ALL HESI FUNDAMENTALS EXAM 2026 EXAM
SCRIPT TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ An obese male client discusses with the nurse his plans to begin
long-term weight loss regimen. In addition to dietary changes, he
plans to begin an intensive aerobic exercise program 3 to 4 times a
week and to take stress management classes. After praising the
client for his decision, which instruction is most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before
beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a
sense of accomplishment and motivation."
Answer: A. "Be sure to have a complete physical examination before
your planned exercise program."
(The most important teaching is (A), so that the client will not begin
a dangerous level of exercise when he is not sufficiently fit. This
might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A). )
,◉ 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 inhalers
D. Immediately after inhalation
Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉ An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump?
Answer: 180
◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxoltn is available in 5 mg tablets. How
much should the nurse plan to administer?
Answer: 1 1/2 tablets
, ◉ The healthcare provider prescribes furosemide (Lasix) 15 mg IV
stat. On hand is Lasix 20 mg/2ml. How many millileters should the
nurse administer?
Answer: 1.5 mL
◉ Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been
infusing for 5.5 hours. How much heparin has the client received?
Answer: 11,000 units
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 mL/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
D. Obtain a stat blood glucose level and notify the HCP.
Answer: C. Infuse 10% dextrose and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust
decreased levels of glucose. Administering 10% dextrose in water at
the prescribed rate (C) will keep the client from experiencing
hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
SCRIPT TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ An obese male client discusses with the nurse his plans to begin
long-term weight loss regimen. In addition to dietary changes, he
plans to begin an intensive aerobic exercise program 3 to 4 times a
week and to take stress management classes. After praising the
client for his decision, which instruction is most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before
beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a
sense of accomplishment and motivation."
Answer: A. "Be sure to have a complete physical examination before
your planned exercise program."
(The most important teaching is (A), so that the client will not begin
a dangerous level of exercise when he is not sufficiently fit. This
might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A). )
,◉ 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 inhalers
D. Immediately after inhalation
Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉ An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump?
Answer: 180
◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxoltn is available in 5 mg tablets. How
much should the nurse plan to administer?
Answer: 1 1/2 tablets
, ◉ The healthcare provider prescribes furosemide (Lasix) 15 mg IV
stat. On hand is Lasix 20 mg/2ml. How many millileters should the
nurse administer?
Answer: 1.5 mL
◉ Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been
infusing for 5.5 hours. How much heparin has the client received?
Answer: 11,000 units
◉ The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 mL/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take?
A. Infuse normal saline at a keep vein open rate.
B. Discontinue the IV and flush the port with heparin.
C. Infuse 10% dextrose and water at 54 mL/hour.
D. Obtain a stat blood glucose level and notify the HCP.
Answer: C. Infuse 10% dextrose and water at 54 mL/hour.
(TPN is discontinued gradually to allow the client to adjust
decreased levels of glucose. Administering 10% dextrose in water at
the prescribed rate (C) will keep the client from experiencing
hypoglycemia until the next TPN solution is available. The client
could experience a hypoglycemic reaction if the current level of
