HESI FUNDAMENTALS PRACTICE TEST 2 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 2.While preparing to insert a rectal suppository in a male adult
client, the nurse observes that the client is holding his breath while
bearing down. What action should the nurse implement?
A. Advise the client to continue to bear down without holding his
breath.
B. Gently insert the lubricated suppository four inches into the
rectum.
C. Perform a digital exam to determine if a fecal impaction is present.
D. Instruct the client to take slow deep breaths and stop bearing
down.
Answer: During administration of a rectal suppository, the client is
asked to take slow deep breaths through the mouth to relax the anal
sphincter (D). Bearing down (A) will push the suppository out of the
rectum, so the suppository should not be inserted while the client is
bearing down (B). Further data is needed before performing an
invasive digital exam to check for fecal impaction (C).
Correct
Answer: D
,◉ 82.While the nurse is administering a bolus feeding to a client via
nasogastric tube, the client begins to vomit. What action should the
nurse implement first?
A. Discontinue the administration of the bolus feeding.
B. Auscultate the client's breath sounds bilaterally.
C. Elevate the head of the bed to a high Fowler's position.
D. Administer a PRN dose of a prescribed antiemetic.
Answer: When a client receiving a tube feeding begins to vomit, the
nurse should first stop the feeding (A) to prevent further vomiting.
(C) should then be implemented to reduce the risk of aspiration.
After that, (B and D) can be implemented as indicated.
Correct
Answer: A
◉ 84.Which client care requires the nurse to wear barrier gloves as
required by the protocol for Standard Precautions?
A. Removing the empty food tray from a client with a urinary
catheter.
B. Washing and combing the hair of a client with a fractured leg in
traction.
C. Administering oral medications to a cooperative client with a
wound infection.
D. Emptying the urinary catheter drainage bag for a client with
Alzheimer's disease.
,Answer: Possible contact with body secretions, excretions, or broken
skin is an indication for wearing barrier (nonsterile) gloves.
Emptying a urine drainage bag requires the use of gloves (D). (A, B,
and C) do not require gloves.
Correct
Answer: D
◉ 85.What action should the nurse implement when adding sterile
liquids to a sterile field?
A. Use an outdated sterile liquid if the bottle is sealed and has not
been opened.
B. Consider the sterile field contaminated if it becomes wet during
the procedure.
C. Remove the container cap and lay it with the inside facing down
on the sterile field.
D. Hold the container high and pour the solution into a receptacle at
the back of the sterile field.
Answer: Wet or damp areas on a sterile field allow organisms to
wick from the table surface and permeate into the sterile area, so the
field is considered contaminated if it becomes wet (B). Outdated
liquids may be contaminated and should be discarded, not used (A).
The container's cap should be removed, placed facing up, and off the
sterile field, not (C). To prevent contamination of the sterile field,
liquids should be held close (6 inches) to the receptacle when
pouring to prevent splashing, and the receptacle should be placed
, near the front edge to avoid reaching over or across the sterile field
(D).
Correct
Answer: B
◉ 86.A healthcare provider is performing a sterile procedure at a
client's bedside. Near the end of the procedure, the nurse observes
the healthcare provider contaminate a sterile glove and the sterile
field. What is the best action for the nurse to implement?
A. Report the healthcare provider for the violation in aseptic
technique.
B. Allow the completion of the procedure.
C. Ask if the glove and sterile field are contaminated.
D. Identify the break in surgical asepsis and provide another set of
sterile supplies.
Answer: Any possible break in surgical asepsis that is identified
when others are unaware should be considered contaminated and
new sterile supplies added to maintain the sterile field (D).
Reporting the healthcare provider is not indicated (A). When
sterility is suspect during aseptic technique, it should not be
questioned (C) but all members of the team should move forward
with reestablishing a sterile field. Allowing the procedure to
progress under unsterile conditions (B) places the client at risk for
infection and is an act of omission (negligence) by the nurse and
other healthcare team members.
