HESI Test Bank-Fundamentals, HESI
Fundamentals, HESI - Fundamentals,
Evolve HESI Fundamentals Practice Qs,
Evolve Fundamentals HESI,
Fundamental Hesi 2026, HESI
Fundamentals Exam, HESI
Fundamentals Practice Exam 2026,
Fundamentals HESI Practice
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and
alert. Which intervention(s) is(are) correct? (Select all that apply.)
A. Place the client in a high Fowler's position.
B. Help the patient assume a left side-lying position.
C. Measure the tube from the tip of the nose to the umbilicus.
D. Instruct the client to swallow after the tube has passed the pharynx.
E. Assist the client in extending the neck back so the tube may enter the larynx.
Answer: A, D
(A and D) are the correct steps to follow during nasogastric intubation. Only the unconscious or
obtunded client should be placed in a left side-lying position (B). The tube should be measured
from the tip of the nose to behind the ear and then from behind the ear to the xiphoid process
(C). The neck should only be extended back prior to the tube passing the pharynx and then the
client should be instructed to position the neck forward (E).
During a routine assessment, an obese 50-year-old female client expresses concern about her
sexual relationship with her husband. Which is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
1|Page
,Answer: D
(D) provides an opportunity for the client to verbalize her concerns and provides the nurse with
more assessment data. (A and B) may not be related to her current concern, assume that
obesity is the problem, and are communication blocks. (C) may be appropriate after discussing
the concerns she is having.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A. Use the normal saline solution once more and then discard.
B. Obtain a new sterile syringe to draw up the labeled saline solution.
C. Use the saline solution and then relabel the bottle with the current date.
D. Discard the saline solution and obtain a new unopened bottle.
Answer: D
Solutions labeled as opened within 24 hours may be used for clean procedures, but only newly
opened solutions are considered sterile. This solution is not newly opened and is out of date, so
it should be discarded (D). (A, B, and C) describe incorrect procedures.
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how to
perform this procedure correctly?
A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides security by holding the gait belt
from the back.
C. Standing behind his wife, the caregiver provides balance by holding both sides of the gait
belt.
D. Standing slightly in front and to the right of his wife, the caregiver guides her forward by
gently pulling on the gait belt.
Answer: B
His wife is most likely to lean toward the weak side and needs extra support on that side and
from the back (B) to prevent falling. (A, C, and D) provide less security for her.
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which client
instruction is important for the nurse to provide?
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
2|Page
,C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
Answer: A
Nocturia is urination during the night. (A) is helpful to decrease the production of urine, thus
decreasing the need to void at night. (B) helps prevent bladder infections. (C) may promote
sleep, but the fluid will contribute to nocturia. (D) may result in urinary incontinence if the client
is sedated and does not awaken to void.
Which nursing diagnosis has the highest priority when planning care for a client with an
indwelling urinary catheter?
A. Self-care deficit
B. Functional incontinence
C. Fluid volume deficit
D. High risk for infection
Answer: D
Indwelling urinary catheters are a major source of infection (D). (A and B) are both problems
that may require an indwelling catheter. (C) is not affected by an indwelling catheter.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which
the first sound was heard. Which is the best action for the nurse to take?
A. Deflate the cuff completely and immediately reattempt the reading.
B. Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the
second reading.
C. Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
D. Document the exact level visualized on the sphygmomanometer where the first fluctuation
was seen.
Answer: C
Deflating the cuff for 30 to 60 seconds (C) allows blood flow to return to the extremity so that
an accurate reading can be obtained on that extremity a second time. (A) could result in a
falsely high reading. (B) reduces circulation, causes pain, and could alter the reading. (D) is not
an accurate method of assessing blood pressure.
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
A. Tell the client that the blood pressure is high and that the reading needs to be verified by
another nurse.
B. Contact the health care provider to report the reading and obtain a prescription for an
antihypertensive medication.
C. Replace the cuff with a larger one to ensure an ample fit for the client to increase arm
3|Page
, comfort.
D. Compare the current reading with the client's previously documented blood pressure
readings.
