HESI FUNDAMENTAL PRACTICE EXAM 2025 QUESTIONS AND DETAILED
ANSWERS|WELL STRUCTURED| A+ GRADED|
The nurse observes that a male client
has removed the covering from an ice
park applied to his knee. What action
should the nurse take first? Observe the appearance of the skin un-
A. Observe the appearance of the skin der the ice pack (The first action taken by
under the ice pack. the nurse should be to assess the skin for
B. Instruct the client regarding the need any possible thermal injury. If no injury to
for the covering. the skin has occurred, the nurse can take
C. Reapply the covering after filling with the other actions.)
fresh ice.
D. Ask the client how long the ice was
applied to the skin.
The nurse mixes 50 mg of Nipride in
250 mL of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to
124 gtt/min
a client weighting 182 lbs. Using a drip
factor of 60 gtt/mL, how many drops per
minute should the client receive?
The healthcare provider prescribes an IV
infusion of 1000 ml of Ringer's Lactate w/
30 units of Pitocin to run in over 4 hours
for a client who has just delivered a 10
83 gtt/min
pound infant by cesarean section. The
tubing has been changed to a 20 gtt/ml
administration set.The nurse plans to set
the flow rate at how many gtt/min?
Which assessment data provides the
Examining a chest x-ray obtained after
most accurate determination of proper
the tubing was inserted
placement of a nasogastric tube?
Three days following a surgery, a male
client observes his colostomy for the first B. Instruct the client that the stoma will
time. He becomes quite upset and tells become smaller when the initial swelling
the nurse that it is much bigger than he diminishes (Postoperative swelling caus-
expected. What is the best response by es enlargement of the stoma. The nurse
the nurse? can teach the client that the stoma will
A. Reassure the client that he will be- become smaller when swelling is di-
come accustomed to the stoma appear-
, HESI FUNDAMENTAL PRACTICE EXAM 2025 QUESTIONS AND DETAILED
ANSWERS|WELL STRUCTURED| A+ GRADED|
ance in time.
B. Instruct the client that the stoma will minished (B). This will help reduce the
become much smaller when the initial client's anxiety and promote acceptance
swelling diminishes. of the colostomy. (A) does not provide
C. Offer to contact a member of the local helpful teaching or support. (C) is a use-
ostomy support group to help him with ful action, and may be taken after the
his concerns. nurse provides pertinent teaching. The
D. Encourage the client to handle the client is not yet demonstrating readiness
stoma equipment to gain confidence with to learn colostomy care. (D)
the procedure.
A female client with a nasogastric tube
attached to low suction states that she
B. Reposition the client on her side. (The
is nauseated. The nurse assesses that
immediate priority is to determine if the
there has been no drainage through the
tube is functioning correctly, which would
nasogastric tube in the last two hours.
then relieve the client's nausea.The least
What action should the nurse take first?
invasive intervention (B) should be at-
A. Irrigate the nasogastric tube with ster-
tempted first, followed by (A and C),
ile normal saline.
unless either of these interventions is
B. Reposition the client on her side.
contraindicated. If these measures are
C. Advance the nasogastric tube an ad-
unsuccessful, the client may require an
ditional five centimeters.
antiemetic (D))
D. Administer an intravenous antiemetic
prescribed for PRN use.
A hospitalized male client is receiv-
ing nasogastric tube feedings via a
small-bore tube and a continuous pump
infusion. He reports that he had a bad
bout of severe coughing a few minutes
ago, but feels fine now. What action is
best for the nurse to take? C. After clearing the tube with 30 ml of
A. Record the coughing incident. No fur- air, check the pH of fluid withdrawn from
ther action is required at this time. the tube.
B. Stop the feeding, explain to the family
why it is being stopped, and notify the
HCP.
C. After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from
the tube.
, HESI FUNDAMENTAL PRACTICE EXAM 2025 QUESTIONS AND DETAILED
ANSWERS|WELL STRUCTURED| A+ GRADED|
D. Inject 30 ml of air into the tube while
auscultating the epigastrium for gurgling.
