1
HESI Fundamentals Practice Test,
Fundamentals HESI Exam,
Fundamentals/Foundations/H.A.
HESI, Hesi Fundamentals Practice
Test, Nursing Fundamentals HESI
Prep Questions and Answers (100%
Correct Answers) Already Graded A+
© 2026 Assignment
Guru01 - Stuvia
Expert
64.A low-sodium, low-protein diet is prescribed for a 45-year-
old client with renal insufficiency and hypertension, who
gained 3 pounds in the last month. The nurse determines that
the client has been noncompliant with the diet, based on
which report from the 24-hour dietary recall? (Select all that
apply.)
A. Snack of potato chips, and diet soda.
B. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and
coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad, sherbet, and iced
tea.
E. Bedtime snack of crackers and milk. Ans: Potato chips (A)
are high in sodium. Tuna (B) is high in protein. Bacon (C) and
crackers (E) are high in sodium. Only (D) is a meal that is in
compliance with a low sodium, low protein diet.
, 2
Correct Answer: A, B, C, E
65.What intervention should the nurse include in the plan of
care for a client who is being treated with an Unna's paste boot
for leg ulcers due to chronic venous insufficiency?
A. Check capillary refill of toes on lower extremity with Unna's
paste boot.
B. Apply dressing to wound area before applying the Unna's
© 2026 Assignment
paste boot.
C. Wrap the leg from the knee down towards the foot.
Guru01 - Stuvia
Expert
D. Remove the Unna's paste boot q8h to assess wound healing.
Ans: The Unna's paste boot becomes rigid after it dries, so it
is important to check distally for adequate circulation (A).
Kerlix is often wrapped around the outside of the boot and an
ace bandage may be used to cover both, but no bandage
should be put under it (B). The Unna's paste boot should be
applied from the foot and wrapped towards the knee (C). The
Unna's paste boot acts as a sterile dressing, and should not be
removed q8h. Weekly removal is reasonable (D).
Correct Answer: A
66.A 75-year-old client who has a history of end stage renal
failure and advanced lung cancer, recently had a stroke. Two
days ago the healthcare provider discontinued the client's
dialysis treatments, stating that death is inevitable, but the
client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
A. Review the client's most recent laboratory reports.
, 3
B. Refer the client and family members for hospice care.
C. Notify the hospital ethics committee of the client situation.
D. Determine who is legally empowered to make decisions.
Ans: When death is impending, it is essential for the nurse to
determine who is legally empowered to make decisions
regarding the use of life-saving measures for the client (D). (A)
will be abnormal and will worsen without dialysis, so are not
of immediate concern. (B) may help improve the client's
quality of life prior to death, but is of less immediacy than
© 2026 Assignment
determining whether actions should be taken to save a client's
life. If the nurse remains unable to determine who is
Guru01 - Stuvia
empowered to make decisions in this situation, the nurse may
Expert
choose to contact the ethics committee (C) for a resolution.
Correct Answer: D
67.The charge nurse assigns a nursing procedure to a new staff
nurse who has not previously performed the procedure. What
action is most important for the new staff nurse to take?
A. Review the steps in the procedure manual.
B. Ask another nurse to assist while implementing the
procedure.
C. Follow the agency's policy and procedure.
D. Refuse to perform the task that is beyond the nurse's
experience. Ans: According to states' nurse practice acts, it is
the responsibility of the nurse to function within the scope of
competency (D), and in this case safe nursing practice
constitutes refusal to perform the procedure because of a lack
of experience. Although state mandates, agency policies, and
, 4
continued education and experience identify tasks that are
within the scope of nursing practice, nurses should first refuse
to perform tasks that are beyond their proficiency, and then
pursue opportunities to enhance their competency (A, B, and
C).
Correct Answer: D
68.Before administering a client's medication, the nurse
assesses a change in the client's condition and decides to
withhold the medication until consulting with the healthcare
© 2026 Assignment
provider. After consultation with the healthcare provider, the
dose of the medication is changed and the nurse administers
Guru01 - Stuvia
the newly prescribed dose an hour later than the originally
Expert
scheduled time. What action should the nurse implement in
response to this situation?
A. Notify the charge nurse that a medication error occurred.
B. Submit a medication variance report to the supervisor.
C. Document the events that occurred in the nurses' notes.
D. Discard the original medication administration record. Ans:
The nurse took the correct action and should document the
events that occurred in the nurses' notes (C). (A) did not occur
and (B) is not indicated. The medication administration record
is part of the client's medical record and should be placed in
the chart, (D) when no longer current.
Correct Answer: C
69.On the third postoperative day following thoracic surgery, a
client reports feeling constipated. Which intervention should
the nurse implement to promote bowel elimination?
HESI Fundamentals Practice Test,
Fundamentals HESI Exam,
Fundamentals/Foundations/H.A.
