HESI FUNDAMENTALS 2025-2026
QUESTIONS AND CORRECT ANSWERS
AnA2elderlyA2clientA2withA2aA2fracturedA2leftA2hipA2isA2onA2strictA2bedrest.A2WhichA2nursingA
2measureA2isA2essentialA2toA2theA2client'sA2nursingA2care?
A2A.A2MassageA2anyA2reddenedA2areasA2forA2atA2leastA2fiveA2minutes.A2
B.A2EncourageA2activeA2rangeA2ofA2motionA2exercisesA2onA2extremities.A2
C.A2PositionA2theA2clientA2laterally,A2prone,A2andA2dorsallyA2inA2sequence.A2
D.A2GentlyA2liftA2theA2clientA2whenA2movingA2intoA2aA2desiredA2position.A2-A2Ans--✅-
A2ToA2avoidA2shearingA2forcesA2whenA2repositioning,A2theA2clientA2shouldA2beA2liftedA2gent
lyA2acrossA2aA2surfaceA2(D).A2ReddenedA2areasA2shouldA2notA2beA2massagedA2(A)A2sinceA
2thisA2mayA2increaseA2theA2damageA2toA2alreadyA2traumatizedA2skin.A2ToA2controlA2painA2
andA2muscleA2spasms,A2activeA2rangeA2ofA2motionA2(B)A2mayA2beA2limitedA2onA2theA2affec
tedA2leg.A2TheA2positionA2describedA2inA2(C)A2isA2contraindicatedA2forA2aA2clientA2withA2aA2f
racturedA2leftA2hip.
A2CorrectA2Answer:A2D
TheA2nurseA2isA2administeringA2medicationsA2throughA2aA2nasogastricA2tubeA2(NGT)A2whi
chA2isA2connectedA2toA2suction.A2AfterA2ensuringA2correctA2tubeA2placement,A2whatA2actio
nA2shouldA2theA2nurseA2takeA2next?A2
A.A2ClampA2theA2tubeA2forA220A2minutes.A2
B.A2FlushA2theA2tubeA2withA2water.A2
C.A2AdministerA2theA2medicationsA2asA2prescribed.A2
D.A2CrushA2theA2tabletsA2andA2dissolveA2inA2sterileA2water.A2-A2Ans--✅-
A2TheA2NGTA2shouldA2beA2flushedA2before,A2afterA2andA2inA2betweenA2eachA2medicationA2
administeredA2(B).A2OnceA2allA2medicationsA2areA2administered,A2theA2NGTA2shouldA2beA2
clampedA2forA220A2minutesA2(A).A2(CA2andA2D)A2mayA2beA2implementedA2onlyA2afterA2theA2
tubingA2hasA2beenA2flushed.A2
CorrectA2Answer:A2B
AA2clientA2whoA2isA2inA2hospiceA2careA2complainsA2ofA2increasingA2amountsA2ofA2pain.A2Th
eA2healthcareA2providerA2prescribesA2anA2analgesicA2everyA2fourA2hoursA2asA2needed.A2W
hichA2actionA2shouldA2theA2nurseA2implement?A2
A.A2GiveA2anA2around-the-clockA2scheduleA2forA2administrationA2ofA2analgesics.A2
B.A2AdministerA2analgesicA2medicationA2asA2neededA2whenA2theA2painA2isA2severe.A2
C.A2ProvideA2medicationA2toA2keepA2theA2clientA2sedatedA2andA2unawareA2ofA2stimuli.A2
D.A2OfferA2aA2medication-freeA2periodA2soA2thatA2theA2clientA2canA2doA2dailyA2activities.A2-
A2Ans--✅-
A2TheA2mostA2effectiveA2managementA2ofA2painA2isA2achievedA2usingA2anA2around-the-
clockA2scheduleA2thatA2providesA2analgesicA2medicationsA2onA2aA2regularA2basisA2(A)A2an
dA2inA2aA2timelyA2manner.A2AnalgesicsA2HesiA2FundamentalsA22025A2exam.A2CorrectlyA2a
nswered.A2areA2lessA2effectiveA2ifA2painA2persistsA2untilA2itA2isA2severe,A2soA2anA2analgesic
A2medicationA2shouldA2beA2administeredA2beforeA2theA2client'sA2painA2peaksA2(B).A2Providi
ngA2comfortA2isA2aA2priorityA2forA2theA2clientA2whoA2isA2dying,A2butA2sedationA2thatA2impairs
, A2theA2client'sA2abilityA2toA2interactA2andA2experienceA2theA2timeA2beforeA2lifeA2endsA2shoul
