-ambulatory client with a reddened sacrum that is unrelieved by
repositioning. What nursing diagnosis should be included on the client's plan of care?
1
Risk for pressure ulcer
2
Risk for impaired skin integrity
3
Impaired skin integrity, related to infrequent turning and repositioning
4
Impaired skin integrity, related to the effects of pressure and shearing force - ✔✔4
A client has a pressure ulcer that is full thickness with necrosis into the subcutaneous tissue
down to the underlying fascia. The nurse should document the assessment finding as which
stage of pressure ulcer?
1
Stage I
2
Stage II
3
Stage III
4
Unstageable - ✔✔4
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be removed
before the wound can be staged. A stage I pressure ulcer is defined as an area of persistent
redness with no break in skin integrity. A stage II pressure ulcer is a partial-thickness wound
with skin loss involving the epidermis, dermis, or both; the ulcer is superficial and may present
as an abrasion, blister, or shallow crater. A stage III pressure ulcer involves full thickness tissue
loss with visible subcutaneous fat. Bone, tendon, and muscle are not exposed.
, A client is being admitted for a total hip replacement. When is it necessary for the nurse to
ensure that a medication reconciliation is completed? Select all that apply.
1
After reporting severe pain
2
On admission to the hospital
3
Upon entering the operating room
4
Before transfer to a rehabilitation facility
5
At time of scheduling for the surgical procedure - ✔✔2, 4
Medication reconciliation involves the creation of a list of all medications the client is taking
and comparing it to the health care provider's prescriptions on admission or when there is a
transfer to a different setting or service, or discharge. A change in status does not require
medication reconciliation. A medication reconciliation should be completed long before
entering the operating room. Total hip replacement is elective surgery, and scheduling takes
place before admission; medication reconciliation takes place when the client is admitted.
A client is taking lithium sodium (Lithium). The nurse should notify the health care provider for
which of the following laboratory values?
1
White blood cell (WBC) count of 15,000 mm3
2
Negative protein in the urine
3
Blood urea nitrogen (BUN) of 20 mg/dL
4
Questions
Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibit
formation of aqueous humor for a client with glaucoma?
1
Chlorothiazide (Diuril)
2
Acetazolamide (Diamox)
3
Bendroflumethiazide (Naturetin)
4
Demecarium bromide (Humorsol) - ✔✔2
A client receiving steroid therapy states, "I have difficulty controlling my temper which is so
unlike me, and I don't know why this is happening." What is the nurse's best response?
1
Tell the client it is nothing to worry about.
2
Talk with the client further to identify the specific cause of the problem.
3
Instruct the client to attempt to avoid situations that cause irritation.
4
Interview the client to determine whether other mood swings are being experienced. - ✔✔4
,A client receiving steroid therapy states, "I have difficulty controlling my temper which is so
unlike me, and I don't know why this is happening." What is the nurse's best response?
1
Tell the client it is nothing to worry about.
2
Talk with the client further to identify the specific cause of the problem.
3
Instruct the client to attempt to avoid situations that cause irritation.
4
Interview the client to determine whether other mood swings are being experienced. - ✔✔4
The nurse is caring for a client with a temperature of 104.5 degrees Fahrenheit. The nurse
applies a cooling blanket and administers an antipyretic medication. The nurse explains that the
rationale for these interventions is to:
1
Promote equalization of osmotic pressures.
2
Prevent hypoxia associated with diaphoresis.
3
Promote integrity of intracerebral neurons.
4
Reduce brain metabolism and limit hypoxia. - ✔✔4
A health care provider prescribes 500 mg of an antibiotic intravenous piggyback (IVPB) every 12
hours. The vial of antibiotic contains 1 g and indicates that the addition of 2.5 mL of sterile
water will yield 3 mL of reconstituted solution. How many milliliters of the antibiotic should be
added to the 50 mL IVPB bag? Record your answer using one decimal place. __ mL - ✔✔1.5
,The nurse is caring for a non-ambulatory client with a reddened sacrum that is unrelieved by
repositioning. What nursing diagnosis should be included on the client's plan of care?
1
Risk for pressure ulcer
2
Risk for impaired skin integrity
3
Impaired skin integrity, related to infrequent turning and repositioning
4
Impaired skin integrity, related to the effects of pressure and shearing force - ✔✔4
A client has a pressure ulcer that is full thickness with necrosis into the subcutaneous tissue
down to the underlying fascia. The nurse should document the assessment finding as which
stage of pressure ulcer?
1
Stage I
2
Stage II
3
Stage III
4
Unstageable - ✔✔4
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be removed
before the wound can be staged. A stage I pressure ulcer is defined as an area of persistent
redness with no break in skin integrity. A stage II pressure ulcer is a partial-thickness wound
with skin loss involving the epidermis, dermis, or both; the ulcer is superficial and may present
as an abrasion, blister, or shallow crater. A stage III pressure ulcer involves full thickness tissue
loss with visible subcutaneous fat. Bone, tendon, and muscle are not exposed.
, A client is being admitted for a total hip replacement. When is it necessary for the nurse to
ensure that a medication reconciliation is completed? Select all that apply.
1
After reporting severe pain
2
On admission to the hospital
3
Upon entering the operating room
4
Before transfer to a rehabilitation facility
5
At time of scheduling for the surgical procedure - ✔✔2, 4
Medication reconciliation involves the creation of a list of all medications the client is taking
and comparing it to the health care provider's prescriptions on admission or when there is a
transfer to a different setting or service, or discharge. A change in status does not require
medication reconciliation. A medication reconciliation should be completed long before
entering the operating room. Total hip replacement is elective surgery, and scheduling takes
place before admission; medication reconciliation takes place when the client is admitted.
A client is taking lithium sodium (Lithium). The nurse should notify the health care provider for
which of the following laboratory values?
1
White blood cell (WBC) count of 15,000 mm3
2
Negative protein in the urine
3
Blood urea nitrogen (BUN) of 20 mg/dL
4
