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HESI PN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers | Practical
Nurse Fundamentals | HESI Exit Exam
Preparation||Newest Exams!!!
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. - Answer-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
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limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
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. -
Answer-B. Flush the tube with 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.
A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
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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. - Answer-A. Give an around-the-clock
schedule for administration of analgesics.
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
, 4|Page
fall, which is not an effective method to manage chronic
pain (D).
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. - Answer-A. Loosen the
right wrist restraint.
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).
HESI PN Fundamentals Version 4 2026 | Actual Exam
with Complete Questions and Answers | Practical
Nurse Fundamentals | HESI Exit Exam
Preparation||Newest Exams!!!
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. - Answer-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
,2|Page
limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
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. -
Answer-B. Flush the tube with 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.
A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
,3|Page
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. - Answer-A. Give an around-the-clock
schedule for administration of analgesics.
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
, 4|Page
fall, which is not an effective method to manage chronic
pain (D).
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. - Answer-A. Loosen the
right wrist restraint.
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).
