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 fis fin fthe fradiology fdepartment fat f0900 fwhen fthe fprescription flevofloxacin
f(Levaquin) f500 fmg fIV fq24h fis fscheduled fto fbe fadministered. fThe fclient freturns fto fthe
funit fat f1300. fWhat fis fthe fbest fintervention ffor fthe fnurse fto fimplement?
A. f Contact fthe fhealthcare fprovider fand fcomplete fa fmedication fvariance fform.
B. f Administer fthe fLevaquin fat f1300 fand fresume fthe f0900 fschedule fin fthe fmorning.
C. f Notify fthe fcharge fnurse fand fcomplete fan fincident freport fto fexplain fthe fmissed fdose.
D. fGive fthe fmissed fdose fat f1300 fand fchange fthe fschedule fto fadminister fdaily fat f1300.
, ✅- fTo fensure fthat fa ftherapeutic flevel fof fmedication fis fmaintained, fthe fnurse fshould
fadminister fthe fmissed fdose fas fsoon fas fpossible, fand frevise fthe fadministration
fschedule faccordingly fto fprevent fdangerously fincreasing fthe flevel fof fthe fmedication fin
fthe fbloodstream f(D). fThe fnurse fshould fdocument fthe freason ffor fthe flate fdose, fbut f(A
fand fC) fare fnot fwarranted. f(B) fcould fresult fin fincreased fblood flevels fof fthe fdrug.
Correct fAnswer: fD
While finstructing fa fmale fclient's fwife fin fthe fperformance fof fpassive frange-of-motion
fexercises fto fhis fcontracted fshoulder, fthe fnurse fobserves fthat fshe fis fholding fhis farm
fabove fand fbelow fthe felbow. fWhat fnursing faction fshould fthe fnurse fimplement? fA.
fAcknowledge fthat fshe fis fsupporting fthe farm fcorrectly.
B. f Encourage fher fto fkeep fthe fjoint fcovered fto fmaintain fwarmth.
C. f Reinforce fthe fneed fto fgrip fdirectly funder fthe fjoint ffor fbetter fsupport.
D. fInstruct fher fto fgrip fdirectly fover fthe fjoint ffor fbetter fmotion.
✅- fThe fwife fis fperforming fthe fpassive fROM fcorrectly, ftherefore fthe fnurse fshould
facknowledge fthis ffact f(A). fThe fjoint fthat fis fbeing fexercised fshould fbe funcovered f(B)
fwhile fthe frest fof fthe fbody fshould fremain fcovered ffor fwarmth fand fprivacy. f(C fand fD)
fdo fnot fprovide fadequate fsupport fto fthe fjoint fwhile fstill fallowing ffor fjoint fmovement.
fCorrect fAnswer: fA
What fis fthe fmost fimportant freason ffor fstarting fintravenous finfusions fin fthe fupper
fextremities frather fthan fthe flower fextremities fof fadults?
A. fIt fis fmore fdifficult fto ffind fa fsuperficial fvein fin fthe ffeet fand fankles.
B. fA fdecreased fflow frate fcould fresult fin fthe fformation fof fa fthrombosis.
C. f A fcannulated fextremity fis fmore fdifficult fto fmove fwhen fthe fleg for ffoot fis fused.
D. fVeins fare flocated fdeep fin fthe ffeet fand fankles, fresulting fin fa fmore fpainful fprocedure.
f✅- fVenous freturn fis fusually fbetter fin fthe fupper fextremities. fCannulation fof fthe
fveins fin fthe flower fextremities fincreases fthe frisk fof fthrombus fformation f(B) fwhich, fif
fdislodged, fcould fbe flife-threatening. fSuperficial fveins fare foften fvery feasy f(A) fto ffind
fin fthe ffeet fand flegs. fHandling fa fleg for ffoot fwith fan fIV f(C) fis fprobably fnot fany fmore
fdifficult fthan fhandling fan farm for fhand. fEven fif fthe fnurse fdid fbelieve fmoving fa
fcannulated fleg fwas fmore fdifficult, fthis fis fnot fthe fmost fimportant freason ffor fusing
fthe fupper fextremities. fPain f(D) fis fnot fa fconsideration.
Correct fAnswer: fB
The fnurse fobserves fan funlicensed fassistive fpersonnel f(UAP) ftaking fa fclient's fblood
fpressure fwith fa fcuff fthat fis ftoo fsmall, fbut fthe fblood fpressure freading fobtained fis fwithin
fthe fclient's fusual frange. fWhat faction fis fmost fimportant ffor fthe fnurse fto fimplement? fA.
fTell fthe fUAP fto fuse fa flarger fcuff fat fthe fnext fscheduled fassessment.
