HESI FUNDAMENTALS 2025-2026
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1. 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
2. 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
3. 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 Hesi Fundamentals 2025 exam. Correctly answered. 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
, HESI FUNDAMENTALS 2025-2026
Study online at https://quizlet.com/_hnkehj
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
4. 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
5. The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.: - A lactating woman (B) has the greatest
need for additional protein intake. (A, C, and D) are all conditions that require protein, but do not have the increased
metabolic protein demands of lactation.
Correct Answer: B
6. A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client
returns to the unit at 1300. What is the best intervention for the nurse to
implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
Study online at https://quizlet.com/_hnkehj
1. 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
2. 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
3. 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 Hesi Fundamentals 2025 exam. Correctly answered. 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
, HESI FUNDAMENTALS 2025-2026
Study online at https://quizlet.com/_hnkehj
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
4. 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
5. The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.: - A lactating woman (B) has the greatest
need for additional protein intake. (A, C, and D) are all conditions that require protein, but do not have the increased
metabolic protein demands of lactation.
Correct Answer: B
6. A client is in the radiology department at 0900 when the prescription lev-
ofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client
returns to the unit at 1300. What is the best intervention for the nurse to
implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
