HESI FUNDAMENTALS PRACTICE EXAM
2026/2027 WITH QUESTIONS AND
ANSWERS WRITTEN CORRECTLY
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the solution at a rate of 5
mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60 gtt/mL, how many drops per minute
should the client receive? - correct answer <<<<<💕💕💕✔✔124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate w/ 30 units of Pitocin to
run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing
has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many
gtt/min? - correct answer <<<<<💕💕💕✔✔83 gtt/min
Three days following a surgery, a male client observes his colostomy for the first time. He becomes quite
upset and tells the nurse that it is much bigger than he expected. What is the best response by the
nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure. - correct
answer <<<<<💕💕💕✔✔B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes (Postoperative swelling causes enlargement of the stoma. The nurse can teach the
client that the stoma will become smaller when swelling is diminished (B). This will help reduce the
client's anxiety and promote acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse provides pertinent teaching. The client
is not yet demonstrating readiness to learn colostomy care. (D)
,A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last two hours. What
action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - correct answer
<<<<<💕💕💕✔✔B. Reposition the client on her side. (The immediate priority is to determine if the
tube is functioning correctly, which would then relieve the client's nausea. The least invasive
intervention (B) should be attempted first, followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine
now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. - correct answer
<<<<<💕💕💕✔✔C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should
the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD. - correct answer
<<<<<💕💕💕✔✔A. Commend the client for selecting a high biologic value protein. (Foods such as
eggs and milk (A) are high biologic proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a good diet choice so (D) is not
necessary.)
, When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the center
of gravity for an elderly person is the-- - correct answer <<<<<💕💕💕✔✔Upper torso (The center
of gravity for adults is the hips. However, as the person grows older, a stooped posture is common
because of the changes from osteoporosis and normal bone degeneration, and the knees, hips, and
elbows flex. This stooped posture results in the upper torso becoming the center of gravity for older
persons.)
In developing a plan of care for a client with dementia, the nurse should remember that confusion in the
elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - correct answer <<<<<💕💕💕✔✔B. often follows
relocation to new surroundings (Relocation (B) often results in confusion among elderly clients-- moving
is stressful for anyone. (A) is stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes after discharge. Which outcome
statement best demonstrates the client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - correct answer <<<<<💕💕💕✔✔C.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's ability to
perform a task, while (A and B) are subjective measures. (D) is important, but is less of a priority than
the the nurse's assessment of the client's ability to complete wound care.)
During the initial morning assessment, a male client denies dysuria but reports that his urine appears
dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
2026/2027 WITH QUESTIONS AND
ANSWERS WRITTEN CORRECTLY
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the solution at a rate of 5
mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60 gtt/mL, how many drops per minute
should the client receive? - correct answer <<<<<💕💕💕✔✔124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate w/ 30 units of Pitocin to
run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing
has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many
gtt/min? - correct answer <<<<<💕💕💕✔✔83 gtt/min
Three days following a surgery, a male client observes his colostomy for the first time. He becomes quite
upset and tells the nurse that it is much bigger than he expected. What is the best response by the
nurse?
A. Reassure the client that he will become accustomed to the stoma appearance in time.
B. Instruct the client that the stoma will become much smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to gain confidence with the procedure. - correct
answer <<<<<💕💕💕✔✔B. Instruct the client that the stoma will become smaller when the initial
swelling diminishes (Postoperative swelling causes enlargement of the stoma. The nurse can teach the
client that the stoma will become smaller when swelling is diminished (B). This will help reduce the
client's anxiety and promote acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse provides pertinent teaching. The client
is not yet demonstrating readiness to learn colostomy care. (D)
,A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse
assesses that there has been no drainage through the nasogastric tube in the last two hours. What
action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. - correct answer
<<<<<💕💕💕✔✔B. Reposition the client on her side. (The immediate priority is to determine if the
tube is functioning correctly, which would then relieve the client's nausea. The least invasive
intervention (B) should be attempted first, followed by (A and C), unless either of these interventions is
contraindicated. If these measures are unsuccessful, the client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous
pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine
now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. - correct answer
<<<<<💕💕💕✔✔C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should
the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote absorption.
D. Encourage the client to attend classes on dietary management of CKD. - correct answer
<<<<<💕💕💕✔✔A. Commend the client for selecting a high biologic value protein. (Foods such as
eggs and milk (A) are high biologic proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell repair. Orange juice is rich in
potassium and should not be encouraged. The client has made a good diet choice so (D) is not
necessary.)
, When assisting an 82 year old client to ambulate, it is important for the nurse to realize that the center
of gravity for an elderly person is the-- - correct answer <<<<<💕💕💕✔✔Upper torso (The center
of gravity for adults is the hips. However, as the person grows older, a stooped posture is common
because of the changes from osteoporosis and normal bone degeneration, and the knees, hips, and
elbows flex. This stooped posture results in the upper torso becoming the center of gravity for older
persons.)
In developing a plan of care for a client with dementia, the nurse should remember that confusion in the
elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep - correct answer <<<<<💕💕💕✔✔B. often follows
relocation to new surroundings (Relocation (B) often results in confusion among elderly clients-- moving
is stressful for anyone. (A) is stereotypical judgement. Stress in the elderly often manifests itself as
confusion, so (C) is wrong. Adequate sleep is not a prevention (D) for confusion.)
A postoperative client will need to perform daily dressing changes after discharge. Which outcome
statement best demonstrates the client's readiness to manage his wound care after discharge? The
client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care - correct answer <<<<<💕💕💕✔✔C.
demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's ability to
perform a task, while (A and B) are subjective measures. (D) is important, but is less of a priority than
the the nurse's assessment of the client's ability to complete wound care.)
During the initial morning assessment, a male client denies dysuria but reports that his urine appears
dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
