1|Page
HESI FUNDAMENTALS PRACTICE EXAM (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
The nurse observes that a male client has removed the covering from an ice park applied to
his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - CORRECT ANSWER
Observe the appearance of the skin under the ice pack (The first action taken by the nurse
should be to assess the skin for any possible thermal injury. If no injury to the skin has
occurred, the nurse can take the other actions.)
QUESTION : The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the
solution at a rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60
gtt/mL, how many drops per minute should the client receive? - CORRECT ANSWER
124 gtt/min
QUESTION : The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate
w/ 30 units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound
infant by cesarean section. The tubing has been changed to a 20 gtt/ml administration set.
The nurse plans to set the flow rate at how many gtt/min? - CORRECT ANSWER 83
gtt/min
QUESTION : Which assessment data provides the most accurate determination of proper
placement of a nasogastric tube? - CORRECT ANSWER Examining a chest x-ray
obtained after the tubing was inserted
2026 2027 GRADED A+
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QUESTION : Three days following a surgery, a male client observes his colostomy for the first
time. He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling
diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the
procedure. - CORRECT ANSWER B. Instruct the client that the stoma will become
smaller when the initial swelling diminishes (Postoperative swelling causes enlargement of
the stoma. The nurse can teach the client that the stoma will become smaller when swelling is
diminished (B). This will help reduce the client's anxiety and promote acceptance of the
colostomy. (A) does not provide helpful teaching or support. (C) is a useful action, and may be
taken after the nurse provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care. (D)
QUESTION : A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the nasogastric tube
in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - CORRECT ANSWER
B. Reposition the client on her side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The least invasive
intervention (B) should be attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful, the client may require an
antiemetic (D))
QUESTION : A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
2026 2027 GRADED A+
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B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
CORRECT ANSWER C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
QUESTION : 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?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time - CORRECT ANSWER D. is disoriented to place
and time (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
diminished attention span. (C).
QUESTION : A client with chronic kidney disease (CKD) selects a scrambled egg for his
breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD. - CORRECT
ANSWER A. Commend the client for selecting a high biologic value protein. (Foods such
as eggs and milk (A) are high biologic proteins which are allowed because they are complete
proteins and supply the essential amino acids that are necessary for growth and cell repair.
Orange juice is rich in potassium and should not be encouraged. The client has made a good
diet choice so (D) is not necessary.)
QUESTION : When assisting an 82 year old client to ambulate, it is important for the nurse to
realize that the center of gravity for an elderly person is the-- - CORRECT ANSWER
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a
stooped posture is common because of the changes from osteoporosis and normal bone
2026 2027 GRADED A+
HESI FUNDAMENTALS PRACTICE EXAM (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
The nurse observes that a male client has removed the covering from an ice park applied to
his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - CORRECT ANSWER
Observe the appearance of the skin under the ice pack (The first action taken by the nurse
should be to assess the skin for any possible thermal injury. If no injury to the skin has
occurred, the nurse can take the other actions.)
QUESTION : The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the
solution at a rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60
gtt/mL, how many drops per minute should the client receive? - CORRECT ANSWER
124 gtt/min
QUESTION : The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate
w/ 30 units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound
infant by cesarean section. The tubing has been changed to a 20 gtt/ml administration set.
The nurse plans to set the flow rate at how many gtt/min? - CORRECT ANSWER 83
gtt/min
QUESTION : Which assessment data provides the most accurate determination of proper
placement of a nasogastric tube? - CORRECT ANSWER Examining a chest x-ray
obtained after the tubing was inserted
2026 2027 GRADED A+
,2|Page
QUESTION : Three days following a surgery, a male client observes his colostomy for the first
time. He becomes quite upset and tells the nurse that it is much bigger than he expected.
What is the best response by the nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling
diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the
procedure. - CORRECT ANSWER B. Instruct the client that the stoma will become
smaller when the initial swelling diminishes (Postoperative swelling causes enlargement of
the stoma. The nurse can teach the client that the stoma will become smaller when swelling is
diminished (B). This will help reduce the client's anxiety and promote acceptance of the
colostomy. (A) does not provide helpful teaching or support. (C) is a useful action, and may be
taken after the nurse provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care. (D)
QUESTION : A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the nasogastric tube
in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - CORRECT ANSWER
B. Reposition the client on her side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the client's nausea. The least invasive
intervention (B) should be attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful, the client may require an
antiemetic (D))
QUESTION : A hospitalized male client is receiving nasogastric tube feedings via a small-bore
tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
2026 2027 GRADED A+
, 3|Page
B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. -
CORRECT ANSWER C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
QUESTION : 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?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time - CORRECT ANSWER D. is disoriented to place
and time (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
diminished attention span. (C).
QUESTION : A client with chronic kidney disease (CKD) selects a scrambled egg for his
breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD. - CORRECT
ANSWER A. Commend the client for selecting a high biologic value protein. (Foods such
as eggs and milk (A) are high biologic proteins which are allowed because they are complete
proteins and supply the essential amino acids that are necessary for growth and cell repair.
Orange juice is rich in potassium and should not be encouraged. The client has made a good
diet choice so (D) is not necessary.)
QUESTION : When assisting an 82 year old client to ambulate, it is important for the nurse to
realize that the center of gravity for an elderly person is the-- - CORRECT ANSWER
Upper torso (The center of gravity for adults is the hips. However, as the person grows older, a
stooped posture is common because of the changes from osteoporosis and normal bone
2026 2027 GRADED A+