A male client tells the nurse that he does
not know where he is or what year it is. D. is disoriented to place and time (The
What data should the nurse document client is exhibiting disorientation (D). (A)
that is most accurate? refers to memory of the distant past. The
A. demonstrates loss of remote memory client is able to express himself without
B. exhibits expressive dysphasia difficulty (B), and does not demonstrate
C. has a diminished attention span diminished attention span. (C).
D. is disoriented to place and time
A client with chronic kidney disease
(CKD) selects a scrambled egg for his A. Commend the client for selecting a
breakfast. What action should the nurse high biologic value protein. (Foods such
take? as eggs and milk (A) are high biologic
A. Commend the client for selecting a proteins which are allowed because they
high biologic value protein. are complete proteins and supply the es-
B. Remind the client that protein in the sential amino acids that are necessary
diet should be avoided. for growth and cell repair. Orange juice
C. Suggest that the client also select or- is rich in potassium and should not be
ange juice, to promote absorption. encouraged. The client has made a good
D. Encourage the client to attend classes diet choice so (D) is not necessary.)
on dietary management of CKD.
Upper torso (The center of gravity for
adults is the hips. However, as the person
grows older, a stooped posture is com-
When assisting an 82 year old client to
mon because of the changes from osteo-
ambulate, it is important for the nurse to
porosis and normal bone degeneration,
realize that the center of gravity for an
and the knees, hips, and elbows flex.
elderly person is the--
This stooped posture results in the upper
torso becoming the center of gravity for
older persons.)
In developing a plan of care for a client
B. often follows relocation to new sur-
with dementia, the nurse should remem-
roundings (Relocation (B) often results in
ber that confusion in the elderly
confusion among elderly clients-- moving
A. is to be expected, and progresses with
is stressful for anyone. (A) is stereotypi-
age
cal judgement. Stress in the elderly often
B. often follows relocation to new sur-
manifests itself as confusion, so (C) is
roundings
ANSWERS|WELL STRUCTURED| A+ GRADED|
The nurse observes that a male client
has removed the covering from an ice
park applied to his knee. What action
should the nurse take first? Observe the appearance of the skin un-
A. Observe the appearance of the skin der the ice pack (The first action taken by
under the ice pack. the nurse should be to assess the skin for
B. Instruct the client regarding the need any possible thermal injury. If no injury to
for the covering. the skin has occurred, the nurse can take
C. Reapply the covering after filling with the other actions.)
fresh ice.
D. Ask the client how long the ice was
applied to the skin.
The nurse mixes 50 mg of Nipride in
250 mL of D5W and plans to administer
the solution at a rate of 5 mcg/kg/min to
124 gtt/min
a client weighting 182 lbs. Using a drip
factor of 60 gtt/mL, how many drops per
minute should the client receive?
The healthcare provider prescribes an IV
infusion of 1000 ml of Ringer's Lactate w/
30 units of Pitocin to run in over 4 hours
for a client who has just delivered a 10
83 gtt/min
pound infant by cesarean section. The
tubing has been changed to a 20 gtt/ml
administration set.The nurse plans to set
the flow rate at how many gtt/min?
Which assessment data provides the
Examining a chest x-ray obtained after
most accurate determination of proper
the tubing was inserted
placement of a nasogastric tube?
Three days following a surgery, a male
client observes his colostomy for the first B. Instruct the client that the stoma will
time. He becomes quite upset and tells become smaller when the initial swelling
the nurse that it is much bigger than he diminishes (Postoperative swelling caus-
expected. What is the best response by es enlargement of the stoma. The nurse
the nurse? can teach the client that the stoma will
A. Reassure the client that he will be- become smaller when swelling is di-
come accustomed to the stoma appear-
, HESI FUNDAMENTAL PRACTICE EXAM 2025 QUESTIONS AND DETAILED
ANSWERS|WELL STRUCTURED| A+ GRADED|
ance in time.
