Page 1 of 69
HESI STUDY, HESI - FUNDAMENTALS, HESI 225 REVIEW
EXAM AND RATIONALE EXAM COMPREHENSIVE 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
The nurse is assessing a client in the clinic who is frightened and does not
understand English. Which intervention should the nurse implement first?
A. Use drawings that are universal for all cultures.
B. Request a family member to remain with the client.
C. Obtain a staff member who is a bilingual interpreter.
D. Ask for the support of one of the client’s friends.
C. Obtain a staff member who is a bilingual interpreter.
A female client with metastatic breast cancer is admitted with shortness of
breath and pleural effusions. The client has a living will and the family is
requesting hospice information. Which information should the nurse provide
regarding hospice? Select all that apply.
A Provides comfort, dignity, and emotional support.
B A living will becomes invalid when receiving hospice care.
C Hospice services can be initiated prior to discharge.
D Family members can be involved in the plan of care.
E Can be provided within comforts of home.
A. Provides comfort, dignity, and emotional support.
C. Hospice services can be initiated prior to discharge.
D. Family members can be involved in the plan of care.
E. Can be provided within comforts of home.
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A client is admitted with a fever of unknown origin. To assess fever patterns,
which intervention should the nurse implement?
A Vary sites for temperature measurement.
B Assess for flushed, warm skin regularly.
C Measure temperature at regular intervals.
D Document the client's circadian rhythms.
A. Vary sites for temperature measurement.
The nurse has a prescription for bilateral soft wrist restraints for an older adult
client who has repeatedly remove the nasogastric (NG) tube and IV catheters.
After applying the restraints, which action is most important for the nurse to
take?
A Reinsert the peripheral IV catheter.
B Assess capillary refill distal to the restraints.
C Verify that the restraints can be quickly released.
D Replace the nasogastric tube.
B Assess capillary refill distal to the restraints.
The nurse is using guided imagery with a client who is experiencing chronic
pain. The nurse should direct the client's attention on which focus?
A Motivational phrases.
B Positive external places.
C Emotional reflection.
D Tranquil sounds.
D Tranquil sounds.
The nurse is caring for a client one week postsurgery. Which finding should
the nurse expect to see if the surgical incision is healing properly?
A A well approximated incision site.
B Erythema and serosanguineous exudate.
C Beefy red granulation tissue.
D Eschar and slough in the wound.
A. A well approximated incision site.
An older adult female client tells the clinic nurse about frequently awakening
during the night and not being able to go back to sleep. Which action(s)
should the nurse suggest to the client to help improve sleep? Select all that
apply.
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A Ask the healthcare provider for a mild sedative for bedtime.
B Avoid drinking caffeinated beverages late in the day.
C Establish a regular time for going to bed and getting up.
D Take an afternoon nap to make up for missed sleep.
E Drink a mixture of warm water, whiskey, and honey at bedtime.
B. Avoid drinking caffeinated beverages late in the day.
C. Establish a regular time for going to bed and getting up.
The home health nurse identifies several nursing problems for a client with
celiac disease, who had knee replacement surgery 2 weeks ago. The client is
experiencing diarrhea and the primary caregiver is the client’s spouse. In
planning care, which nursing problem has the highest priority?
A Fluid volume deficit.
B Bowel incontinence.
C Impaired had mobility.
D Caregiver role strain.
A Fluid volume deficit.
An unlicensed assistive personnel (UAP) is assigned to feed a client who has
received a prescription to institute droplet precautions for a bacterial
meningitis infection. The UAP requests a change in assignment, stating she
has not yet been fitted for a particulate filter mask. Which action should the
nurse take?
A Before changing assignments, determine which staff members have fitted
particulate filter masks.
B Instruct the UAP that a standard face mask is sufficient to be able to provide
care for the assigned client.
C Send the UAP to be fitted for a particulate filter mask immediately so she can
provide care to this client.
D Advise the UAP to wear a standard face mask to obtain vital signs, and then
get fitted for a filter mask before providing personal care.
A Before changing assignments, determine which staff members have fitted
particulate filter masks.
A client is in contact isolation due to a stage IV coccyx would infected with
methicillin resistant Staphylococcus aureus (MRSA). The nurse plans
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interventions to prevent multiple re-entries to the client’s room. In which order
should the nurse perform the interventions?
A Perform tracheostomy care, change coccyx dressing, restart the IV line.
B Change coccyx dressing, restart the IV line, perform tracheostomy care.
C Restart the IV line, perform tracheostomy care, change coccyx dressing.
D Change coccyx dressing, perform tracheostomy care, restart the IV line.
B Change coccyx dressing, restart the IV line, perform tracheostomy care.
A hospitalized client who has an advance directive and healthcare power of
attorney is receiving enteral nutrition through a nasogastric (NG) tube. The
client vomits and appears to be choking. Which action should the nurse take?
A Review the advanced directive document.
B Irrigate the nasogastric tube with water.
C Elevate the head of the bed 45 degrees.
D Perform oropharyngeal suctioning.
C Elevate the head of the bed 45 degrees.
The nurse observes a client on a clear liquid diet has a cup of coffee on the
breakfast tray implement?
A Determine which member of the nursing staff brought the cup of coffee to
the client.