HESI, Hesi Fundamentals Practice
Test, Nursing Fundamentals HESI
Prep Questions and Answers (100%
Correct Answers) Already Graded A+
© 2026 Assignment
Guru01 - Stuvia
Expert
64.A low-sodium, low-protein diet is prescribed for a 45-year-
old client with renal insufficiency and hypertension, who
gained 3 pounds in the last month. The nurse determines that
the client has been noncompliant with the diet, based on
which report from the 24-hour dietary recall? (Select all that
apply.)
A. Snack of potato chips, and diet soda.
B. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and
coffee.
C. Breakfast of eggs, bacon, toast, and coffee.
D. Dinner of vegetable lasagna, tossed salad, sherbet, and iced
tea.
E. Bedtime snack of crackers and milk. Ans: Potato chips (A)
are high in sodium. Tuna (B) is high in protein. Bacon (C) and
crackers (E) are high in sodium. Only (D) is a meal that is in
compliance with a low sodium, low protein diet.
, 2
Correct Answer: A, B, C, E
65.What intervention should the nurse include in the plan of
care for a client who is being treated with an Unna's paste boot
for leg ulcers due to chronic venous insufficiency?
A. Check capillary refill of toes on lower extremity with Unna's
paste boot.
B. Apply dressing to wound area before applying the Unna's
© 2026 Assignment
paste boot.
C. Wrap the leg from the knee down towards the foot.
Guru01 - Stuvia
Expert
D. Remove the Unna's paste boot q8h to assess wound healing.
Ans: The Unna's paste boot becomes rigid after it dries, so it
is important to check distally for adequate circulation (A).
Kerlix is often wrapped around the outside of the boot and an
ace bandage may be used to cover both, but no bandage
should be put under it (B). The Unna's paste boot should be
applied from the foot and wrapped towards the knee (C). The
Unna's paste boot acts as a sterile dressing, and should not be
removed q8h. Weekly removal is reasonable (D).
Correct Answer: A
66.A 75-year-old client who has a history of end stage renal
failure and advanced lung cancer, recently had a stroke. Two
days ago the healthcare provider discontinued the client's
dialysis treatments, stating that death is inevitable, but the
client is disoriented and will not sign a DNR directive. What is
the priority nursing intervention?
A. Review the client's most recent laboratory reports.
, 3
B. Refer the client and family members for hospice care.
C. Notify the hospital ethics committee of the client situation.
D. Determine who is legally empowered to make decisions.
Ans: When death is impending, it is essential for the nurse to
determine who is legally empowered to make decisions
regarding the use of life-saving measures for the client (D). (A)
will be abnormal and will worsen without dialysis, so are not
of immediate concern. (B) may help improve the client's
quality of life prior to death, but is of less immediacy than
© 2026 Assignment
determining whether actions should be taken to save a client's
life. If the nurse remains unable to determine who is
Guru01 - Stuvia
empowered to make decisions in this situation, the nurse may
Expert
choose to contact the ethics committee (C) for a resolution.
Correct Answer: D
67.The charge nurse assigns a nursing procedure to a new staff
nurse who has not previously performed the procedure. What
action is most important for the new staff nurse to take?
A. Review the steps in the procedure manual.
B. Ask another nurse to assist while implementing the
procedure.
C. Follow the agency's policy and procedure.
D. Refuse to perform the task that is beyond the nurse's
experience. Ans: According to states' nurse practice acts, it is
the responsibility of the nurse to function within the scope of
competency (D), and in this case safe nursing practice
constitutes refusal to perform the procedure because of a lack
of experience. Although state mandates, agency policies, and
, 4
continued education and experience identify tasks that are
within the scope of nursing practice, nurses should first refuse
to perform tasks that are beyond their proficiency, and then
pursue opportunities to enhance their competency (A, B, and
C).
Correct Answer: D
68.Before administering a client's medication, the nurse
assesses a change in the client's condition and decides to
withhold the medication until consulting with the healthcare
© 2026 Assignment
provider. After consultation with the healthcare provider, the
dose of the medication is changed and the nurse administers
Guru01 - Stuvia
the newly prescribed dose an hour later than the originally
Expert
scheduled time. What action should the nurse implement in
response to this situation?
A. Notify the charge nurse that a medication error occurred.
B. Submit a medication variance report to the supervisor.
C. Document the events that occurred in the nurses' notes.
D. Discard the original medication administration record. Ans:
The nurse took the correct action and should document the
events that occurred in the nurses' notes (C). (A) did not occur
and (B) is not indicated. The medication administration record
is part of the client's medical record and should be placed in
the chart, (D) when no longer current.
Correct Answer: C
69.On the third postoperative day following thoracic surgery, a
client reports feeling constipated. Which intervention should
the nurse implement to promote bowel elimination?
