Fundamental HESI [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
Which action is most important for the nurse to implement when donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - CORRECT ✔✔✔✔✔ C) Keep gloved
hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the
dominant hand first, it is not necessary to ensure asepsis (D).
An adult 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. - CORRECT
✔✔✔✔✔ A) It is important that you continue your medication while learning to meditate
The prolonged practice of meditation may lead to a reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic
response to meditation is monitored. (B) is not as important as continuing the
medication. The healthcare provider should be informed, but permission is not required
to meditate (C). Although it is true that this complimentary therapy might be effective
(D), it is essential that the client continue with antihypertensive medications until the
effect of meditation can be measured
The nurse plans to obtain health assessment information from a primary source. Which
option is a primary source for the completion of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - CORRECT ✔✔✔✔✔ A) Client
A primary source of information for a health assessment is the client (A). (B, C, and D)
are considered secondary sources about the client's health history, but other details,
such as subjective data, can only be provided directly from the client.
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
,C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. - CORRECT ✔✔✔✔✔
C) I will limit my intake of beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C)
is an important diet modification for lowering cholesterol. To be effective in reducing
cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6 times per
week (A). Red meat and all proteins do not need to be eliminated (B) to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions (2-
ounce servings). The low density lipoproteins (D) need to decrease rather than increase
Examination of a client complaining of itching on his right arm reveals a rash made up of
multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding?
A) Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B) Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C) Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D) Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter. -
CORRECT ✔✔✔✔✔ B) Localized red rash comprised of flat areas, pinpoint to 0.5 cm
in diameter
Macules are localized flat skin discolorations less than 1 cm in diameter. However,
when recording such a finding the nurse should describe the appearance (B) rather than
simply naming the condition. (A) identifies vesicles -- fluid filled blisters -- an incorrect
description given the symptoms listed. (C) identifies papules -- solid elevated lesions,
again not correctly identifying the symptoms. (D) identifies petechiae -- pinpoint red to
purple skin discolorations that do not itch, again an incorrect identification
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day.
What question is most important for the nurse to include during the preoperative
assessment?
, A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
D) Will a clear liquid diet be okay after surgery? - CORRECT ✔✔✔✔✔ A) What is your
daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature
of the surgery and anesthesia will determine the need for a clear liquid diet (D), rather
than the client's preference
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for
fifteen seconds, large amounts of thick yellow secretions return. What action should the
nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again. - CORRECT ✔✔✔✔✔
D) Re-oxygenate the client before attempting to suction again
Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time (D). (A, B, and C) may be
performed after the client is re-oxygenated and additional suctioning is performed.
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?
A) Record the coughing incident. No further action is required at this time.
B) Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
Which action is most important for the nurse to implement when donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first. - CORRECT ✔✔✔✔✔ C) Keep gloved
hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A and B) are not
essential to maintaining asepsis. While it may be helpful to put the glove on the
dominant hand first, it is not necessary to ensure asepsis (D).
An adult 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. - CORRECT
✔✔✔✔✔ A) It is important that you continue your medication while learning to meditate
The prolonged practice of meditation may lead to a reduced need for antihypertensive
medications. However, the medications must be continued (A) while the physiologic
response to meditation is monitored. (B) is not as important as continuing the
medication. The healthcare provider should be informed, but permission is not required
to meditate (C). Although it is true that this complimentary therapy might be effective
(D), it is essential that the client continue with antihypertensive medications until the
effect of meditation can be measured
The nurse plans to obtain health assessment information from a primary source. Which
option is a primary source for the completion of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records - CORRECT ✔✔✔✔✔ A) Client
A primary source of information for a health assessment is the client (A). (B, C, and D)
are considered secondary sources about the client's health history, but other details,
such as subjective data, can only be provided directly from the client.
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has been
effective?
A) If I exercise at least two times weekly for one hour, I will lower my cholesterol.
B) I need to avoid eating proteins, including red meat.
,C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase. - CORRECT ✔✔✔✔✔
C) I will limit my intake of beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week (C)
is an important diet modification for lowering cholesterol. To be effective in reducing
cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6 times per
week (A). Red meat and all proteins do not need to be eliminated (B) to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions (2-
ounce servings). The low density lipoproteins (D) need to decrease rather than increase
Examination of a client complaining of itching on his right arm reveals a rash made up of
multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should
the nurse record this finding?
A) Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to 0.5 cm.
B) Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
C) Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D) Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter. -
CORRECT ✔✔✔✔✔ B) Localized red rash comprised of flat areas, pinpoint to 0.5 cm
in diameter
Macules are localized flat skin discolorations less than 1 cm in diameter. However,
when recording such a finding the nurse should describe the appearance (B) rather than
simply naming the condition. (A) identifies vesicles -- fluid filled blisters -- an incorrect
description given the symptoms listed. (C) identifies papules -- solid elevated lesions,
again not correctly identifying the symptoms. (D) identifies petechiae -- pinpoint red to
purple skin discolorations that do not itch, again an incorrect identification
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day.
What question is most important for the nurse to include during the preoperative
assessment?
, A) What is your daily calorie consumption?
B) What vitamin and mineral supplements do you take?
C) Do you feel that you are overweight?
D) Will a clear liquid diet be okay after surgery? - CORRECT ✔✔✔✔✔ A) What is your
daily calorie consumption?
Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature
of the surgery and anesthesia will determine the need for a clear liquid diet (D), rather
than the client's preference
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for
fifteen seconds, large amounts of thick yellow secretions return. What action should the
nurse implement next?
A) Encourage the client to cough to help loosen secretions.
B) Advise the client to increase the intake of oral fluids.
C) Rotate the suction catheter to obtain any remaining secretions.
D) Re-oxygenate the client before attempting to suction again. - CORRECT ✔✔✔✔✔
D) Re-oxygenate the client before attempting to suction again
Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time (D). (A, B, and C) may be
performed after the client is re-oxygenated and additional suctioning is performed.
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?
A) Record the coughing incident. No further action is required at this time.
B) Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
