Page 1 of 215
HESI FUNDAMENTALS EXAM QUESTION BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
UNIT 1: FOUNDATIONS OF NURSING PRACTICE
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.
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 prior to
,Page 2 of 215
discharge than the nurse's assessment of the client's ability to
complete the wound care
An elderly resident of a long-term care facility is no longer able to
perform self-care and is becoming progressively weaker. The resident
previously requested that no resuscitative efforts be performed, and
the family requests hospice care. What action should the nurse
implement first?
A) Reaffirm the client's desire for no resuscitative efforts.
B) Transfer the client to a hospice inpatient facility.
C) Prepare the family for the client's impending death.
D) Notify the healthcare provider of the family's request.
D) Notify the healthcare provider of the family's request
The nurse should first communicate with the healthcare provider (D).
Hospice care is provided for clients with a limited life expectancy,
which must be identified by the healthcare provider. (A) is not
necessary at this time. Once the healthcare provider supports the
transfer to hospice care, the nurse can collaborate with the hospice
staff and healthcare provider to determine when (B and C) should be
implemented
,Page 3 of 215
The nurse is evaluating client learning about a low-sodium diet.
Selection of which meal would indicate to the nurse that this client
understands the dietary restrictions?
A) Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B) New England clam chowder, no-salt crackers, fresh fruit salad.
C) Skim milk, turkey salad, roll, and vanilla ice cream.
D) Macaroni and cheese, diet Coke, a slice of cherry pie.
C) Skim milk, turkey salad, roll, and vanilla ice cream
Skim milk, turkey, bread, and ice cream (C), while containing some
sodium, are considered low-sodium foods. Bacon (A), canned soups
(B), especially those with seafood, hard cheeses, macaroni, and most
diet drinks (D) are very high in sodium
A client who has been NPO for 3 days is receiving an infusion of D5W
0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's eight-hour urine output is 400 ml, blood urea
nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is
120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is
most important for the nurse to implement?
, Page 4 of 215
A) Notify healthcare provider and request to change the IV infusion to
hypertonic D10W.
B) Decrease in the infusion rate of the current IV and report to the
healthcare provider.
C) Document in the medical record that these normal findings are
expected outcomes.
D) Obtain potassium chloride 20 mEq in anticipation of a prescription
to add to present IV.
C) Document in the medical record that these normal findings are
expected outcomes
The results are all within normal range.(C) No changes are needed.
(A,B, and D)
The nurse is teaching a client proper use of an inhaler. When should
the client administer the inhaler-delivered medication to demonstrate
correct use of the inhaler?
A) Immediately after exhalation.
B) During the inhalation.
C) At the end of three inhalations.
D) Immediately after inhalation
HESI FUNDAMENTALS EXAM QUESTION BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
UNIT 1: FOUNDATIONS OF NURSING PRACTICE
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.
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 prior to
,Page 2 of 215
discharge than the nurse's assessment of the client's ability to
complete the wound care
An elderly resident of a long-term care facility is no longer able to
perform self-care and is becoming progressively weaker. The resident
previously requested that no resuscitative efforts be performed, and
the family requests hospice care. What action should the nurse
implement first?
A) Reaffirm the client's desire for no resuscitative efforts.
B) Transfer the client to a hospice inpatient facility.
C) Prepare the family for the client's impending death.
D) Notify the healthcare provider of the family's request.
D) Notify the healthcare provider of the family's request
The nurse should first communicate with the healthcare provider (D).
Hospice care is provided for clients with a limited life expectancy,
which must be identified by the healthcare provider. (A) is not
necessary at this time. Once the healthcare provider supports the
transfer to hospice care, the nurse can collaborate with the hospice
staff and healthcare provider to determine when (B and C) should be
implemented
,Page 3 of 215
The nurse is evaluating client learning about a low-sodium diet.
Selection of which meal would indicate to the nurse that this client
understands the dietary restrictions?
A) Tossed salad, low-sodium dressing, bacon and tomato sandwich.
B) New England clam chowder, no-salt crackers, fresh fruit salad.
C) Skim milk, turkey salad, roll, and vanilla ice cream.
D) Macaroni and cheese, diet Coke, a slice of cherry pie.
C) Skim milk, turkey salad, roll, and vanilla ice cream
Skim milk, turkey, bread, and ice cream (C), while containing some
sodium, are considered low-sodium foods. Bacon (A), canned soups
(B), especially those with seafood, hard cheeses, macaroni, and most
diet drinks (D) are very high in sodium
A client who has been NPO for 3 days is receiving an infusion of D5W
0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's eight-hour urine output is 400 ml, blood urea
nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is
120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is
most important for the nurse to implement?
, Page 4 of 215
A) Notify healthcare provider and request to change the IV infusion to
hypertonic D10W.
B) Decrease in the infusion rate of the current IV and report to the
healthcare provider.
C) Document in the medical record that these normal findings are
expected outcomes.
D) Obtain potassium chloride 20 mEq in anticipation of a prescription
to add to present IV.
C) Document in the medical record that these normal findings are
expected outcomes
The results are all within normal range.(C) No changes are needed.
(A,B, and D)
The nurse is teaching a client proper use of an inhaler. When should
the client administer the inhaler-delivered medication to demonstrate
correct use of the inhaler?
A) Immediately after exhalation.
B) During the inhalation.
C) At the end of three inhalations.
D) Immediately after inhalation
