HESI FUNDAMENTALS 2026/2027 | COMPLETE EXAM PREP
| HIGH-YIELD PRACTICE QUESTIONS & VERIFIED ANSWERS|
COMPREHENSIVE STUDY GUIDE | LATEST UPDATED
VERSION
1. If a caregiver continues to support the arm incorrectly during passive range-
of-motion exercises, what potential issue could arise for the client?
Increased range of motion in the joint
Injury to the joint or surrounding tissues
Decreased pain during the exercises
Improved muscle strength in the arm
2. In a scenario where an elderly client with a fractured hip is experiencing
discomfort during repositioning, what should the nurse prioritize?
Using a mechanical lift without assessing the client's comfort.
Ensuring the client is lifted gently to minimize pain and discomfort.
Repositioning the client quickly to save time.
Encouraging the client to perform their own repositioning.
3. Describe the importance of positioning the chair correctly during the transfer
of an elderly client with left-sided weakness.
The chair's position is irrelevant as long as the client is assisted.
The chair should always be placed directly in front of the client for
easier access.
Positioning the chair correctly minimizes the risk of falls and
provides support for the client during the transfer.
The chair should be moved frequently to encourage mobility.
,4. What is the appropriate action for a nurse to take when a patient with a
nasogastric tube experiences severe coughing?
Stop the feeding and notify the healthcare provider.
Inject air into the tube while auscultating.
Record the coughing incident.
Check the pH of fluid withdrawn from the tube.
5. A physician writes an order for a patient to receive KC1 40 mEq/L NS. It is to
be infused at a rate of 60 ML/HR. How much KC1 will the patient receive in
one hour?
10 mEq
5 mEq
2.4 mEq
2.5 mEq
6. The nurse identifies which of the following clients would requires an increase
in protein intake?
A healthy elder client who walks one mile a day
A client who has a long history of liver disease
A client who works outdoors in a decreased environmental
temperature
A client who has sustained burn injuries
7. Why is it important to flush a nasogastric tube after confirming its placement?
Flushing the tube can lead to aspiration if done incorrectly.
Flushing the tube ensures patency and prevents clogging.
, Flushing the tube is unnecessary if medications are to be administered.
Flushing the tube is only required before medication administration.
8. Why is it important for the nurse to observe the skin under the ice pack
before taking any other action?
To determine how long the ice pack has been applied.
To educate the client about proper ice pack use.
To assess for any skin damage or adverse reactions caused by the
ice pack.
To decide whether to continue using the ice pack.
9. Why is it important to adjust the medication schedule after administering a
missed dose of levofloxacin?
To avoid potential side effects from the medication.
To prevent the patient from feeling pain.
To maintain consistent therapeutic levels of the medication.
To ensure the medication is given at the same time every day.
10. If the nurse observes redness and swelling on the skin after removing the ice
pack covering, what should be the next step in the nursing intervention?
Document the findings and notify the healthcare provider.
Continue applying the ice pack without the covering.
Instruct the client to apply heat to the area.
Ignore the findings if the client reports no pain.
| HIGH-YIELD PRACTICE QUESTIONS & VERIFIED ANSWERS|
COMPREHENSIVE STUDY GUIDE | LATEST UPDATED
VERSION
1. If a caregiver continues to support the arm incorrectly during passive range-
of-motion exercises, what potential issue could arise for the client?
Increased range of motion in the joint
Injury to the joint or surrounding tissues
Decreased pain during the exercises
Improved muscle strength in the arm
2. In a scenario where an elderly client with a fractured hip is experiencing
discomfort during repositioning, what should the nurse prioritize?
Using a mechanical lift without assessing the client's comfort.
Ensuring the client is lifted gently to minimize pain and discomfort.
Repositioning the client quickly to save time.
Encouraging the client to perform their own repositioning.
3. Describe the importance of positioning the chair correctly during the transfer
of an elderly client with left-sided weakness.
The chair's position is irrelevant as long as the client is assisted.
The chair should always be placed directly in front of the client for
easier access.
Positioning the chair correctly minimizes the risk of falls and
provides support for the client during the transfer.
The chair should be moved frequently to encourage mobility.
,4. What is the appropriate action for a nurse to take when a patient with a
nasogastric tube experiences severe coughing?
Stop the feeding and notify the healthcare provider.
Inject air into the tube while auscultating.
Record the coughing incident.
Check the pH of fluid withdrawn from the tube.
5. A physician writes an order for a patient to receive KC1 40 mEq/L NS. It is to
be infused at a rate of 60 ML/HR. How much KC1 will the patient receive in
one hour?
10 mEq
5 mEq
2.4 mEq
2.5 mEq
6. The nurse identifies which of the following clients would requires an increase
in protein intake?
A healthy elder client who walks one mile a day
A client who has a long history of liver disease
A client who works outdoors in a decreased environmental
temperature
A client who has sustained burn injuries
7. Why is it important to flush a nasogastric tube after confirming its placement?
Flushing the tube can lead to aspiration if done incorrectly.
Flushing the tube ensures patency and prevents clogging.
, Flushing the tube is unnecessary if medications are to be administered.
Flushing the tube is only required before medication administration.
8. Why is it important for the nurse to observe the skin under the ice pack
before taking any other action?
To determine how long the ice pack has been applied.
To educate the client about proper ice pack use.
To assess for any skin damage or adverse reactions caused by the
ice pack.
To decide whether to continue using the ice pack.
9. Why is it important to adjust the medication schedule after administering a
missed dose of levofloxacin?
To avoid potential side effects from the medication.
To prevent the patient from feeling pain.
To maintain consistent therapeutic levels of the medication.
To ensure the medication is given at the same time every day.
10. If the nurse observes redness and swelling on the skin after removing the ice
pack covering, what should be the next step in the nursing intervention?
Document the findings and notify the healthcare provider.
Continue applying the ice pack without the covering.
Instruct the client to apply heat to the area.
Ignore the findings if the client reports no pain.
