HESI FUNDAMENTALS V.2: EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
While suctioning a client's nasopharynx, the nurse observes that
the client's oxygen saturation remains at 94%, which is the same
reading obtained prior to starting the procedure. What action
should the nurse take in response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
C) Complete the intermittent suction of the nasopharynx.
A 35-year-old female client with cancer refuses to allow the nurse
to insert an IV for a scheduled chemotherapy treatment, and
states that she is ready to go home to die. What intervention
should the nurse initiate?
A) Review the client's medical record for an advance directive.
B) Determine if a do- not- resuscitate prescription has been
obtained.
C) Document that the client is being discharged against medical
advice.
D) Evaluate the client's mental status for competence to refuse
treatment.
,C) Document that the client is being discharged against medical
advice.
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicates the client's protein status for the longest length of time?
A) Trasnferrin.
B) Prealbumin.
C) Serum albumin.
D) Urine urea nitrogen.
C) Serum albumin.
What client statement indicates to the nurse that the client
requires assistance with bathing?
A) "I wasn't able to pack a bag before I left for the hospital."
B) "I don't understand why I'm so weak and tired."
C) "I only bathe ever other day."
D) "I left my eyeglasses at home."
B) "I don't understand why I'm so weak and tired."
How should the nurses handle linens that are soiled with
incontinent feces?
A) Put the soiled linens in an isolation bag, then place it in the
dirty linen hamper.
B) Place an isolation hamper in the client's room and discard the
linens in it.
C) Place the soiled linens in a pillow case and deposit them in the
dirty linen hamper.
,D) Ask the housekeeping staff to pick up the soiled linen from the
dirty utility room.
A) Put the soiled linens in an isolation bag, then place it in the
dirty linen hamper.
When caring for an immobile client, what nursing diagnosis has
the highest priority?
A) Risk for fluid volume deficit.
B) Impaired gas exchange.
C) Risk for impaired skin integrity.
D) Altered tissue perfusion.
D) Altered tissue perfusion.
The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature is
95.8 F, and his output is 100 ml of concentrated urine during the
last hour. He has wet- sounding lung sounds, and increased
respiratory secretions. Based on these assessment findings, what
nursing action is most important for the nurse to implement?
A) Administer a PRN antihypertensive prescription.
B) Provide the client with an additional blanket.
C) Encourage additional fluid intake.
D) Turn the client q2h.
A) Administer a PRN antihypertensive prescription.
The nurse removes the dressing on a client's heel that is covering
a pressure sore one- inch in diameter and finds that there is
straw- colored drainage seeping from the wound. What
description of this finding should the nurse include in the client's
record?
, A) Stage 1 pressure sore draining sero-sanguineous drainage.
B) Pressure sore at bony prominence with exude noted.
C) One-inch pressure sore draining serous fluid.
D) Pressure sore on heel with a small amount of purulent
drainage.
C) One-inch pressure sore draining serous fluid.
The nurse working in the emergency department is assessing four
clients' ability to tolerate pain. Which client is likely to tolerate a
higher level of pain?
A) A 10- year- old who was burned by a camp fire earlier today.
B) A 70- year- old who has a postoperative infection form a
surgery one week ago.
C) A 23- year- old woman who sprained her knee while bicycling.
D) A 55- year- old woman who has had moderate low back pain
for three months.
D) A 55- year- old woman who has had moderate low back pain
for three months.
A low-sodium, low-protein diet is prescribed for a 45-year-old
client with renal insufficiency and hypertension, who gained 3
pounds in the last month. The nurse determines that the client
has been noncompliant with the diet, based on which report from
the 24-hour dietary recall? (Select all that apply.)
A) Snack of potato chips, and diet soda.
B) Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and
coffee.
C) Breakfast of eggs, bacon, toast, and coffee.
D) Dinner of vegetable lasagna, tossed salad, sherbet, and iced
tea.
E) Bedtime snack of crackers and milk.
