Page 1 of 38
HESI RN FUNDAMENTALS QUICK QUIZ QUESTIONS 2026
LATEST EXAM SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+
The nurse notes in the client's plan of care altered sleep patterns related to
nocturia. Which nursing actions are important for the nurse to provide? (Select
all that apply.)
A.
Decrease intake of fluids after the evening meal.
B.
Drink a glass of cranberry juice every day.
C.
Drink a glass of warm decaffeinated beverage at bedtime.
D.
Consult the health care provider about a sleeping pill.
E.
Assess the client's usual sleep pattern.
A, E
Rationale: Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option E gives the
nurse the client's baseline sleep pattern. Option B helps prevent bladder infections.
Option C may promote sleep, but the fluid will contribute to nocturia. Option D may
result in urinary incontinence if the client is sedated and does not awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second interval,
the nurse counts six respirations and the client coughs three times. In
repeating the count for a second 30-second interval, the nurse counts eight
respirations. Which respiratory rate will the nurse document?
A. 15
B. 16
C. 17
D. 28
B
Rationale: The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted for 30
seconds, the rate should be doubled. Options A, C, and D are inaccurate recordings.
The nurse is preparing to administer a bolus tube feeding. What steps must
the nurse include prior to administering the feeding? (Select all that apply.)
A.
Aspirate the stomach contents.
B.
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Assess bowel sounds.
C.
Position the client in semi-Fowler's position.
D.
Irrigate the lumen after the contents are replaced.
E.
Warm the feeding to room temperature.
F.
Assess the pH of the stomach contents.
A, B, E, F
Rationale: The client needs to be in high Fowler's position to decrease the risk of
aspiration. Irrigation of the lumen is only necessary if there is an obstruction. The
contents were replaced, so there is no suspicion of obstruction. The remaining steps
are correct.
Ten minutes after signing an operative permit for a fractured hip, an older
client states, "The aliens will be coming to get me soon!" and falls asleep.
Which action should the nurse take next?
A.
Make the client comfortable and allow the client to sleep.
B.
Assess the client's neurologic status.
C.
Notify the surgeon about the comment.
D.
Ask the client's family to co-sign the operative permit.
B
Rationale: This statement may indicate that the client is confused. Informed consent
must be provided by a mentally competent individual, so the nurse should further
assess the client's neurologic status to be sure that the client understands and can
legally provide consent for surgery. Option A does not provide sufficient follow-up. If
the nurse determines that the client is confused, the surgeon must be notified and
permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly.
B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
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be up on the opposite side to ensure that the client does not fall out of bed. Option A
can cause client injury to the skin or joint. Options C and D are useful techniques
while turning a client but have less priority in terms of safety than use of the bed
rails.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990
C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing practice.
Options A and D define the client's rights. Option B provides ethical guidelines for
nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy.
A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no
need to double check the PN, or start a second IV line. PN is administered through
the venous system and does not satiate the client. The remaining selections are true
about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8
hours. The client is taking po fluids well. What supplies will the nurse take into
the room for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
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B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large bore intracaths
are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed to flush the
line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices.
Which meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a
low-fat diet, such as option B. Option A is a high-protein diet, and options C and D
contain high-fat foods, which are contraindicated for this client.
A 65-year-old client who attends an adult daycare program and is wheelchair
mobile has redness in the sacral area. Which instruction is most important for
the nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair."
B
Rationale: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure ulcers.
Increased vitamin and fluid intake may also be beneficial and promote healing and
reduce further risk. Option D is an intervention of last resort because this will be very
expensive for the client.
HESI RN FUNDAMENTALS QUICK QUIZ QUESTIONS 2026
LATEST EXAM SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+
The nurse notes in the client's plan of care altered sleep patterns related to
nocturia. Which nursing actions are important for the nurse to provide? (Select
all that apply.)
A.
Decrease intake of fluids after the evening meal.
B.
Drink a glass of cranberry juice every day.
C.
Drink a glass of warm decaffeinated beverage at bedtime.
D.
Consult the health care provider about a sleeping pill.
E.
Assess the client's usual sleep pattern.
A, E
Rationale: Nocturia is urination during the night. Option A is helpful to decrease the
production of urine, thus decreasing the need to void at night. Option E gives the
nurse the client's baseline sleep pattern. Option B helps prevent bladder infections.
