PN Hesi Fundamentals 2026 Exam Prep with 200 Practice
Questions and Correct Answers with Rationales/ Hesi PN
Fundamentals Exam 2026 Prep Test Bank (Newest!)
A PN in the postoperative department has just reassessed the condition of a
postoperative client who was admitted 1 hour ago to the surgical unit. The nurse
plans to monitor which of the following parameters most carefully during the next
hour?
temperature of 37.6° C (99.6° F)
blood pressure of 100/70 mm Hg
serous drainage on the surgical dressing
urinary output of 20 mL/hr
Urinary output of 20 mL/hr
A lesser output for 2 consecutive hours would indicate renal insufficiency and
should be reported to the physician. A temperature higher than 37.7° C (100.0° F)
or lower than 36.1° C (97° F) and a falling blood pressure are immediate concerns
and should be reported. Light to moderate serous drainage at a surgical site is
expected and should not be reported.
A 21-year-old female thinks she is pregnant. At the doctor's office, the client asks
the nurse, "How reliable is the drugstore pregnancy test." Which of the following
identifies the nurse's best response?
"The tests are quite reliable. In order to be sure you are pregnant, I need to get
some more information from you."
"The test are less reliable than the one the doctor does. We will have to repeat it."
"Those kits are not very reliable. Your doctor should make the diagnosis."
"They are very reliable. You can be sure you are pregnant."
"The tests are quite reliable. In order to be sure you are pregnant, I need to
get some more information from you."
Pregnancy tests are based on the presence of HCG (human chorionic
gonadotropin), which is secreted during pregnancy. Physician tests use the same
principle as the store bought test in determining if a female is pregnant or not
pg. 1
,pregnant. Additionally, during an office visit, the nurse should take a history to
confirm the results of the tests. The physician will examine the woman to help
confirm the test results.
An unlicensed assistive personnel (UAP) places a client in a left lateral position
prior to administering a soap suds enema. Which instruction should the nurse
provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to
the anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once
the client is positioned.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
B. Blood transfusions are forbidden.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism
prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are
vegetarian (D), but the direct impact on nursing care is (B).
The nurse observes that a male client has removed the covering from an ice pack
applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
pg. 2
,C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
A. Observe the appearance of the skin under the ice pack.
The first action taken by the nurse should be to assess the skin for any possible
thermal injury (A). If no injury to the skin has occurred, the nurse can take the
other actions (B, C, and D) as needed.
A hospitalized male client is receiving 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?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small-bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action (C). (A and B) are not
indicated. The auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of the
medication each day. Since, at the time of discharge, timed-release capsules are not
available, which dosing schedule should the nurse advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
pg. 3
, C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner.
B. 8 a.m., 4 p.m., and midnight.
Theophylline should be administered on a regular around-the-clock schedule (B)
to provide the best broncho-dilating effect and reduce the potential for adverse
effects. (A, C, and D) do not provide around-the-clock dosing. Food may alter
absorption of the medication (D).
An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an intensive
aerobic exercise program 3 to 4 times a week and to take stress management
classes. After praising the client for his decision, which instruction is most
important for the nurse to provide?
A. Be sure to have a complete physical examination before beginning your planned
exercise program.
B. Be careful that the exercise program doesn't simply add to your stress level,
making you want to eat more.
C. Increased exercise helps to reduce stress, so you may not need to spend money
on a stress management class.
D. Make sure to monitor your weight loss regularly to provide a sense of
accomplishment and motivation.
A. Be sure to have a complete physical examination before beginning your planned
exercise program.
The most important teaching is (A), so that the client will not begin a dangerous
level of exercise when he is not sufficiently fit. This might result in chest pain, a
heart attack, or stroke. (B, C, and D) are important instructions, but are of less
priority than (A).
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler?
A. Immediately after exhalation.
B. During the inhalation.
pg. 4
Questions and Correct Answers with Rationales/ Hesi PN
Fundamentals Exam 2026 Prep Test Bank (Newest!)