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
While suctioning a client's nasopharynx, the nurse observes that
the client's oxygen saturation remains at 94%, which is the same
reading obtained prior to starting the procedure. What action
should the nurse take in response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
C) Complete the intermittent suction of the nasopharynx.
A 35-year-old female client with cancer refuses to allow the nurse
to insert an IV for a scheduled chemotherapy treatment, and
states that she is ready to go home to die. What intervention
should the nurse initiate?
A) Review the client's medical record for an advance directive.
B) Determine if a do- not- resuscitate prescription has been
obtained.
C) Document that the client is being discharged against medical
advice.
D) Evaluate the client's mental status for competence to refuse
treatment.
,C) Document that the client is being discharged against medical
advice.
A client with chronic renal disease is admitted to the hospital for
evaluation prior to a surgical procedure. Which laboratory test
indicates the client's protein status for the longest length of time?
A) Trasnferrin.
B) Prealbumin.
C) Serum albumin.
D) Urine urea nitrogen.
C) Serum albumin.
What client statement indicates to the nurse that the client
requires assistance with bathing?
A) "I wasn't able to pack a bag before I left for the hospital."
B) "I don't understand why I'm so weak and tired."
C) "I only bathe ever other day."
D) "I left my eyeglasses at home."
B) "I don't understand why I'm so weak and tired."
How should the nurses handle linens that are soiled with
incontinent feces?
A) Put the soiled linens in an isolation bag, then place it in the
dirty linen hamper.
B) Place an isolation hamper in the client's room and discard the
linens in it.
C) Place the soiled linens in a pillow case and deposit them in the
dirty linen hamper.
,D) Ask the housekeeping staff to pick up the soiled linen from the
dirty utility room.
A) Put the soiled linens in an isolation bag, then place it in the
dirty linen hamper.
When caring for an immobile client, what nursing diagnosis has
the highest priority?
A) Risk for fluid volume deficit.
B) Impaired gas exchange.
C) Risk for impaired skin integrity.
D) Altered tissue perfusion.
D) Altered tissue perfusion.
The nurse assesses an immobile, elderly male client and
determines that his blood pressure is 138/60, his temperature is
95.8 F, and his output is 100 ml of concentrated urine during the
last hour. He has wet- sounding lung sounds, and increased
respiratory secretions. Based on these assessment findings, what
nursing action is most important for the nurse to implement?
A) Administer a PRN antihypertensive prescription.
B) Provide the client with an additional blanket.
C) Encourage additional fluid intake.
D) Turn the client q2h.
A) Administer a PRN antihypertensive prescription.
The nurse removes the dressing on a client's heel that is covering
a pressure sore one- inch in diameter and finds that there is
straw- colored drainage seeping from the wound. What
description of this finding should the nurse include in the client's
record?
, A) Stage 1 pressure sore draining sero-sanguineous drainage.
B) Pressure sore at bony prominence with exude noted.
C) One-inch pressure sore draining serous fluid.
D) Pressure sore on heel with a small amount of purulent
drainage.
C) One-inch pressure sore draining serous fluid.
The nurse working in the emergency department is assessing four
clients' ability to tolerate pain. Which client is likely to tolerate a
higher level of pain?
A) A 10- year- old who was burned by a camp fire earlier today.
B) A 70- year- old who has a postoperative infection form a
surgery one week ago.
C) A 23- year- old woman who sprained her knee while bicycling.
D) A 55- year- old woman who has had moderate low back pain
for three months.
D) A 55- year- old woman who has had moderate low back pain
for three months.
A low-sodium, low-protein diet is prescribed for a 45-year-old
client with renal insufficiency and hypertension, who gained 3
pounds in the last month. The nurse determines that the client
has been noncompliant with the diet, based on which report from
the 24-hour dietary recall? (Select all that apply.)
A) Snack of potato chips, and diet soda.
B) Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and
coffee.
C) Breakfast of eggs, bacon, toast, and coffee.
D) Dinner of vegetable lasagna, tossed salad, sherbet, and iced
tea.
E) Bedtime snack of crackers and milk.
