HESI Fundamental Exam 2

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Sample questions from HESI Fundamental Exam 2

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

1. 1.A nurse enters a client's room and finds the client lying on the floor beside the bed. What should the nurse do first?

   • A.Help the client back into bed immediately
   • B.Assess the client for injury and level of responsiveness
   • C.Notify the client's health care provider
   • D.Complete an incident report

   Rationale: Assessing responsiveness and possible injury comes first because the nurse must identify immediate threats before moving the client. Helping the client up could worsen an injury, while notifying the provider and completing an incident report are important actions after the initial assessment. The exam takeaway is to assess and protect the client before documenting or reporting.

2. 2.A client on contact precautions for a draining wound needs assistance to the bathroom. Which action is appropriate?

   • A.Wear a gown and gloves when providing direct care
   • B.Wear an N95 respirator before entering the room
   • C.Keep the door closed at all times
   • D.Use sterile gloves for all contact with the client

   Rationale: Contact precautions require a gown and gloves when entering the room for care that may involve contact with the client or contaminated surfaces. An N95 respirator is used for specific airborne precautions, and keeping the door closed is not a contact-precaution requirement. Sterile gloves are reserved for sterile procedures; the exam takeaway is to match protective equipment to the route of transmission and task.

3. 3.A nurse is preparing to administer a medication and discovers that the client's identification band is missing. What is the best action?

   • A.Ask the client to state their name and administer the medication
   • B.Ask a family member to identify the client
   • C.Obtain a replacement identification band according to facility policy before administration
   • D.Use the client's room number as the second identifier

   Rationale: The nurse should obtain a replacement identification band and verify the client with approved identifiers before giving the medication. A client's statement or a family member's identification alone does not replace required identification procedures, and a room number is not an acceptable identifier. The exam takeaway is to use at least two approved identifiers and never use room location as identification.

4. 4.A nurse is transferring a client from bed to wheelchair. Which action best promotes safe body mechanics?

   • A.Keep the feet close together and bend at the waist
   • B.Twist the trunk while pivoting toward the wheelchair
   • C.Raise the bed to a comfortable working height and use a wide base of support
   • D.Hold the client at arm's length during the transfer

   Answer and rationale are in the full material.

5. 5.A client with dysphagia is eating lunch. Which observation requires the nurse to intervene immediately?

   • A.The client tucks the chin slightly while swallowing
   • B.The client coughs repeatedly after taking a sip of water
   • C.The client eats slowly and takes small bites
   • D.The client rests between bites

   Answer and rationale are in the full material.