HESI Fundamentals Practice Exam 2026/2027: 50+ Questions & Answers – Nursing Process, Dosage Calculations, Safety, NG Tubes, IV Therapy, Nutrition & Ethics

This HESI Fundamentals Practice Exam 2026/2027 is a comprehensive 52-page nursing exam-preparation resource containing 50+ practice questions with answers and detailed rationales. The document focuses on high-yield fundamentals of nursing through clinical scenarios that require students to select priority assessments, interventions, safety measures, medication actions, and appropriate patient-care responses. Core topics include the nursing process, clinical prioritization, medication and dosage calculations, IV therapy, nasogastric and enteral feeding, nutrition, mobility, infection prevention, wound and skin care, oxygenation, patient education, ethics, legal responsibilities, cultural competence, pain management, documentation, and therapeutic communication. A major strength of the practice exam is its coverage of medication administration and nursing dosage calculations. Students work through calculations involving Nipride, Pitocin, potassium chloride, terbutaline, metolazone, furosemide, heparin, and IV fluid administration. The questions require calculations in gtt/min, mL/hr, medication units, tablets, and milliliters, alongside decisions about medication timing and safe administration. Examples include calculating an IV flow rate using a specified drop factor, determining the amount of medication administered during an infusion, and responding when a scheduled medication dose has been delayed. The document provides substantial practice with IV therapy, fluid management and parenteral nutrition. Questions examine infiltration and possible circulatory compromise, selection of IV sites, IV antibiotic-related vessel irritation, correct administration rates, and management when a continuous TPN solution unexpectedly runs out. Students must apply prioritization principles to determine when circulation should be assessed, when an alternative IV site is needed, and which immediate intervention should be implemented to maintain glucose delivery when TPN is interrupted. Another heavily tested area is nasogastric tubes, enteral nutrition and gastrointestinal nursing care. The resource addresses confirmation of NG-tube placement, troubleshooting a tube attached to suction when drainage stops, assessing tube placement following severe coughing, administering medications through an NGT, flushing between medications, and reducing complications by preparing medications separately. Enteral-feeding questions also examine positioning an unresponsive patient receiving gastrostomy-tube bolus feedings and the role of Fowler's positioning in the answer rationale provided by the document. Colostomy care and patient adjustment following surgery are included as well. Safety, mobility and fundamental bedside nursing skills receive extensive attention. Students review thermal injury assessment following direct ice exposure, thermal adaptation during heat therapy, hip precautions after hemiarthroplasty, safe transfer of an older patient with unilateral weakness, prevention of shearing forces in an immobilized patient, passive range-of-motion exercises, restraint-related circulatory compromise, and correct delegation to unlicensed assistive personnel. Sterile-gloving technique, nasotracheal suctioning and reoxygenation, blood-pressure cuff selection, vital-sign delegation, and enema positioning are also tested. The practice material incorporates nursing process, assessment and documentation throughout. Students are asked what to do when an expected outcome is not achieved, how to determine the etiology of an identified patient problem before planning care, when assessment findings should be documented, and how to distinguish primary from secondary sources of health-assessment information. Additional assessment questions address orientation to time and place, urinary retention, skin lesions, heart sounds, range of motion using a goniometer, neurocognitive functions associated with the frontal lobe, and nutrition-related assessment findings. The resource also provides focused preparation in nutrition and dietary nursing care. Questions cover high-biological-value proteins in chronic kidney disease, dietary modification for elevated cholesterol, protein requirements during lactation, low-sodium food selection, nutritional considerations in myasthenia gravis, preoperative assessment of vitamin and mineral supplements, hydration in a patient with dark amber urine, and nutrition-related contributors to anxiety. Students therefore encounter both knowledge-based nutrition questions and scenarios requiring prioritization of dietary teaching. Important ethical, legal and professional nursing responsibilities are represented through questions involving informed consent, living wills, DNR instructions, hospice care, refusal of diagnostic blood testing, malpractice, documentation, and witnessing a patient's signature. The document also explores complementary therapies, meditation alongside prescribed antihypertensive medication, spiritual distress, religious considerations involving blood transfusion, certified interpreters, culturally influenced communication, and culturally sensitive approaches to health beliefs. The later questions reinforce therapeutic communication and psychosocial nursing care. Examples include responding to a patient who refuses to look at a mastectomy incision, listening to a patient experiencing social isolation and crying, responding to spiritual distress, and communicating with patients and families from different cultural backgrounds. These scenarios are useful for practicing HESI questions where several responses appear plausible but students must identify the response presented as most therapeutic or patient-centered in the source. This document is particularly relevant for HESI Fundamentals students, ADN and BSN nursing students, RN program students, practical/vocational nursing students, nursing-school candidates preparing for fundamentals assessments, and students enrolled in Fundamentals of Nursing, Foundations of Nursing, Basic Nursing Skills, Clinical Nursing Fundamentals, or introductory nursing courses. It is especially suited to students seeking practice with HESI-style priority questions, clinical scenarios, dosage calculations, nursing interventions, safety questions, delegation, therapeutic communication, and rationales for correct answers. The uploaded document identifies the material as HESI Fundamentals Practice Exam 2026/2027, but it does not specify a course code or university/college name. Those details should be added only when known rather than inferred. 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