dA2beA2minimizedA2(C).A2OfferingA2aA2medication-
freeA2periodA2allowsA2theA2serumA2drugA2levelA2toA2fall,A2whichA2isA2notA2anA2effectiveA2me
thodA2toA2manageA2chronicA2painA2(D).A2
CorrectA2Answer:A2A
WhenA2assessingA2aA2clientA2withA2wristA2restraints,A2theA2nurseA2observesA2thatA2theA2fin
gersA2onA2theA2rightA2handA2areA2blue.A2WhatA2actionA2shouldA2theA2nurseA2implementA2fir
st?A2
A.A2LoosenA2theA2rightA2wristA2restraint.A2
B.A2ApplyA2aA2pulseA2oximeterA2toA2theA2rightA2hand.A2
C.A2CompareA2handA2colorA2bilaterally.A2
D.A2PalpateA2theA2rightA2radialA2pulse.A2-A2Ans--✅-
A2TheA2priorityA2nursingA2actionA2isA2toA2restoreA2circulationA2byA2looseningA2theA2restraint
A2(A),A2becauseA2blueA2fingersA2(cyanosis)A2indicatesA2decreasedA2circulation.A2(CA2andA2
D)A2areA2alsoA2importantA2nursingA2interventions,A2butA2doA2notA2haveA2theA2priorityA2of(A)
.A2PulseA2oximetryA2(B)A2measuresA2theA2saturationA2ofA2hemoglobinA2withA2oxygenA2andA
2isA2notA2indicatedA2inA2situationsA2whereA2theA2cyanosisA2isA2relatedA2toA2mechanicalA2co
mpressionA2(theA2restraints).A2
CorrectA2Answer:A2A
TheA2nurseA2isA2assessingA2theA2nutritionalA2statusA2ofA2severalA2clients.A2WhichA2clientA2
hasA2theA2greatestA2nutritionalA2needA2forA2additionalA2intakeA2ofA2protein?A2
A.A2AA2college-ageA2trackA2runnerA2withA2aA2sprainedA2ankle.A2
B.A2AA2lactatingA2womanA2nursingA2herA23-day-oldA2infant.
A2C.A2AA2school-agedA2childA2withA2TypeA22A2diabetes.A2
D.A2AnA2elderlyA2manA2beingA2treatedA2forA2aA2pepticA2ulcer.A2-A2Ans--✅-
A2AA2lactatingA2womanA2(B)A2hasA2theA2greatestA2needA2forA2additionalA2proteinA2intake.A2(
A,A2C,A2andA2D)A2areA2allA2conditionsA2thatA2requireA2protein,A2butA2doA2notA2haveA2theA2in
creasedA2metabolicA2proteinA2demandsA2ofA2lactation.A2
CorrectA2Answer:A2B
AA2clientA2isA2inA2theA2radiologyA2departmentA2atA20900A2whenA2theA2prescriptionA2levoflox
acinA2(Levaquin)A2500A2mgA2IVA2q24hA2isA2scheduledA2toA2beA2administered.A2TheA2client
A2returnsA2toA2theA2unitA2atA21300.A2WhatA2isA2theA2bestA2interventionA2forA2theA2nurseA2toA
2implement?A2
A.A2ContactA2theA2healthcareA2providerA2andA2completeA2aA2medicationA2varianceA2form.A
2
B.A2AdministerA2theA2LevaquinA2atA21300A2andA2resumeA2theA20900A2scheduleA2inA2theA2
morning.A2
C.A2NotifyA2theA2chargeA2nurseA2andA2completeA2anA2incidentA2reportA2toA2explainA2theA2m
issedA2dose.A2
D.A2GiveA2theA2missedA2doseA2atA21300A2andA2changeA2theA2scheduleA2toA2administerA2d
ailyA2atA21300.A2-A2Ans--✅-
A2ToA2ensureA2thatA2aA2therapeuticA2levelA2ofA2medicationA2isA2maintained,A2theA2nurseA2s
houldA2administerA2theA2missedA2doseA2asA2soonA2asA2possible,A2andA2reviseA2theA2admi
nistrationA2scheduleA2accordinglyA2toA2preventA2dangerouslyA2increasingA2theA2levelA2ofA2t
QUESTIONS AND CORRECT ANSWERS
AnA2elderlyA2clientA2withA2aA2fracturedA2leftA2hipA2isA2onA2strictA2bedrest.A2WhichA2nursingA
2measureA2isA2essentialA2toA2theA2client'sA2nursingA2care?
