HESI Fundamentals Exam Practice
Questions
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR)
prescription. When the client stops breathing, the nurse performs cardiopulmonary
resuscitation (CPR) and successfully revives the client. What legal issues could be brought
against the nurse? - ✔✔Battery
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother
and his family, which includes the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery is recommended for this client. What is the
best plan to obtain consent for surgery for this client?
A) Obtain an interpreter to explain the procedure to the client.
B) Encourage the client to make her own decision regarding surgery.
C) Ask the family members to provide a clarification of the surgeon's explanation to the client.
D) Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow. - ✔✔D) Tell the surgeon that the brother-in-law will
decide after explanation of the proposed surgery is provided to him and the widow.
The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks the nurse to help
determine the safest way to transfer an older client with left-sided weakness from the bed to
the chair. Which method describes the correct transfer procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Assist the client to a standing position, then place the right hand on the armrest.
C) Have the client place the left foot next to the chair and pivot to the left before sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
✔✔D) Move the chair parallel to the right side of the bed, and stand the client on the right foot.
The nurse is completing a mental assessment for a client who is demonstrating slow thought
processes, personality changes, and emotional lability. Which area of the brain controls these
neuro-cognitive functions? - ✔✔Frontal Lobe
, A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take? - ✔✔After clearing the tube
with 30 ml of air, check the pH of fluid withdrawn from the tube.
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A) A college-age track runner with a sprained ankle.
B) A lactating woman nursing her 3-day-old infant.
C) A school-aged child with Type 2 diabetes.
D) An elderly man being treated for a peptic ulcer. - ✔✔B) A lactating woman nursing her 3-day
old infant
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first? - ✔✔Loosen the wrist restraints
A client's spouse is learning passive range-of-motion for the client's contracted shoulder. The
nurse observes that the spouse is holding the client's arm above and below the elbow. Which
nursing action should the nurse implement? - ✔✔Acknowledge the patient is supporting the
arm correctly
A male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be
the nurse's first response?
A) "It is important that you continue your medication while learning to meditate."
B) "Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C) "Obtain your healthcare provider's permission before starting meditation."
D) "Complementary therapy and western medicine can be effective for you." - ✔✔A) "It is
important that you continue your medication while learning to meditate."
Questions
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR)
prescription. When the client stops breathing, the nurse performs cardiopulmonary
resuscitation (CPR) and successfully revives the client. What legal issues could be brought
against the nurse? - ✔✔Battery
A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother
and his family, which includes the brother-in-law's children and the widow's adult children.
Each family member speaks fluent English. Surgery is recommended for this client. What is the
best plan to obtain consent for surgery for this client?
A) Obtain an interpreter to explain the procedure to the client.
B) Encourage the client to make her own decision regarding surgery.
C) Ask the family members to provide a clarification of the surgeon's explanation to the client.
D) Tell the surgeon that the brother-in-law will decide after explanation of the proposed
surgery is provided to him and the widow. - ✔✔D) Tell the surgeon that the brother-in-law will
decide after explanation of the proposed surgery is provided to him and the widow.
The unlicensed assistive personnel (UAP) working on a chronic neuro unit asks the nurse to help
determine the safest way to transfer an older client with left-sided weakness from the bed to
the chair. Which method describes the correct transfer procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before moving.
B) Assist the client to a standing position, then place the right hand on the armrest.
C) Have the client place the left foot next to the chair and pivot to the left before sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the right foot. -
✔✔D) Move the chair parallel to the right side of the bed, and stand the client on the right foot.
The nurse is completing a mental assessment for a client who is demonstrating slow thought
processes, personality changes, and emotional lability. Which area of the brain controls these
neuro-cognitive functions? - ✔✔Frontal Lobe
, A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take? - ✔✔After clearing the tube
with 30 ml of air, check the pH of fluid withdrawn from the tube.
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A) A college-age track runner with a sprained ankle.
B) A lactating woman nursing her 3-day-old infant.
C) A school-aged child with Type 2 diabetes.
D) An elderly man being treated for a peptic ulcer. - ✔✔B) A lactating woman nursing her 3-day
old infant
When assessing a client with wrist restraints, the nurse observes that the fingers on the right
hand are blue. What action should the nurse implement first? - ✔✔Loosen the wrist restraints
A client's spouse is learning passive range-of-motion for the client's contracted shoulder. The
nurse observes that the spouse is holding the client's arm above and below the elbow. Which
nursing action should the nurse implement? - ✔✔Acknowledge the patient is supporting the
arm correctly
A male client with a history of hypertension tells the nurse that he is tired of taking
antihypertensive medications and is going to try spiritual meditation instead. What should be
the nurse's first response?
A) "It is important that you continue your medication while learning to meditate."
B) "Spiritual meditation requires a time commitment of 15 to 20 minutes daily."
C) "Obtain your healthcare provider's permission before starting meditation."
D) "Complementary therapy and western medicine can be effective for you." - ✔✔A) "It is
important that you continue your medication while learning to meditate."
