HESI FUNDAMENTALS 2026
Study online at https://quizlet.com/_hnkehj
1. The UAPs working on a chronic neuro unit ask the nurse to help them deter-
mine the safest way to transfer an elderly client with left-sided weakness from
the bed to the chair. What method describes the correct transfer procedure
for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot: - (D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is
the safest approach to take. (A, B, and C) are unsafe methods of transfer and include the use of poor body mechanics
by the caregiver.
Correct Answer: D
2. The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.: - The NGT should be flushed before,
after and in between each medication administered (B). Once all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed.
Correct Answer: B
3. A client who is in hospice care complains of increasing amounts of pain.
The healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.: -
, HESI FUNDAMENTALS 2026
Study online at https://quizlet.com/_hnkehj
The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic
medications on a regular basis (A) and in a timely manner. Analgesics Hesi Fundamentals 2025 exam. Correctly
answered. are less effective if pain persists until it is severe, so an analgesic medication should be administered before
the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the
client's ability to interact and experience the time before life ends should be minimized (C). Offering a medication-free
period allows the serum drug level to fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
4. 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.: - 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).
Correct Answer: A
5. 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.: - 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.
Correct Answer: B
6. A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (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?
A. Contact the healthcare provider and complete a medication variance form.
Study online at https://quizlet.com/_hnkehj
1. The UAPs working on a chronic neuro unit ask the nurse to help them deter-
mine the safest way to transfer an elderly client with left-sided weakness from
the bed to the chair. What method describes the correct transfer procedure
for this client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot: - (D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is
the safest approach to take. (A, B, and C) are unsafe methods of transfer and include the use of poor body mechanics
by the caregiver.
Correct Answer: D
2. The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.: - The NGT should be flushed before,
after and in between each medication administered (B). Once all medications are administered, the NGT should be
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed.
Correct Answer: B
3. A client who is in hospice care complains of increasing amounts of pain.
The healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.: -
, HESI FUNDAMENTALS 2026
Study online at https://quizlet.com/_hnkehj
The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic
medications on a regular basis (A) and in a timely manner. Analgesics Hesi Fundamentals 2025 exam. Correctly
answered. are less effective if pain persists until it is severe, so an analgesic medication should be administered before
the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the
client's ability to interact and experience the time before life ends should be minimized (C). Offering a medication-free
period allows the serum drug level to fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
4. 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.: - 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).
Correct Answer: A
5. 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.: - 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.
Correct Answer: B
6. A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (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?
A. Contact the healthcare provider and complete a medication variance form.
