HESI Fundamentals Questions with Detailed
Verified Answers
1. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate
d. Rate of needle-stick injuries by nurse. Ans: c. Health care-associated infection rate.
Acrylic nails are known to carry loads of bacteria and increase the risk of healthcare-
associated infections. Therefore, by banning the wearing of acrylic nails, you would
expect the prevalence of healthcare-associated infections to decrease. Acrylic nails
have nothing to do with staff induced injuries, needle-stick injuries, or patient
satisfaction scores.
2. Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
,B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted. Ans: C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is
the most accurate way to ensure the tube has not been placed in the lungs, which
would pose an aspiration risk.
3. The father of an 11-year-old client reports to the nurse that the client has been
"wetting the bed" since the passing of his mother and is concerned. Which action is
most important for the nurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is
developmentally delayed
C. Inform the father that it is most important to let the son know that nocturnal
emissions are normal after trauma
© Get it right 2025 Getaway - Stuvia US All rights reserved
,D. Refer the father and the client to a psychologist Ans: C. Inform the father that it is
most important to let the son know that nocturnal emissions are normal after trauma
It is common for adolescents to regress in their biological progression after
experiencing a severe trauma, like losing a parent, sibling, or friend. While
uncomfortable for the adolescent and parent, it is nothing to be concerned for. Often
times, as the patient grieves or comes to terms with the trauma, the nocturnal
emissions will cease.
4. The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance. Which action is most important for the nurse
to include in their care plan for the shift?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal Ans: C. Empty the urinal contents into the 24-
hour collection container
An "older adult male" in the question may imply that the patient may have an altered
mental status or be demented. While suggesting, it is not directly stated, therefore (A)
is inappropriate. (B) is incorrect because the lab will be assessing the collection
specimen after the test is complete. (C) is correct because the nurse should first
© Get it right 2025 Getaway - Stuvia US All rights reserved
, discard the first specimen, then begin to collect and record the time the first urine
specimen was collected. It is important to have strict documentation for output, and to
collect every urine specimen within that 24 hour period, otherwise the test must be
restarted. (D) defeats the purpose of the 24-hour urine collection test.
5. A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client's care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer Ans: A.
Ask her how she would like to participate in the client's care.
While the client's wife may be grieving and need support, the priority for the client and
client's wife is to make sure the wife feels comfortable participating in the client's care,
if at all. Most people have an easier time coming to terms with the death of a loved
one when they are involved in their care. (D) is a nice gesture, but will be more
appropriate at a later time.
6. A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend first?
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
1. A policy requiring the removal of acrylic nails by all nursing personnel was
implemented 6 months ago. Which assessment measure best determines if the
intended outcome of the policy is being achieved?
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infection rate
d. Rate of needle-stick injuries by nurse. Ans: c. Health care-associated infection rate.
Acrylic nails are known to carry loads of bacteria and increase the risk of healthcare-
associated infections. Therefore, by banning the wearing of acrylic nails, you would
expect the prevalence of healthcare-associated infections to decrease. Acrylic nails
have nothing to do with staff induced injuries, needle-stick injuries, or patient
satisfaction scores.
2. Which assessment data would provide the most accurate determination of proper
placement of a nasogastric tube?
A) Aspirating gastric contents to assure a pH value of 4 or less.
,B) Hearing air pass in the stomach after injecting air into the tubing.
C) Examining a chest x-ray obtained after the tubing was inserted.
D) Checking the remaining length of tubing to ensure that the correct length was
inserted. Ans: C) Examining a chest x-ray obtained after the tubing was inserted.
After placing an NG-tube, the placement of the tube is confirmed via x-ray since it is
the most accurate way to ensure the tube has not been placed in the lungs, which
would pose an aspiration risk.
3. The father of an 11-year-old client reports to the nurse that the client has been
"wetting the bed" since the passing of his mother and is concerned. Which action is
most important for the nurse to enact?
A. Reassure the father that it is normal for a pre-teen to wet the bed during puberty
B. Inform the father that nocturnal emissions are abnormal and his son is
developmentally delayed
C. Inform the father that it is most important to let the son know that nocturnal
emissions are normal after trauma
© Get it right 2025 Getaway - Stuvia US All rights reserved
,D. Refer the father and the client to a psychologist Ans: C. Inform the father that it is
most important to let the son know that nocturnal emissions are normal after trauma
It is common for adolescents to regress in their biological progression after
experiencing a severe trauma, like losing a parent, sibling, or friend. While
uncomfortable for the adolescent and parent, it is nothing to be concerned for. Often
times, as the patient grieves or comes to terms with the trauma, the nocturnal
emissions will cease.
4. The nurse explains to an older adult male the procedure for collecting a 24-hour
urine specimen for creatinine clearance. Which action is most important for the nurse
to include in their care plan for the shift?
A. Assess the client for confusion and reteach the procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour collection container
D. Discard the contents of the urinal Ans: C. Empty the urinal contents into the 24-
hour collection container
An "older adult male" in the question may imply that the patient may have an altered
mental status or be demented. While suggesting, it is not directly stated, therefore (A)
is inappropriate. (B) is incorrect because the lab will be assessing the collection
specimen after the test is complete. (C) is correct because the nurse should first
© Get it right 2025 Getaway - Stuvia US All rights reserved
, discard the first specimen, then begin to collect and record the time the first urine
specimen was collected. It is important to have strict documentation for output, and to
collect every urine specimen within that 24 hour period, otherwise the test must be
restarted. (D) defeats the purpose of the 24-hour urine collection test.
5. A 54-year-old male client and his wife were informed this morning that he has
terminal cancer. Which nursing intervention is likely to most beneficial?
A. Ask her how she would like to participate in the client's care.
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful treatments are completed
D. Refer her to support group for family members of those dying of cancer Ans: A.
Ask her how she would like to participate in the client's care.
While the client's wife may be grieving and need support, the priority for the client and
client's wife is to make sure the wife feels comfortable participating in the client's care,
if at all. Most people have an easier time coming to terms with the death of a loved
one when they are involved in their care. (D) is a nice gesture, but will be more
appropriate at a later time.
6. A client who has a body mass index (BMI) of 30 is requesting information on the
initial approach to a weight loss plan. Which action should the nurse recommend first?
© Get it right 2025 Getaway - Stuvia US All rights reserved
