Fundamentals
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
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➢ multiple-choice format (A, B, C, D) with correct answers
➢ Next Generation NCLEX (NGN)-style.
➢ Some questions feature “case scenarios”
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,Table of Contents
HESI FUNDAMENTALS EXAM SET 1 ................................... 2
HESI FUNDAMENTALS EXAM SET 2 ................................. 37
HESI FUNDAMENTALS EXAM SET 3 ................................. 59
HESI FUNDAMENTALS EXAM SET 1
Question 1 – Medication via G-tube (SATA)
The nurse prepares to administer a medication that comes in tablet form
through a client’s gastrostomy tube. Which actions should the nurse implement?
(Select all that apply.)
a. Position the client in Fowler’s position
b. Aspirate gastric contents at the start and end of the procedure
c. Mix crushed medication with tube feeding
d. Pour dissolved medication into a syringe and inject forcefully into the G-tube
e. Flush the tube with 30 mL of lukewarm water before and after medication
administration
Figure 1. Example protocol for G-tube medication administration
Step Action
1 Position client in Fowler’s position (keep ~30 min after)
2 Verify tube placement / GI function as ordered
, Step Action
3 Flush tube with lukewarm water
4 Crush tablet (if allowed) and dissolve in water
5 Allow solution to flow in by gravity (do not force)
6 Flush tube again with lukewarm water
7 Reclamp/close tube
Correct Answers: a, e
Rationale:
Fowler’s position (A) promotes gravity flow and reduces aspiration risk. Flushing
with lukewarm water before and after (E) maintains tube patency and helps
prevent cramping. Mixing with tube feeding (C) can clog the tube and alter
absorption, and forceful injection (D) can damage the tube or cause reflux.
Question 2 – Client removing nasal cannula
The nurse notes that a client who is receiving oxygen by nasal cannula continues
to remove the prongs from the nares. What action should the nurse take?
a. Tape the oxygen tubing to the client’s nares
b. Assess why the client removes the nasal cannula
c. Increase the oxygen flow rate
d. Change the nasal cannula to a mask
Correct Answer: b