Answer: D
Comparing this reading with previous readings (D) will provide information about what is
normal for this client; this action should be taken first. (A) might unnecessarily alarm the client.
(B) is premature. Further assessment is needed to determine if the reading is abnormal for this
client. (C) could falsely decrease the reading and is not the correct procedure for obtaining a
blood pressure reading.
A nurse stops at a motor vehicle collision site to render aid until the emergency personnel
arrive and applies pressure to a groin wound that is bleeding profusely. Later the client has to
have the leg amputated and sues the nurse for malpractice. Which is the most likely outcome
of this lawsuit?
A. The Patient's Bill of Rights protects clients from malicious intents, so the nurse could lose
the case.
B. The lawsuit may be settled out of court, but the nurse's license is likely to be revoked.
C. There will be no judgment against the nurse, whose actions were protected under the
Good Samaritan Act.
D. The client will win because the four elements of negligence (duty, breach, causation, and
damages) can be proved.
Answer: C
The Good Samaritan Act (C) protects health care professionals who practice in good faith and
provide reasonable care from malpractice claims, regardless of the client outcome. Although
the Patient's Bill of Rights protects clients, this nurse is protected by the Good Samaritan Act
(A). The state Board of Nursing has no reason to revoke a registered nurse's license (B) unless
there was evidence that actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice were not shown (D).
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff.
D. Review the schedule of outdoor breaks with the client.
4|Page
Fundamentals, HESI - Fundamentals,
Evolve HESI Fundamentals Practice Qs,
Evolve Fundamentals HESI,
Fundamental Hesi 2026, HESI
Fundamentals Exam, HESI
Fundamentals Practice Exam 2026,
Fundamentals HESI Practice
The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is awake and
alert. Which intervention(s) is(are) correct? (Select all that apply.)
A. Place the client in a high Fowler's position.
B. Help the patient assume a left side-lying position.
C. Measure the tube from the tip of the nose to the umbilicus.
D. Instruct the client to swallow after the tube has passed the pharynx.
E. Assist the client in extending the neck back so the tube may enter the larynx.
Answer: A, D
(A and D) are the correct steps to follow during nasogastric intubation. Only the unconscious or
obtunded client should be placed in a left side-lying position (B). The tube should be measured
from the tip of the nose to behind the ear and then from behind the ear to the xiphoid process
(C). The neck should only be extended back prior to the tube passing the pharynx and then the
client should be instructed to position the neck forward (E).
During a routine assessment, an obese 50-year-old female client expresses concern about her
sexual relationship with her husband. Which is the best response by the nurse?
A. Reassure the client that many obese people have concerns about sex.
B. Remind the client that sexual relationships need not be affected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.
1|Page
,Answer: D
(D) provides an opportunity for the client to verbalize her concerns and provides the nurse with
more assessment data. (A and B) may not be related to her current concern, assume that
obesity is the problem, and are communication blocks. (C) may be appropriate after discussing
the concerns she is having.
When performing sterile wound care in the acute care setting, the nurse obtains a bottle of
normal saline from the bedside table that is labeled "opened" and dated 48 hours prior to the
current date. Which is the best action for the nurse to take?
A. Use the normal saline solution once more and then discard.
B. Obtain a new sterile syringe to draw up the labeled saline solution.
C. Use the saline solution and then relabel the bottle with the current date.
D. Discard the saline solution and obtain a new unopened bottle.
Answer: D
Solutions labeled as opened within 24 hours may be used for clean procedures, but only newly
opened solutions are considered sterile. This solution is not newly opened and is out of date, so
it should be discarded (D). (A, B, and C) describe incorrect procedures.
The nurse teaches the use of a gait belt to a male caregiver whose wife has right-sided
weakness and needs assistance with ambulation. The caregiver performs a return
demonstration of the skill. Which observation indicates that the caregiver has learned how to
perform this procedure correctly?
A. Standing on his wife's strong side, the caregiver is ready to hold the gait belt if any
evidence of weakness is observed.
B. Standing on his wife's weak side, the caregiver provides security by holding the gait belt
from the back.
