HESI Fundamentals Practice Exam -1 Questions with Answers 2025

HESI Fundamentals Practice Exam #1
Questions with Answers 2025
AA35y/oAclientAwithAcancerArefusesAtoAallowAaAnurseAtoAinsertAanAIVAforAscheduledAchemoA
&AstatesAthatAshe'sAreadyAtoAgoAhomeAtoAdie.AWhatAinterventionAshouldAtheAnurseAinitiate?A
-AcorrectAanswers-EvaluateAtheAclient'sAmentalAstatusAforAcompetenceAtoArefuseAtreatment

Rationale:ACompetentAclientsAhaveAtheArightAtoArefuseAtreatment.ATheAnurseAcannotAdocu
mentAuntilAtheAHCPAisAnotifiedAofAtheApatient'sAwishesA&AaAd/cARXAisAobtained.AAdvanceAdir
ectivesA&ADNRAareAnotAnecessaryAforAcompetentAclientAtoArefuseAcare.
AAclientAwithAchronicArenalAdiseaseAisAadmittedAtoAtheAhospitalAforAevaluationApriorAtoAaAsur
gicalAprocedure.AWhichAlaboratoryAtestAindicatesAclient'sAproteinAstatusAforAtheAlongestAlen
gthAofAtime?A-AcorrectAanswers-SerumAalbumin

Rationale:ASerumAalbuminAhasAaAlongAhalf-life.
WhatAclientAstatementAindicatesAtoAtheAnurseAthatAtheAclientArequiresAassistanceAwithAbath
ing?A-AcorrectAanswers-"IAdon'tAunderstandAwhyAI'mAsoAweakA&Atired."
HowAshouldAtheAnurseAhandleAlinensAthatAareAsoiledAwithAincontinentAfeces?A-
AcorrectAanswers-

PlaceAtheAsoiledAlinensAinAaApillowAcaseA&AdepositAthemAinAtheAdirtyAlinenAhamper
WhenAcaringAforAanAimmobileAclient,AwhatAnursingAdiagnosisAhasAtheAhighestApriority?A-
AcorrectAanswers-ImpairedAgasAexchange

TheAnurseAassessesAanAimmobile,AelderlyAmaleAclientA&AdeterminesAthatAhisAbloodApressu
reAisA138/60,AhisAtemperatureAisA95.8FA&AhisAoutputAisA100AmLAofAconcentratedAurineAdurin
gAtheAlastAhour.AHeAhasAwetAsoundingAlungsA&AincreasedArespiratoryAsecretions.ABasedAo
nAtheseAassessmentAfindingsA,AwhatAnursingAactionAisAmostAimportantAforAtheAnurseAtoAimp
lement?A-AcorrectAanswers-TurnAtheAclientAq2h

Rationale:AItAwillAhelpAmoveA&AdrainArespiratoryAsecretionsA&ApreventApneumoniaAfromAoc
curring.
TheAhomeAhealthAnurseAvisitsAanAelderlyAfemaleAclientAwhoAhadAaAbrainAattackA3AmonthsAa
goA&AisAnowAableAtoAambulateAwithAtheAassistanceAofAaAquadAcane.AWhichAassessmentAfin
dingAhasAtheAgreatestAimplicationsAforAthisAclient'sAcare?A-AcorrectAanswers-
TheAnurseAnotesAthereAareAnumerousAscatterArugsAthroughoutAtheAhouse
TheAnurseAremovesAtheAdressingAonAaAclient'sAheelAthatAisAcoverAaApressureAsoreA1"AinAdia
meterA&AfindsAthatAthereAisAstraw-
coloredAdrainageAseepingAfromAtheAwound.AWhatAdescriptionAofAthisAfindingAshouldAtheAnu
rseAincludeAinAtheAclient'sArecord?A-AcorrectAanswers-One-
inchApressureAsoreAdrainingAserousAfluid
MedicationAisAprescribedAtoAbeAgivenAQID.AWhatAscheduleAshouldAtheAnurseAuseAtoAadmin
isterAthisARx?A-AcorrectAanswers-0800,A1200,A1600,A2000