A PN in the postoperative department has just reassessed the condition of a
postoperative client who was admitted 1 hour ago to the surgical unit. The nurse
plans to monitor which of the following parameters most carefully during the next
hour?
temperature of 37.6° C (99.6° F)
blood pressure of 100/70 mm Hg
serous drainage on the surgical dressing
urinary output of 20 mL/hr
Urinary output of 20 mL/hr
A lesser output for 2 consecutive hours would indicate renal insufficiency and
should be reported to the physician. A temperature higher than 37.7° C (100.0° F)
or lower than 36.1° C (97° F) and a falling blood pressure are immediate concerns
and should be reported. Light to moderate serous drainage at a surgical site is
expected and should not be reported.
A 21-year-old female thinks she is pregnant. At the doctor's office, the client asks
the nurse, "How reliable is the drugstore pregnancy test." Which of the following
identifies the nurse's best response?
"The tests are quite reliable. In order to be sure you are pregnant, I need to get
some more information from you."
"The test are less reliable than the one the doctor does. We will have to repeat it."
"Those kits are not very reliable. Your doctor should make the diagnosis."
"They are very reliable. You can be sure you are pregnant."
"The tests are quite reliable. In order to be sure you are pregnant, I need to
get some more information from you."
Pregnancy tests are based on the presence of HCG (human chorionic
gonadotropin), which is secreted during pregnancy. Physician tests use the same
principle as the store bought test in determining if a female is pregnant or not
pg. 1
,pregnant. Additionally, during an office visit, the nurse should take a history to
confirm the results of the tests. The physician will examine the woman to help
confirm the test results.
An unlicensed assistive personnel (UAP) places a client in a left lateral position
prior to administering a soap suds enema. Which instruction should the nurse
provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to
the anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once
the client is positioned.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern
should the nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
B. Blood transfusions are forbidden.
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism
prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are
vegetarian (D), but the direct impact on nursing care is (B).
The nurse observes that a male client has removed the covering from an ice pack
applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
pg. 2
,C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
A. Observe the appearance of the skin under the ice pack.
The first action taken by the nurse should be to assess the skin for any possible
thermal injury (A). If no injury to the skin has occurred, the nurse can take the
other actions (B, C, and D) as needed.
A hospitalized male client is receiving 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?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the
small-bore feeding tube upward into the esophagus, placing the client at increased
risk for aspiration. Checking the sample of fluid withdrawn from the tube (after
clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine)
values is a more sensitive method for these tubes, and the nurse should assess tube
placement in this way prior to taking any other action (C). (A and B) are not
indicated. The auscultating method (D) has been found to be unreliable for small-
bore feeding tubes.
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of the
medication each day. Since, at the time of discharge, timed-release capsules are not
available, which dosing schedule should the nurse advise the client to follow?
A. 9 a.m., 1 p.m., and 5 p.m.
B. 8 a.m., 4 p.m., and midnight.
pg. 3
, C. Before breakfast, before lunch and before dinner.
D. With breakfast, with lunch, and with dinner.
B. 8 a.m., 4 p.m., and midnight.
Theophylline should be administered on a regular around-the-clock schedule (B)
to provide the best broncho-dilating effect and reduce the potential for adverse
effects. (A, C, and D) do not provide around-the-clock dosing. Food may alter
absorption of the medication (D).
An obese male client discusses with the nurse his plans to begin a long-term
weight loss regimen. In addition to dietary changes, he plans to begin an intensive
aerobic exercise program 3 to 4 times a week and to take stress management
classes. After praising the client for his decision, which instruction is most
important for the nurse to provide?
A. Be sure to have a complete physical examination before beginning your planned
exercise program.
B. Be careful that the exercise program doesn't simply add to your stress level,
making you want to eat more.
C. Increased exercise helps to reduce stress, so you may not need to spend money
on a stress management class.
D. Make sure to monitor your weight loss regularly to provide a sense of
accomplishment and motivation.
A. Be sure to have a complete physical examination before beginning your planned
exercise program.
The most important teaching is (A), so that the client will not begin a dangerous
level of exercise when he is not sufficiently fit. This might result in chest pain, a
heart attack, or stroke. (B, C, and D) are important instructions, but are of less
priority than (A).
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler?
A. Immediately after exhalation.
B. During the inhalation.
pg. 4
