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All Hesi Fundamentals Exam Test Bank Updated 2026
Hesi Fundamentals Exam, Answered
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. - 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.
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.
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C. Administer The Medications As Prescribed.
D. Crush The Tablets And Dissolve In Sterile Water. - 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.
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. - 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 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).
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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. - 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).
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.
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D. An Elderly Man Being Treated For A Peptic Ulcer. - 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.
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?
A. Contact The Healthcare Provider And Complete A Medication Variance Form.
B. Administer The Levaquin At 1300 And Resume The 0900 Schedule In The Morning.
C. Notify The Charge Nurse And Complete An Incident Report To Explain The Missed
Dose.
D. Give The Missed Dose At 1300 And Change The Schedule To Administer Daily
At 1300. - To Ensure That A Therapeutic Level Of Medication Is Maintained, The
Nurse Should Administer The Missed Dose As Soon As Possible, And Revise The
Administration Schedule Accordingly To Prevent Dangerously Increasing The
Level Of The Medication In The Bloodstream (D). The Nurse Should Document The
Reason For The Late Dose, But (A And C) Are Not Warranted. (B) Could Result In
Increased Blood Levels Of The Drug.
Answer: D
While Instructing A Male Client's Wife In The Performance Of Passive Range-Of-
Motion Exercises To His Contracted Shoulder, The Nurse Observes That She Is
All Hesi Fundamentals Exam Test Bank Updated 2026
Hesi Fundamentals Exam, Answered
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. - 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.
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.
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C. Administer The Medications As Prescribed.
D. Crush The Tablets And Dissolve In Sterile Water. - 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.
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. - 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 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).
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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. - 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).
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.
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D. An Elderly Man Being Treated For A Peptic Ulcer. - 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.
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?
A. Contact The Healthcare Provider And Complete A Medication Variance Form.
B. Administer The Levaquin At 1300 And Resume The 0900 Schedule In The Morning.
C. Notify The Charge Nurse And Complete An Incident Report To Explain The Missed
Dose.
D. Give The Missed Dose At 1300 And Change The Schedule To Administer Daily
At 1300. - To Ensure That A Therapeutic Level Of Medication Is Maintained, The
Nurse Should Administer The Missed Dose As Soon As Possible, And Revise The
Administration Schedule Accordingly To Prevent Dangerously Increasing The
Level Of The Medication In The Bloodstream (D). The Nurse Should Document The
Reason For The Late Dose, But (A And C) Are Not Warranted. (B) Could Result In
Increased Blood Levels Of The Drug.
Answer: D
While Instructing A Male Client's Wife In The Performance Of Passive Range-Of-
Motion Exercises To His Contracted Shoulder, The Nurse Observes That She Is
