HESI Assessment Next Generation Fundamentals

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Sample questions from HESI Assessment Next Generation Fundamentals

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the outpatient clinic, a client with a draining wound has a culture pending. Which action should the nurse take while providing wound care?

   • A.Place the client in an airborne infection isolation room.
   • B.Keep the client on contact precautions until the culture is negative.
   • C.Wear clean gloves and use standard precautions, adding gown and eye protection if splashing is anticipated.
   • D.Use sterile gloves for all contact with the client.

   Rationale: Standard precautions apply to every client, and clean gloves are appropriate when contact with wound drainage is expected. A gown and eye protection are added when the task could contaminate clothing or expose mucous membranes to splashes. A pending culture alone does not establish a need for airborne or contact isolation, and sterile gloves are not required for every interaction.

2. 2.A client states, "I feel dizzy when I stand up to go to the bathroom." Which intervention best reduces the client's immediate risk of injury?

   • A.Apply a vest restraint until the dizziness resolves.
   • B.Tell the client to walk slowly and use the bedside table for support.
   • C.Leave the bathroom door open and instruct the client to call if symptoms worsen.
   • D.Assist the client to sit at the bedside, assess symptoms, and stay with the client during transfers.

   Rationale: Dizziness on standing increases fall risk, so the nurse should remain with the client, assess the symptoms, and assist with position changes and transfers. Using furniture for support is unsafe because it may move or tip. Restraints are not a routine fall-prevention measure, and leaving the client to walk independently does not address the immediate risk.

3. 3.During a home visit, the nurse finds that an older adult's prescribed oxygen is in use and a family member is smoking nearby. What should the nurse do first?

   • A.Open a window and continue the visit.
   • B.Direct the family member to stop smoking and move away from the oxygen source.
   • C.Ask the family member to smoke in the next room with the door closed.
   • D.Turn off the oxygen and remove the cannula from the client.

   Rationale: Smoking near oxygen creates an immediate fire hazard, so the nurse should stop the smoking and separate ignition sources from the oxygen equipment. Smoking in an adjacent room or opening a window does not reliably eliminate the hazard. The nurse should not discontinue prescribed oxygen without assessing the client and following the care plan.

4. 4.Refer to the client's chart. Which actions should the nurse take to reduce the risk of infection transmission while caring for the client? Select all that apply.

   • A.Dedicate equipment such as a blood pressure cuff to the client when possible.
   • B.Wear a fit-tested N95 respirator for routine room entry.
   • C.Wear a gown and gloves when entering the room for routine care.
   • D.Perform hand hygiene before and after client contact.
   • E.Place the client in a private room with a dedicated toilet.
   • F.Use soap and water after every room exit, even when hands are not visibly soiled.

   Answer and rationale are in the full material.

5. 5.A client receiving a continuous IV infusion reports pain and swelling at the insertion site. The area is cool to the touch. Which action should the nurse take first?

   • A.Stop the infusion and assess the IV site.
   • B.Flush the catheter with saline to check patency.
   • C.Apply a warm compress while the infusion continues.
   • D.Slow the infusion and reassess the site in 30 minutes.

   Answer and rationale are in the full material.