Correct
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 2.While preparing to insert a rectal suppository in a male adult
client, the nurse observes that the client is holding his breath while
bearing down. What action should the nurse implement?
A. Advise the client to continue to bear down without holding his
breath.
B. Gently insert the lubricated suppository four inches into the
rectum.
C. Perform a digital exam to determine if a fecal impaction is present.
D. Instruct the client to take slow deep breaths and stop bearing
down.
Answer: During administration of a rectal suppository, the client is
asked to take slow deep breaths through the mouth to relax the anal
sphincter (D). Bearing down (A) will push the suppository out of the
rectum, so the suppository should not be inserted while the client is
bearing down (B). Further data is needed before performing an
invasive digital exam to check for fecal impaction (C).
Correct
Answer: D
,◉ 82.While the nurse is administering a bolus feeding to a client via
nasogastric tube, the client begins to vomit. What action should the
nurse implement first?
A. Discontinue the administration of the bolus feeding.
B. Auscultate the client's breath sounds bilaterally.
C. Elevate the head of the bed to a high Fowler's position.
D. Administer a PRN dose of a prescribed antiemetic.
Answer: When a client receiving a tube feeding begins to vomit, the
nurse should first stop the feeding (A) to prevent further vomiting.
(C) should then be implemented to reduce the risk of aspiration.
After that, (B and D) can be implemented as indicated.
Correct
Answer: A
◉ 84.Which client care requires the nurse to wear barrier gloves as
required by the protocol for Standard Precautions?
A. Removing the empty food tray from a client with a urinary
catheter.
B. Washing and combing the hair of a client with a fractured leg in
traction.
C. Administering oral medications to a cooperative client with a
wound infection.
D. Emptying the urinary catheter drainage bag for a client with
Alzheimer's disease.
,Answer: Possible contact with body secretions, excretions, or broken
skin is an indication for wearing barrier (nonsterile) gloves.
Emptying a urine drainage bag requires the use of gloves (D). (A, B,
and C) do not require gloves.
Correct
Answer: D
◉ 85.What action should the nurse implement when adding sterile
liquids to a sterile field?
A. Use an outdated sterile liquid if the bottle is sealed and has not
been opened.
B. Consider the sterile field contaminated if it becomes wet during
the procedure.
C. Remove the container cap and lay it with the inside facing down
on the sterile field.
D. Hold the container high and pour the solution into a receptacle at
the back of the sterile field.
Answer: Wet or damp areas on a sterile field allow organisms to
wick from the table surface and permeate into the sterile area, so the
field is considered contaminated if it becomes wet (B). Outdated
liquids may be contaminated and should be discarded, not used (A).
The container's cap should be removed, placed facing up, and off the
sterile field, not (C). To prevent contamination of the sterile field,
liquids should be held close (6 inches) to the receptacle when
pouring to prevent splashing, and the receptacle should be placed
, near the front edge to avoid reaching over or across the sterile field
(D).
Correct
Answer: B
◉ 86.A healthcare provider is performing a sterile procedure at a
client's bedside. Near the end of the procedure, the nurse observes
the healthcare provider contaminate a sterile glove and the sterile
field. What is the best action for the nurse to implement?
A. Report the healthcare provider for the violation in aseptic
technique.
B. Allow the completion of the procedure.
C. Ask if the glove and sterile field are contaminated.
D. Identify the break in surgical asepsis and provide another set of
sterile supplies.
Answer: Any possible break in surgical asepsis that is identified
when others are unaware should be considered contaminated and
new sterile supplies added to maintain the sterile field (D).
Reporting the healthcare provider is not indicated (A). When
sterility is suspect during aseptic technique, it should not be
questioned (C) but all members of the team should move forward
with reestablishing a sterile field. Allowing the procedure to
progress under unsterile conditions (B) places the client at risk for
infection and is an act of omission (negligence) by the nurse and
other healthcare team members.
Correct
