HESI FUNDAMENTALS PRACTICE
EXAM WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
Which intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention
D. Assess the bladder for distention (Urinary retention is the inability to void all urine collected in the
bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions to protect the
skin of a client with urinary incontinence. (C) may worsen the bladder distention.)
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible.
Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match.
D. Ensure the accuracy of the blood type match.
(ALL interventions should be implemented prior to administering blood, but (D) has the highest priority.
Any time blood is administered the nurse should ensure the accuracy of the blood type match in order
to prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse
that he understands he is to take three doses of the medication each day. Since, at the time of
discharge, time-released capsules are not available, which dosing schedule should the nurse advise the
client to follow?
8 AM, 4 PM, and midnight
(Theophylline should be administered on a regular around the clock schedule to provide the best
bronchodilating effect and reduce the potential for adverse effects.)
1|Page
,A client is to receive 10 mEq of KCl diluted in 250 mL of normal saline over 4 hours. At what rate should
the nurse set the client's intravenous infusion pump?
63 mL/hr
When evaluating a client's plan of care, the nurse determines that a desire outcome was not achieved.
Which action should the nurse implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes.
B. Note which actions were not implemented.
(First, the nurse should review which actions in the original plan were not implemented (B) in order to
determine why the original plan did not produce the desired outcome. Appropriate revisions can then
be made, which may include revising the expected outcome, or identifying a new nursing diagnosis (A).
(C) may be needed if the nursing actions were unsuccessful, or were unable to be implemented. (D)
other members of the healthcare team may be necessary to collaborate changes once the nurse
determines why the original plan did not produce the desired outcome.
Which snack food is best for the nurse to provide a client with myasthenia graves who is at risk for
altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices
A. chocolate pudding
(The client with myasthenia graves is at high risk for altered nutrition because of fatigue and muscle
weakness resulting in dysphagia. Snacks that are semisolid, such as pudding (A) are easy to swallow and
require minimal chewing effort, and provide calories and protein. (C) does not provide any nutritional
value. (B and D) require energy to chew and are more difficult to swallow than pudding.)
The nurse is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
C. "I will limit my intake of beef to 4 ounces per week."
(Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an important
diet modification for lowering cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all proteins do not need
to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather than increase.)
2|Page
, An obese male client discusses with the nurse his plans to begin long-term weight loss regimen. In
addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week
and to take stress management classes. After praising the client for his decision, which instruction is
most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your stress level, making you want to eat
more."
C. "Increased exercise helps to reduce stress, so you may not need to spend money on a stress
management class."
D. "Make sure to monitor your weight loss regularly to provide a sense of accomplishment and
motivation."
A. "Be sure to have a complete physical examination before your planned exercise program."
(The most important teaching is (A), so that the client will not begin a dangerous level of exercise when
he is not sufficiently fit. This might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A).
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation
B. During the inhalation.
(The client should be instructed to deliver the medication during the last part of inhalation (B). After the
medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and
breath held for several seconds to allow for distribution of the medication. The client should not deliver
the dose as started in (A or D), and should deliver no more than two inhalations at a time (C).)
An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing at a rate of 30 mcg/min, is prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
180
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxoltn is available
in 5 mg tablets. How much should the nurse plan to administer?
1 1/2 tablets
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2ml. How
many milliliters should the nurse administer?
1.5 mL
Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been infusing for 5.5 hours. How much heparin
has the client received?
3|Page
EXAM WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
Which intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention
D. Assess the bladder for distention (Urinary retention is the inability to void all urine collected in the
bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions to protect the
skin of a client with urinary incontinence. (C) may worsen the bladder distention.)
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as possible.
Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match.
D. Ensure the accuracy of the blood type match.
(ALL interventions should be implemented prior to administering blood, but (D) has the highest priority.
Any time blood is administered the nurse should ensure the accuracy of the blood type match in order
to prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse
that he understands he is to take three doses of the medication each day. Since, at the time of
discharge, time-released capsules are not available, which dosing schedule should the nurse advise the
client to follow?
8 AM, 4 PM, and midnight
(Theophylline should be administered on a regular around the clock schedule to provide the best
bronchodilating effect and reduce the potential for adverse effects.)
1|Page
,A client is to receive 10 mEq of KCl diluted in 250 mL of normal saline over 4 hours. At what rate should
the nurse set the client's intravenous infusion pump?
63 mL/hr
When evaluating a client's plan of care, the nurse determines that a desire outcome was not achieved.
Which action should the nurse implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes.
B. Note which actions were not implemented.
(First, the nurse should review which actions in the original plan were not implemented (B) in order to
determine why the original plan did not produce the desired outcome. Appropriate revisions can then
be made, which may include revising the expected outcome, or identifying a new nursing diagnosis (A).
(C) may be needed if the nursing actions were unsuccessful, or were unable to be implemented. (D)
other members of the healthcare team may be necessary to collaborate changes once the nurse
determines why the original plan did not produce the desired outcome.
Which snack food is best for the nurse to provide a client with myasthenia graves who is at risk for
altered nutritional status?
A. chocolate pudding
B. graham crackers
C. sugar free gelatin
D. apple slices
A. chocolate pudding
(The client with myasthenia graves is at high risk for altered nutrition because of fatigue and muscle
weakness resulting in dysphagia. Snacks that are semisolid, such as pudding (A) are easy to swallow and
require minimal chewing effort, and provide calories and protein. (C) does not provide any nutritional
value. (B and D) require energy to chew and are more difficult to swallow than pudding.)
The nurse is instructing a client with high cholesterol about diet and life style modification. What
comment from the client indicates that the teaching has been effective?
A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
B. "I need to avoid eating proteins, including red meat."
C. "I will limit my intake of beef to 4 ounces per week."
D. "My blood level of low density lipoproteins needs to increase."
C. "I will limit my intake of beef to 4 ounces per week."
(Limiting saturated fat from animal food sources to no more than 4 ounces per week (C) is an important
diet modification for lowering cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A). Red meat and all proteins do not need
to be eliminated (B) to lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather than increase.)
2|Page
, An obese male client discusses with the nurse his plans to begin long-term weight loss regimen. In
addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week
and to take stress management classes. After praising the client for his decision, which instruction is
most important for
the nurse to provide?
A. "Be sure to have a complete physical examination before beginning your planned exercise program."
B. "Be careful that the exercise program doesn't simply add to your stress level, making you want to eat
more."
C. "Increased exercise helps to reduce stress, so you may not need to spend money on a stress
management class."
D. "Make sure to monitor your weight loss regularly to provide a sense of accomplishment and
motivation."
A. "Be sure to have a complete physical examination before your planned exercise program."
(The most important teaching is (A), so that the client will not begin a dangerous level of exercise when
he is not sufficiently fit. This might result in chest pain, a heart attack, or stroke. (B, C, and D) are
important instructions, but are of less priority than (A).
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler?
A. Immediately after exhalation.
B. During the inhalation
C. At the end of three inhalers
D. Immediately after inhalation
B. During the inhalation.
(The client should be instructed to deliver the medication during the last part of inhalation (B). After the
medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and
breath held for several seconds to allow for distribution of the medication. The client should not deliver
the dose as started in (A or D), and should deliver no more than two inhalations at a time (C).)
An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing at a rate of 30 mcg/min, is prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
180
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxoltn is available
in 5 mg tablets. How much should the nurse plan to administer?
1 1/2 tablets
The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2ml. How
many milliliters should the nurse administer?
1.5 mL
Heparin 20,000 units in 500 mL D5W at 50 mL/hour has been infusing for 5.5 hours. How much heparin
has the client received?
3|Page
