1|Page
HESI FUNDAMENTALS PRACTICE
EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS |
LATEST 2026
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.
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withdrawn from the tube.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. - ANSWER- C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
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
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C. has a diminished attention span
D. is disoriented to place and time - 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).
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. - 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.)
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-- -
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
degeneration, and the knees, hips, and elbows flex. This stooped posture
results in the upper torso becoming the center of gravity for older
persons.)
,3|Page
In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - ANSWER- B. often follows
relocation to new surroundings (Relocation (B) often results in
confusion among elderly clients-- moving is stressful for anyone. (A) is
stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for
confusion.)
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - ANSWER- C.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B) are
subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
, 4|Page
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the nurse to include
during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - ANSWER- B.
"What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used
during the operative period. (A and C) are appropriate questions for
long-term dietary counseling. The nature of the surgery and anesthesia
will determine the need for a clear liquid diet (D), rather than the client's
preference.)
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should the
nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. - ANSWER- D.
Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?
A. Apply a condom catheter
HESI FUNDAMENTALS PRACTICE
EXAM 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS |
LATEST 2026
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.
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. - ANSWER- C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
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
,2|Page
C. has a diminished attention span
D. is disoriented to place and time - 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).
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. - 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.)
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-- -
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
degeneration, and the knees, hips, and elbows flex. This stooped posture
results in the upper torso becoming the center of gravity for older
persons.)
,3|Page
In developing a plan of care for a client with dementia, the nurse should
remember that confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - ANSWER- B. often follows
relocation to new surroundings (Relocation (B) often results in
confusion among elderly clients-- moving is stressful for anyone. (A) is
stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for
confusion.)
A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's
readiness to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - ANSWER- C.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective
assessment of the client's ability to perform a task, while (A and B) are
subjective measures. (D) is important, but is less of a priority than the
the nurse's assessment of the client's ability to complete wound care.)
, 4|Page
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery
the next day. What question is most important for the nurse to include
during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" - ANSWER- B.
"What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used
during the operative period. (A and C) are appropriate questions for
long-term dietary counseling. The nature of the surgery and anesthesia
will determine the need for a clear liquid diet (D), rather than the client's
preference.)
During the initial morning assessment, a male client denies dysuria but
reports that his urine appears dark amber. Which intervention should the
nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. - ANSWER- D.
Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention?
A. Apply a condom catheter