B. f Reassess fthe fclient's fblood fpressure fusing fa flarger fcuff.
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 fis fin fthe fradiology fdepartment fat f0900 fwhen fthe fprescription flevofloxacin
f(Levaquin) f500 fmg fIV fq24h fis fscheduled fto fbe fadministered. fThe fclient freturns fto fthe
funit fat f1300. fWhat fis fthe fbest fintervention ffor fthe fnurse fto fimplement?
A. f Contact fthe fhealthcare fprovider fand fcomplete fa fmedication fvariance fform.
B. f Administer fthe fLevaquin fat f1300 fand fresume fthe f0900 fschedule fin fthe fmorning.
C. f Notify fthe fcharge fnurse fand fcomplete fan fincident freport fto fexplain fthe fmissed fdose.
D. fGive fthe fmissed fdose fat f1300 fand fchange fthe fschedule fto fadminister fdaily fat f1300.
, ✅- fTo fensure fthat fa ftherapeutic flevel fof fmedication fis fmaintained, fthe fnurse fshould
fadminister fthe fmissed fdose fas fsoon fas fpossible, fand frevise fthe fadministration
fschedule faccordingly fto fprevent fdangerously fincreasing fthe flevel fof fthe fmedication fin
fthe fbloodstream f(D). fThe fnurse fshould fdocument fthe freason ffor fthe flate fdose, fbut f(A
fand fC) fare fnot fwarranted. f(B) fcould fresult fin fincreased fblood flevels fof fthe fdrug.
Correct fAnswer: fD
While finstructing fa fmale fclient's fwife fin fthe fperformance fof fpassive frange-of-motion
fexercises fto fhis fcontracted fshoulder, fthe fnurse fobserves fthat fshe fis fholding fhis farm
fabove fand fbelow fthe felbow. fWhat fnursing faction fshould fthe fnurse fimplement? fA.
fAcknowledge fthat fshe fis fsupporting fthe farm fcorrectly.
B. f Encourage fher fto fkeep fthe fjoint fcovered fto fmaintain fwarmth.
C. f Reinforce fthe fneed fto fgrip fdirectly funder fthe fjoint ffor fbetter fsupport.
D. fInstruct fher fto fgrip fdirectly fover fthe fjoint ffor fbetter fmotion.
✅- fThe fwife fis fperforming fthe fpassive fROM fcorrectly, ftherefore fthe fnurse fshould
facknowledge fthis ffact f(A). fThe fjoint fthat fis fbeing fexercised fshould fbe funcovered f(B)
fwhile fthe frest fof fthe fbody fshould fremain fcovered ffor fwarmth fand fprivacy. f(C fand fD)
fdo fnot fprovide fadequate fsupport fto fthe fjoint fwhile fstill fallowing ffor fjoint fmovement.
fCorrect fAnswer: fA
What fis fthe fmost fimportant freason ffor fstarting fintravenous finfusions fin fthe fupper
fextremities frather fthan fthe flower fextremities fof fadults?
A. fIt fis fmore fdifficult fto ffind fa fsuperficial fvein fin fthe ffeet fand fankles.
B. fA fdecreased fflow frate fcould fresult fin fthe fformation fof fa fthrombosis.
C. f A fcannulated fextremity fis fmore fdifficult fto fmove fwhen fthe fleg for ffoot fis fused.
D. fVeins fare flocated fdeep fin fthe ffeet fand fankles, fresulting fin fa fmore fpainful fprocedure.
f✅- fVenous freturn fis fusually fbetter fin fthe fupper fextremities. fCannulation fof fthe
fveins fin fthe flower fextremities fincreases fthe frisk fof fthrombus fformation f(B) fwhich, fif
fdislodged, fcould fbe flife-threatening. fSuperficial fveins fare foften fvery feasy f(A) fto ffind
fin fthe ffeet fand flegs. fHandling fa fleg for ffoot fwith fan fIV f(C) fis fprobably fnot fany fmore
fdifficult fthan fhandling fan farm for fhand. fEven fif fthe fnurse fdid fbelieve fmoving fa
fcannulated fleg fwas fmore fdifficult, fthis fis fnot fthe fmost fimportant freason ffor fusing
fthe fupper fextremities. fPain f(D) fis fnot fa fconsideration.
Correct fAnswer: fB
The fnurse fobserves fan funlicensed fassistive fpersonnel f(UAP) ftaking fa fclient's fblood
fpressure fwith fa fcuff fthat fis ftoo fsmall, fbut fthe fblood fpressure freading fobtained fis fwithin
fthe fclient's fusual frange. fWhat faction fis fmost fimportant ffor fthe fnurse fto fimplement? fA.
fTell fthe fUAP fto fuse fa flarger fcuff fat fthe fnext fscheduled fassessment.
B. f Reassess fthe fclient's fblood fpressure fusing fa flarger fcuff.
