HESI FUNDAMENTALS PRACTICE EXAM QUESTIOS AND ANSWERS UPDATED 2026

TheBnurseBobservesBthatBaBmaleBclientBhasBremovedBtheBcoveringBfromBanBiceBparkBapplied
BtoBhisBknee.BWhatBactionBshouldBtheBnurseBtakeBfirst?B

A.BObserveBtheBappearanceBofBtheBskinBunderBtheBiceBpack.

B.BInstructBtheBclientBregardingBtheBneedBforBtheBcovering.

C.BReapplyBtheBcoveringBafterBfillingBwithBfreshBice.

D.BAskBtheBclientBhowBlongBtheBiceBwasBappliedBtoBtheBskin.B-
BAnswerObserveBtheBappearanceBofBtheBskinBunderBtheBiceBpackB(TheBfirstBactionBtakenBbyB
theBnurseBshouldBbeBtoBassessBtheBskinBforBanyBpossibleBthermalBinjury.BIfBnoBinjuryBtoBthe
BskinBhasBoccurred,BtheBnurseBcanBtakeBtheBotherBactions.)



TheBnurseBmixesB50BmgBofBNiprideBinB250BmLBofBD5WBandBplansBtoBadministerBtheBsolutio
nBatBaBrateBofB5Bmcg/kg/minBtoBaBclientBweightingB182Blbs.BUsingBaBdripBfactorBofB60Bgtt/
mL,BhowBmanyBdropsBperBminuteBshouldBtheBclientBreceive?B-BAnswer124Bgtt/min



TheBhealthcareBproviderBprescribesBanBIVBinfusionBofB1000BmlBofBRinger'sBLactateBw/B30Buni
tsBofBPitocinBtoBrunBinBoverB4BhoursBforBaBclientBwhoBhasBjustBdeliveredBaB10BpoundBinfan
tBbyBcesareanBsection.BTheBtubingBhasBbeenBchangedBtoBaB20Bgtt/mlBadministrationBset.BThe
BnurseBplansBtoBsetBtheBflowBrateBatBhowBmanyBgtt/min?B-BAnswer83Bgtt/min



WhichBassessmentBdataBprovidesBtheBmostBaccurateBdeterminationBofBproperBplacementBofBa
BnasogastricBtube?B-BAnswerExaminingBaBchestBx-rayBobtainedBafterBtheBtubingBwasBinserted



ThreeBdaysBfollowingBaBsurgery,BaBmaleBclientBobservesBhisBcolostomyBforBtheBfirstBtime.BHe
BbecomesBquiteBupsetBandBtellsBtheBnurseBthatBitBisBmuchBbiggerBthanBheBexpected.BWhatBi
sBtheBbestBresponseBbyBtheBnurse?

A.BReassureBtheBclientBthatBheBwillBbecomeBaccustomedBtoBtheBstomaBappearanceBinBtime.B

B.BInstructBtheBclientBthatBtheBstomaBwillBbecomeBmuchBsmallerBwhenBtheBinitialBswellingBdi
minishes.B

C.BOfferBtoBcontactBaBmemberBofBtheBlocalBostomyBsupportBgroupBtoBhelpBhimBwithBhisBco
ncerns.

D.BEncourageBtheBclientBtoBhandleBtheBstomaBequipmentBtoBgainBconfidenceBwithBtheBproce
dure.B-
BAnswerB.BInstructBtheBclientBthatBtheBstomaBwillBbecomeBsmallerBwhenBtheBinitialBswellingB
diminishesB(PostoperativeBswellingBcausesBenlargementBofBtheBstoma.BTheBnurseBcanBteachBt
heBclientBthatBtheBstomaBwillBbecomeBsmallerBwhenBswellingBisBdiminishedB(B).BThisBwillBhel
pBreduceBtheBclient'sBanxietyBandBpromoteBacceptanceBofBtheBcolostomy.B(A)BdoesBnotBprovi
deBhelpfulBteachingBorBsupport.B(C)BisBaBusefulBaction,BandBmayBbeBtakenBafterBtheBnurseBp
rovidesBpertinentBteaching.BTheBclientBisBnotByetBdemonstratingBreadinessBtoBlearnBcolostomy
Bcare.B(D)

,HESI FUNDAMENTALS PRACTICE
EXAM QUESTIOS AND ANSWERS
UPDATED 2026
ABfemaleBclientBwithBaBnasogastricBtubeBattachedBtoBlowBsuctionBstatesBthatBsheBisBnauseat
ed.BTheBnurseBassessesBthatBthereBhasBbeenBnoBdrainageBthroughBtheBnasogastricBtubeBinBt
heBlastBtwoBhours.BWhatBactionBshouldBtheBnurseBtakeBfirst?

A.BIrrigateBtheBnasogastricBtubeBwithBsterileBnormalBsaline.

B.BRepositionBtheBclientBonBherBside.

C.BAdvanceBtheBnasogastricBtubeBanBadditionalBfiveBcentimeters.

