HESI RN FUNDAMENTALS COMPREHENSIVE EXAMS
UPDATED 2026 QUESTIONS AND ANSWERS SURE
A+
✔✔The nurse is preparing a liquid medication for a 2-year-old. The dose is 2.2 mL.
What delivery devise will the nurse select to prepare the medication?
A.
30 mL medication cup
B.
10 mL medication spoon
C.
3 mL needleless syringe
D.
5 mL medicine dropper - ✔✔C
Rationale: Accuracy is most important when delivering small amounts of medication to a
child. The most accurate dispensing devise is the 3 mL needleless syringe that is
marked off in increments of tenths.
✔✔The nurse is providing care to a client receiving high doses of chemotherapy. Which
situation will cause the nurse to intervene for this client?
A.
Co-workers walk into the room with a 2′ × 3′ get well card.
B.
,A neighbor stops by with a box of chocolate candy.
C.
A clergy member places a book of prayers at the client's bedside.
D.
The florist delivers an arrangement of fresh flowers. - ✔✔D
Rationale: A common side effect of chemotherapy is the inability to fight infection
secondary to neutropenia. Fresh fruits and fresh flowers are sources of infection that
must be avoided for these clients. The remaining options pose a low risk for infection.
✔✔The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is
awake and alert. Which nursing actions are correct? (Select all that apply.)
A.
Place the client in a high Fowler position.
B.
Explain that placement of the tube is painless.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
E.
Assist the client in extending the neck back so the tube may enter the larynx. - ✔✔A, D
Rationale: (A and D) are the correct steps to follow during nasogastric intubation.
Placement of an NG tube can be uncomfortable and can induce gagging. The tube
should be measured from the tip of the nose to behind the ear and then from behind the
ear to the xiphoid process (C). The neck should only be extended back prior to the tube
passing the pharynx and then the client should be instructed to position the neck
forward (E).
✔✔A 20-year-old female client with a noticeable body odor has refused to shower for
the last 3 days. She states, "I have been told that it is harmful to bathe during my
period." Which action should the nurse take first?
A.
Accept and document the client's wish to refrain from bathing.
B.
Offer to give the client a bed bath, avoiding the perineal area.
C.
Obtain written brochures about menstruation to give to the client.
D.
Teach the importance of personal hygiene during menstruation with the client. - ✔✔D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the
client should receive teaching first, respecting any personal beliefs such as cultural or
spiritual values. After client teaching, the client may still choose option A or B.
Brochures reinforce the teaching.
✔✔The spouse is at the bedside of the client who just died. The hospice nurse states to
the spouse, "I know your children want to come over and say goodbye before we call
, the funeral home. Just let me know when you are ready for me to prepare the body."
What steps will the nurse include in the postmortem care? (Select all that apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar. - ✔✔A, C, D
Rationale: Postmortem care includes making the client ready for the family to view prior
to the client's transfer to the mortuary. The nurse need to make sure the client's body is
completely washed, and all dressings and all tubes, i.e. Foley, NG, IV, are removed. As
the client may excrete contents from the bowel and the bladder during the dying
process, remove all soiled pads and bedding from under the client and replace with
fresh items. Make sure the client's eyes are closed.
✔✔A hospitalized client has had difficulty falling asleep for two nights, and is becoming
irritable and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care
as safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8
hours.
D.
Encourage the client to avoid pain medication during the day, which might increase
daytime napping. - ✔✔A
Rationale: Including habitual rituals that do not interfere with the client's care or safety
may allow the client to go to sleep faster and increase the quality of care. Options B, C,
and D decrease the client's standard of care and compromise safety.
✔✔Which instruction is most important for the nurse to include when teaching a client
with limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour. - ✔✔C
UPDATED 2026 QUESTIONS AND ANSWERS SURE
A+
✔✔The nurse is preparing a liquid medication for a 2-year-old. The dose is 2.2 mL.
What delivery devise will the nurse select to prepare the medication?
A.
30 mL medication cup
B.
10 mL medication spoon
C.
3 mL needleless syringe
D.
5 mL medicine dropper - ✔✔C
Rationale: Accuracy is most important when delivering small amounts of medication to a
child. The most accurate dispensing devise is the 3 mL needleless syringe that is
marked off in increments of tenths.