Option C may promote sleep, but the fluid will contribute to nocturia. Option D may
result in urinary incontinence if the client is sedated and does not awaken to void.
The nurse is counting a client's respiratory rate. During a 30-second interval,
the nurse counts six respirations and the client coughs three times. In
repeating the count for a second 30-second interval, the nurse counts eight
respirations. Which respiratory rate will the nurse document?
A. 15
B. 16
C. 17
D. 28
B
Rationale: The most accurate respiratory rate is the second count obtained by the
nurse, which was not interrupted by coughing. Because it was counted for 30
seconds, the rate should be doubled. Options A, C, and D are inaccurate recordings.
The nurse is preparing to administer a bolus tube feeding. What steps must
the nurse include prior to administering the feeding? (Select all that apply.)
A.
Aspirate the stomach contents.
B.
,Page 2 of 38
Assess bowel sounds.
C.
Position the client in semi-Fowler's position.
D.
Irrigate the lumen after the contents are replaced.
E.
Warm the feeding to room temperature.
F.
Assess the pH of the stomach contents.
A, B, E, F
Rationale: The client needs to be in high Fowler's position to decrease the risk of
aspiration. Irrigation of the lumen is only necessary if there is an obstruction. The
contents were replaced, so there is no suspicion of obstruction. The remaining steps
are correct.
Ten minutes after signing an operative permit for a fractured hip, an older
client states, "The aliens will be coming to get me soon!" and falls asleep.
Which action should the nurse take next?
A.
Make the client comfortable and allow the client to sleep.
B.
Assess the client's neurologic status.
C.
Notify the surgeon about the comment.
D.
Ask the client's family to co-sign the operative permit.
B
Rationale: This statement may indicate that the client is confused. Informed consent
must be provided by a mentally competent individual, so the nurse should further
assess the client's neurologic status to be sure that the client understands and can
legally provide consent for surgery. Option A does not provide sufficient follow-up. If
the nurse determines that the client is confused, the surgeon must be notified and
permission obtained from the next of kin.
When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly.
B
Rationale: Because the nurse can only stand on one side of the bed, bed rails should
,Page 3 of 38
be up on the opposite side to ensure that the client does not fall out of bed. Option A
can cause client injury to the skin or joint. Options C and D are useful techniques
while turning a client but have less priority in terms of safety than use of the bed
rails.
A community hospital is opening a mental health services department. Which
document should the nurse use to develop the unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990
C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-Mental Health
Nursing serves to direct the philosophy and standards of psychiatric nursing practice.
Options A and D define the client's rights. Option B provides ethical guidelines for
nursing.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy.
A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is no
need to double check the PN, or start a second IV line. PN is administered through
the venous system and does not satiate the client. The remaining selections are true
about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8
hours. The client is taking po fluids well. What supplies will the nurse take into
the room for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
, Page 4 of 38
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
1000 mL bag of normal saline
B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for an
80-year-old are a 16 gauge intracath; the intracath is too large. Large bore intracaths
are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed to flush the
line. The remaining items are needed to start an IV.
The nurse is instructing a client with cholecystitis regarding diet choices.
Which meal best meets the dietary needs of this client?
A.
Steak, baked beans, and a salad
B.
Broiled fish, green beans, and an apple
C.
Pork chops, macaroni and cheese, and grapes
D.
Avocado salad, milk, and angel food cake
B
Rationale: Clients with cholecystitis (inflammation of the gallbladder) should follow a
low-fat diet, such as option B. Option A is a high-protein diet, and options C and D
contain high-fat foods, which are contraindicated for this client.
A 65-year-old client who attends an adult daycare program and is wheelchair
mobile has redness in the sacral area. Which instruction is most important for
the nurse to provide?
A.
"Take a vitamin supplement tablet once a day."
B.
"Change positions in the chair frequently"
C.
"Increase daily intake of water or other oral fluids."
D.
"Purchase a newer model wheelchair."
B
Rationale: The most important teaching is to change positions frequently because
pressure is the most significant factor related to the development of pressure ulcers.
Increased vitamin and fluid intake may also be beneficial and promote healing and
reduce further risk. Option D is an intervention of last resort because this will be very
expensive for the client.
