PN HESI FUNDAMENTALS COMPREHENSIVE
STUDY GUIDE 2026 FULLY SOLVED
QUESTION SET
◉A client is to receive 10 mEq of KCl diluted in 250 mL of normal
saline over 4 hours. At what rate should the nurse set the client's
intravenous infusion pump? Answer: 63 mL/hr
◉When evaluating a client's plan of care, the nurse determines that
a desire outcome was not achieved. Which action should the nurse
implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes. Answer: B. Note
which actions were not implemented.
(First, the nurse should review which actions in the original plan
were not implemented (B) in order to determine why the original
plan did not produce the desired outcome. Appropriate revisions
can then be made, which may include revising the expected
outcome, or identifying a new nursing diagnosis (A). (C) may be
needed if the nursing actions were unsuccessful, or were unable to
be implemented. (D) other members of the healthcare team may be
,necessary to collaborate changes once the nurse determines why the
original plan did not produce the desired outcome.
◉Which snack food is best for the nurse to provide a client with
myasthenia graves who is at risk for altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices Answer: A. chocolate pudding
(The client with myasthenia graves is at high risk for altered
nutrition because of fatigue and muscle weakness resulting in
dysphagia. Snacks that are semisolid, such as pudding (A) are easy to
swallow and require minimal chewing effort, and provide calories
and protein. (C) does not provide any nutritional value. (B and D)
require energy to chew and are more difficult to swallow than
pudding.)
◉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."
Answer: 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 portions (2-ounce servings). The low density lipoproteins
(D) need to decrease rather than increase.)
◉An obese male client discusses with the nurse his plans to begin
long-term weight loss regimen. In addition to dietary changes, he
plans to begin an intensive aerobic exercise program 3 to 4 times a
week and to take stress management classes. After praising the
client for his decision, which instruction is most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before
beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a
sense of accomplishment and motivation." Answer: A. "Be sure to
have a complete physical examination before your planned exercise
program."
, (The most important teaching is (A), so that the client will not begin
a dangerous level of exercise when he is not sufficiently fit. This
might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A). )
◉The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump? Answer:
180
STUDY GUIDE 2026 FULLY SOLVED
QUESTION SET
◉A client is to receive 10 mEq of KCl diluted in 250 mL of normal
saline over 4 hours. At what rate should the nurse set the client's
intravenous infusion pump? Answer: 63 mL/hr
◉When evaluating a client's plan of care, the nurse determines that
a desire outcome was not achieved. Which action should the nurse
implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes. Answer: B. Note
which actions were not implemented.
(First, the nurse should review which actions in the original plan
were not implemented (B) in order to determine why the original
plan did not produce the desired outcome. Appropriate revisions
can then be made, which may include revising the expected
outcome, or identifying a new nursing diagnosis (A). (C) may be
needed if the nursing actions were unsuccessful, or were unable to
be implemented. (D) other members of the healthcare team may be
,necessary to collaborate changes once the nurse determines why the
original plan did not produce the desired outcome.
◉Which snack food is best for the nurse to provide a client with
myasthenia graves who is at risk for altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices Answer: A. chocolate pudding
(The client with myasthenia graves is at high risk for altered
nutrition because of fatigue and muscle weakness resulting in
dysphagia. Snacks that are semisolid, such as pudding (A) are easy to
swallow and require minimal chewing effort, and provide calories
and protein. (C) does not provide any nutritional value. (B and D)
require energy to chew and are more difficult to swallow than
pudding.)
◉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."
Answer: 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 portions (2-ounce servings). The low density lipoproteins
(D) need to decrease rather than increase.)
◉An obese male client discusses with the nurse his plans to begin
long-term weight loss regimen. In addition to dietary changes, he
plans to begin an intensive aerobic exercise program 3 to 4 times a
week and to take stress management classes. After praising the
client for his decision, which instruction is most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before
beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your
stress level, making you want to eat more."
C. "Increased exercise helps to reduce stress, so you may not need to
spend money on a stress management class."
D. "Make sure to monitor your weight loss regularly to provide a
sense of accomplishment and motivation." Answer: A. "Be sure to
have a complete physical examination before your planned exercise
program."
, (The most important teaching is (A), so that the client will not begin
a dangerous level of exercise when he is not sufficiently fit. This
might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A). )
◉The nurse is teaching a client proper use of an inhaler. When
should the client administer the inhaler-delivered medication to
demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation Answer: B. During the inhalation.
(The client should be instructed to deliver the medication during the
last part of inhalation (B). After the medication is delivered, the
client should remove the mouthpiece, keeping his/her lips closed
and breath held for several seconds to allow for distribution of the
medication. The client should not deliver the dose as started in (A or
D), and should deliver no more than two inhalations at a time (C).)
◉An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing
at a rate of 30 mcg/min, is prescribed for a client in premature labor.
How many ml/hr should the nurse set the infusion pump? Answer:
180
