HESI FUNDAMENTALS PRACTICE TEST BANK EXAM CURRENTLY MOST TESTED
QUESTIONS AND ANSWERS ALREADY GRADED A+ (LATEST UPDATED 2026)
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted. - VERIFIED ANSWER✅
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of
the skill has been obtained and provide an opportunity to affirm the skill. (A) may
be therapeutic but will not provide an opportunity to evaluate the client's ability to
perform the procedure. (B) may be threatening to an older client and will not
determine his ability. (C) is not as effective as direct observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a
bowel movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume
enema.
,C. Assess the client's medical record to determine the client's normal bowel
pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per
day. - VERIFIED ANSWER✅ Answer: C
This client may not routinely have a daily bowel movement, so the nurse should
first assess this client's normal bowel habits before attempting any intervention
(C). (A, B, or D) may then be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake - VERIFIED ANSWER✅ Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat
diet, such as (B). (A) is a high-protein diet and (C and D) contain high-fat foods,
which are contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the
nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
,D. Ask the parents why the child is not circumcised. - VERIFIED ANSWER✅
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas
that could harbor bacteria (C). The child's cognitive development may not be at
the level at which (A) would be effective. Perineal care needs to be provided daily
regardless of the client's age (B). (D) is not indicated and may be perceived as
intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic
medication notes that parental consent has not been obtained. Which action
should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents. - VERIFIED ANSWER✅
Answer: C
The nurse should not give the medication and should document the reason (C)
because the client is a minor and needs a guardian's permission to receive
medications. Permission to give medications is not granted by a signed hospital
consent (A) or a health care provider's permission (B), unless conditions are met
to justify coerced treatment. (D) is not necessary unless the medication had
previously been administered.
, A nurse is working in an occupational health clinic when an employee walks in and
states that he was struck by lightning while working in a truck bed. The client is
alert but reports feeling faint. Which assessment will the nurse perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury - VERIFIED ANSWER✅ Answer: A
Lightning is a jolt of electrical current and can produce a "natural" defibrillation,
so assessment of the pulse rate and regularity (A) is a priority. Because the client
is talking, he has an open airway (B), so that assessment is not necessary.
Assessing for (C and D) should occur after assessing for adequate circulation.
The mental health nurse plans to discuss a client's depression with the health
care provider in the emergency department. There are two clients sitting across
from the emergency department desk. Which nursing action is best?
A.
Only refer to the client by gender.
B.
Identify the client only by age.
C.
QUESTIONS AND ANSWERS ALREADY GRADED A+ (LATEST UPDATED 2026)
The nurse is preparing an older client for discharge. Which method is best for the
nurse to use when evaluating the client's ability to perform a dressing change at
home?
A. Determine how the client feels about changing the dressing.
B. Ask the client to describe the procedure in writing.
C. Seek a family member's evaluation of the client's ability to change the dressing.
D. Observe the client change the dressing unassisted. - VERIFIED ANSWER✅
Answer: D
Observing the client directly (D) will allow the nurse to determine if mastery of
the skill has been obtained and provide an opportunity to affirm the skill. (A) may
be therapeutic but will not provide an opportunity to evaluate the client's ability to
perform the procedure. (B) may be threatening to an older client and will not
determine his ability. (C) is not as effective as direct observation by the nurse.
A client in a long-term care facility reports to the nurse that he has not had a
bowel movement in 2 days. Which intervention should the nurse implement first?
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes.
B. Notify the health care provider and request a prescription for a large-volume
enema.
,C. Assess the client's medical record to determine the client's normal bowel
pattern.
D. Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per
day. - VERIFIED ANSWER✅ Answer: C
This client may not routinely have a daily bowel movement, so the nurse should
first assess this client's normal bowel habits before attempting any intervention
(C). (A, B, or D) may then be implemented, if warranted.
The nurse is instructing a client with cholecystitis regarding diet choices. Which
meal best meets the dietary needs of this client?
A. Steak, baked beans, and a salad
B. Broiled fish, green beans, and an apple
C. Pork chops, macaroni and cheese, and grapes
D. Avocado salad, milk, and angel food cake - VERIFIED ANSWER✅ Answer: B
Clients with cholecystitis (inflammation of the gallbladder) should follow a low-fat
diet, such as (B). (A) is a high-protein diet and (C and D) contain high-fat foods,
which are contraindicated for this client.
When bathing an uncircumcised boy older than 3 years, which action should the
nurse take?
A. Remind the child to clean his genital area.
B. Defer perineal care because of the child's age.
C. Retract the foreskin gently to cleanse the penis.
,D. Ask the parents why the child is not circumcised. - VERIFIED ANSWER✅
Answer: C
The foreskin (prepuce) of the penis should be gently retracted to cleanse all areas
that could harbor bacteria (C). The child's cognitive development may not be at
the level at which (A) would be effective. Perineal care needs to be provided daily
regardless of the client's age (B). (D) is not indicated and may be perceived as
intrusive.
The nurse who is preparing to give an adolescent client a prescribed antipsychotic
medication notes that parental consent has not been obtained. Which action
should the nurse take?
A. Review the chart for a signed consent for hospitalization.
B. Get the health care provider's permission to give the medication.
C. Do not give the medication and document the reason.
D. Complete an incident report and notify the parents. - VERIFIED ANSWER✅
Answer: C
The nurse should not give the medication and should document the reason (C)
because the client is a minor and needs a guardian's permission to receive
medications. Permission to give medications is not granted by a signed hospital
consent (A) or a health care provider's permission (B), unless conditions are met
to justify coerced treatment. (D) is not necessary unless the medication had
previously been administered.
, A nurse is working in an occupational health clinic when an employee walks in and
states that he was struck by lightning while working in a truck bed. The client is
alert but reports feeling faint. Which assessment will the nurse perform first?
A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury - VERIFIED ANSWER✅ Answer: A
Lightning is a jolt of electrical current and can produce a "natural" defibrillation,
so assessment of the pulse rate and regularity (A) is a priority. Because the client
is talking, he has an open airway (B), so that assessment is not necessary.
Assessing for (C and D) should occur after assessing for adequate circulation.
The mental health nurse plans to discuss a client's depression with the health
care provider in the emergency department. There are two clients sitting across
from the emergency department desk. Which nursing action is best?
A.
Only refer to the client by gender.
B.
Identify the client only by age.
C.
