HESI Fundamentals Exam Test
Bank 2025–2026 | All Updated
Questions, Rationales &
Verified Answers PDF
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER- - To
avoid shearing forces when repositioning, the client should be lifted gently across
a surface (D). Reddened areas should not be massaged (A) since this may increase
the damage to already traumatized skin. To control pain and muscle spasms,
active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
Correct ANSWER: D
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
A. Clamp the tube for 20 minutes.
,B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER- - The NGT should
be flushed before, after and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A).
(C and D) may be implemented only after the tubing has been flushed.
Correct ANSWER: B
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. -
ANSWER- - The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular basis
(A) and in a timely manner. Analgesics Hesi Fundamentals 2025 exam. Correctly
ANSWERed. are less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but sedation that impairs the
client's ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free period allows the serum drug level to
fall, which is not an effective method to manage chronic pain (D).
Correct ANSWER: A
, When assessing a client with wrist restraints, the nurse observes that the fingers
on the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER- - The priority nursing action is to
restore circulation by loosening the restraint (A), because blue fingers (cyanosis)
indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of(A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in situations where the
cyanosis is related to mechanical compression (the restraints).
Correct ANSWER: A
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANSWER- - A lactating
woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein, but do not have the increased metabolic protein
demands of lactation.
Correct ANSWER: B
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
Bank 2025–2026 | All Updated
Questions, Rationales &
Verified Answers PDF
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - ANSWER- - To
avoid shearing forces when repositioning, the client should be lifted gently across
a surface (D). Reddened areas should not be massaged (A) since this may increase
the damage to already traumatized skin. To control pain and muscle spasms,
active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
Correct ANSWER: D
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
A. Clamp the tube for 20 minutes.
,B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - ANSWER- - The NGT should
be flushed before, after and in between each medication administered (B). Once
all medications are administered, the NGT should be clamped for 20 minutes (A).
(C and D) may be implemented only after the tubing has been flushed.
Correct ANSWER: B
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. -
ANSWER- - The most effective management of pain is achieved using an
around-the-clock schedule that provides analgesic medications on a regular basis
(A) and in a timely manner. Analgesics Hesi Fundamentals 2025 exam. Correctly
ANSWERed. are less effective if pain persists until it is severe, so an analgesic
medication should be administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but sedation that impairs the
client's ability to interact and experience the time before life ends should be
minimized (C). Offering a medication-free period allows the serum drug level to
fall, which is not an effective method to manage chronic pain (D).
Correct ANSWER: A
, When assessing a client with wrist restraints, the nurse observes that the fingers
on the right hand are blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ANSWER- - The priority nursing action is to
restore circulation by loosening the restraint (A), because blue fingers (cyanosis)
indicates decreased circulation. (C and D) are also important nursing
interventions, but do not have the priority of(A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in situations where the
cyanosis is related to mechanical compression (the restraints).
Correct ANSWER: A
The nurse is assessing the nutritional status of several clients. Which client has the
greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANSWER- - A lactating
woman (B) has the greatest need for additional protein intake. (A, C, and D) are all
conditions that require protein, but do not have the increased metabolic protein
demands of lactation.
Correct ANSWER: B
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
