Page 1 of 222
“ATI RN HESI FUNDAMENTALS
PRACTICE EXAM” LATEST EXAM 2025 –
2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED AND
HIGHLY RECOMMENDALE 100%
GUARANTEE PASS
HESI - Fundamentals practice questions, HESI Fundamentals Exam Practice
Questions, HESI FUNDAMENTALS PRACTICE EXAM, HESI Fundamentals V1, HESI
Fundamentals Practice Exam 2023, ATI RN Fundamentals Proctored Exam, ATI RN
Fundamentals Online Practice 20…
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer dementia. The client lives alone. The
client's adult children live nearby. According to the prescribed medication
regimen the client is to take medications six times throughout the day. What is
the priority nursing intervention to assist the client with taking the
medication?
1
Contact the client's children and ask them to hire a private duty aide who will
provide round-the-clock care.
2
Develop a chart for the client, listing the times the medication should be taken.
3
Contact the primary health care provider and discuss the possibility of
, Page 2 of 222
simplifying the medication regimen.
4
Instruct the client and client's children to put medications in a weekly pill
organizer
3
Contacting a medical care provider and discussing the possibility of simplifying the
client's medication regimen will make it possible to use a weekly pill organizer : an
empty pill box will remind the client who has a short-term memory deficit due to
Alzheimer dementia that medication was taken and will prevent medication being
taken multiple times. The client does not require 24-hour supervision because the
client is in the outset of the Alzheimer dementia and the major issue is a short-term
memory loss. A chart may be complex and difficult to understand for the client and
will require the client to perform cognitive tasks multiple times on daily basis that may
be beyond the client's ability. Use of the weekly pill organizers will be difficult with the
current medication regimen when the client has to take medications six times a day;
the medication regimen has to be simplified first.
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
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not indicated in situations
where the cyanosis is related to mechanical compression (the restraints).
Correct Answer: A
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has
been effective?
, Page 3 of 222
A. If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Limiting saturated fat from animal food sources to no more than 4 ounces per week
(C) is an important diet modification for lowering cholesterol. To be effective in
reducing cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6
times per week (A). Red meat and all proteins do not need to be eliminated (B) to
lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather
than increase.
Correct Answer: C
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to the
anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once the client
is positioned.
Correct Answer: C
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
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The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler?
A. Immediately after exhalation.
B. During the inhalation.
C. At the end of three inhalations.
D. Immediately after inhalation.
The client should be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should remove the
mouthpiece, keeping his/her lips closed and breath held for several seconds to allow
for distribution of the medication. The client should not deliver the dose as stated in
(A or D), and should deliver no more than two inhalations at a time (C).
Correct Answer: B
A client's infusion of normal saline infiltrated earlier today, and approximately
500 ml of saline infused into the subcutaneous tissue. The client is now
complaining of excruciating arm pain and demanding "stronger pain
medications." What initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which
can progress to complete loss of the peripheral pulse in the extremity. Compartment
syndrome occurs when external pressure (usually from a cast), or internal pressure
(usually from subcutaneous infused fluid), exceeds capillary perfusion pressure
resulting in decreased blood flow to the extremity. (A) should not be pursued until
physical causes of the pain are ruled out. (C) is of less priority than determining the
effects of the edema on circulation and nerve function. Further assessment of the
client's ecchymosis can be delayed until the signs of edema and compression that
suggest compartment syndrome have been examined (D).
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due
to a fracture resulting from a fall. In reviewing hip precautions with the client,
which instruction should the nurse include in this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip
dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when
walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is
at risk of dislocation for 6 months to a year following the procedure. Hip precautions
to prevent dislocation include placing a pillow between the knees to maintain
abduction of the hips (B). Clients should be instructed to avoid bending at the waist
“ATI RN HESI FUNDAMENTALS
PRACTICE EXAM” LATEST EXAM 2025 –
2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION) WELL REVISED AND
HIGHLY RECOMMENDALE 100%
GUARANTEE PASS
HESI - Fundamentals practice questions, HESI Fundamentals Exam Practice
Questions, HESI FUNDAMENTALS PRACTICE EXAM, HESI Fundamentals V1, HESI
Fundamentals Practice Exam 2023, ATI RN Fundamentals Proctored Exam, ATI RN
Fundamentals Online Practice 20…
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer dementia. The client lives alone. The
client's adult children live nearby. According to the prescribed medication
regimen the client is to take medications six times throughout the day. What is
the priority nursing intervention to assist the client with taking the
medication?
