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Comprehensive HESI Fundamentals Practice Exam with verified answers. Nursing exam prep for 2025–2026 HESI success and NCLEX readiness.

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NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
A health care provider prescribes 500 mg of an antibiotic intravenous piggyback
(IVPB) every 12 hours. The vial of antibiotic contains 1 g and indicates that the
addition of 2.5 mL of sterile water will yield 3 mL of reconstituted solution. How
many milliliters of the antibiotic should be added to the 50 mL IVPB bag?
Record your answer using one decimal place. mL
1.5


The nurse is caring for a non-ambulatory client with a reddened sacrum that is
unrelieved by repositioning. What nursing diagnosis should be included on the
client's plan of care?


Risk for pressure ulcer
Risk for impaired skin integrity
Impaired skin integrity, related to infrequent turning
and repositioning Impaired skin integrity, related to the
effects of pressure and shearing force

A client has a pressure ulcer that is full thickness with necrosis into the
subcutaneous tissue down to the underlying fascia. The nurse should
document the assessment finding as which stage of pressure ulcer?
Stage I
Stage II
Stage III
Unstagea
ble
NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS 1

,NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue
must be removed before the wound can be staged. A stage I pressure ulcer
is defined as an area of persistent redness with no break in skin integrity. A
stage II pressure ulcer is a partial-thickness wound with skin loss involving
the epidermis, dermis, or both; the ulcer is superficial and may present as
an abrasion, blister, or shallow crater. A stage III pressure ulcer involves
full thickness tissue loss with visible subcutaneous fat. Bone, tendon, and
muscle are not exposed.


A client is being admitted for a total hip replacement. When is it necessary for
the nurse to ensure that a medication reconciliation is completed? Select all
that apply.


After reporting
severe pain On
admission to the
hospital
Upon entering the operating
room Before transfer to a
rehabilitation facility
At time of scheduling for the surgical procedure


Medication reconciliation involves the creation of a list of all medications
NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS 2

,NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
the client is taking and comparing it to the health care provider's
prescriptions on admission or when there is a transfer to a different setting
or service, or discharge. A change in status does not require medication
reconciliation. A medication reconciliation should be completed long before
entering the operating room. Total hip replacement is elective surgery, and
scheduling takes place before admission; medication reconciliation takes
place when the client is admitted.




A client is taking lithium sodium (Lithium). The nurse should notify the health
care provider for which of the following laboratory values?


White blood cell (WBC) count of
15,000 mm3 Negative protein in
the urine
Blood urea nitrogen (BUN) of
20 mg/dL Prothrombin of
12.0 seconds


White cell counts can increase with this drug. The expected range of the
WBC count is 5000 to 10,000 mm3 for a healthy adult. Urinalysis, BUN, and
prothrombin are not necessary and these are normal values.




NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS 3

, NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Often when a family member is dying, the client and the family are at different
stages of grieving. During which stage of a client's grieving is the family likely
to require more emotional nursing care than the client?


Ang
er
Deni
al




NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS 4

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