Hesi Fundamentals

HESI FUNDAMENTALS 2025-2026



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asureZisZessentialZtoZtheZclient'sZnursingZcare?
A.ZMassageZanyZreddenedZareasZforZatZleastZfiveZminutes.Z
Z


B.ZEncourageZactiveZrangeZofZmotionZexercisesZonZextremities.Z
C.ZPositionZtheZclientZlaterally,Zprone,ZandZdorsallyZinZsequence.Z
D.ZGentlyZliftZtheZclientZwhenZmovingZintoZaZdesiredZposition.Z-Z✅-
ZToZavoidZshearingZforcesZwhenZrepositioning,ZtheZclientZshouldZbeZliftedZgentlyZ

acrossZaZsurfaceZ(D).ZReddenedZareasZshouldZnotZbeZmassagedZ(A)ZsinceZthisZma
yZincreaseZtheZdamageZtoZalreadyZtraumatizedZskin.ZToZcontrolZpainZandZmuscleZs
pasms,ZactiveZrangeZofZmotionZ(B)ZmayZbeZlimitedZonZtheZaffectedZleg.ZTheZposit
ionZdescribedZinZ(C)ZisZcontraindicatedZforZaZclientZwithZaZfracturedZleftZhip.
CorrectZAnswer:ZD
Z




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ZisZconnectedZtoZsuction.ZAfterZensuringZcorrectZtubeZplacement,ZwhatZactionZsho

uldZtheZnurseZtakeZnext?Z
A.ZClampZtheZtubeZforZ20Zminutes.Z
B.ZFlushZtheZtubeZwithZwater.Z
C.ZAdministerZtheZmedicationsZasZprescribed.Z
D.ZCrushZtheZtabletsZandZdissolveZinZsterileZwater.Z-Z✅-
ZTheZNGTZshouldZbeZflushedZbefore,ZafterZandZinZbetweenZeachZmedicationZadmi

nisteredZ(B).ZOnceZallZmedicationsZareZadministered,ZtheZNGTZshouldZbeZclampe
dZforZ20ZminutesZ(A).Z(CZandZD)ZmayZbeZimplementedZonlyZafterZtheZtubingZhasZ
beenZflushed.Z
CorrectZAnswer:ZB

,AZclientZwhoZisZinZhospiceZcareZcomplainsZofZincreasingZamountsZofZpain.ZTheZh
ealthcareZproviderZprescribesZanZanalgesicZeveryZfourZhoursZasZneeded.ZWhichZact
ionZshouldZtheZnurseZimplement?Z
A.ZGiveZanZaround-the-clockZscheduleZforZadministrationZofZanalgesics.Z
B.ZAdministerZanalgesicZmedicationZasZneededZwhenZtheZpainZisZsevere.Z
C.ZProvideZmedicationZtoZkeepZtheZclientZsedatedZandZunawareZofZstimuli.Z
D.ZOfferZaZmedication-freeZperiodZsoZthatZtheZclientZcanZdoZdailyZactivities.Z-
Z✅-ZTheZmostZeffectiveZmanagementZofZpainZisZachievedZusingZanZaround-the-

clockZscheduleZthatZprovidesZanalgesicZmedicationsZonZaZregularZbasisZ(A)ZandZin
ZaZtimelyZmanner.ZAnalgesicsZHesiZFundamentalsZ2025Zexam.ZCorrectlyZanswere

d.ZareZlessZeffectiveZifZpainZpersistsZuntilZitZisZsevere,ZsoZanZanalgesicZmedicationZ
shouldZbeZadministeredZbeforeZtheZclient'sZpainZpeaksZ(B).ZProvidingZcomfortZisZa
ZpriorityZforZtheZclientZwhoZisZdying,ZbutZsedationZthatZimpairsZtheZclient'sZability

ZtoZinteractZandZexperienceZtheZtimeZbeforeZlifeZendsZshouldZbeZminimizedZ(C).ZO

fferingZaZmedication-
freeZperiodZallowsZtheZserumZdrugZlevelZtoZfall,ZwhichZisZnotZanZeffectiveZmethod
ZtoZmanageZchronicZpainZ(D).Z


CorrectZAnswer:ZA


WhenZassessingZaZclientZwithZwristZrestraints,ZtheZnurseZobservesZthatZtheZfingersZ
onZtheZrightZhandZareZblue.ZWhatZactionZshouldZtheZnurseZimplementZfirst?Z
A.ZLoosenZtheZrightZwristZrestraint.Z
B.ZApplyZaZpulseZoximeterZtoZtheZrightZhand.Z
C.ZCompareZhandZcolorZbilaterally.Z
D.ZPalpateZtheZrightZradialZpulse.Z-Z✅-
ZTheZpriorityZnursingZactionZisZtoZrestoreZcirculationZbyZlooseningZtheZrestraintZ(A

),ZbecauseZblueZfingersZ(cyanosis)ZindicatesZdecreasedZcirculation.Z(CZandZD)ZareZ
alsoZimportantZnursingZinterventions,ZbutZdoZnotZhaveZtheZpriorityZof(A).ZPulseZo
ximetryZ(B)ZmeasuresZtheZsaturationZofZhemoglobinZwithZoxygenZandZisZnotZindic
atedZinZsituationsZwhereZtheZcyanosisZisZrelatedZtoZmechanicalZcompressionZ(theZr
estraints).Z

, CorrectZAnswer:ZA


TheZnurseZisZassessingZtheZnutritionalZstatusZofZseveralZclients.ZWhichZclientZhasZt
heZgreatestZnutritionalZneedZforZadditionalZintakeZofZprotein?Z
A.ZAZcollege-ageZtrackZrunnerZwithZaZsprainedZankle.Z
B.ZAZlactatingZwomanZnursingZherZ3-day-oldZinfant.
ZC.ZAZschool-agedZchildZwithZTypeZ2Zdiabetes.Z
D.ZAnZelderlyZmanZbeingZtreatedZforZaZpepticZulcer.Z-Z✅-
ZAZlactatingZwomanZ(B)ZhasZtheZgreatestZneedZforZadditionalZproteinZintake.Z(A,Z

C,ZandZD)ZareZallZconditionsZthatZrequireZprotein,ZbutZdoZnotZhaveZtheZincreasedZ
metabolicZproteinZdemandsZofZlactation.Z
CorrectZAnswer:ZB
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inZ(Levaquin)Z500ZmgZIVZq24hZisZscheduledZtoZbeZadministered.ZTheZclientZretur
nsZtoZtheZunitZatZ1300.ZWhatZisZtheZbestZinterventionZforZtheZnurseZtoZimplement?
Z

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B.ZAdministerZtheZLevaquinZatZ1300ZandZresumeZtheZ0900ZscheduleZinZtheZmorni
ng.Z
C.ZNotifyZtheZchargeZnurseZandZcompleteZanZincidentZreportZtoZexplainZtheZmisse
dZdose.Z
D.ZGiveZtheZmissedZdoseZatZ1300ZandZchangeZtheZscheduleZtoZadministerZdailyZatZ
1300.Z-Z✅-
ZToZensureZthatZaZtherapeuticZlevelZofZmedicationZisZmaintained,ZtheZnurseZshould

ZadministerZtheZmissedZdoseZasZsoonZasZpossible,ZandZreviseZtheZadministrationZsc