HESI Fundamentals 2025-2026 Real Exam Questions and Verified Answers
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 (A), to seek assistance for both
standing and walking until they are stable on a walker or cane (C), and to take pain medication
20 to 30 minutes prior to physical therapy sessions, rather than waiting until the pain level is
high after their therapy. Correct Answer: B
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. - ✔✔✔-
✅- To ensure that a therapeutic level of medication is maintained, the nurse should administer
the missed dose as soon as possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse
should document the reason for the late dose, but (A and C) are not warranted. (B) could result
in increased blood levels of the drug.
Correct Answer: D
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate
should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour.
,HESI Fundamentals 2025-2026 Real Exam Questions and Verified Answers
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour - ✔✔✔-✅-(B)is the correct calculation: To calculate this problem correctly,
remember that the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour.
Correct Answer: B
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary
infusion? - ✔✔✔-✅- The infusion rate is calculated as a ratio proportion problem, i.e., 50 ml/
20 min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=150
Correct Answer: 150
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight? D. Will a clear liquid diet be okay after surgery? - ✔✔✔-
✅- Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature ofthe
surgery and anesthesia will determine the need for a clear liquid diet (D), rather than the
client's preference. Correct Answer: B
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
, HESI Fundamentals 2025-2026 Real Exam Questions and Verified Answers
D. A vegetarian diet must be followed. - ✔✔✔-✅- Blood transfusions are forbidden (B) in the
Jehovah's Witness religion. Judaism prohibits (A). Buddhism forbids the use of(C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
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
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
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells)
as rapidly as possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match - ✔✔✔-✅- All interventions should be
implemented prior to administering blood, but (D) has the highest priority. Any time blood is
administered, the nurse should ensure the accuracy of the blood type match in order to prevent
a possible hemolytic reaction.
Correct Answer: D
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 (A), to seek assistance for both
standing and walking until they are stable on a walker or cane (C), and to take pain medication
20 to 30 minutes prior to physical therapy sessions, rather than waiting until the pain level is
high after their therapy. Correct Answer: B
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. - ✔✔✔-
✅- To ensure that a therapeutic level of medication is maintained, the nurse should administer
the missed dose as soon as possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse
should document the reason for the late dose, but (A and C) are not warranted. (B) could result
in increased blood levels of the drug.
Correct Answer: D
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate
should the nurse set the client's intravenous infusion pump?
A. 13 ml/hour.
,HESI Fundamentals 2025-2026 Real Exam Questions and Verified Answers
B. 63 ml/hour.
C. 80 ml/hour.
D. 125 ml/hour - ✔✔✔-✅-(B)is the correct calculation: To calculate this problem correctly,
remember that the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour.
Correct Answer: B
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the
pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20
minutes. For how many ml/hr should the infusion pump be set to deliver the secondary
infusion? - ✔✔✔-✅- The infusion rate is calculated as a ratio proportion problem, i.e., 50 ml/
20 min : x ml/ 60 min. Multiply extremes and means 50 × 60 /20x 1= 300/20=150
Correct Answer: 150
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?
C. Do you feel that you are overweight? D. Will a clear liquid diet be okay after surgery? - ✔✔✔-
✅- Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature ofthe
surgery and anesthesia will determine the need for a clear liquid diet (D), rather than the
client's preference. Correct Answer: B
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
, HESI Fundamentals 2025-2026 Real Exam Questions and Verified Answers
D. A vegetarian diet must be followed. - ✔✔✔-✅- Blood transfusions are forbidden (B) in the
Jehovah's Witness religion. Judaism prohibits (A). Buddhism forbids the use of(C) and drugs.
Many of these sects are vegetarian (D), but the direct impact on nursing care is (B).
Correct Answer: B
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
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
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells)
as rapidly as possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match - ✔✔✔-✅- All interventions should be
implemented prior to administering blood, but (D) has the highest priority. Any time blood is
administered, the nurse should ensure the accuracy of the blood type match in order to prevent
a possible hemolytic reaction.
Correct Answer: D
