HESI FUNDAMENTALS EXAM
2024 COMPLETE
100 QUESTIONS WITH
DETAILED VERIFIED AND 100%
CORRECT ANSWERS ACTUAL
BRAND-NEW EXAM GRADED A+
The nurse is teaching a client how to perform progressive
muscle relaxation techniques to relieve insomnia. A week
later the client reports that he is still unable to sleep,
despite following the same routine every night. Which
action should the nurse take first?
A. Instruct the client to add regular exercise as a daily
routine.
B. Determine if the client has been keeping a sleep diary.
C. Encourage the client to continue the routine until sleep
is achieved.
D. Ask the client to describe the routine he is currently
following. - ....ANSWER...D
Rationale: The nurse should first evaluate whether the
client has been adhering to the original instructions. A
verbal report of the client's routine will provide more
specific information than the client's written diary. The
nurse can then determine which changes need to be made.
1
,The routine practiced by the client is clearly unsuccessful,
so encouragement alone is insufficient.
Ten minutes after signing an operative permit for a
fractured hip, an older client states, "The aliens will be
coming to get me soon!" and falls asleep. Which action
should the nurse implement next?
A. Make the client comfortable and allow the client to
sleep.
B. Assess the client's neurologic status.
C. Notify the surgeon about the comment.
D. Ask the client's family to co-sign the operative permit. -
....ANSWER...B
Rationale: This statement may indicate that the client is
confused. Informed consent must be provided by a
mentally competent individual, so the nurse should further
assess the client's neurologic status to be sure that the
client understands and can legally provide consent for
surgery. Option A does not provide sufficient follow-up. If
the nurse determines that the client is confused, the
surgeon must be notified and permission obtained from the
next of kin.
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?
2
,A. Pulse characteristics
B. Open airway
C. Entrance and exit wounds
D. Cervical spine injury - ....ANSWER...A
Rationale: Lightning is a jolt of electrical current and can
produce a "natural" defibrillation, so assessment of the
pulse rate and regularity is a priority. Because the client is
talking, he has an open airway, so that assessment is not
necessary. Assessing for options C and D should occur
after assessing for adequate circulation.
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. -
....ANSWER...C
Rationale: The nurse should not give the medication and
should document the reason 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 or a health care provider's permission,
3
, unless conditions are met to justify coerced treatment.
Option D is not necessary unless the medication had
previously been administered.
A hospitalized client has had difficulty falling asleep for
two nights and is becoming irritable and restless. Which
action by the nurse is best?
A. Determine the client's usual bedtime routine and
include these rituals in the plan of care as safety allows.
B. Instruct the UAP not to wake the client under any
circumstances during the night.
C. Place a "Do Not Disturb" sign on the door and change
assessments from every 4 to every 8 hours.
D. Encourage the client to avoid pain medication during
the day, which might increase daytime napping. -
....ANSWER...A
Rationale: Including habitual rituals that do not interfere
with the client's care or safety may allow the client to go to
sleep faster and increase the quality of care. Options B, C,
and D decrease the client's standard of care and
compromise safety.
The nurse is assisting a client to the bathroom. When the
client is 5 feet from the bathroom door, he states, "I feel
faint." Before the nurse can get the client to a chair, the
client starts to fall. Which is the priority action for the
nurse to take?
A. Check the client's carotid pulse.
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