C. Standing behind his wife, the caregiver provides balance by holding both sides of the gait
belt.
D. Standing slightly in front and to the right of his wife, the caregiver guides her forward by
gently pulling on the gait belt.
Answer: B
His wife is most likely to lean toward the weak side and needs extra support on that side and
from the back (B) to prevent falling. (A, C, and D) provide less security for her.
A client has a nursing diagnosis of Altered sleep patterns related to nocturia. Which client
instruction is important for the nurse to provide?
A. Decrease intake of fluids after the evening meal.
B. Drink a glass of cranberry juice every day.
2|Page
,C. Drink a glass of warm decaffeinated beverage at bedtime.
D. Consult the health care provider about a sleeping pill.
Answer: A
Nocturia is urination during the night. (A) is helpful to decrease the production of urine, thus
decreasing the need to void at night. (B) helps prevent bladder infections. (C) may promote
sleep, but the fluid will contribute to nocturia. (D) may result in urinary incontinence if the client
is sedated and does not awaken to void.
Which nursing diagnosis has the highest priority when planning care for a client with an
indwelling urinary catheter?
A. Self-care deficit
B. Functional incontinence
C. Fluid volume deficit
D. High risk for infection
Answer: D
Indwelling urinary catheters are a major source of infection (D). (A and B) are both problems
that may require an indwelling catheter. (C) is not affected by an indwelling catheter.
When taking a client's blood pressure, the nurse is unable to distinguish the point at which
the first sound was heard. Which is the best action for the nurse to take?
A. Deflate the cuff completely and immediately reattempt the reading.
B. Reinflate the cuff completely and leave it inflated for 90 to 110 seconds before taking the
second reading.
C. Deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading.
D. Document the exact level visualized on the sphygmomanometer where the first fluctuation
was seen.
Answer: C
Deflating the cuff for 30 to 60 seconds (C) allows blood flow to return to the extremity so that
an accurate reading can be obtained on that extremity a second time. (A) could result in a
falsely high reading. (B) reduces circulation, causes pain, and could alter the reading. (D) is not
an accurate method of assessing blood pressure.
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
A. Tell the client that the blood pressure is high and that the reading needs to be verified by
another nurse.
B. Contact the health care provider to report the reading and obtain a prescription for an
antihypertensive medication.
C. Replace the cuff with a larger one to ensure an ample fit for the client to increase arm
3|Page
, comfort.
D. Compare the current reading with the client's previously documented blood pressure
readings.
Answer: D
Comparing this reading with previous readings (D) will provide information about what is
normal for this client; this action should be taken first. (A) might unnecessarily alarm the client.
(B) is premature. Further assessment is needed to determine if the reading is abnormal for this
client. (C) could falsely decrease the reading and is not the correct procedure for obtaining a
blood pressure reading.
A nurse stops at a motor vehicle collision site to render aid until the emergency personnel
arrive and applies pressure to a groin wound that is bleeding profusely. Later the client has to
have the leg amputated and sues the nurse for malpractice. Which is the most likely outcome
of this lawsuit?
A. The Patient's Bill of Rights protects clients from malicious intents, so the nurse could lose
the case.
B. The lawsuit may be settled out of court, but the nurse's license is likely to be revoked.
C. There will be no judgment against the nurse, whose actions were protected under the
Good Samaritan Act.
D. The client will win because the four elements of negligence (duty, breach, causation, and
damages) can be proved.
Answer: C
The Good Samaritan Act (C) protects health care professionals who practice in good faith and
provide reasonable care from malpractice claims, regardless of the client outcome. Although
the Patient's Bill of Rights protects clients, this nurse is protected by the Good Samaritan Act
(A). The state Board of Nursing has no reason to revoke a registered nurse's license (B) unless
there was evidence that actions taken in the emergency were not done in good faith or that
reasonable care was not provided. All four elements of malpractice were not shown (D).
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which intervention is best for the nurse to implement?
A. Encourage the client to use a nicotine patch.
B. Reassure the client that it is almost time for another break.
C. Have the client leave the unit with another staff.
D. Review the schedule of outdoor breaks with the client.
4|Page
