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Hesi Fundamentals 2026

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HESI FUNDAMENTALS 2026

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HESI FUNDAMENTALS 2026
The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way
to transfer an elderly client with left-
sidedtweaknesstfromtthetbedttotthetchair.tWhattmethodtdescribestthetcorrectttransfertproceduretfort
thistclient?t
A.tPlacetthetchairtattatrighttanglettotthetbedtontthetclient'stlefttsidetbeforetmoving.t
B.tAssisttthetclientttotatstandingtposition,tthentplacetthetrightthandtontthetarmrest.t
C.tHavetthetclienttplacetthetlefttfoottnextttotthetchairtandtpivotttotthetlefttbeforetsitting.t
D.tMovetthetchairtparallelttotthetrighttsidetoftthetbed,tandtstandtthetclienttontthetrighttfoott-
tAnswer-✅-t(D)tusestthetclient'ststrongertside,tthetrighttside,tfortweight-
bearingtduringtthettransfer,tandtistthetsafesttapproachttottake.t(A,tB,tandtC)taretunsafetmethodstofttr
ansfertandtincludetthetusetoftpoortbodytmechanicstbytthetcaregiver.
tCorrecttAnswer:tD




Thetnursetistadministeringtmedicationstthroughtatnasogastricttubet(NGT)twhichtistconnectedttotsu
ction.tAftertensuringtcorrectttubetplacement,twhattactiontshouldtthetnursettaketnext?t
A.tClamptthettubetfort20tminutes.t
B.tFlushtthettubetwithtwater.t
C.tAdministertthetmedicationstastprescribed.t

D.tCrushtthettabletstandtdissolvetintsteriletwater.t-tAnswer-✅-
tThetNGTtshouldtbetflushedtbefore,taftertandtintbetweenteachtmedicationtadministeredt(B).tOnceta
lltmedicationstaretadministered,tthetNGTtshouldtbetclampedtfort20tminutest(A).t(CtandtD)tmaytbet
implementedtonlytaftertthettubingthastbeentflushed.t
CorrecttAnswer:tB


Atclienttwhotistinthospicetcaretcomplainstoftincreasingtamountstoftpain.tThethealthcaretprovidertpr
escribestantanalgesicteverytfourthourstastneeded.tWhichtactiontshouldtthetnursetimplement?t
A.tGivetantaround-the-clocktscheduletfortadministrationtoftanalgesics.t
B.tAdministertanalgesictmedicationtastneededtwhentthetpaintistsevere.t
C.tProvidetmedicationttotkeeptthetclienttsedatedtandtunawaretoftstimuli.t

,D.tOffertatmedication-freetperiodtsotthattthetclienttcantdotdailytactivities.t-tAnswer-✅-
tThetmostteffectivetmanagementtoftpaintistachievedtusingtantaround-the-
clocktscheduletthattprovidestanalgesictmedicationstontatregulartbasist(A)tandtintattimelytmanner.tA
nalgesicstHesitFundamentalst2025texam.tCorrectlytanswered.taretlessteffectivetiftpaintpersiststunti
ltittistsevere,tsotantanalgesictmedicationtshouldtbetadministeredtbeforetthetclient'stpaintpeakst(B).tP
rovidingtcomforttistatprioritytfortthetclienttwhotistdying,tbuttsedationtthattimpairstthetclient'stabilit
yttotinteracttandtexperiencetthettimetbeforetlifetendstshouldtbetminimizedt(C).tOfferingtatmedicati
on-
freetperiodtallowstthetserumtdrugtlevelttotfall,twhichtistnottanteffectivetmethodttotmanagetchronict
paint(D).t
CorrecttAnswer:tA


Whentassessingtatclienttwithtwristtrestraints,tthetnursetobservestthattthetfingerstontthetrightthandtar
etblue.tWhattactiontshouldtthetnursetimplementtfirst?t
A.tLoosentthetrighttwristtrestraint.t
B.tApplytatpulsetoximeterttotthetrightthand.t
C.tComparethandtcolortbilaterally.t

