HESI fundamentals exit 2025 exam with Correct and Verified Answers. Graded A+

HESI fundamentals exit 2025 exam with Correct and Verified Answers. Graded A+ Which of the following is done after giving medication through a nasogastric tube that is connected to suction? a. the tube is reconnected to the suction b. the tube is clamped for 10 min then reconnected to suction c. the tube is clamped for 30min then reconnected to suction d. the suction is left off for 4 hrs then reconnected to suction - Correct Answer C Which of the following is the correct needle for an intramuscular (Im) injection? a. 18 G, 1-in b. 20 G, 1/2 in c. 25 G, 2-in d. 21 G, 1 1/2 in - Correct Answer D Which area of the hands requires special attention before you begin a surgical hand scrub? A) The area under each fingernail B) The back of the hands C) The area between each finger D) The palm of each hand - Correct Answer B When opening a sterile pack, which of the following actions would compromise the sterility of the instruments and supplies inside the pack? A) Opening the sterile pack just prior to the procedure B) Allowing movement of team members around the field C) Keeping sterile items away from the edge of the table D) Holding the sterile pack below waist or table level - Correct Answer D The goal of surgical asepsis is to: A) create and maintain a micro-organism-free environment B) reduce the presence of pathogenic organisms in the environment C) kill all micro-organisms on all instruments involved in a procedure D) minimize exposure to the patient's blood during an invasive procedure - Correct Answer A When donning sterile gloves using the open-glove method, it is important to remember to: A) grasp only the inside of the glove with your ungloved hand. B) ask another team member to assist with donning gloves. C) grasp only the underside of the cuff with your ungloved hand. D) choose a pair of gloves at least one size smaller than usual. - Correct Answer A The preferred site for IM injection? A) Anterolateral quadricep B) Deltoid C) Ventrogluteal D) Abdomen - Correct Answer C Most recommended site for administration of Heparin? - Correct Answer Abdomen If you can only grab 1 inch of fatty tissue on the abdomen for a SQ injection, what needle size should be used? A) 1/2 inch B) 5/8 inch C) 2/5 inch D) 1/4 inch - Correct Answer B At what angle do you inject an IM medication? - Correct Answer 90 degrees M ventrogluteal landmark A. Upper outer quadrant of buttock B. Deltoid C. Knee and greater trochanter D. Greater trochanter and anterior superior iliac spine - Correct Answer D What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented? a. ask the patient to state his or her name b. check the patient's wrist band c. look at the patients chart d. have the patient state his or her name and birth date. - Correct Answer D The nurse is giving morning medications to patient who refuses to take an oral dose of docusate (Colace).What is the nurse's best response? a. your prescriber ordered that you must take this drug twice a day. b. docusate will soften your bowel movements so that you do not strain c. this drug will help prevent constipation while you are on bed rest. d. can you tell me why you do not want to take the docusate? - Correct Answer D What administration technique does the nurse use to give a 2 yr old child ear drops? a. pull the earlobe down and back b. pull the earlobe up and out c. keep the earlobe straight d. hang the patient's head over the side of the bed. - Correct Answer A The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness? a. during lunch so that the patient is not too hungry to learn b. after the patient wakes up from a nap and no visitors are present. c. right after the health care provider has told the patient that the health problem cannot be cured. d. when the patient's spouse and 3 adult children are present so that the family can reinforce the teaching. - Correct Answer B A nurse receives an order to administer 8 units regular insulin and 20 units NPH insulin before breakfast. Using a U-100 syringe, the nurse would prepare this dos in which of the following ways? a. drawing up 8 units NPH, then 20 units regular in the same syringe. b. drawing up 9 units regular in one syringe, and 20 units NPH in a separate syringe. c. drawing up 8units regular, then 20 units NPH in the same syringe d. giving the 20 units NPH insulin 15 min before food, and the 8 units of regular when the food arrives. - Correct Answer C If Phenergan is available in 100 mg/2 mL ampules, which of the following represents the amount is needed in mL to give a dose of 12.5 mg IM? a. 0.20 b. 0.25 c. 0.50 d. 0.75 - Correct Answer B Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC) injections? a. Use a 22 G, 5/8 in needle b. Rotate sites among the upper arm, abdomen, and anterior thigh c. Avoid injecting within 3 in of a previous injection site d. insert the needle at a 30 degree angle to the skin - Correct Answer B To reduce the systemic absorption of eye drops, the nurse should: a. use finger pressure to close the eyelid tightly b. apply slight finger pressure over the lacrimal duct c. request the patient tilt the head slightly to the side of the unaffected eye d. instruct the patient to widen the eyes in order to increase access to the lacrimal duct. - Correct Answer B A nurse notices a fire in the bathroom of an empty room and reports the location of the fire