HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
A client is prescribed a medication that is labeled as a sustained released (SR). What action
should the practical nurse (PN) implement when administering this drug form?
A. Instruct the client to chew the medication.
B. Do not crush or dissolve the tablet or capsule contents.
C. Obtain a different drug form for administration.
D. Delay giving the medication until the stomach is empty. - ✔✔✔-B. Do not crush or dissolve
the tablet or capsule contents.
Sustained-release tablets or capsules are drug forms that are coated and delay dissolution over
a period of time and should not be crushed or dissolved for administration
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO, but is unable to
swallow. The practical nurse (PN) should consult with the healthcare provider about which
component of the prescription?
A. Time of dose
B. Prescribed dosage
C. The route of administration
D. Available generic drug - ✔✔✔-C. The route of administration
A client is receiving a Mantouz test for tuberculosis screening. Which angle should the practical
nurse (PN) insert the needle for injection?
A. 15 degrees
B. 30 degrees
C. 45 degrees
,HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
D. 90 degrees - ✔✔✔-A. 15 degrees
Deposits antigen into the dermis
A client receiving supplemental oxygen needs to be suctioned to remove excess secretions from
the airway. Which intervention should the practical nurse implement to maximize the client's
oxygenation?
A. Encourage deep breathing prior to suctioning.
B. Increase the oxygen flow rate during suctioning attempts.
C. Provide oxygen during rest periods between suctioning.
D. Limit suctioning attempts to five second intervals. - ✔✔✔-C. Provide oxygen during rest
periods between suctioning.
When a client is unable to effectively clear respiratory tract secretions with coughing, suctioning
with oxygen during rest periods of 10 to 15 seconds between suction attempts should be
provided to ensure maximal oxygenation.
A client reports feeling dizzy and lightheaded when moving from a supine position to a sitting
position. What is the practical nurse's priority intervention?
A. Determine pulse pressure
B. Measure pulse-ox
C. Assess peripheral pulse points
D. Obtain orthostatic blood pressures - ✔✔✔-D. Obtain orthostatic blood pressures
,HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the
clients buttocks, heels, and scapula are evident on the mattress overlay. What action should the
practical nurse implement?
A. Turn the mattress overlay to the opposite side
B. No action is needed b/c this is the mechanism of action for the overlay
C. Apply a different pressure relieving device and assess its effectiveness for this client
D. Reinforce with cushions b/w the mattress and overlay where the imprints are located -
✔✔✔-C. Apply a different pressure relieving device and assess its effectiveness for this client
A client whose diet is low in fiber is at risk for which condition?
A. Hip fracture.
B. Diarrhea.
C. Confusion.
D. Colon cancer. - ✔✔✔-D. Colon cancer
Fiber speeds the movement of substances through the GI tract, reducing the amount of time
the colon absorbs water and its exposure to digestive end-products that may be carcinogenic.
Low-fiber diets increase the risk for constipation and colon cancer
A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. he client expresses fear about becoming addicted to these drugs.
What information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction
B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
, HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
D. Opiate dosages can be tapered is a client fears addiction - ✔✔✔-C. Prescribed opiates for
cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize pain and
improve quality of life, making pain relief rather than addiction, the primary goal
A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO)
status. The healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid
should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ✔✔✔-C. Water
Water or ice chips are the first choices of clear fluids for rehydration by mouth
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses
the client every two hours for the desire to void. Which documented assessment requires
further intervention by the PN?
A. 1:30 pm - unable to void
B. 5:30 pm - unable to void
C. 3:30 pm - unable to void
D. 11:30 am - unable to void - ✔✔✔-B. 5:30 pm: unable to void.
Should be able to void within 8 hours after catheter is removed
Questions and Answers
A client is prescribed a medication that is labeled as a sustained released (SR). What action
should the practical nurse (PN) implement when administering this drug form?
A. Instruct the client to chew the medication.
B. Do not crush or dissolve the tablet or capsule contents.
C. Obtain a different drug form for administration.
D. Delay giving the medication until the stomach is empty. - ✔✔✔-B. Do not crush or dissolve
the tablet or capsule contents.
