Page 1 of 109
“INET HESI RN V4 FUNDAMENTALS PRACTICE
QUESTIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
HESI - FUNDAMENTALS PRACTICE QUESTIONS
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has
been effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase.
C) I will limit my intake of beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week
(C) is an important diet modification for lowering cholesterol. To be effective in
reducing cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6
times per week (A). Red meat and all proteins do not need to be eliminated (B) to
lower cholesterol, but should be restricted to lean cuts of red meat and smaller
, Page 2 of 109
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather
than increase
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A) Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B) Blood specimens not collected because client no longer wants blood tests
performed.
C) Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
D) Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified
C) Healthcare provider notified of client's refusal to have blood specimens collected
for testing
When a client refuses a treatment, the exact words of the client regarding the client's
refusal of care should be documented in a narrative format (C). (A, B, and D) do not
address the concepts of informatics and legal issues
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the
nurse implement?
A) Acknowledge that she is supporting the arm correctly.
B) Encourage her to keep the joint covered to maintain warmth.
C) Reinforce the need to grip directly under the joint for better support.
D) Instruct her to grip directly over the joint for better motion.
A) Acknowledge that she is supporting the arm correctly
The wife is performing the passive ROM correctly, therefore the nurse should
acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
, Page 3 of 109
while the rest of the body should remain covered for warmth and privacy. (C and D)
do not provide adequate support to the joint while still allowing for joint movement
The nurse is caring for a client who is receiving 24-hour total parenteral
nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client,
the nurse notes that the TPN solution has run out and the next TPN solution is
not available. What immediate action should the nurse take?
A) Infuse normal saline at a keep vein open rate.
B) Discontinue the IV and flush the port with heparin.
C) Infuse 10 percent dextrose and water at 54 ml/hr
D) Obtain a stat blood glucose level and notify the healthcare provider.
C) Infuse 10 percent dextrose and water at 54 ml/hr
TPN is discontinued gradually to allow the client to adjust to decreased levels of
glucose. Administering 10% dextrose in water at the prescribed rate (C) will keep the
client from experiencing hypoglycemia until the next TPN solution is available. The
client could experience a hypoglycemic reaction if the current level of glucose (A) is
not maintained or if the TPN is discontinued abruptly (B). There is no reason to
obtain a stat blood glucose level (D) and the healthcare provider cannot do anything
about this situation
At the beginning of the shift, the nurse assesses a client who is admitted from
the post-anesthesia care unit (PACU). When should the nurse document the
client's findings?
A) At the beginning, middle, and end of the shift.
B) After client priorities are identified for the development of the nursing care
plan.
C) At the end of the shift so full attention can be given to the client's needs.
D) Immediately after the assessments are completed
D) Immediately after the assessments are completed
Documentation should occur immediately after any component of the nursing
process, so assessments should be entered in the client's medical record as readily
, Page 4 of 109
as findings are obtained (D). (A, B, and C) do not address the concepts of legal
recommendations for information management and informatics.
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand
is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?
A) 1 ml.
B) 1.5 ml.
C) 1.75 ml.
D) 2 ml.
B) 1.5 ml
An elderly resident of a long-term care facility is no longer able to perform self-
care and is becoming progressively weaker. The resident previously requested
that no resuscitative efforts be performed, and the family requests hospice
care. What action should the nurse implement first?
A) Reaffirm the client's desire for no resuscitative efforts.
B) Transfer the client to a hospice inpatient facility.
C) Prepare the family for the client's impending death.
D) Notify the healthcare provider of the family's request.
D) Notify the healthcare provider of the family's request
The nurse should first communicate with the healthcare provider (D). Hospice care is
provided for clients with a limited life expectancy, which must be identified by the
healthcare provider. (A) is not necessary at this time. Once the healthcare provider
supports the transfer to hospice care, the nurse can collaborate with the hospice
staff and healthcare provider to determine when (B and C) should be implemented
A client who has been NPO for 3 days is receiving an infusion of D5W 0.45
normal saline (NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The
client's eight-hour urine output is 400 ml, blood urea nitrogen (BUN) is 15
mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum
potassium is 3.7 mEq/L. Which action is most important for the nurse to
implement?
A) Notify healthcare provider and request to change the IV infusion to
“INET HESI RN V4 FUNDAMENTALS PRACTICE
QUESTIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
HESI - FUNDAMENTALS PRACTICE QUESTIONS
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has
been effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase.
