ALL HESI
FUNDAMENTALS
EXAM SPRING
SERIES QUIZBANK
,Hesi Fundamentals 2025 exam. Correctly answered.
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
✅- To avoid shearing forces when repositioning, the client should be lifted gently across a
surface (D). Reddened areas should not be massaged (A) since this may increase the
damage to already traumatized skin. To control pain and muscle spasms, active range of
motion (B) may be limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
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
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. ✅- 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
, 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
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
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
A client sis sin sthe sradiology sdepartment sat s0900 swhen sthe sprescription slevofloxacin
s(Levaquin) s500 smg sIV sq24h sis sscheduled sto sbe sadministered. sThe sclient sreturns sto
sthe sunit sat s1300. sWhat sis sthe sbest sintervention sfor sthe snurse sto simplement?
A. s Contact sthe shealthcare sprovider sand scomplete sa smedication svariance sform.
B. s Administer sthe sLevaquin sat s1300 sand sresume sthe s0900 sschedule sin sthe smorning.
C. s Notify sthe scharge snurse sand scomplete san sincident sreport sto sexplain sthe smissed sdose.
D. sGive sthe smissed sdose sat s1300 sand schange sthe sschedule sto sadminister sdaily sat s1300.
, ✅- sTo sensure sthat sa stherapeutic slevel sof smedication sis smaintained, sthe snurse sshould
sadminister sthe smissed sdose sas ssoon sas spossible, sand srevise sthe sadministration
sschedule saccordingly sto sprevent sdangerously sincreasing sthe slevel sof sthe smedication
sin sthe sbloodstream s(D). sThe snurse sshould sdocument sthe sreason sfor sthe slate sdose, sbut
s(A sand sC) sare snot swarranted. s(B) scould sresult sin sincreased sblood slevels sof sthe sdrug.
Correct sAnswer: sD
While sinstructing sa smale sclient's swife sin sthe sperformance sof spassive srange-of-motion
sexercises sto shis scontracted sshoulder, sthe snurse sobserves sthat sshe sis sholding shis sarm
sabove sand sbelow sthe selbow. sWhat snursing saction sshould sthe snurse simplement? sA.
sAcknowledge sthat sshe sis ssupporting sthe sarm scorrectly.
B. s Encourage sher sto skeep sthe sjoint scovered sto smaintain swarmth.
C. s Reinforce sthe sneed sto sgrip sdirectly sunder sthe sjoint sfor sbetter ssupport.
D. sInstruct sher sto sgrip sdirectly sover sthe sjoint sfor sbetter smotion.
✅- sThe swife sis sperforming sthe spassive sROM scorrectly, stherefore sthe snurse sshould
sacknowledge sthis sfact s(A). sThe sjoint sthat sis sbeing sexercised sshould sbe suncovered s(B)
swhile sthe srest sof sthe sbody sshould sremain scovered sfor swarmth sand sprivacy. s(C sand
sD) sdo snot sprovide sadequate ssupport sto sthe sjoint swhile sstill sallowing sfor sjoint
smovement. sCorrect sAnswer: sA
What sis sthe smost simportant sreason sfor sstarting sintravenous sinfusions sin sthe supper
sextremities srather sthan sthe slower sextremities sof sadults?
A. sIt sis smore sdifficult sto sfind sa ssuperficial svein sin sthe sfeet sand sankles.
B. sA sdecreased sflow srate scould sresult sin sthe sformation sof sa sthrombosis.
C. s A scannulated sextremity sis smore sdifficult sto smove swhen sthe sleg sor sfoot sis sused.
D. sVeins sare slocated sdeep sin sthe sfeet sand sankles, sresulting sin sa smore spainful
sprocedure. s✅- sVenous sreturn sis susually sbetter sin sthe supper sextremities.
sCannulation sof sthe sveins sin sthe slower sextremities sincreases sthe srisk sof sthrombus
sformation s(B) swhich, sif sdislodged, scould sbe slife-threatening. sSuperficial sveins sare
soften svery seasy s(A) sto sfind sin sthe sfeet sand slegs. sHandling sa sleg sor sfoot swith san
sIV s(C) sis sprobably snot sany smore sdifficult sthan shandling san sarm sor shand. sEven sif
sthe snurse sdid sbelieve smoving sa scannulated sleg swas smore sdifficult, sthis sis snot sthe
smost simportant sreason sfor susing sthe supper sextremities. sPain s(D) sis snot sa
sconsideration.
Correct sAnswer: sB
The snurse sobserves san sunlicensed sassistive spersonnel s(UAP) staking sa sclient's sblood
spressure swith sa scuff sthat sis stoo ssmall, sbut sthe sblood spressure sreading sobtained sis
swithin sthe sclient's susual srange. sWhat saction sis smost simportant sfor sthe snurse sto
simplement? sA. sTell sthe sUAP sto suse sa slarger scuff sat sthe snext sscheduled sassessment.
