HESI FUNDAMENTALS EXAM-WITH 100%
VERIFIED ANSWERS-2026(LATEST
VERSION) GRADED A+|SUCCESS ASSURED!!
1. The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage
for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg are contained in
1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive 413.65 mcg/min, and there
are 200 mcg/ml; so the client is to receive 2.07ml per minute. With a drip factor of 60 gtt/ml,
then 60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml X
250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
2. A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small bore
feeding tube upward into the esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30 ml of
air) for acidic (stomach) or alkaline (intestine) values is a more sensitive method for these
tubes, and the nurse should assess tube placement in this way prior to taking any other action
(C). (A and B) are not indicated. The auscultating method (D) has been found to be unreliable
for small-bore feeding tubes.
Correct Answer: C
3. What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
, D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handling a
leg or foot with an IV (C) is probably not any more difficult than handling an arm or hand.
Even if the nurse did believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
4. The nurse observes unlicensed assistive personnel (UAP) taking a client's blood pressure
with a cuff that is too small, but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B). Reassessment should not be postponed
(A). Though (C and D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
5. An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a
surface (D). Reddened areas should not be massaged (A) since this may increase the
damage to already traumatized skin. To control pain and muscle spasms, active range of
motion (B) may be limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
6. The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should the nurse
take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
The NGT should be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C
, and D) may be implemented only after the tubing has been flushed.
Correct Answer: B
7. A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the
nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing comfort is a priority for the client
who is dying, but sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period allows the serum
drug level to fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
VERIFIED ANSWERS-2026(LATEST
VERSION) GRADED A+|SUCCESS ASSURED!!
1. The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution
at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60
gtt/ml, how many drops per minute should the client receive?
A. 31 gtt/min.
B. 62 gtt/min.
C. 93 gtt/min.
D. 124 gtt/min.
(D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg. Determine the dosage
for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine how many mcg are contained in
1 ml: 250/50,000 mcg = 200 mcg per ml. The client is to receive 413.65 mcg/min, and there
are 200 mcg/ml; so the client is to receive 2.07ml per minute. With a drip factor of 60 gtt/ml,
then 60 × 2.07 = 124.28 gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml X
250 ml/50 mg X 1 mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
2. A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube
and a continuous pump infusion. He reports that he had a bad bout of severe coughing a
few minutes ago, but feels fine now. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this time.
B. Stop the feeding, explain to the family why it is being stopped, and notify the
healthcare provider.
C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
the tube.
D. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling.
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small bore
feeding tube upward into the esophagus, placing the client at increased risk for aspiration.
Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30 ml of
air) for acidic (stomach) or alkaline (intestine) values is a more sensitive method for these
tubes, and the nurse should assess tube placement in this way prior to taking any other action
(C). (A and B) are not indicated. The auscultating method (D) has been found to be unreliable
for small-bore feeding tubes.
Correct Answer: C
3. What is the most important reason for starting intravenous infusions in the upper
extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot is used.
, D. Veins are located deep in the feet and ankles, resulting in a more painful
procedure.
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-
threatening. Superficial veins are often very easy (A) to find in the feet and legs. Handling a
leg or foot with an IV (C) is probably not any more difficult than handling an arm or hand.
Even if the nurse did believe moving a cannulated leg was more difficult, this is not the most
important reason for using the upper extremities. Pain (D) is not a consideration.
Correct Answer: B
4. The nurse observes unlicensed assistive personnel (UAP) taking a client's blood pressure
with a cuff that is too small, but the blood pressure reading obtained is within the client's
usual range. What action is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.
D. Teach the UAP the correct technique for assessing blood pressure.
The most important action is to ensure that an accurate BP reading is obtained. The nurse
should reassess the BP with the correct size cuff (B). Reassessment should not be postponed
(A). Though (C and D) are likely indicated, these actions do not have the priority of (B).
Correct Answer: B
5. An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is
essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a
surface (D). Reddened areas should not be massaged (A) since this may increase the
damage to already traumatized skin. To control pain and muscle spasms, active range of
motion (B) may be limited on the affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
6. The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should the nurse
take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
The NGT should be flushed before, after and in between each medication administered (B).
Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C
, and D) may be implemented only after the tubing has been flushed.
Correct Answer: B
7. A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the
nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing comfort is a priority for the client
who is dying, but sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period allows the serum
drug level to fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