C) I will limit my intake of beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4 ounces per week
(C) is an important diet modification for lowering cholesterol. To be effective in
reducing cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6
times per week (A). Red meat and all proteins do not need to be eliminated (B) to
lower cholesterol, but should be restricted to lean cuts of red meat and smaller
, Page 2 of 109
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather
than increase
A resident in a skilled nursing facility for short-term rehabilitation after a hip
replacement tells the nurse, "I don't want any more blood taken for those
useless tests." Which narrative documentation should the nurse enter in the
client's medical record?
A) Healthcare provider notified of failure to collect specimens for prescribed
blood studies.
B) Blood specimens not collected because client no longer wants blood tests
performed.
C) Healthcare provider notified of client's refusal to have blood specimens
collected for testing.
D) Client irritable, uncooperative, and refuses to have blood collected.
Healthcare provider notified
C) Healthcare provider notified of client's refusal to have blood specimens collected
for testing
When a client refuses a treatment, the exact words of the client regarding the client's
refusal of care should be documented in a narrative format (C). (A, B, and D) do not
address the concepts of informatics and legal issues
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the
nurse implement?
A) Acknowledge that she is supporting the arm correctly.
B) Encourage her to keep the joint covered to maintain warmth.
C) Reinforce the need to grip directly under the joint for better support.
D) Instruct her to grip directly over the joint for better motion.
A) Acknowledge that she is supporting the arm correctly
The wife is performing the passive ROM correctly, therefore the nurse should
acknowledge this fact (A). The joint that is being exercised should be uncovered (B)
, Page 3 of 109
while the rest of the body should remain covered for warmth and privacy. (C and D)
do not provide adequate support to the joint while still allowing for joint movement
The nurse is caring for a client who is receiving 24-hour total parenteral
nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client,
the nurse notes that the TPN solution has run out and the next TPN solution is
not available. What immediate action should the nurse take?
A) Infuse normal saline at a keep vein open rate.
B) Discontinue the IV and flush the port with heparin.
C) Infuse 10 percent dextrose and water at 54 ml/hr
D) Obtain a stat blood glucose level and notify the healthcare provider.
C) Infuse 10 percent dextrose and water at 54 ml/hr
TPN is discontinued gradually to allow the client to adjust to decreased levels of
glucose. Administering 10% dextrose in water at the prescribed rate (C) will keep the
client from experiencing hypoglycemia until the next TPN solution is available. The
client could experience a hypoglycemic reaction if the current level of glucose (A) is
not maintained or if the TPN is discontinued abruptly (B). There is no reason to
obtain a stat blood glucose level (D) and the healthcare provider cannot do anything
about this situation
At the beginning of the shift, the nurse assesses a client who is admitted from
the post-anesthesia care unit (PACU). When should the nurse document the
client's findings?
A) At the beginning, middle, and end of the shift.
B) After client priorities are identified for the development of the nursing care
plan.
C) At the end of the shift so full attention can be given to the client's needs.
D) Immediately after the assessments are completed
D) Immediately after the assessments are completed
Documentation should occur immediately after any component of the nursing
process, so assessments should be entered in the client's medical record as readily
, Page 4 of 109
as findings are obtained (D). (A, B, and C) do not address the concepts of legal
recommendations for information management and informatics.
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand
is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?
A) 1 ml.
B) 1.5 ml.
C) 1.75 ml.
D) 2 ml.
B) 1.5 ml
An elderly resident of a long-term care facility is no longer able to perform self-
care and is becoming progressively weaker. The resident previously requested
that no resuscitative efforts be performed, and the family requests hospice
care. What action should the nurse implement first?
A) Reaffirm the client's desire for no resuscitative efforts.
B) Transfer the client to a hospice inpatient facility.
C) Prepare the family for the client's impending death.
D) Notify the healthcare provider of the family's request.
D) Notify the healthcare provider of the family's request
The nurse should first communicate with the healthcare provider (D). Hospice care is
provided for clients with a limited life expectancy, which must be identified by the
healthcare provider. (A) is not necessary at this time. Once the healthcare provider
supports the transfer to hospice care, the nurse can collaborate with the hospice
staff and healthcare provider to determine when (B and C) should be implemented
A client who has been NPO for 3 days is receiving an infusion of D5W 0.45
normal saline (NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The
client's eight-hour urine output is 400 ml, blood urea nitrogen (BUN) is 15
mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum
potassium is 3.7 mEq/L. Which action is most important for the nurse to
implement?
A) Notify healthcare provider and request to change the IV infusion to