D.BAdministerBanBintravenousBantiemeticBprescribedBforBPRNBuse.B-
BAnswerB.BRepositionBtheBclientBonBherBside.B(TheBimmediateBpriorityBisBtoBdetermineBifBthe
BtubeBisBfunctioningBcorrectly,BwhichBwouldBthenBrelieveBtheBclient'sBnausea.BTheBleastBinvasi
veBinterventionB(B)BshouldBbeBattemptedBfirst,BfollowedBbyB(ABandBC),BunlessBeitherBofBthes
eBinterventionsBisBcontraindicated.BIfBtheseBmeasuresBareBunsuccessful,BtheBclientBmayBrequir
eBanBantiemeticB(D))



ABhospitalizedBmaleBclientBisBreceivingBnasogastricBtubeBfeedingsBviaBaBsmall-
boreBtubeBandBaBcontinuousBpumpBinfusion.BHeBreportsBthatBheBhadBaBbadBboutBofBsevere
BcoughingBaBfewBminutesBago,BbutBfeelsBfineBnow.BWhatBactionBisBbestBforBtheBnurseBtoBta
ke?

A.BRecordBtheBcoughingBincident.BNoBfurtherBactionBisBrequiredBatBthisBtime.

B.BStopBtheBfeeding,BexplainBtoBtheBfamilyBwhyBitBisBbeingBstopped,BandBnotifyBtheBHCP.

C.BAfterBclearingBtheBtubeBwithB30BmlBofBair,BcheckBtheBpHBofBfluidBwithdrawnBfromBtheBtu
be.

D.BInjectB30BmlBofBairBintoBtheBtubeBwhileBauscultatingBtheBepigastriumBforBgurgling.B-
BAnswerC.BAfterBclearingBtheBtubeBwithB30BmlBofBair,BcheckBtheBpHBofBfluidBwithdrawnBfro
mBtheBtube.



ABmaleBclientBtellsBtheBnurseBthatBheBdoesBnotBknowBwhereBheBisBorBwhatByearBitBis.BWha
tBdataBshouldBtheBnurseBdocumentBthatBisBmostBaccurate?

A.BdemonstratesBlossBofBremoteBmemory

B.BexhibitsBexpressiveBdysphasia

C.BhasBaBdiminishedBattentionBspan

D.BisBdisorientedBtoBplaceBandBtimeB-
BAnswerD.BisBdisorientedBtoBplaceBandBtimeB(TheBclientBisBexhibitingBdisorientationB(D).B(A)Br

, efersBtoBmemoryBofBtheBdistantBpast.BTheBclientBisBableBtoBexpressBhimselfBwithoutBdifficulty
B(B),BandBdoesBnotBdemonstrateBdiminishedBattentionBspan.B(C).



ABclientBwithBchronicBkidneyBdiseaseB(CKD)BselectsBaBscrambledBeggBforBhisBbreakfast.BWhat
BactionBshouldBtheBnurseBtake?

A.BCommendBtheBclientBforBselectingBaBhighBbiologicBvalueBprotein.

B.BRemindBtheBclientBthatBproteinBinBtheBdietBshouldBbeBavoided.

C.BSuggestBthatBtheBclientBalsoBselectBorangeBjuice,BtoBpromoteBabsorption.

D.BEncourageBtheBclientBtoBattendBclassesBonBdietaryBmanagementBofBCKD.B-
BAnswerA.BCommendBtheBclientBforBselectingBaBhighBbiologicBvalueBprotein.B(FoodsBsuchBasB
eggsBandBmilkB(A)BareBhighBbiologicBproteinsBwhichBareBallowedBbecauseBtheyBareBcomplete
BproteinsBandBsupplyBtheBessentialBaminoBacidsBthatBareBnecessaryBforBgrowthBandBcellBrepa
ir.BOrangeBjuiceBisBrichBinBpotassiumBandBshouldBnotBbeBencouraged.BTheBclientBhasBmadeBa
BgoodBdietBchoiceBsoB(D)BisBnotBnecessary.)



WhenBassistingBanB82ByearBoldBclientBtoBambulate,BitBisBimportantBforBtheBnurseBtoBrealizeB
thatBtheBcenterBofBgravityBforBanBelderlyBpersonBisBthe--B-
BAnswerUpperBtorsoB(TheBcenterBofBgravityBforBadultsBisBtheBhips.BHowever,BasBtheBpersonB
growsBolder,BaBstoopedBpostureBisBcommonBbecauseBofBtheBchangesBfromBosteoporosisBandB
normalBboneBdegeneration,BandBtheBknees,Bhips,BandBelbowsBflex.BThisBstoopedBpostureBresu
ltsBinBtheBupperBtorsoBbecomingBtheBcenterBofBgravityBforBolderBpersons.)



InBdevelopingBaBplanBofBcareBforBaBclientBwithBdementia,BtheBnurseBshouldBrememberBthatB
confusionBinBtheBelderlyB

A.BisBtoBbeBexpected,BandBprogressesBwithBage

B.BoftenBfollowsBrelocationBtoBnewBsurroundings

C.BisBaBresultBofBirreversibleBbrainBpathologyB

D.BcanBbeBpreventedBwithBadequateBsleepB-
BAnswerB.BoftenBfollowsBrelocationBtoBnewBsurroundingsB(RelocationB(B)BoftenBresultsBinBconf
usionBamongBelderlyBclients--
BmovingBisBstressfulBforBanyone.B(A)BisBstereotypicalBjudgement.BStressBinBtheBelderlyBoftenB
manifestsBitselfBasBconfusion,BsoB(C)BisBwrong.BAdequateBsleepBisBnotBaBpreventionB(D)BforBc
onfusion.)



ABpostoperativeBclientBwillBneedBtoBperformBdailyBdressingBchangesBafterBdischarge.BWhichBo
utcomeBstatementBbestBdemonstratesBtheBclient'sBreadinessBtoBmanageBhisBwoundBcareBafter
Bdischarge?BTheBclient

A.BasksBrelevantBquestionsBregardingBtheBdressingBchange