1|Page
HESI FUNDAMENTALS EXAM MASTERY 2025–
2026 | UPDATED REAL EXAM QUESTIONS
WITH A+ VERIFIED ANSWERS FOR
GUARANTEED A+ PASS
The nurse observes that a male client has removed
the covering from an ice park applied to his knee.
What action should the nurse take first?
- ANSWER-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. If no injury to the skin has occurred,
the nurse can take the other actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W
and plans to administer the solution at a rate of 5
mcg/kg/min to a client weighting 182 lbs. Using a
drip factor of 60 gtt/mL, how many drops per
minute should the client receive?
- ANSWER-124 gtt/min
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The healthcare provider prescribes an IV infusion of
1000 ml of Ringer's Lactate w/ 30 units of Pitocin to
run in over 4 hours for a client who has just
delivered a 10 pound infant by cesarean section.
The tubing has been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow
rate at how many gtt/min?
- ANSWER-83 gtt/min
Which assessment data provides the most accurate
determination of proper placement of a nasogastric
tube?
- ANSWER-Examining a chest x-ray obtained after
the tubing was inserted
Three days following a surgery, a male client
observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is
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much bigger than he expected. What is the best
response by the nurse?
- ANSWER-B. Instruct the client that the stoma will
become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the
stoma
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?
- ANSWER-B. 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 (B)
should be attempted first, followed by (A and C),
unless either of these interventions is
contraindicated. If these measures are unsuccessful,
the client may require an antiemetic (D))
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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?
- ANSWER-C. After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know
where he is or what year it is. What data should the
nurse document that is most accurate?
- ANSWER-D. is disoriented to place and time
A client with chronic kidney disease (CKD) selects a
scrambled egg for his breakfast. What action should
the nurse take?
- ANSWER-A. Commend the client for selecting a
high biologic value protein. (Foods such as eggs and
milk
HESI FUNDAMENTALS EXAM MASTERY 2025–
2026 | UPDATED REAL EXAM QUESTIONS
WITH A+ VERIFIED ANSWERS FOR
GUARANTEED A+ PASS
The nurse observes that a male client has removed
the covering from an ice park applied to his knee.
What action should the nurse take first?
- ANSWER-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. If no injury to the skin has occurred,
the nurse can take the other actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W
and plans to administer the solution at a rate of 5
mcg/kg/min to a client weighting 182 lbs. Using a
drip factor of 60 gtt/mL, how many drops per
minute should the client receive?
- ANSWER-124 gtt/min
,2|Page
The healthcare provider prescribes an IV infusion of
1000 ml of Ringer's Lactate w/ 30 units of Pitocin to
run in over 4 hours for a client who has just
delivered a 10 pound infant by cesarean section.
The tubing has been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow
rate at how many gtt/min?
- ANSWER-83 gtt/min
Which assessment data provides the most accurate
determination of proper placement of a nasogastric
tube?
- ANSWER-Examining a chest x-ray obtained after
the tubing was inserted
Three days following a surgery, a male client
observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is
,3|Page
much bigger than he expected. What is the best
response by the nurse?
- ANSWER-B. Instruct the client that the stoma will
become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the
stoma
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?
- ANSWER-B. 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 (B)
should be attempted first, followed by (A and C),
unless either of these interventions is
contraindicated. If these measures are unsuccessful,
the client may require an antiemetic (D))
, 4|Page
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?
- ANSWER-C. After clearing the tube with 30 ml of
air, check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know
where he is or what year it is. What data should the
nurse document that is most accurate?
- ANSWER-D. is disoriented to place and time
A client with chronic kidney disease (CKD) selects a
scrambled egg for his breakfast. What action should
the nurse take?
- ANSWER-A. Commend the client for selecting a
high biologic value protein. (Foods such as eggs and
milk
