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2025 HESI FUNDAMENTALS V1 AND V2 (REAL EXAM QUESTIONS AND CORRECT ANSWERS)

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2025 HESI FUNDAMENTALS V1 AND V2 (REAL EXAM QUESTIONS AND CORRECT ANSWERS) HESI RN Fundamentals v1 2025 A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is ...

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  • August 31, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • 2025 HESI FUNDAMENTALS V1 AND V2
  • 2025 HESI FUNDAMENTALS V1 AND V2
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2025 HESI FUNDAMENTALS V1 AND V2 (REAL EXAM
QUESTIONS AND CORRECT ANSWERS)


HESI RN Fundamentals v1 2025
A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which
assessment measure best determines if the intended outcome of the policy is being achieved.
Correct Answer: Health care-associated infection rate.




The nurse is preparing to assist a newly admitted client with personal hygiene measures. The client...the client’s gag
reflex. Which action should the nurse include?
Correct Answer: Place tongue blade on back half of tongue




The father of an 11-year-old boy….
Correct Answer: inform the father that it is most important to let the son that nocturnal emissions are normal




The nurse explains to an older adult male the procedure for collecting a 24-hour urine specimen for creatinine
clearance.
Correct Answer: Empty the urinal contents into the 24-hour collection container




A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing
intervention is likely to be most
Correct Answer: Refer her to support group for family members of those dying of cancer




A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan.
Which action should the nurse recommend?
Correct Answer: Keep a record of food and drinks consumed daily
Participated in a group exercise class 3 times a week



The nurse assesses a client who has a nasal cannula delivering oxygen at 2 L/min. To assess for skin damage related to
the cannula, which areas should the nurse observe?
Correct Answer: Tops of the ear

,Around the nostrils
Over the cheeks




The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a
confused and lethargic client. The UAP is soaking the client’s foot in a basin of warm water placed on the bed. What
action should the nurse take?
Correct Answer: Remind the UAP to dry between the client’s toes completely




The nurse in the emergency department observes a colleague viewing the electronic health record (EHR) of a client
who holds an elected position in the community. The client is not a part of the colleague’s assignment. Which action
should the nurse implement?
Correct Answer: Communicate the colleague’s actions to the unit charge nurse




At 0100 on a male client’s second postoperative night, the client states he is unstable to sleep and plans to read until
feeling sleepy. What action should the nurse implement?
Correct Answer: Bring the client a prescribed PRN sedative-hypnotic




The nursing staff in the cardiovascular intensive care unit are creating a continuous quality improvement project on
social media that addresses coronary artery disease (CAD). Which action should the nurse implement to protect client
privacy?
Correct Answer: Remove identifying information of the clients who participated




A male client with unstable angina needs a cardiac catheterization, so the healthcare provider explains the risks and
benefits of the procedure, and then leaves to set up for the procedure. When the nurse presents the consent form for
signature, the client hesitates and asks how the wires will keep his heart going. Which action should the nurse take?
Correct Answer: Postpone the procedure until the client understands the risks and benefits




The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which
action should the nurse instruct the client to perform?
Correct Answer: bend the arm by flexing the ulnar to the humerus




A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse
inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take

, first?
Correct Answer: Access for side effects of the medication




When assessing a male client, the nurse finds that he is fatigue, and is experiencing muscle weakness, leg cramps, and
cardiac dysrhythmias. Based on these findings, the nurse plans to check the client’s laboratory values to validate the
existence of which?
Correct Answer: Hypokalemia




A female client’s significant other has been at her bedside providing reassurances and support for the past 3days, as
desired by the client. The client’s estranged husband arrives and demands that the significant other not be allowed to
visit or be given condition updates. Which intervention should the nurse implement?
Correct Answer: Request a consultation with the ethics committee for resolution of the situation




When measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. What
follow-up action should the nurse take first?
Correct Answer: Check for neck vein distention




To avoid nerve injury, what location should the nurse select to administer a 3 mL IM injection?
Correct Answer: outer upper quadrant of the buttock




Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?
Correct Answer: Review food labels for sodium content




While changing a client’s post operative dressing, the nurse observes a red and swollen wound with a moderate
amount of yellow and green drainage and a foul odor. Given there is a positive MRSA, which is the most important
action for the nurse to take?
Correct Answer: Initiate contact precautions




To prepare a client for the potential side effects of a newly prescribed medication, what action should the nurse
implement?
Correct Answer: Assess the client for health alterations that may be impacted by the effects of the medication

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