D.tPalpatetthetrighttradialtpulse.t-tAnswer-✅-
tThetprioritytnursingtactiontisttotrestoretcirculationtbytlooseningtthetrestraintt(A),tbecausetbluetfing
erst(cyanosis)tindicatestdecreasedtcirculation.t(CtandtD)taretalsotimportanttnursingtinterventions,tb
uttdotnotthavetthetprioritytof(A).tPulsetoximetryt(B)tmeasurestthetsaturationtofthemoglobintwithtox
ygentandtistnottindicatedtintsituationstwheretthetcyanosististrelatedttotmechanicaltcompressiont(the
trestraints).t

CorrecttAnswer:tA


Thetnursetistassessingtthetnutritionaltstatustoftseveraltclients.tWhichtclientthastthetgreatesttnutritio
naltneedtfortadditionaltintaketoftprotein?t
A.tAtcollege-agettracktrunnertwithtatsprainedtankle.t
B.tAtlactatingtwomantnursingthert3-day-oldtinfant.
tC.tAtschool-agedtchildtwithtTypet2tdiabetes.t


D.tAntelderlytmantbeingttreatedtfortatpeptictulcer.t-tAnswer-✅-
tAtlactatingtwomant(B)thastthetgreatesttneedtfortadditionaltproteintintake.t(A,tC,tandtD)taretalltcon
ditionstthattrequiretprotein,tbuttdotnotthavetthetincreasedtmetabolictproteintdemandstoftlactation.t
CorrecttAnswer:tB

, Atclienttistintthetradiologytdepartmenttatt0900twhentthetprescriptiontlevofloxacint(Levaquin)t500t
mgtIVtq24htistscheduledttotbetadministered.tThetclienttreturnsttotthetunittatt1300.tWhattistthetbestti
nterventiontfortthetnursettotimplement?t
A.tContacttthethealthcaretprovidertandtcompletetatmedicationtvariancetform.t
B.tAdministertthetLevaquintatt1300tandtresumetthet0900tscheduletintthetmorning.t
C.tNotifytthetchargetnursetandtcompletetantincidenttreportttotexplaintthetmissedtdose.t
D.tGivetthetmissedtdosetatt1300tandtchangetthetschedulettotadministertdailytatt1300.t-tAnswer-
✅-
tTotensuretthattattherapeutictleveltoftmedicationtistmaintained,tthetnursetshouldtadministertthetmiss
edtdosetastsoontastpossible,tandtrevisetthetadministrationtscheduletaccordinglyttotpreventtdangerou
slytincreasingtthetleveltoftthetmedicationtintthetbloodstreamt(D).tThetnursetshouldtdocumenttthetre
asontfortthetlatetdose,tbutt(AtandtC)taretnottwarranted.t(B)tcouldtresulttintincreasedtbloodtlevelstoft
thetdrug.t
CorrecttAnswer:tD
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Whiletinstructingtatmaletclient'stwifetintthetperformancetoftpassivetrange-of-
motiontexercisesttothistcontractedtshoulder,tthetnursetobservestthattshetistholdingthistarmtabovetan
dtbelowtthetelbow.tWhattnursingtactiontshouldtthetnursetimplement?t
A.tAcknowledgetthattshetistsupportingtthetarmtcorrectly.t
B.tEncouragetherttotkeeptthetjointtcoveredttotmaintaintwarmth.t
C.tReinforcetthetneedttotgriptdirectlytundertthetjointtfortbettertsupport.t

D.tInstructtherttotgriptdirectlytovertthetjointtfortbettertmotiont-tAnswer-✅-
tThetwifetistperformingtthetpassivetROMtcorrectly,tthereforetthetnursetshouldtacknowledgetthistfa
ct(A).tThetjointtthattistbeingtexercisedtshouldtbetuncoveredt(B)twhiletthetresttoftthetbodytshouldtre
maintcoveredtfortwarmthtandtprivacy.t(CtandtD)tdotnottprovidetadequatetsupportttotthetjointtwhilet
stilltallowingtfortjointtmovement.t
CorrecttAnswer:tA

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