---
HESI FUNDAMENTALS EXAM
2026/2027| 100% Correct Answers
with Complete Solutions | NCLEX-
RN Aligned |
EXAM
Question 1
A nurse is preparing to administer a tube feeding to a client. Which of
the following actions should the nurse take first?
A. Warm the formula to room temperature.
B. Verify the placement of the tube.
C. Elevate the head of the bed to 30-45 degrees.
D. Flush the tube with 30 mL of water.
**Correct Answer: B. Verify the placement of the tube.**
**Rationale:** Patient safety is the priority. Verifying tube placement
(via X-ray or pH testing) ensures the feeding is not inadvertently
administered into the lungs, which could cause aspiration pneumonia.
---
,### Question 2
A client is on fall precautions. Which of the following interventions is
most appropriate?
A. Keep all four side rails up while sleeping.
B. Place the bed in the lowest position with wheels locked.
C. Encourage the client to wear slippers with leather soles.
D. Ambulate the client without assistance to promote independence.
**Correct Answer: B. Place the bed in the lowest position with wheels
locked.**
**Rationale:** Locking wheels and keeping the bed low reduces the
risk of injury from falls. Four side rails up is considered a restraint and is
not a fall prevention strategy without an order.
---
### Question 3
A nurse is assessing a client’s pulse. Which of the following
characteristics should the nurse document?
A. Rate, rhythm, and depth
B. Rate, rhythm, and volume
C. Rhythm, volume, and temperature
D. Volume, temperature, and rate
,**Correct Answer: B. Rate, rhythm, and volume**
**Rationale:** Pulse assessment includes rate (beats/min), rhythm
(regular/irregular), and volume (strength). Depth and temperature are
associated with respirations and skin assessment, respectively.
---
### Question 4
A client with a nasogastric (NG) tube attached to low intermittent
suction reports nausea. What should the nurse do first?
A. Irrigate the NG tube with normal saline.
B. Check the tube for patency and placement.
C. Increase the suction pressure.
D. Administer an antiemetic as prescribed.
**Correct Answer: B. Check the tube for patency and placement.**
**Rationale:** Nausea may indicate the tube is displaced or blocked.
The nurse should first assess patency and placement. Irrigating without
checking could worsen the issue.
---
, ### Question 5
A nurse is providing oral care to an unconscious client. Which action is
most important?
A. Use a firm toothbrush to remove plaque.
B. Position the client supine for easier access.
C. Use a foam swab to clean the oral cavity.
D. Place the client in a side-lying position with the head turned.
**Correct Answer: D. Place the client in a side-lying position with the
head turned.**
**Rationale:** Positioning the unconscious client side-lying prevents
aspiration of fluids or debris into the airway. Foam swabs are used but
the priority is airway protection.
---
### Question 6
Which of the following clients is at highest risk for developing a
pressure injury?
A. A client with urinary incontinence who is ambulatory.
B. A client who is post-operative day 2 and walking with assistance.
C. A client with diabetes who is bedridden and has a serum albumin of
2.5 g/dL.
D. A client with hypertension who is on a low-sodium diet.
HESI FUNDAMENTALS EXAM
2026/2027| 100% Correct Answers
with Complete Solutions | NCLEX-
RN Aligned |
EXAM
Question 1
A nurse is preparing to administer a tube feeding to a client. Which of
the following actions should the nurse take first?
A. Warm the formula to room temperature.
B. Verify the placement of the tube.
C. Elevate the head of the bed to 30-45 degrees.
D. Flush the tube with 30 mL of water.
**Correct Answer: B. Verify the placement of the tube.**
**Rationale:** Patient safety is the priority. Verifying tube placement
(via X-ray or pH testing) ensures the feeding is not inadvertently
administered into the lungs, which could cause aspiration pneumonia.
---
,### Question 2
A client is on fall precautions. Which of the following interventions is
most appropriate?
A. Keep all four side rails up while sleeping.
B. Place the bed in the lowest position with wheels locked.
C. Encourage the client to wear slippers with leather soles.
D. Ambulate the client without assistance to promote independence.
**Correct Answer: B. Place the bed in the lowest position with wheels
locked.**
**Rationale:** Locking wheels and keeping the bed low reduces the
risk of injury from falls. Four side rails up is considered a restraint and is
not a fall prevention strategy without an order.
---
### Question 3
A nurse is assessing a client’s pulse. Which of the following
characteristics should the nurse document?
A. Rate, rhythm, and depth
B. Rate, rhythm, and volume
C. Rhythm, volume, and temperature
D. Volume, temperature, and rate
,**Correct Answer: B. Rate, rhythm, and volume**
**Rationale:** Pulse assessment includes rate (beats/min), rhythm
(regular/irregular), and volume (strength). Depth and temperature are
associated with respirations and skin assessment, respectively.
---
### Question 4
A client with a nasogastric (NG) tube attached to low intermittent
suction reports nausea. What should the nurse do first?
A. Irrigate the NG tube with normal saline.
B. Check the tube for patency and placement.
C. Increase the suction pressure.
D. Administer an antiemetic as prescribed.
**Correct Answer: B. Check the tube for patency and placement.**
**Rationale:** Nausea may indicate the tube is displaced or blocked.
The nurse should first assess patency and placement. Irrigating without
checking could worsen the issue.
---
, ### Question 5
A nurse is providing oral care to an unconscious client. Which action is
most important?
A. Use a firm toothbrush to remove plaque.
B. Position the client supine for easier access.
C. Use a foam swab to clean the oral cavity.
D. Place the client in a side-lying position with the head turned.
**Correct Answer: D. Place the client in a side-lying position with the
head turned.**
**Rationale:** Positioning the unconscious client side-lying prevents
aspiration of fluids or debris into the airway. Foam swabs are used but
the priority is airway protection.
---
### Question 6
Which of the following clients is at highest risk for developing a
pressure injury?
A. A client with urinary incontinence who is ambulatory.
B. A client who is post-operative day 2 and walking with assistance.
C. A client with diabetes who is bedridden and has a serum albumin of
2.5 g/dL.
D. A client with hypertension who is on a low-sodium diet.
