1|Page
HESI FUNDAMENTALS PRACTICE EXAM 2026/2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
The nurse observes that a male client has removed the covering from
an ice park applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - ANSWERS--
Observe the appearance of the skin under the ice pack (The first action
taken by the nurse should be to assess the skin for any possible thermal
injury. If no injury to the skin has occurred, the nurse can take the other
actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client weighting
182 lbs. Using a drip factor of 60 gtt/mL, how many drops per minute
should the client receive? - ANSWERS--124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's
Lactate w/ 30 units of Pitocin to run in over 4 hours for a client who has
just delivered a 10 pound infant by cesarean section. The tubing has
,2|Page
been changed to a 20 gtt/ml administration set. The nurse plans to set
the flow rate at how many gtt/min? - ANSWERS--83 gtt/min
Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube? - ANSWERS--Examining a chest
x-ray obtained after the tubing was inserted
Three days following a 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 much 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. - ANSWERS--B. Instruct the client that
the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when 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)
,3|Page
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 nasogastric tube in the last two 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. -
ANSWERS--B. Reposition the client on her side. (The immediate priority
is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention (B) should be
attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful,
the client may require an antiemetic (D))
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. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
, 4|Page
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling. - ANSWERS--C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what
year it is. What data should the nurse document that is most accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time - ANSWERS--D. is disoriented to
place and time (The client is exhibiting disorientation (D). (A) refers to
memory of the distant past. The client is able to express himself
without difficulty (B), and does not demonstrate diminished attention
span. (C).
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD. - ANSWERS--A. Commend the client for selecting a high biologic
value protein. (Foods such as eggs and milk (A) are high biologic
proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell
HESI FUNDAMENTALS PRACTICE EXAM 2026/2027 BANK
QUESTIONS WITH DETAILED VERIFIED ANSWERS EXAM
QUESTIONS WILL COME FROM HERE (100% CORRECT
ANSWERS A+ GRADED
The nurse observes that a male client has removed the covering from
an ice park applied to his knee. What action should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin. - ANSWERS--
Observe the appearance of the skin under the ice pack (The first action
taken by the nurse should be to assess the skin for any possible thermal
injury. If no injury to the skin has occurred, the nurse can take the other
actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client weighting
182 lbs. Using a drip factor of 60 gtt/mL, how many drops per minute
should the client receive? - ANSWERS--124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's
Lactate w/ 30 units of Pitocin to run in over 4 hours for a client who has
just delivered a 10 pound infant by cesarean section. The tubing has
,2|Page
been changed to a 20 gtt/ml administration set. The nurse plans to set
the flow rate at how many gtt/min? - ANSWERS--83 gtt/min
Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube? - ANSWERS--Examining a chest
x-ray obtained after the tubing was inserted
Three days following a 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 much 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. - ANSWERS--B. Instruct the client that
the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when 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)
,3|Page
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 nasogastric tube in the last two 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. -
ANSWERS--B. Reposition the client on her side. (The immediate priority
is to determine if the tube is functioning correctly, which would then
relieve the client's nausea. The least invasive intervention (B) should be
attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful,
the client may require an antiemetic (D))
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. What action is best for the nurse to take?
A. Record the coughing incident. No further action is required at this
time.
B. Stop the feeding, explain to the family why it is being stopped, and
notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of fluid
withdrawn from the tube.
, 4|Page
D. Inject 30 ml of air into the tube while auscultating the epigastrium
for gurgling. - ANSWERS--C. After clearing the tube with 30 ml of air,
check the pH of fluid withdrawn from the tube.
A male client tells the nurse that he does not know where he is or what
year it is. What data should the nurse document that is most accurate?
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time - ANSWERS--D. is disoriented to
place and time (The client is exhibiting disorientation (D). (A) refers to
memory of the distant past. The client is able to express himself
without difficulty (B), and does not demonstrate diminished attention
span. (C).
A client with chronic kidney disease (CKD) selects a scrambled egg for
his breakfast. What action should the nurse take?
A. Commend the client for selecting a high biologic value protein.
B. Remind the client that protein in the diet should be avoided.
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary management of
CKD. - ANSWERS--A. Commend the client for selecting a high biologic
value protein. (Foods such as eggs and milk (A) are high biologic
proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell
