HESI FUNDAMENTALS LATEST QUESTIONS AND
ANSWERS 2024/2025
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?
- 1 ml.
Feedback: INCORRECT
- 1.5 ml.
Feedback: CORRECT
- 1.75 ml.
Feedback: INCORRECT
- 2 ml.
Feedback: INCORRECT
Feedback: CORRECT
(B) is the correct calculation: Dosage on hand/amount on hand = Dosage desired/x amount. 20 mg : 2 ml
= 15 mg : x . 20x = 30. x = 30/20; = 1½ or 1.5
ml. Points Earned: 1.0/1.0
Correct Answer(s): B
Q 2.A male client tells the nurse that he does not know where he is or what year it is. What data should the nurse document that is most accurate?
- demonstrates loss of remote
memory. Feedback: INCORRECT
- exhibits expressive
dysphasia. Feedback:
INCORRECT
- has a diminished attention
span. Feedback: INCORRECT
- is disoriented to place and
time. Feedback: CORRECT
Feedback: CORRECT
The client is exhibiting disorientation (D). (A) refers to memory of the distant past. The client is able to express himself without difficulty (B), and does not demonstrate a diminished attention span (C).
Points Earned: 1.0/1.0
Correct Answer(s): D
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Q3 A client who is a Jehovah’s Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client’s beliefs?
- Autopsy of the body is
prohibited. Feedback: INCORRECT
- Blood transfusions are
forbidden. Feedback: CORRECT
- Alcohol use in any form is not
allowed. Feedback: INCORRECT
- A vegetarian diet must be
followed. Feedback: INCORRECT
Feedback: CORRECT
Blood transfusions are forbidden (B) in the Jehovah’s Witness religion. Judaism prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
Points Earned: 1.0/1.0
Correct Answer(s): B
Correct 4.Which action is most important for the nurse to implement when donning sterile gloves?
- Maintain thumb at a ninety degree
angle. Feedback: INCORRECT
- Hold hands with fingers down while
gloving. Feedback: INCORRECT
- Keep gloved hands above the
elbows. Feedback: CORRECT
- Put the glove on the dominant hand
first. Feedback: INCORRECT
Feedback: CORRECT
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).
Points Earned: 1.0/1.0
Correct Answer(s): C
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A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
Feedback: INCORRECT
The infusion rate is calculated as a ratio proportion problem, i.e., 50 ml/ 20 min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=150
Points Earned: 0.0/1.0
Correct Answer(s): 150
Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention?
- Apply a condom
catheter. Feedback:
INCORRECT
- Apply a skin
protectant. Feedback:
INCORRECT
- Encourage increased fluid
intake. Feedback: INCORRECT
- Assess for bladder
distention. Feedback: CORRECT
Feedback: CORRECT
Urinary retention is the inability to void all urine collected in the bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions to protect the skin of a client with urinary incontinence. (C) may worsen the bladder distention.
Points Earned: 1.0/1.0
Correct Answer(s): D
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer?
- 0.5 ml.
Feedback: CORRECT
- 1 ml.
Feedback: INCORRECT
- 1.5 ml.
Feedback: INCORRECT 3 / 4
- 2 ml.
Feedback: INCORRECT
Feedback: CORRECT
Using ratio and proportion:
8mg: 1ml :: 4mg:Xml 8X=4 X=0.5
Points Earned: 1.0/1.0
Correct Answer(s): A
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
- 30
Feedback: INCORRECT
- 60
Feedback: INCORRECT
C) 120
Feedback: INCORRECT
D) 180
Feedback: CORRECT
Feedback: INCORRECT
(D) is correct calculation: 180 ml/hr = 500 ml/5 mg × 1mg/1000 mcg × 30 mcg/min × 60 min/hr.
Points Earned: 0.0/1.0
Correct Answer(s): D
Incorrect 9.In developing a plan of care for a client with dementia, the nurse should remember that confusion in the elderly
- is to be expected, and progresses with
age. Feedback: INCORRECT
- often follows relocation to new
surroundings. Feedback: CORRECT
- is a result of irreversible brain
pathology. Feedback: INCORRECT
- can be prevented with adequate sleep.
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