HESI RN FUNDAMENTAL PRACTICAL
2025/2026 EXAMINATION
During shift change report, the nurse receives report that a client has abnormal
heart sounds. Which placement of the stethoscope should the nurse use to hear the
client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest
B. Use the stethoscope bell over the valvular areas of the anterior chest
C. Move the diaphragm of the stethoscope over the left anterior chest
D. Position the diaphragm of the stethoscope over Erb's point on the chest -
ANSWER-Use the stethoscope bell over the valvular areas of the anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope (which picks
up lower-pitched sounds) and placed over the valvular areas of the anterior chest
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
,D. Administer an intravenous antiemetic prescribed for PRN use. - ANSWER-
Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention should be
attempted first
The nurse witnesses the signature of a client who has signed an informed consent.
Which statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment. - ANSWER-The client voluntarily
signed the form
The nurse signs the consent form to witness that the client voluntarily signs the
consent, that the client's signature is authentic, and that the client is otherwise
competent to give consent
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals. - ANSWER-Determine the etiology of
the problem
, Before planning care, and following the steps of ADPIE, the nurse should
determine the cause or etiology of the problem
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of
30 mcg/min prescribed for a client in premature labor. How many ml/hr should the
nurse set the infusion pump?
A. 30
B. 60
C. 120
D. 180 - ANSWER-180
Calculation: 180ml/hr = 500 ml/5mg X 1mg/1000mcg X 30 mcg/min X 60 min/hr
Remember you are solving for the ml/hr so set up your equation accordingly
Secobarbital (Seconal) 150mg is prescribed at bedtime for a male client who is
scheduled for surgery in the morning. The scored tablets are labeled 0.1
gram/tablet. How many tablets should the nurse administer? (Enter the numerical
value only, if rounding is required, round to the nearest tenth).
Fill in the blank
________________________ - ANSWER-1.5
Calculation: 1,000mg : 1 gram :: X mg : 0.1 gram X = 100 mg D/H = 150/100 =
1.5 tablets
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be the nurse's first response?
2025/2026 EXAMINATION
During shift change report, the nurse receives report that a client has abnormal
heart sounds. Which placement of the stethoscope should the nurse use to hear the
client's heart sounds?
A. Place the stethoscope bell at random points on the posterior chest
B. Use the stethoscope bell over the valvular areas of the anterior chest
C. Move the diaphragm of the stethoscope over the left anterior chest
D. Position the diaphragm of the stethoscope over Erb's point on the chest -
ANSWER-Use the stethoscope bell over the valvular areas of the anterior chest
Abnormal heart sounds are best heard with the bell of the stethoscope (which picks
up lower-pitched sounds) and placed over the valvular areas of the anterior chest
A female client with a nasogastric tube attached to low suction states that she is
nauseated. The nurse assesses that there has been no drainage through the
nasogastric tube in the last two hours. What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
,D. Administer an intravenous antiemetic prescribed for PRN use. - ANSWER-
Reposition the client on her side
The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention should be
attempted first
The nurse witnesses the signature of a client who has signed an informed consent.
Which statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment. - ANSWER-The client voluntarily
signed the form
The nurse signs the consent form to witness that the client voluntarily signs the
consent, that the client's signature is authentic, and that the client is otherwise
competent to give consent
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals. - ANSWER-Determine the etiology of
the problem
, Before planning care, and following the steps of ADPIE, the nurse should
determine the cause or etiology of the problem
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of
30 mcg/min prescribed for a client in premature labor. How many ml/hr should the
nurse set the infusion pump?
A. 30
B. 60
C. 120
D. 180 - ANSWER-180
Calculation: 180ml/hr = 500 ml/5mg X 1mg/1000mcg X 30 mcg/min X 60 min/hr
Remember you are solving for the ml/hr so set up your equation accordingly
Secobarbital (Seconal) 150mg is prescribed at bedtime for a male client who is
scheduled for surgery in the morning. The scored tablets are labeled 0.1
gram/tablet. How many tablets should the nurse administer? (Enter the numerical
value only, if rounding is required, round to the nearest tenth).
Fill in the blank
________________________ - ANSWER-1.5
Calculation: 1,000mg : 1 gram :: X mg : 0.1 gram X = 100 mg D/H = 150/100 =
1.5 tablets
An adult male client with a history of hypertension tells the nurse that he is tired of
taking antihypertensive medications and is going to try spiritual meditation instead.
What should be the nurse's first response?