✔✔The nurse is providing care to a client receiving high doses of chemotherapy. Which
situation will cause the nurse to intervene for this client?
A.
Co-workers walk into the room with a 2′ × 3′ get well card.
B.
,A neighbor stops by with a box of chocolate candy.
C.
A clergy member places a book of prayers at the client's bedside.
D.
The florist delivers an arrangement of fresh flowers. - ✔✔D
Rationale: A common side effect of chemotherapy is the inability to fight infection
secondary to neutropenia. Fresh fruits and fresh flowers are sources of infection that
must be avoided for these clients. The remaining options pose a low risk for infection.
✔✔The nurse prepares to insert a nasogastric tube in a client with hyperemesis who is
awake and alert. Which nursing actions are correct? (Select all that apply.)
A.
Place the client in a high Fowler position.
B.
Explain that placement of the tube is painless.
C.
Measure the tube from the tip of the nose to the umbilicus.
D.
Instruct the client to swallow after the tube has passed the pharynx.
E.
Assist the client in extending the neck back so the tube may enter the larynx. - ✔✔A, D
Rationale: (A and D) are the correct steps to follow during nasogastric intubation.
Placement of an NG tube can be uncomfortable and can induce gagging. The tube
should be measured from the tip of the nose to behind the ear and then from behind the
ear to the xiphoid process (C). The neck should only be extended back prior to the tube
passing the pharynx and then the client should be instructed to position the neck
forward (E).
✔✔A 20-year-old female client with a noticeable body odor has refused to shower for
the last 3 days. She states, "I have been told that it is harmful to bathe during my
period." Which action should the nurse take first?
A.
Accept and document the client's wish to refrain from bathing.
B.
Offer to give the client a bed bath, avoiding the perineal area.
C.
Obtain written brochures about menstruation to give to the client.
D.
Teach the importance of personal hygiene during menstruation with the client. - ✔✔D
Rationale: Because a shower is most beneficial for the client in terms of hygiene, the
client should receive teaching first, respecting any personal beliefs such as cultural or
spiritual values. After client teaching, the client may still choose option A or B.
Brochures reinforce the teaching.
✔✔The spouse is at the bedside of the client who just died. The hospice nurse states to
the spouse, "I know your children want to come over and say goodbye before we call
, the funeral home. Just let me know when you are ready for me to prepare the body."
What steps will the nurse include in the postmortem care? (Select all that apply.)
A.
Remove the existing Foley catheter.
B.
Wash the genitalia only.
C.
Close the client's eyes.
D.
Remove soiled padding under the client.
E.
Place a dressing over the abdominal scar. - ✔✔A, C, D
Rationale: Postmortem care includes making the client ready for the family to view prior
to the client's transfer to the mortuary. The nurse need to make sure the client's body is
completely washed, and all dressings and all tubes, i.e. Foley, NG, IV, are removed. As
the client may excrete contents from the bowel and the bladder during the dying
process, remove all soiled pads and bedding from under the client and replace with
fresh items. Make sure the client's eyes are closed.
✔✔A hospitalized client has had difficulty falling asleep for two nights, and is becoming
irritable and restless. Which action by the nurse is best?
A.
Determine the client's usual bedtime routine and include these rituals in the plan of care
as safety allows.
B.
Instruct the UAP not to wake the client under any circumstances during the night.
C.
Place a "Do Not Disturb" sign on the door and change assessments from every 4 to 8
hours.
D.
Encourage the client to avoid pain medication during the day, which might increase
daytime napping. - ✔✔A
Rationale: Including habitual rituals that do not interfere with the client's care or safety
may allow the client to go to sleep faster and increase the quality of care. Options B, C,
and D decrease the client's standard of care and compromise safety.
✔✔Which instruction is most important for the nurse to include when teaching a client
with limited mobility strategies to prevent venous thrombosis?
A.
Perform cough and deep breathing exercises hourly.
B.
Turn from side to side in bed at least every 2 hours.
C.
Dorsiflex and plantarflex the feet 10 times each hour.
D.
Drink approximately 4 ounces of water every hour. - ✔✔C