A2A.A2MassageA2anyA2reddenedA2areasA2forA2atA2leastA2fiveA2minutes.A2
B.A2EncourageA2activeA2rangeA2ofA2motionA2exercisesA2onA2extremities.A2
C.A2PositionA2theA2clientA2laterally,A2prone,A2andA2dorsallyA2inA2sequence.A2
D.A2GentlyA2liftA2theA2clientA2whenA2movingA2intoA2aA2desiredA2position.A2-A2Ans--✅-
A2ToA2avoidA2shearingA2forcesA2whenA2repositioning,A2theA2clientA2shouldA2beA2liftedA2gent
lyA2acrossA2aA2surfaceA2(D).A2ReddenedA2areasA2shouldA2notA2beA2massagedA2(A)A2sinceA
2thisA2mayA2increaseA2theA2damageA2toA2alreadyA2traumatizedA2skin.A2ToA2controlA2painA2
andA2muscleA2spasms,A2activeA2rangeA2ofA2motionA2(B)A2mayA2beA2limitedA2onA2theA2affec
tedA2leg.A2TheA2positionA2describedA2inA2(C)A2isA2contraindicatedA2forA2aA2clientA2withA2aA2f
racturedA2leftA2hip.
A2CorrectA2Answer:A2D
TheA2nurseA2isA2administeringA2medicationsA2throughA2aA2nasogastricA2tubeA2(NGT)A2whi
chA2isA2connectedA2toA2suction.A2AfterA2ensuringA2correctA2tubeA2placement,A2whatA2actio
nA2shouldA2theA2nurseA2takeA2next?A2
A.A2ClampA2theA2tubeA2forA220A2minutes.A2
B.A2FlushA2theA2tubeA2withA2water.A2
C.A2AdministerA2theA2medicationsA2asA2prescribed.A2
D.A2CrushA2theA2tabletsA2andA2dissolveA2inA2sterileA2water.A2-A2Ans--✅-
A2TheA2NGTA2shouldA2beA2flushedA2before,A2afterA2andA2inA2betweenA2eachA2medicationA2
administeredA2(B).A2OnceA2allA2medicationsA2areA2administered,A2theA2NGTA2shouldA2beA2
clampedA2forA220A2minutesA2(A).A2(CA2andA2D)A2mayA2beA2implementedA2onlyA2afterA2theA2
tubingA2hasA2beenA2flushed.A2
CorrectA2Answer:A2B
AA2clientA2whoA2isA2inA2hospiceA2careA2complainsA2ofA2increasingA2amountsA2ofA2pain.A2Th
eA2healthcareA2providerA2prescribesA2anA2analgesicA2everyA2fourA2hoursA2asA2needed.A2W
hichA2actionA2shouldA2theA2nurseA2implement?A2
A.A2GiveA2anA2around-the-clockA2scheduleA2forA2administrationA2ofA2analgesics.A2
B.A2AdministerA2analgesicA2medicationA2asA2neededA2whenA2theA2painA2isA2severe.A2
C.A2ProvideA2medicationA2toA2keepA2theA2clientA2sedatedA2andA2unawareA2ofA2stimuli.A2
D.A2OfferA2aA2medication-freeA2periodA2soA2thatA2theA2clientA2canA2doA2dailyA2activities.A2-
A2Ans--✅-
A2TheA2mostA2effectiveA2managementA2ofA2painA2isA2achievedA2usingA2anA2around-the-
clockA2scheduleA2thatA2providesA2analgesicA2medicationsA2onA2aA2regularA2basisA2(A)A2an
dA2inA2aA2timelyA2manner.A2AnalgesicsA2HesiA2FundamentalsA22025A2exam.A2CorrectlyA2a
nswered.A2areA2lessA2effectiveA2ifA2painA2persistsA2untilA2itA2isA2severe,A2soA2anA2analgesic
A2medicationA2shouldA2beA2administeredA2beforeA2theA2client'sA2painA2peaksA2(B).A2Providi
ngA2comfortA2isA2aA2priorityA2forA2theA2clientA2whoA2isA2dying,A2butA2sedationA2thatA2impairs
, A2theA2client'sA2abilityA2toA2interactA2andA2experienceA2theA2timeA2beforeA2lifeA2endsA2shoul