Sustained-release tablets or capsules are drug forms that are coated and delay dissolution over
a period of time and should not be crushed or dissolved for administration
A client is receiving a daily prescription for furosemide (Lasix) 40 mg PO, but is unable to
swallow. The practical nurse (PN) should consult with the healthcare provider about which
component of the prescription?
A. Time of dose
B. Prescribed dosage
C. The route of administration
D. Available generic drug - ✔✔✔-C. The route of administration
A client is receiving a Mantouz test for tuberculosis screening. Which angle should the practical
nurse (PN) insert the needle for injection?
A. 15 degrees
B. 30 degrees
C. 45 degrees
,HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
D. 90 degrees - ✔✔✔-A. 15 degrees
Deposits antigen into the dermis
A client receiving supplemental oxygen needs to be suctioned to remove excess secretions from
the airway. Which intervention should the practical nurse implement to maximize the client's
oxygenation?
A. Encourage deep breathing prior to suctioning.
B. Increase the oxygen flow rate during suctioning attempts.
C. Provide oxygen during rest periods between suctioning.
D. Limit suctioning attempts to five second intervals. - ✔✔✔-C. Provide oxygen during rest
periods between suctioning.
When a client is unable to effectively clear respiratory tract secretions with coughing, suctioning
with oxygen during rest periods of 10 to 15 seconds between suction attempts should be
provided to ensure maximal oxygenation.
A client reports feeling dizzy and lightheaded when moving from a supine position to a sitting
position. What is the practical nurse's priority intervention?
A. Determine pulse pressure
B. Measure pulse-ox
C. Assess peripheral pulse points
D. Obtain orthostatic blood pressures - ✔✔✔-D. Obtain orthostatic blood pressures
,HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
A client who has a pressure-relieving mattress overlay is mobilized to a chair and imprints of the
clients buttocks, heels, and scapula are evident on the mattress overlay. What action should the
practical nurse implement?
A. Turn the mattress overlay to the opposite side
B. No action is needed b/c this is the mechanism of action for the overlay
C. Apply a different pressure relieving device and assess its effectiveness for this client
D. Reinforce with cushions b/w the mattress and overlay where the imprints are located -
✔✔✔-C. Apply a different pressure relieving device and assess its effectiveness for this client
A client whose diet is low in fiber is at risk for which condition?
A. Hip fracture.
B. Diarrhea.
C. Confusion.
D. Colon cancer. - ✔✔✔-D. Colon cancer
Fiber speeds the movement of substances through the GI tract, reducing the amount of time
the colon absorbs water and its exposure to digestive end-products that may be carcinogenic.
Low-fiber diets increase the risk for constipation and colon cancer
A client with cancer who has been taking opioid analgesics for two years now requires increased
doses to obtain pain relief. he client expresses fear about becoming addicted to these drugs.
What information should the practical nurse (PN) provide?
A. Opioid use with cancer does not cause addiction
B. Addiction is easily reversed if it occurs during pain management
C. Prescribed opiates for cancer pain relief improves quality of life
, HESI Fundamentals Practice Exam 2025-2026 Pass Guaranteed Study Pack
Questions and Answers
D. Opiate dosages can be tapered is a client fears addiction - ✔✔✔-C. Prescribed opiates for
cancer pain relief improves quality of life
The goal of pain management for clients with cancer using opiates is to minimize pain and
improve quality of life, making pain relief rather than addiction, the primary goal
A client with gastroenteritis, nausea, and vomiting is currently on Nothing by mouth (NPO)
status. The healthcare provider prescribes oral intake to be advanced as tolerated. Which fluid
should the practical nurse offer first?
A. Tea
B. Broth
C. Water
D. Soda - ✔✔✔-C. Water
Water or ice chips are the first choices of clear fluids for rehydration by mouth
A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses
the client every two hours for the desire to void. Which documented assessment requires
further intervention by the PN?
A. 1:30 pm - unable to void
B. 5:30 pm - unable to void
C. 3:30 pm - unable to void
D. 11:30 am - unable to void - ✔✔✔-B. 5:30 pm: unable to void.
Should be able to void within 8 hours after catheter is removed