1
Contact the client's children and ask them to hire a private duty aide who will
provide round-the-clock care.
2
Develop a chart for the client, listing the times the medication should be taken.
3
Contact the primary health care provider and discuss the possibility of
, Page 2 of 222
simplifying the medication regimen.
4
Instruct the client and client's children to put medications in a weekly pill
organizer
3
Contacting a medical care provider and discussing the possibility of simplifying the
client's medication regimen will make it possible to use a weekly pill organizer : an
empty pill box will remind the client who has a short-term memory deficit due to
Alzheimer dementia that medication was taken and will prevent medication being
taken multiple times. The client does not require 24-hour supervision because the
client is in the outset of the Alzheimer dementia and the major issue is a short-term
memory loss. A chart may be complex and difficult to understand for the client and
will require the client to perform cognitive tasks multiple times on daily basis that may
be beyond the client's ability. Use of the weekly pill organizers will be difficult with the
current medication regimen when the client has to take medications six times a day;
the medication regimen has to be simplified first.
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
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry (B)
measures the saturation of hemoglobin with oxygen and is not indicated in situations
where the cyanosis is related to mechanical compression (the restraints).
Correct Answer: A
The nurse is instructing a client with high cholesterol about diet and life style
modification. What comment from the client indicates that the teaching has
been effective?
, Page 3 of 222
A. If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
Limiting saturated fat from animal food sources to no more than 4 ounces per week
(C) is an important diet modification for lowering cholesterol. To be effective in
reducing cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6
times per week (A). Red meat and all proteins do not need to be eliminated (B) to
lower cholesterol, but should be restricted to lean cuts of red meat and smaller
portions (2-ounce servings). The low density lipoproteins (D) need to decrease rather
than increase.
Correct Answer: C
An unlicensed assistive personnel (UAP) places a client in a left lateral
position prior to administering a soap suds enema. Which instruction should
the nurse provide the UAP?
A. Position the client on the right side of the bed in reverse Trendelenburg.
B. Fill the enema container with 1000 ml of warm water and 5 ml of castile
soap.
C. Reposition in a Sim's position with the client's weight on the anterior ilium.
D. Raise the side rails on both sides of the bed and elevate the bed to waist
level.
The left sided Sims' position allows the enema solution to follow the anatomical
course of the intestines and allows the best overall results, so the UAP should
reposition the client in the Sims' position, which distributes the client's weight to the
anterior ilium (C). (A) is inaccurate. (B and D) should be implemented once the client
is positioned.
Correct Answer: C
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
, Page 4 of 222
The nurse is teaching a client proper use of an inhaler. When should the client
administer the inhaler-delivered medication to demonstrate correct use of the
inhaler?
A. Immediately after exhalation.
B. During the inhalation.
C. At the end of three inhalations.
D. Immediately after inhalation.
The client should be instructed to deliver the medication during the last part of
inhalation (B). After the medication is delivered, the client should remove the
mouthpiece, keeping his/her lips closed and breath held for several seconds to allow
for distribution of the medication. The client should not deliver the dose as stated in
(A or D), and should deliver no more than two inhalations at a time (C).
Correct Answer: B
A client's infusion of normal saline infiltrated earlier today, and approximately
500 ml of saline infused into the subcutaneous tissue. The client is now
complaining of excruciating arm pain and demanding "stronger pain
medications." What initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which
can progress to complete loss of the peripheral pulse in the extremity. Compartment
syndrome occurs when external pressure (usually from a cast), or internal pressure
(usually from subcutaneous infused fluid), exceeds capillary perfusion pressure
resulting in decreased blood flow to the extremity. (A) should not be pursued until
physical causes of the pain are ruled out. (C) is of less priority than determining the
effects of the edema on circulation and nerve function. Further assessment of the
client's ecchymosis can be delayed until the signs of edema and compression that
suggest compartment syndrome have been examined (D).
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due
to a fracture resulting from a fall. In reviewing hip precautions with the client,
which instruction should the nurse include in this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip
dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when
walking.
D. Take pain medication 30 minutes after your physical therapy sessions.
The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is
at risk of dislocation for 6 months to a year following the procedure. Hip precautions
to prevent dislocation include placing a pillow between the knees to maintain
abduction of the hips (B). Clients should be instructed to avoid bending at the waist
