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HESI Fundamentals of Nursing Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is assisting a client to ambulate after surgery. Which action should the nurse take first?

• Encourage the client to walk quickly to improve circulation

✔✔B. Ensure the client is wearing nonskid footwear

• Support the client only if they begin to fall
• Ask the client to walk without assistance to build confidence

When providing oral care to an unconscious client, the nurse should:

• Place the client in a flat supine position
• Use large amounts of water to rinse the mouth
• Insert dentures to prevent gum damage

✔✔D. Position the client on their side with the head turned

A client with a fever is encouraged to drink fluids. The primary reason is to:

• Keep the client occupied

✔✔B. Prevent dehydration 1 / 4

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• Reduce pain
• Increase appetite

Which nursing action helps prevent pressure injuries in an immobile client?✔✔A. Reposition the client every 2 hours

• Massage reddened areas on the skin
• Use only cotton sheets for comfort
• Limit the use of pillows under the heels

When measuring blood pressure, the nurse should:

• Deflate the cuff very rapidly

✔✔B. Use a cuff that fits the client’s arm size

• Place the cuff loosely around the arm
• Position the arm below the level of the heart

A nurse should wash hands:

• Only if visibly soiled

✔✔B. Before and after each client contact 2 / 4

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• After handling sterile equipment only
• Once per shift

A nurse is preparing to insert a urinary catheter. The most important action is to: ✔✔A. Maintain sterile technique during the procedure

• Ask the client to close their eyes
• Wear clean gloves only
• Insert the catheter quickly to reduce discomfort

To maintain safety for a client with seizures, the nurse should:

• Restrain the client during a seizure
• Insert a tongue depressor into the client’s mouth

✔✔C. Pad the side rails of the bed

• Keep the client in a sitting position

Before administering medication through a nasogastric tube, the nurse should first: ✔✔A. Verify tube placement

• Flush with 5 mL of water 3 / 4

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• Crush all medications together
• Check the client’s temperature

Which is the most appropriate nursing intervention to prevent falls in an older adult?

• Keep the room lights dim to avoid glare

✔✔B. Remove loose rugs and clutter from pathways

• Encourage wearing socks on smooth floors
• Lower the bed to its lowest setting at all times without checking surroundings

A client states, “I am afraid of this surgery.” The nurse’s best response is:

• “There’s nothing to be afraid of.”

✔✔B. “Tell me more about your concerns.”

• “You should trust your surgeon.”
• “You will be fine after it’s over.”

When using a mechanical lift to transfer a client, the nurse should:

✔✔A. Ensure the lift’s brakes are locked

• Keep the client’s arms outside the sling
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