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HESI PN FUNDAMENTALS EXAM NEWEST 2026
ACTUAL VERIFIED EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||NEWEST EXAM!!!||
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue. What
action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - Answer-A. Loosen the
right wrist restraint.
The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are
also important nursing interventions, but do not have the
priority of (A). Pulse oximetry (B) measures the saturation
of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical
compression (the restraints).
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The nurse is assessing the nutritional status of several
clients. Which client has the greatest nutritional need for
additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. -
Answer-B. A lactating woman nursing her 3-day-old infant.
A lactating woman (B) has the greatest need for additional
protein intake. (A, C, and D) are all conditions that require
protein, but do not have the increased metabolic protein
demands of lactation.
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is
scheduled to be administered. The client returns to the unit
at 1300. What is the best intervention for the nurse to
implement?
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A. Contact the healthcare provider and complete a
medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and complete an incident report
to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule
to administer daily at 1300. - Answer-D. Give the missed
dose at 1300 and change the schedule to administer daily
at 1300.
To ensure that a therapeutic level of medication is
maintained, the nurse should administer the missed dose
as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing
the level of the medication in the bloodstream (D). The
nurse should document the reason for the late dose, but
(A and C) are not warranted. (B) could result in increased
blood levels of the drug.
While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted
shoulder, the nurse observes that she is holding his arm
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above and below the elbow. What nursing action should
the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain
warmth.
C. Reinforce the need to grip directly under the joint for
better support.
D. Instruct her to grip directly over the joint for better
motion. - Answer-A. Acknowledge that she is supporting
the arm correctly.
The wife is performing the passive ROM correctly,
therefore the nurse should acknowledge this fact (A). The
joint that is being exercised should be uncovered (B) while
the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the
joint while still allowing for joint movement.
An elderly client with a fractured left hip is on strict
bedrest. Which nursing measure is essential to the client's
nursing care?
A. Massage any reddened areas for at least five minutes.
HESI PN FUNDAMENTALS EXAM NEWEST 2026
ACTUAL VERIFIED EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||NEWEST EXAM!!!||
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue. What
action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - Answer-A. Loosen the
right wrist restraint.
The priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are
also important nursing interventions, but do not have the
priority of (A). Pulse oximetry (B) measures the saturation
of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical
compression (the restraints).
,2|Page
The nurse is assessing the nutritional status of several
clients. Which client has the greatest nutritional need for
additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. -
Answer-B. A lactating woman nursing her 3-day-old infant.
A lactating woman (B) has the greatest need for additional
protein intake. (A, C, and D) are all conditions that require
protein, but do not have the increased metabolic protein
demands of lactation.
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV q24h is
scheduled to be administered. The client returns to the unit
at 1300. What is the best intervention for the nurse to
implement?
,3|Page
A. Contact the healthcare provider and complete a
medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900
schedule in the morning.
C. Notify the charge nurse and complete an incident report
to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule
to administer daily at 1300. - Answer-D. Give the missed
dose at 1300 and change the schedule to administer daily
at 1300.
To ensure that a therapeutic level of medication is
maintained, the nurse should administer the missed dose
as soon as possible, and revise the administration
schedule accordingly to prevent dangerously increasing
the level of the medication in the bloodstream (D). The
nurse should document the reason for the late dose, but
(A and C) are not warranted. (B) could result in increased
blood levels of the drug.
While instructing a male client's wife in the performance of
passive range-of-motion exercises to his contracted
shoulder, the nurse observes that she is holding his arm
, 4|Page
above and below the elbow. What nursing action should
the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain
warmth.
C. Reinforce the need to grip directly under the joint for
better support.
D. Instruct her to grip directly over the joint for better
motion. - Answer-A. Acknowledge that she is supporting
the arm correctly.
The wife is performing the passive ROM correctly,
therefore the nurse should acknowledge this fact (A). The
joint that is being exercised should be uncovered (B) while
the rest of the body should remain covered for warmth and
privacy. (C and D) do not provide adequate support to the
joint while still allowing for joint movement.
An elderly client with a fractured left hip is on strict
bedrest. Which nursing measure is essential to the client's
nursing care?
A. Massage any reddened areas for at least five minutes.
