This comprehensive HESI 225 Fundamentals Review 2026/2027 contains 300+ practice questions with answers and detailed rationales across 185 pages, providing extensive preparation for HESI Fundamentals and foundational nursing examinations. The material emphasizes application-based nursing decisions rather than simple memorization, with questions requiring students to identify priority assessments, choose appropriate interventions, evaluate patient responses, recognize safety risks, and apply the nursing process to realistic clinical scenarios.
Major content areas include patient safety, infection prevention and isolation precautions, vital signs, physical assessment, mobility and transfers, activities of daily living, pain assessment and management, oxygenation, airway management, nasopharyngeal suctioning, nutrition, elimination, urinary catheter care, wound and skin care, pressure-injury prevention, sleep and rest, hygiene, enteral feeding, nasogastric tubes, and perioperative nursing. The questions also reinforce prioritization principles through clinical findings such as hypoxemia, altered level of consciousness, hyperkalemia, dehydration, urinary retention, aspiration risk, and postoperative complications.
The resource provides substantial preparation in pharmacology and medication safety, including medication administration routes, IV medications, opioid analgesics, anticoagulants, low-molecular-weight heparin injections, dose verification, medication errors, and dosage calculations. For example, students encounter calculation problems involving medications such as hydroxyzine, acetaminophen/codeine, and azithromycin, alongside questions requiring recognition of unsafe or unusually high prescribed doses.
Another major focus is nursing ethics, legal responsibilities, communication, delegation, documentation, informed consent, advance directives, restraints, confidentiality, and culturally appropriate patient care. Students practice determining appropriate responsibilities for unlicensed assistive personnel (UAP), responding to clients who require interpreters, protecting confidential information, managing consent concerns, and applying legal principles such as the Good Samaritan Act.
The document also integrates NCLEX/HESI-style prioritization and clinical judgment across respiratory, cardiovascular, gastrointestinal, neurological, urinary, musculoskeletal, and postoperative scenarios. Examples include recognizing crackles in pneumonia, responding to cyanosis and accessory-muscle use, preventing venous thrombosis in patients with limited mobility, managing indwelling urinary catheters, assessing postoperative patients, and determining the safest response when a patient begins to fall.
Relevant Students: This document is particularly relevant for HESI 225 students, HESI Fundamentals students, BSN students, ADN students, RN nursing students, practical nursing students, pre-licensure nursing students, nursing fundamentals students, HESI exit and course-exam candidates, NCLEX-RN candidates, and students seeking additional practice in nursing prioritization, clinical judgment, patient safety, pharmacology, dosage calculations, infection control, delegation, and fundamental nursing skills.
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HESI Practice Questions, HESI
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HESI - Fundamentals, HESI225
Review 2026/2027 Exam
Questions and Answers |
Already Graded A+
The nurse is discharging an adult woman who was hospitalized for 5
days for treatment of pneumonia. While the nurse is reviewing the
prescribed medications, the client appears anxious. What action is most
important for the nurse to implement?
A. Encourage client to take PRN antianxiety drug.
,B. Include a family member in teaching session.
C. Provide written instructions that are easy to follow.
D. Instruct the client to repeat the medication plan. - ANSWER ✔✔C
Rationale: It is critical that the client take the medications as prescribed
to prevent reoccurrence of infection, but discharge instructions can be
overwhelming and not fully understood or remembered. Simple written
instructions (C) are likely to enhance the client's understanding and
ultimately her compliance with the medication regimen. If they are
experiencing generalized anxiety, an anxiolytic (A) may be needed but is
not the best intervention to ensure medication regimen compliance.
Including the family (B) is not as reliable as providing written instructions.
Having the client repeat information (D) reinforces understanding but
doesn't ensure they'll remember later.
Which assessment finding is most significant in determining the level of
assistance a client needs with personal care?
A. 2+ pitting edema of lower extremities.
B. Red rash in groin and under breasts
,C. Firm abdomen with hypoactive bowel sounds.
D: Disorientation to time, place, and person. - ANSWER ✔✔D
Rationale: A client who is disoriented (D) requires assistance with
personal care. The nurse should further assess the amount of direction
and assistance they'll need. (A, B, C) have less impact on client's ability
of self-care than (D).
The nurse notices a male client as he moves from the bed to a chair, but
when asked about his pain he denies having any pain. Which
intervention should the nurse implement first?
A. Monitor the client's nonverbal behavior.
B. Review the pain medications prescribed.
C. Ask the client what is making him grimace.
D: Administer a PRN oral pain med. - ANSWER ✔✔C
Rationale: Grimacing is a nonverbal sign of pain so first this sign should
be clarified (C). The nurse should continue to monitor nonverbal signs of
pain (A) is the client continues to deny pain. The pain medications
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, should be reviewed (B) to determine what is prescribed and then
administered (D) if the client admits to any pain or discomfort.
The charge nurse observes a new graduate nurse demonstrate the
administration of two different liquid medications through a gastrostomy
tube used for continuous feedings. What actions should the charge
nurse take?
A. Confirm that the nurse has determined the amount of gastric residual.
B. Advise the nurse to use the plunger when giving medications.
C. Add the liquid volumes when documenting fluid intake.
D. Instruct the nurse to administer each medication separately.
E. Encourage the nurse to flush the tube with more water. - ANSWER
✔✔A, C, D
Rationale: (A, C, D) are correct. The amount of gastric residual volume
should be confirmed prior to administration of medications or feedings
(A) and fluid intake should be recorded (C) which includes liquid
medications and water to flush the tube before and after (D) each
medication is administered.