HESI FUNDAMENTALS EXAM
SPRING 2026 TEST BANK UPDATED
100% CORRECT
1. An African-American grandmother tells the nurse that her 4-year-old
grandson is suffering with “miseries.” Based on this statement, which focused
assessment should the nurse conduct?
a) Observe the child’s gait and balance
b) Inquire about the source and type of pain
c) Ask about the child’s appetite and sleep
d) Assess the child’s skin for rashes
2. The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
a) An older adult with a pressure ulcer
b) A teenager recovering from a fractured tibia
c) A lactating woman nursing her 3-day-old infant
d) A middle-aged man with a sedentary job
3. An older client who is a resident in a long-term care facility has been
bedridden for a week. Which finding should the nurse identify as a client risk
factor for pressure ulcers?
a) Dry, flaky skin on the lower legs
b) Rashes in the axillary, groin, and skin fold regions
c) Absent pedal pulses bilaterally
d) A hemoglobin level of 13 g/dL
4. A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled for
surgery the next day. Which question is most important for the nurse to
include during the preoperative assessment?
a) “Have you ever had a reaction to anesthesia?”
,b) “Do you take any herbal supplements or teas?”
c) “What vitamin and mineral supplements do you take?”
d) “How much alcohol do you consume each week?”
5. Secobarbital 150 mg is prescribed at bedtime for a male client who is
scheduled for surgery in the morning. The scored tablets are labeled 0.1
gram/tablet. How many tablets should the nurse administer? (Enter the
numerical value only. If rounding is required, round to the nearest tenth.)
a) 0.5
b) 1.5
c) 2.0
d) 1.0
6. A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had a
bad bout of severe coughing a few minutes ago, but feels fine now. Which
action is best for the nurse to take?
a) Stop the feeding and auscultate lung sounds
b) After clearing the tube with 30 ml of air, check the pH of the fluid
withdrawn from the tube
c) Flush the tube with 50 ml of water and resume the feeding
d) Notify the healthcare provider immediately
7. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which technique is correct for maintaining sterility?
a) Use a sterile drape, sterile gloves, and sterile solution to clean the perineum
b) Clean the perineum from the anal area toward the urethra
c) Use clean gloves for the entire procedure
d) Open the catheter kit after donning sterile gloves
8. A client with a history of falls is being discharged home. Which instruction
should the nurse include to reduce fall risk?
a) “Keep all lights off at night to avoid confusion.”
, b) “Place scatter rugs on hardwood floors for traction.”
c) “Install grab bars in the bathroom near the toilet and shower.”
d) “Store frequently used items on high shelves.”
9. The nurse is administering a blood transfusion. Fifteen minutes after the
start, the client reports chills and low back pain. What should the nurse do
first?
a) Slow the infusion rate and monitor vital signs
b) Stop the transfusion and infuse normal saline with new tubing
c) Administer acetaminophen as prescribed
d) Notify the blood bank of a possible reaction
10. A client is on contact precautions for a methicillin-resistant Staphylococcus
aureus (MRSA) infection. Which personal protective equipment (PPE) must
the nurse wear when entering the room?
a) Surgical mask and face shield
b) Gown and gloves
c) N95 respirator and goggles
d) Gloves only
11. The nurse is assessing a client’s pain using the PQRST mnemonic. What
does the “R” stand for?
a) Radiation
b) Relief
c) Region
d) Rhythm
12. A client who is NPO (nothing by mouth) asks for ice chips. The nurse’s
best response is:
a) “Ice chips are allowed because they melt into water.”
b) “I will check with your healthcare provider to see if ice chips are
permitted.”
SPRING 2026 TEST BANK UPDATED
100% CORRECT
1. An African-American grandmother tells the nurse that her 4-year-old
grandson is suffering with “miseries.” Based on this statement, which focused
assessment should the nurse conduct?
a) Observe the child’s gait and balance
b) Inquire about the source and type of pain
c) Ask about the child’s appetite and sleep
d) Assess the child’s skin for rashes
2. The nurse is assessing the nutritional status of several clients. Which client
has the greatest nutritional need for additional intake of protein?
a) An older adult with a pressure ulcer
b) A teenager recovering from a fractured tibia
c) A lactating woman nursing her 3-day-old infant
d) A middle-aged man with a sedentary job
3. An older client who is a resident in a long-term care facility has been
bedridden for a week. Which finding should the nurse identify as a client risk
factor for pressure ulcers?
a) Dry, flaky skin on the lower legs
b) Rashes in the axillary, groin, and skin fold regions
c) Absent pedal pulses bilaterally
d) A hemoglobin level of 13 g/dL
4. A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled for
surgery the next day. Which question is most important for the nurse to
include during the preoperative assessment?
a) “Have you ever had a reaction to anesthesia?”
,b) “Do you take any herbal supplements or teas?”
c) “What vitamin and mineral supplements do you take?”
d) “How much alcohol do you consume each week?”
5. Secobarbital 150 mg is prescribed at bedtime for a male client who is
scheduled for surgery in the morning. The scored tablets are labeled 0.1
gram/tablet. How many tablets should the nurse administer? (Enter the
numerical value only. If rounding is required, round to the nearest tenth.)
a) 0.5
b) 1.5
c) 2.0
d) 1.0
6. A hospitalized male client is receiving nasogastric tube feedings via a
small-bore tube and a continuous pump infusion. He reports that he had a
bad bout of severe coughing a few minutes ago, but feels fine now. Which
action is best for the nurse to take?
a) Stop the feeding and auscultate lung sounds
b) After clearing the tube with 30 ml of air, check the pH of the fluid
withdrawn from the tube
c) Flush the tube with 50 ml of water and resume the feeding
d) Notify the healthcare provider immediately
7. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which technique is correct for maintaining sterility?
a) Use a sterile drape, sterile gloves, and sterile solution to clean the perineum
b) Clean the perineum from the anal area toward the urethra
c) Use clean gloves for the entire procedure
d) Open the catheter kit after donning sterile gloves
8. A client with a history of falls is being discharged home. Which instruction
should the nurse include to reduce fall risk?
a) “Keep all lights off at night to avoid confusion.”
, b) “Place scatter rugs on hardwood floors for traction.”
c) “Install grab bars in the bathroom near the toilet and shower.”
d) “Store frequently used items on high shelves.”
9. The nurse is administering a blood transfusion. Fifteen minutes after the
start, the client reports chills and low back pain. What should the nurse do
first?
a) Slow the infusion rate and monitor vital signs
b) Stop the transfusion and infuse normal saline with new tubing
c) Administer acetaminophen as prescribed
d) Notify the blood bank of a possible reaction
10. A client is on contact precautions for a methicillin-resistant Staphylococcus
aureus (MRSA) infection. Which personal protective equipment (PPE) must
the nurse wear when entering the room?
a) Surgical mask and face shield
b) Gown and gloves
c) N95 respirator and goggles
d) Gloves only
11. The nurse is assessing a client’s pain using the PQRST mnemonic. What
does the “R” stand for?
a) Radiation
b) Relief
c) Region
d) Rhythm
12. A client who is NPO (nothing by mouth) asks for ice chips. The nurse’s
best response is:
a) “Ice chips are allowed because they melt into water.”
b) “I will check with your healthcare provider to see if ice chips are
permitted.”