dA2beA2minimizedA2(C).A2OfferingA2aA2medication-
freeA2periodA2allowsA2theA2serumA2drugA2levelA2toA2fall,A2whichA2isA2notA2anA2effectiveA2me
thodA2toA2manageA2chronicA2painA2(D).A2
CorrectA2Answer:A2A
WhenA2assessingA2aA2clientA2withA2wristA2restraints,A2theA2nurseA2observesA2thatA2theA2fin
gersA2onA2theA2rightA2handA2areA2blue.A2WhatA2actionA2shouldA2theA2nurseA2implementA2fir
st?A2
A.A2LoosenA2theA2rightA2wristA2restraint.A2
B.A2ApplyA2aA2pulseA2oximeterA2toA2theA2rightA2hand.A2
C.A2CompareA2handA2colorA2bilaterally.A2
D.A2PalpateA2theA2rightA2radialA2pulse.A2-A2Ans--✅-
A2TheA2priorityA2nursingA2actionA2isA2toA2restoreA2circulationA2byA2looseningA2theA2restraint
A2(A),A2becauseA2blueA2fingersA2(cyanosis)A2indicatesA2decreasedA2circulation.A2(CA2andA2
D)A2areA2alsoA2importantA2nursingA2interventions,A2butA2doA2notA2haveA2theA2priorityA2of(A)
.A2PulseA2oximetryA2(B)A2measuresA2theA2saturationA2ofA2hemoglobinA2withA2oxygenA2andA
2isA2notA2indicatedA2inA2situationsA2whereA2theA2cyanosisA2isA2relatedA2toA2mechanicalA2co
mpressionA2(theA2restraints).A2
CorrectA2Answer:A2A
TheA2nurseA2isA2assessingA2theA2nutritionalA2statusA2ofA2severalA2clients.A2WhichA2clientA2
hasA2theA2greatestA2nutritionalA2needA2forA2additionalA2intakeA2ofA2protein?A2
A.A2AA2college-ageA2trackA2runnerA2withA2aA2sprainedA2ankle.A2
B.A2AA2lactatingA2womanA2nursingA2herA23-day-oldA2infant.
A2C.A2AA2school-agedA2childA2withA2TypeA22A2diabetes.A2
D.A2AnA2elderlyA2manA2beingA2treatedA2forA2aA2pepticA2ulcer.A2-A2Ans--✅-
A2AA2lactatingA2womanA2(B)A2hasA2theA2greatestA2needA2forA2additionalA2proteinA2intake.A2(
A,A2C,A2andA2D)A2areA2allA2conditionsA2thatA2requireA2protein,A2butA2doA2notA2haveA2theA2in
creasedA2metabolicA2proteinA2demandsA2ofA2lactation.A2
CorrectA2Answer:A2B
AA2clientA2isA2inA2theA2radiologyA2departmentA2atA20900A2whenA2theA2prescriptionA2levoflox
acinA2(Levaquin)A2500A2mgA2IVA2q24hA2isA2scheduledA2toA2beA2administered.A2TheA2client
A2returnsA2toA2theA2unitA2atA21300.A2WhatA2isA2theA2bestA2interventionA2forA2theA2nurseA2toA
2implement?A2
A.A2ContactA2theA2healthcareA2providerA2andA2completeA2aA2medicationA2varianceA2form.A
2
B.A2AdministerA2theA2LevaquinA2atA21300A2andA2resumeA2theA20900A2scheduleA2inA2theA2
morning.A2
C.A2NotifyA2theA2chargeA2nurseA2andA2completeA2anA2incidentA2reportA2toA2explainA2theA2m
issedA2dose.A2
D.A2GiveA2theA2missedA2doseA2atA21300A2andA2changeA2theA2scheduleA2toA2administerA2d
ailyA2atA21300.A2-A2Ans--✅-
A2ToA2ensureA2thatA2aA2therapeuticA2levelA2ofA2medicationA2isA2maintained,A2theA2nurseA2s
houldA2administerA2theA2missedA2doseA2asA2soonA2asA2possible,A2andA2reviseA2theA2admi
nistrationA2scheduleA2accordinglyA2toA2preventA2dangerouslyA2increasingA2theA2levelA2ofA2t