B. s Reassess sthe sclient's sblood spressure susing sa slarger scuff.
FUNDAMENTALS
EXAM SPRING
SERIES QUIZBANK
,Hesi Fundamentals 2025 exam. Correctly answered.
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
✅- To avoid shearing forces when repositioning, the client should be lifted gently across a
surface (D). Reddened areas should not be massaged (A) since this may increase the
damage to already traumatized skin. To control pain and muscle spasms, active range of
motion (B) may be limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
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
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. ✅- 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
, 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
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
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
A client sis sin sthe sradiology sdepartment sat s0900 swhen sthe sprescription slevofloxacin
s(Levaquin) s500 smg sIV sq24h sis sscheduled sto sbe sadministered. sThe sclient sreturns sto
sthe sunit sat s1300. sWhat sis sthe sbest sintervention sfor sthe snurse sto simplement?
A. s Contact sthe shealthcare sprovider sand scomplete sa smedication svariance sform.
B. s Administer sthe sLevaquin sat s1300 sand sresume sthe s0900 sschedule sin sthe smorning.
C. s Notify sthe scharge snurse sand scomplete san sincident sreport sto sexplain sthe smissed sdose.
D. sGive sthe smissed sdose sat s1300 sand schange sthe sschedule sto sadminister sdaily sat s1300.
, ✅- sTo sensure sthat sa stherapeutic slevel sof smedication sis smaintained, sthe snurse sshould
sadminister sthe smissed sdose sas ssoon sas spossible, sand srevise sthe sadministration
sschedule saccordingly sto sprevent sdangerously sincreasing sthe slevel sof sthe smedication
sin sthe sbloodstream s(D). sThe snurse sshould sdocument sthe sreason sfor sthe slate sdose, sbut
s(A sand sC) sare snot swarranted. s(B) scould sresult sin sincreased sblood slevels sof sthe sdrug.
Correct sAnswer: sD
While sinstructing sa smale sclient's swife sin sthe sperformance sof spassive srange-of-motion
sexercises sto shis scontracted sshoulder, sthe snurse sobserves sthat sshe sis sholding shis sarm
sabove sand sbelow sthe selbow. sWhat snursing saction sshould sthe snurse simplement? sA.
sAcknowledge sthat sshe sis ssupporting sthe sarm scorrectly.
B. s Encourage sher sto skeep sthe sjoint scovered sto smaintain swarmth.
C. s Reinforce sthe sneed sto sgrip sdirectly sunder sthe sjoint sfor sbetter ssupport.
D. sInstruct sher sto sgrip sdirectly sover sthe sjoint sfor sbetter smotion.
✅- sThe swife sis sperforming sthe spassive sROM scorrectly, stherefore sthe snurse sshould
sacknowledge sthis sfact s(A). sThe sjoint sthat sis sbeing sexercised sshould sbe suncovered s(B)
swhile sthe srest sof sthe sbody sshould sremain scovered sfor swarmth sand sprivacy. s(C sand
sD) sdo snot sprovide sadequate ssupport sto sthe sjoint swhile sstill sallowing sfor sjoint
smovement. sCorrect sAnswer: sA
What sis sthe smost simportant sreason sfor sstarting sintravenous sinfusions sin sthe supper
sextremities srather sthan sthe slower sextremities sof sadults?
A. sIt sis smore sdifficult sto sfind sa ssuperficial svein sin sthe sfeet sand sankles.
B. sA sdecreased sflow srate scould sresult sin sthe sformation sof sa sthrombosis.
C. s A scannulated sextremity sis smore sdifficult sto smove swhen sthe sleg sor sfoot sis sused.
D. sVeins sare slocated sdeep sin sthe sfeet sand sankles, sresulting sin sa smore spainful
sprocedure. s✅- sVenous sreturn sis susually sbetter sin sthe supper sextremities.
sCannulation sof sthe sveins sin sthe slower sextremities sincreases sthe srisk sof sthrombus
sformation s(B) swhich, sif sdislodged, scould sbe slife-threatening. sSuperficial sveins sare
soften svery seasy s(A) sto sfind sin sthe sfeet sand slegs. sHandling sa sleg sor sfoot swith san
sIV s(C) sis sprobably snot sany smore sdifficult sthan shandling san sarm sor shand. sEven sif
sthe snurse sdid sbelieve smoving sa scannulated sleg swas smore sdifficult, sthis sis snot sthe
smost simportant sreason sfor susing sthe supper sextremities. sPain s(D) sis snot sa
sconsideration.
Correct sAnswer: sB
The snurse sobserves san sunlicensed sassistive spersonnel s(UAP) staking sa sclient's sblood
spressure swith sa scuff sthat sis stoo ssmall, sbut sthe sblood spressure sreading sobtained sis
swithin sthe sclient's susual srange. sWhat saction sis smost simportant sfor sthe snurse sto
simplement? sA. sTell sthe sUAP sto suse sa slarger scuff sat sthe snext sscheduled sassessment.
B. s Reassess sthe sclient's sblood spressure susing sa slarger scuff.
