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HESI Fundamentals Test Bank 2026 Latest Update – Verified Questions and Correct Answers with Rationales – A+ Graded Nursing Exam Prep

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This HESI Fundamentals Test Bank 2026 Latest Update includes high-yield nursing exam questions with verified correct answers and clear rationales designed to strengthen clinical judgment and prioritization skills. The material covers essential Fundamentals of Nursing concepts including nutrition assessment, albumin and malnutrition indicators, safe patient positioning, immobility complications, nasogastric tube medication administration, hospice and palliative pain management, restraint safety, and neurovascular assessment. Formatted in NCLEX-style multiple-choice structure, this resource supports nursing students preparing for HESI Fundamentals, RN exit exams, and comprehensive nursing finals. Updated to reflect current safety standards, evidence-based practice, and patient-centered care principles.

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HESI-FUNDAMENTALS TEST BANK
LATEST 2026 UPDATE QUESTIONS
AND CORRECT ANSWERS ALREADY
GRADED A+




Low levels of _____ are associated with malnutrition. - ANSWER- -
Albumin


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. -
ANSWER- D. Gently lift the client when moving into a desired
position.

,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. - ANSWER- B. Flush
the tube with water.


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. - ANSWER- A. Give an around-the-clock schedule for
administration of analgesics.


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. - ANSWER- A. Loosen the right
wrist restraint.


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. - ANSWER- B. A
lactating woman nursing her 3-day-old infant.


A client is in the radiology department at 0900 when the prescription
levofloxacin (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.
D. Give the missed dose at 1300 and change the schedule to administer
daily at 1300. - ANSWER- D. Give the missed dose at 1300 and
change the schedule to administer daily at 1300.


While instructing a male client's wife in the performance of passive
range-of-motion exercises to his contracted shoulder, the nurse observes

, that she is holding his arm above and below the elbow. What nursing
action should the nurse implement?
A. Acknowledge that she is supporting the arm correctly.
B. Encourage her to keep the joint covered to maintain warmth.
C. Reinforce the need to grip directly under the joint for better support.
D. Instruct her to grip directly over the joint for better motion -
ANSWER- A. Acknowledge that she is supporting the arm
correctly.


What is the most important reason for starting intravenous infusions in
the upper extremities rather than the lower extremities of adults?
A. It is more difficult to find a superficial vein in the feet and ankles.
B. A decreased flow rate could result in the formation of a thrombosis.
C. A cannulated extremity is more difficult to move when the leg or foot
is used.
D. Veins are located deep in the feet and ankles, resulting in a more
painful procedure. - ANSWER- B. A decreased flow rate could result
in the formation of a thrombosis.


The nurse observes an unlicensed assistive personnel (UAP) taking a
client's blood pressure with a cuff that is too small, but the blood
pressure reading obtained is within the client's usual range. What action
is most important for the nurse to implement?
A. Tell the UAP to use a larger cuff at the next scheduled assessment.
B. Reassess the client's blood pressure using a larger cuff.
C. Have the unit educator review this procedure with the UAPs.

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