immediately. What should the nurse do next? A. Close the door to all the client's rooms in the hallway B. Evacuate clients in the rooms close to the fire C. Shut the door to the bathroom and the empty room D. Obtain fire extinguisher on the unit - Correct Answer C What is the most important thing to assess prior to applying a heating pad? - Correct Answer Degree of neurosensory impairment Oral medication administration is contraindicated in patients who are: A) unable to swallow B) unconscious C) confused D) All of the above - Correct Answer D A nurses job when administering meds includes: A) determining if it is the correct med B) the patients ability to self-administer meds C) closely monitor the effects D) All of the above - Correct Answer D How do you take a lower extremity blood pressure? A) Supine; popliteal artery B) Semi-Fowlers; femoral artery C) Prone; popliteal artery D) High-Fowlers; femoral artery - Correct Answer C Nurse AJ is applying a warm compress. What should the nurse explain to the patient is the primary reason why heat is used instead of cold? A) Minimizes muscle spasms B) Prevents hemorrhage C) Increases circulation D) Reduces discomfort - Correct Answer C Nurse Sue teaches a patient about pursed lip breathing. The nurse identifies that the teaching is affected when the patient says its purpose is to: A) Precipitate coughing. B) Help maintain open airways. C) Decrease intrathoracic pressure. D) Facilitate expectoration of mucus - Correct Answer B Nurse Stephanie is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all that apply. A) Restlessness. B) Tachypnea. C) Bradycardia. D) Confusion. E) Pallor. - Correct Answer A, B, E Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse take next? A. Clamp the catheter and recheck it in 60 minutes. B. Pull the catheter back 3 inches and redirect upward. C. Leave the catheter in place and reattempt with another catheter. D. Notify the health care provider of a possible obstruction. - Correct Answer C Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an older adult? A. When the sexual partner passes away, the survivor no longer feels sexual. B. A decrease in an older adult's libido occurs. C. Any outward expression of sexuality suggests that the older adult is having a developmental problem. D. All older adults, whether healthy or frail, need to express sexual feelings. - Correct Answer D An elderly female client calls the clinic and states that she feels very weak and dizzy. Further assessment by the practical nurse (PN) indicates that the client self-administered an enema of 3 liters of tap water because she felt constipated. What is the most likely cause of the client's symptoms? A. Mucosal bleeding B. Sodium retention C. Fluid volume depletion D. Water intoxication - Correct Answer D A man brings his elderly wife to the emergency department. He states that she has been vomiting and has had diarrhea for the past two days. She appears lethargic and is complaining of leg cramps. What should the nurse do first? A) Start an IV. B) Review the results of serum electrolytes. C) Offer the woman foods that are high in sodium and potassium content. D) Administer an antiemetic - Correct Answer B Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after the tubing was inserted. D) Checking the remaining length of tubing to ensure that the correct length was inserted. - Correct Answer C The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large amounts of thick yellow secretions return. What action should the nurse implement next? A) Encourage the client to cough to help loosen secretions. B) Advise the client to increase the intake of oral fluids. C) Rotate the suction catheter to obtain any remaining secretions. D) Re-oxygenate the client before attempting to suction again. - Correct Answer D The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first? a. observe the appearance of the skin under the ice pack b. instruct the client regarding the need for the covering c. reapply the covering after filling with fresh ice d. ask the client how long the ice was applied to the skin - Correct Answer A Three levels of critical thinking in nursing have been identified. Briefly describe each: a. basic b. complex c. commitment - Correct Answer a. basic: the learner trusts that the experts have the right answers for every problem; thinking is concrete and based on a set of rules or principles b. complex: learners begin to separate themselves from experts and analyze and examine choices more independently c. commitment: learners anticipate the need to make choices without assistance from others and accept accountability Scientific method Gathering, verifying, and communicating data about the patient to establish a database is an example of which component of the nursing process? a. planning b. evaluation c. assessment d. implementation e. nursing diagnosis - Correct Answer C set of signs or symptoms gathered during assessment that help you group the together in a logical way - Correct Answer data cluster During a visit to the outpatient clinic, the nurse assesses a client w/ severe osteoarthritis using a goniometer. Which finding should the nurse expect to measure? a. adequate venous blood flow to lower extremities b. estimated amount of body fat by an underarm skinfold c. degree of flexion and extension of the client's knee joint d. change in the circumference of the joint in cm - Correct Answer C