, TheAnurseAworkingAinAtheAEDAisAassessingA4Aclients'AabilityAtoAtolerateApain.AWhichAclientAi
sAlikelyAtoAtolerateAaAhigherAlevelAofApain?A-AcorrectAanswers-
1A55y/oAwomanAwhoAhasAhadAmoderateAlowAbackApainAforA3Amonths

Rationale:AExperiencesAwithAtheAsameAtypeAofApainAthatAhasAsuccessfullyAbeenArelievedA
makesAitAeasierAforAtheAclientAtoAinterpretAtheApainAsensationAand,AasAaAresult,AtheAclientAisA
betterApreparedAtoAtakeAstepsAtoArelieveAtheApain.AAllAotherAclientsAareAhavingAnewAexperie
ncesAwithApain.
AA4y/oAboyAwhoAisAscheduledAforAaAtonsillectomyA&AadenoidectomyAasksAtheAnurse,A"WillAi
tAhurtAtoAhaveAmyAtonsilsA&AadenoidsAtakenAout?"AWhichAresponseAisAbestAforAtheAnurseAto
Aprovide?A-AcorrectAanswers-

"ItAmayAhurt,AbutAwe'llAgiveAyouAmedicineAtoAhelpAyouAfeelAbetter."
AAlow-sodium,Alow-
proteinAdietAisAprescribedAforAaA45y/oAclientAwithArenalAinsufficiencyA&AHTN,AwhoAgainedA3l
bsAinAtheAlastAmonth.ATheAnurseAdeterminesAthatAtheAclientAhasAbeenAnoncompliantAwithAth
eAdiet,AbasedAonAwhichAreportAfromAtheA24hrAdietArecall?A-AcorrectAanswers-
1.ASnackAofApotatoAchipsA&AdietAsoda

2.ALunchAofAtuna,Acarrots,AfruitA&Acoffee

3.ABreakfastAofAeggs,Abacon,AtoastA&Acoffee

4.ABedtimeAsnackAofAcrackersA&Amilk
WhatAinterventionAshouldAtheAnurseAincludeAinAtheAcareAplanAforAaAclientAwhoAisAbeingAtrea
tedAwithAanAUnna'sApasteAbootAforAlegAulcersAdueAtoAchronicAvenousAinsufficiency?A-
AcorrectAanswers-CheckAcapillaryArefillAofAtoesAonAlowerAextremityAwithAUnna'sApasteAbootA




Rationale:ABootAbecomesArigidAafterAitAdries,AsoAitAisAimportantAtoAcheckAdistallyAforAadequ
ateAcirculation.ANoAbandageAshouldAbeAputAunderAit.AShouldAbeAappliedAfromAfootA&Awrapp
edAtowardsAknee.AActsAasAaAsterileAdressingA&AshouldAnotAbeAremovedAq8h.AWeeklyAremo
valAisAreasonable.
MaleAclientAwithAnursingAdiagnosisAofA"spiritualAdistress".AWhatAinterventionAisAbestAforAthe
AnurseAtoAimplementAwhenAcaringAforAthisAclient?A-AcorrectAanswers-

UseAreflectiveAlisteningAtechniquesAwhenAtheAclientAexpressesAspiritualAdoubts.

Rationale:AClientAshouldAbeAconsultedAbeforeAinvolvingAchaplain.
ClientAwithAnursingAdiagnosisAofA"SpiritualAdistressAr/tAlossAofAhopeAsecondaryAtoAimpendin
gAdeath."AWhatAinterventionAisAbestAforAtheAnurseAtoAimplementAwhenAcaringAforAthisAclient
?A-AcorrectAanswers-AssistA&AsupportAtheAclientAinAestablishingAshort-termAgoals.

Rationale:AHopefulnessAisAnecessaryAtoAsustainAaAmeaningfulAexistence,AevenAcloseAtoAd
eath.
NurseAwhoAputsAmedsAinAherAuniformApocketAtoAdeliverAtoAclientsAconfidesAthatAafterAarrivi
ngAhome,AsheAfoundAaAhydrocodoneAtabletAinAherApocket.AWhichApossibleAoutcomeAofAthis
AsituationAshouldAbeAtheAnurse'sAgreatestAconcern?A-AcorrectAanswers-

AccusedAofAdiversion