B. Instruct the client that the stoma will minished (B). This will help reduce the
become much smaller when the initial client's anxiety and promote acceptance
swelling diminishes. of the colostomy. (A) does not provide
C. Offer to contact a member of the local helpful teaching or support. (C) is a use-
ostomy support group to help him with ful action, and may be taken after the
his concerns. nurse provides pertinent teaching. The
D. Encourage the client to handle the client is not yet demonstrating readiness
stoma equipment to gain confidence with to learn colostomy care. (D)
the procedure.
A female client with a nasogastric tube
attached to low suction states that she
B. Reposition the client on her side. (The
is nauseated. The nurse assesses that
immediate priority is to determine if the
there has been no drainage through the
tube is functioning correctly, which would
nasogastric tube in the last two hours.
then relieve the client's nausea.The least
What action should the nurse take first?
invasive intervention (B) should be at-
A. Irrigate the nasogastric tube with ster-
tempted first, followed by (A and C),
ile normal saline.
unless either of these interventions is
B. Reposition the client on her side.
contraindicated. If these measures are
C. Advance the nasogastric tube an ad-
unsuccessful, the client may require an
ditional five centimeters.
antiemetic (D))
D. Administer an intravenous antiemetic
prescribed for PRN use.
A hospitalized male client is receiv-
ing nasogastric tube feedings via a
small-bore tube and a continuous pump
infusion. He reports that he had a bad
bout of severe coughing a few minutes
ago, but feels fine now. What action is
best for the nurse to take? C. After clearing the tube with 30 ml of
A. Record the coughing incident. No fur- air, check the pH of fluid withdrawn from
ther action is required at this time. the tube.
B. Stop the feeding, explain to the family
why it is being stopped, and notify the
HCP.
C. After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from
the tube.
, HESI FUNDAMENTAL PRACTICE EXAM 2025 QUESTIONS AND DETAILED
ANSWERS|WELL STRUCTURED| A+ GRADED|
D. Inject 30 ml of air into the tube while
auscultating the epigastrium for gurgling.
A male client tells the nurse that he does
not know where he is or what year it is. D. is disoriented to place and time (The
What data should the nurse document client is exhibiting disorientation (D). (A)
that is most accurate? refers to memory of the distant past. The
A. demonstrates loss of remote memory client is able to express himself without
B. exhibits expressive dysphasia difficulty (B), and does not demonstrate
C. has a diminished attention span diminished attention span. (C).
D. is disoriented to place and time
A client with chronic kidney disease
(CKD) selects a scrambled egg for his A. Commend the client for selecting a
breakfast. What action should the nurse high biologic value protein. (Foods such
take? as eggs and milk (A) are high biologic
A. Commend the client for selecting a proteins which are allowed because they
high biologic value protein. are complete proteins and supply the es-
B. Remind the client that protein in the sential amino acids that are necessary
diet should be avoided. for growth and cell repair. Orange juice
C. Suggest that the client also select or- is rich in potassium and should not be
ange juice, to promote absorption. encouraged. The client has made a good
D. Encourage the client to attend classes diet choice so (D) is not necessary.)
on dietary management of CKD.
Upper torso (The center of gravity for
adults is the hips. However, as the person
grows older, a stooped posture is com-
When assisting an 82 year old client to
mon because of the changes from osteo-
ambulate, it is important for the nurse to
porosis and normal bone degeneration,
realize that the center of gravity for an
and the knees, hips, and elbows flex.
elderly person is the--
This stooped posture results in the upper
torso becoming the center of gravity for
older persons.)
In developing a plan of care for a client
B. often follows relocation to new sur-
with dementia, the nurse should remem-
roundings (Relocation (B) often results in
ber that confusion in the elderly
confusion among elderly clients-- moving
A. is to be expected, and progresses with
is stressful for anyone. (A) is stereotypi-
age
cal judgement. Stress in the elderly often
B. often follows relocation to new sur-
manifests itself as confusion, so (C) is
roundings
