FUNDAMENTALS HESI EXAM 2025 VERSION A
WITH 250 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES/ 2024-
2025 HESI FUNDAMENTALS EXAM FORM
A(BRAND NEW!)
When teaching a female client to perform intermittent self-catheterization, the
nurse should ensure the client's ability to perform which action?
A. Locate the perineum.
B. Transfer to a commode.
C. Attach the catheter to a drainage bag.
D. Manipulate a syringe to inflate the balloon.
A. Locate the perineum
The nurse is preparing to irrigate a client's indwelling urinary catheter using
an open technique. What action should the nurse take after applying gloves?
A. Empty the client's urinary drainage bag.
B. Draw up the irrigating solution into the syringe.
C. Secure the client's catheter to the drainage tubing.
Use aseptic technique to instill the irrigating solution.
B. Draw up the irrigating solution into the syringe.
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."
pg. 1
,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 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. Red meat and all proteins do not need to be eliminated to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions
(2-ounce servings). The low density lipoproteins need to decrease rather than
increase.
A male client tells the nurse that he does not know where he is or what year it
is. What data should the nurse document that is most accurate?
A. Demonstrates loss of remote memory.
B. Exhibits expressive dysphasia.
C. Has a diminished attention span.
D. Is disoriented to place and time.
D. Is disoriented to place and time.
The client is exhibiting disorientation. Loss of remote memory refers to memory of
the distant past. The client is able to express himself without difficulty, and does
not demonstrate a diminished attention span.
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment.
A. The client voluntarily signed the form.
The nurse signs the consent form to witness that the client voluntarily signs the
consent (A), that the client’s signature is authentic, and that the client is otherwise
pg. 2
,competent to give consent. It is the healthcare provider's responsibility to ensure
the client fully understands the procedure (B). The nurse’s signature does not
indicate (C or D).
The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in this teaching plan?
A. Avoid any types of sprays, powders, and perfumes.
B. Wearing a mask while cleaning will not help to avoid allergens.
C. Purchase any type of clothing, but be sure it is washed before wearing it.
D. Pollen count is related to hay fever, not to allergens.
A. Avoid any types of sprays, powders, and perfumes.
The client with allergies should be instructed to reduce any exposure to pollen,
dust, fumes, odors, sprays, powders, and perfumes. The client should be
encouraged to wear a mask when working around dust or pollen. Clients with
allergies should avoid any clothing that causes itching; washing clothes will not
prevent an allergic reaction to some fabrics. Pollen count is related to allergens,
and the client should be instructed to stay indoors when the pollen count is high.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's
beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
B. Blood transfusions are forbidden.
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism
prohibits autopsy; Buddhism forbids the use of alcohol and drugs. Many of these
sects follow a vegetarian diet, but the direct impact on nursing care concerns
beliefs about transfusions.
pg. 3
, A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's readiness
to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change.
B. states he will be able to complete the wound care regimen.
C. demonstrates the wound care procedure correctly.
D. has all the necessary supplies for wound care.
C. demonstrates the wound care procedure correctly.
A return demonstration of a procedure (C) provides an objective assessment of the
client's ability to perform a task, while (A and B) are subjective measures. (D) is
important, but is less of a priority prior to discharge than the nurse's assessment of
the client's ability to complete the wound care.
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to
the anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once
the client is positioned.
An older client who is a resident in a long term care facility has been
bedridden for a week. Which finding should the nurse identify as a client risk
factor for pressure ulcers?
A. Generalized dry skin.
B. Localized dry skin on lower extremities.
pg. 4
WITH 250 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES/ 2024-
2025 HESI FUNDAMENTALS EXAM FORM
A(BRAND NEW!)
When teaching a female client to perform intermittent self-catheterization, the
nurse should ensure the client's ability to perform which action?
A. Locate the perineum.
B. Transfer to a commode.
C. Attach the catheter to a drainage bag.
D. Manipulate a syringe to inflate the balloon.
A. Locate the perineum
The nurse is preparing to irrigate a client's indwelling urinary catheter using
an open technique. What action should the nurse take after applying gloves?
A. Empty the client's urinary drainage bag.
B. Draw up the irrigating solution into the syringe.
C. Secure the client's catheter to the drainage tubing.
Use aseptic technique to instill the irrigating solution.
B. Draw up the irrigating solution into the syringe.
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."
pg. 1
,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 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. Red meat and all proteins do not need to be eliminated to lower
cholesterol, but should be restricted to lean cuts of red meat and smaller portions
(2-ounce servings). The low density lipoproteins need to decrease rather than
increase.
A male client tells the nurse that he does not know where he is or what year it
is. What data should the nurse document that is most accurate?
A. Demonstrates loss of remote memory.
B. Exhibits expressive dysphasia.
C. Has a diminished attention span.
D. Is disoriented to place and time.
D. Is disoriented to place and time.
The client is exhibiting disorientation. Loss of remote memory refers to memory of
the distant past. The client is able to express himself without difficulty, and does
not demonstrate a diminished attention span.
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility?
A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment.
A. The client voluntarily signed the form.
The nurse signs the consent form to witness that the client voluntarily signs the
consent (A), that the client’s signature is authentic, and that the client is otherwise
pg. 2
,competent to give consent. It is the healthcare provider's responsibility to ensure
the client fully understands the procedure (B). The nurse’s signature does not
indicate (C or D).
The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in this teaching plan?
A. Avoid any types of sprays, powders, and perfumes.
B. Wearing a mask while cleaning will not help to avoid allergens.
C. Purchase any type of clothing, but be sure it is washed before wearing it.
D. Pollen count is related to hay fever, not to allergens.
A. Avoid any types of sprays, powders, and perfumes.
The client with allergies should be instructed to reduce any exposure to pollen,
dust, fumes, odors, sprays, powders, and perfumes. The client should be
encouraged to wear a mask when working around dust or pollen. Clients with
allergies should avoid any clothing that causes itching; washing clothes will not
prevent an allergic reaction to some fabrics. Pollen count is related to allergens,
and the client should be instructed to stay indoors when the pollen count is high.
A client who is a Jehovah's Witness is admitted to the nursing unit. Which
concern should the nurse have for planning care in terms of the client's
beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed.
B. Blood transfusions are forbidden.
Blood transfusions are forbidden in the Jehovah's Witness religion. Judaism
prohibits autopsy; Buddhism forbids the use of alcohol and drugs. Many of these
sects follow a vegetarian diet, but the direct impact on nursing care concerns
beliefs about transfusions.
pg. 3
, A postoperative client will need to perform daily dressing changes after
discharge. Which outcome statement best demonstrates the client's readiness
to manage his wound care after discharge? The client
A. asks relevant questions regarding the dressing change.
B. states he will be able to complete the wound care regimen.
C. demonstrates the wound care procedure correctly.
D. has all the necessary supplies for wound care.
C. demonstrates the wound care procedure correctly.
A return demonstration of a procedure (C) provides an objective assessment of the
client's ability to perform a task, while (A and B) are subjective measures. (D) is
important, but is less of a priority prior to discharge than the nurse's assessment of
the client's ability to complete the wound care.
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist level.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to
the anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once
the client is positioned.
An older client who is a resident in a long term care facility has been
bedridden for a week. Which finding should the nurse identify as a client risk
factor for pressure ulcers?
A. Generalized dry skin.
B. Localized dry skin on lower extremities.
pg. 4
