HESI RN FUNDAMENTALS V1 AND V2
COMPREHENSIVE EXAM 2026 STUDY
GUIDE QUESTIONS AND ANSWERS TESTED
SOLUTIONS
●● The nurse mixes 50 mg of Nipride in 250mL of D5W and plans to
administer the solution at a rate of 5mcg/kg/min to a client weighing 182
pounds. Using a drip factor of 60gtt/mL how many drops per minute
should the client receive?
a. 31 gtt/min
b. 62 gtt/min
c. 93 gtt/min
d. 124 gtt/min.
Answer: Answer: d. 124 gtt/min
Rationale: d is the correct calculation:
182/2.2 = 82.73 kg
5mcg x 82.73 = 413.65 mcg/min.
250/50,000mcg = 200 mcg/ml
413.65/200 = 2.07 mL
,60 x 2.07 = 124.28 gtt/min
●● The healthcare provider prescribes an IV infusion of 1,000mL
Ringer's Lactate with 30 units of Pitocin to run in over 4 hours for a
client who has just delivered a 10 pound infant by caesarean section. The
tubing has been changed to a 20 gtt/mL administration set. The nurse
plans to set the flow rate at how many gtt/min?
a. 42 gtt/min
b. 83 gtt/min
c. 125 gtt/min
d. 250 gtt/min.
Answer: Answer: b. 83 gtt/min
Rationale:
1000ml / 4 hours = 250 ml/hour
250ml/60 min = 4.1667ml/min
4.1667ml/min x 20 gtt/ml = 83.33 gtt/min
●● Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube?
,a. aspirating gastric contents to assure a pH value of 4 or less
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest x-ray obtained after the tubing was inserted
d. checking the remaining length of tubing to ensure that the correct
length was inserted.
Answer: Answer: c. examining a chest x-ray obtained after tubing was
inserted
Rationale: both a and b are methods used to determine proper placement
of NG tubing. However, the best indicator is c.
D is not an indicator of proper placement
●● Three days following surgery, a male client observes his colostomy
for the first time. He becomes quite upset and tells the nurse that it is
much bigger than he expected. What is the best response by the nurse?
a. reassure the client that he will become accustomed to the stoma
appearance in time
b. instruct the client that the stoma will become smaller when the initial
swelling diminishes
c. offer to contact a member of the local ostomy support group to help
him with his concerns
, d. encourage the client to handle the stoma equipment to gain confidence
with the procedure.
Answer: Answer: b. instruct the client that the stoma will become
smaller when the initial swelling diminishes
Rationale: postoperative swelling causes enlargement of the stoma. The
nurse can teach the client that the stoma will become smaller when the
swelling is diminished (b). This will help reduce the client's anxiety and
promote acceptance of the colostomy. (a) does not provide helpful
teaching or support. (c) is a useful action, and may be taken after the
nurse provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care (d).
●● A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
through the NG tube the last 2 hours. What action should the nurse take
first?
a. irrigate the nasogastric tube with sterile normal saline
b. reposition the client on her side
c. advance the nasogastric tube an additional five centimeters
d. administer an intravenous antiemetic prescribed for PRN use.
Answer: Answer: b. reposition the client on her side
COMPREHENSIVE EXAM 2026 STUDY
GUIDE QUESTIONS AND ANSWERS TESTED
SOLUTIONS
●● The nurse mixes 50 mg of Nipride in 250mL of D5W and plans to
administer the solution at a rate of 5mcg/kg/min to a client weighing 182
pounds. Using a drip factor of 60gtt/mL how many drops per minute
should the client receive?
a. 31 gtt/min
b. 62 gtt/min
c. 93 gtt/min
d. 124 gtt/min.
Answer: Answer: d. 124 gtt/min
Rationale: d is the correct calculation:
182/2.2 = 82.73 kg
5mcg x 82.73 = 413.65 mcg/min.
250/50,000mcg = 200 mcg/ml
413.65/200 = 2.07 mL
,60 x 2.07 = 124.28 gtt/min
●● The healthcare provider prescribes an IV infusion of 1,000mL
Ringer's Lactate with 30 units of Pitocin to run in over 4 hours for a
client who has just delivered a 10 pound infant by caesarean section. The
tubing has been changed to a 20 gtt/mL administration set. The nurse
plans to set the flow rate at how many gtt/min?
a. 42 gtt/min
b. 83 gtt/min
c. 125 gtt/min
d. 250 gtt/min.
Answer: Answer: b. 83 gtt/min
Rationale:
1000ml / 4 hours = 250 ml/hour
250ml/60 min = 4.1667ml/min
4.1667ml/min x 20 gtt/ml = 83.33 gtt/min
●● Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube?
,a. aspirating gastric contents to assure a pH value of 4 or less
b. hearing air pass in the stomach after injecting air into the tubing
c. examining a chest x-ray obtained after the tubing was inserted
d. checking the remaining length of tubing to ensure that the correct
length was inserted.
Answer: Answer: c. examining a chest x-ray obtained after tubing was
inserted
Rationale: both a and b are methods used to determine proper placement
of NG tubing. However, the best indicator is c.
D is not an indicator of proper placement
●● Three days following surgery, a male client observes his colostomy
for the first time. He becomes quite upset and tells the nurse that it is
much bigger than he expected. What is the best response by the nurse?
a. reassure the client that he will become accustomed to the stoma
appearance in time
b. instruct the client that the stoma will become smaller when the initial
swelling diminishes
c. offer to contact a member of the local ostomy support group to help
him with his concerns
, d. encourage the client to handle the stoma equipment to gain confidence
with the procedure.
Answer: Answer: b. instruct the client that the stoma will become
smaller when the initial swelling diminishes
Rationale: postoperative swelling causes enlargement of the stoma. The
nurse can teach the client that the stoma will become smaller when the
swelling is diminished (b). This will help reduce the client's anxiety and
promote acceptance of the colostomy. (a) does not provide helpful
teaching or support. (c) is a useful action, and may be taken after the
nurse provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care (d).
●● A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no drainage
through the NG tube the last 2 hours. What action should the nurse take
first?
a. irrigate the nasogastric tube with sterile normal saline
b. reposition the client on her side
c. advance the nasogastric tube an additional five centimeters
d. administer an intravenous antiemetic prescribed for PRN use.
Answer: Answer: b. reposition the client on her side
