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HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS 2026

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This document provides 25 HESI Fundamentals questions covering sterile kit restart, furosemide effectiveness (weight loss), home safety (unsecured rug), enteral feeding position (High‑Fowler’s), pain self‑report, fall precautions (call light), splinting incision when coughing, fever management (remove blankets), urinary tract infection signs (foul urine), oral care for unconscious clients (side‑lying), colostomy pouch change (not daily), intake calculation (540 mL), low‑sodium diet (fresh chicken), IV removal (sterile dressing), diabetic foot care (mirror), condom catheter (1‑2 inch space), IV flow rate (31 gtt/min), NG tube not draining (verify placement), C. diff precautions (no alcohol wipes on stethoscope), wound infection signs (green foul drainage), cane use (strong side), and pressure injury dressing (alginate/foam). Perfect for HESI specialty exam preparation.

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HESI FUNDAMENTALS EXAM QUESTIONS – VERIFIED
Q&A | PROCTORED & EXIT EXAM | NGN EDITION 2026


1. A nurse is preparing to insert an indwelling urinary catheter for a female client.
The nurse opens the sterile kit, dons sterile gloves, and then realizes the
lubricant is missing. What should the nurse do?

A. Ask an unlicensed assistive person to get more lubricant

B. Reach for lubricant from a nearby drawer

C. Obtain a new sterile kit and start over

D. Use water as a substitute for lubricant

Correct answer: C

Rationale: Breaking sterility to reach for lubricant contaminates the field. Restarting
with a new kit is the only safe option.



2. A client with heart failure is prescribed furosemide. Which finding indicates the
medication is effective?

A. Weight loss of 2 kg in 24 hours

B. Urine output of 20 mL/hour

C. Blood pressure of 90/60 mm Hg

D. Complaints of dry mouth

Correct answer: A

Rationale: Weight loss indicates effective diuresis and reduction of fluid overload.
Hypotension, low urine output, and dry mouth are adverse effects.

, 3. A nurse is performing a home safety assessment for an older adult. Which
finding requires immediate intervention?

A. Grab bars installed in the shower

B. Nightlights in the hallway

C. A small, unsecured scatter rug in the kitchen

D. Handrails on both sides of the staircase

Correct answer: C

Rationale: Unsecured scatter rugs are a major fall hazard. Grab bars, nightlights, and
handrails are safety features.



4. A client is receiving enteral feedings through a nasogastric tube. The nurse
should place the client in which position during the feeding?

A. Supine

B. Left lateral

C. High‑Fowler’s

D. Trendelenburg

Correct answer: C

Rationale: High‑Fowler’s prevents aspiration and promotes gastric emptying.

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