B Remind the client no milk or creamer can be added to the coffee.
C Remove the coffee from the tray, advising the client that it is not included in
the diet.
D Consult with the dietitian to learn if the client is allowed to drink coffee.
B Remind the client no milk or creamer can be added to the coffee.
The healthcare provider prescribes a 24-hour urine specimen to be collected
for creatinine clearance. The client is eager to go home and tells the nurse that
the first sample was put in the urinal 2 hours ago. Which action should the
nurse implement?
A Empty the sample into the 24 hour container.
B Begin the collection the next day.
C Observe the sample for sediment.
D Start collecting the specimen with the next void.
B Begin the collection the next day.
HESI STUDY, HESI - FUNDAMENTALS, HESI 225 REVIEW
EXAM AND RATIONALE EXAM COMPREHENSIVE 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
The nurse is assessing a client in the clinic who is frightened and does not
understand English. Which intervention should the nurse implement first?
A. Use drawings that are universal for all cultures.
B. Request a family member to remain with the client.
C. Obtain a staff member who is a bilingual interpreter.
D. Ask for the support of one of the client’s friends.
C. Obtain a staff member who is a bilingual interpreter.
A female client with metastatic breast cancer is admitted with shortness of
breath and pleural effusions. The client has a living will and the family is
requesting hospice information. Which information should the nurse provide
regarding hospice? Select all that apply.
A Provides comfort, dignity, and emotional support.
B A living will becomes invalid when receiving hospice care.
C Hospice services can be initiated prior to discharge.
D Family members can be involved in the plan of care.
E Can be provided within comforts of home.
A. Provides comfort, dignity, and emotional support.
C. Hospice services can be initiated prior to discharge.
D. Family members can be involved in the plan of care.
E. Can be provided within comforts of home.
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A client is admitted with a fever of unknown origin. To assess fever patterns,
which intervention should the nurse implement?
A Vary sites for temperature measurement.
B Assess for flushed, warm skin regularly.
C Measure temperature at regular intervals.
D Document the client's circadian rhythms.
A. Vary sites for temperature measurement.
The nurse has a prescription for bilateral soft wrist restraints for an older adult
client who has repeatedly remove the nasogastric (NG) tube and IV catheters.
After applying the restraints, which action is most important for the nurse to
take?
A Reinsert the peripheral IV catheter.
B Assess capillary refill distal to the restraints.
C Verify that the restraints can be quickly released.
D Replace the nasogastric tube.
B Assess capillary refill distal to the restraints.
The nurse is using guided imagery with a client who is experiencing chronic
pain. The nurse should direct the client's attention on which focus?
A Motivational phrases.
B Positive external places.
C Emotional reflection.
D Tranquil sounds.
D Tranquil sounds.
The nurse is caring for a client one week postsurgery. Which finding should
the nurse expect to see if the surgical incision is healing properly?
A A well approximated incision site.
B Erythema and serosanguineous exudate.
C Beefy red granulation tissue.
D Eschar and slough in the wound.
A. A well approximated incision site.
An older adult female client tells the clinic nurse about frequently awakening
during the night and not being able to go back to sleep. Which action(s)
should the nurse suggest to the client to help improve sleep? Select all that
apply.
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A Ask the healthcare provider for a mild sedative for bedtime.
B Avoid drinking caffeinated beverages late in the day.
C Establish a regular time for going to bed and getting up.
D Take an afternoon nap to make up for missed sleep.
E Drink a mixture of warm water, whiskey, and honey at bedtime.
B. Avoid drinking caffeinated beverages late in the day.
C. Establish a regular time for going to bed and getting up.
The home health nurse identifies several nursing problems for a client with
celiac disease, who had knee replacement surgery 2 weeks ago. The client is
experiencing diarrhea and the primary caregiver is the client’s spouse. In
planning care, which nursing problem has the highest priority?
A Fluid volume deficit.
B Bowel incontinence.
C Impaired had mobility.
D Caregiver role strain.
A Fluid volume deficit.
An unlicensed assistive personnel (UAP) is assigned to feed a client who has
received a prescription to institute droplet precautions for a bacterial
meningitis infection. The UAP requests a change in assignment, stating she
has not yet been fitted for a particulate filter mask. Which action should the
nurse take?
A Before changing assignments, determine which staff members have fitted
particulate filter masks.
B Instruct the UAP that a standard face mask is sufficient to be able to provide
care for the assigned client.
C Send the UAP to be fitted for a particulate filter mask immediately so she can
provide care to this client.
D Advise the UAP to wear a standard face mask to obtain vital signs, and then
get fitted for a filter mask before providing personal care.
A Before changing assignments, determine which staff members have fitted
particulate filter masks.
A client is in contact isolation due to a stage IV coccyx would infected with
methicillin resistant Staphylococcus aureus (MRSA). The nurse plans
, Page 4 of 69
interventions to prevent multiple re-entries to the client’s room. In which order
should the nurse perform the interventions?
A Perform tracheostomy care, change coccyx dressing, restart the IV line.
B Change coccyx dressing, restart the IV line, perform tracheostomy care.
C Restart the IV line, perform tracheostomy care, change coccyx dressing.
D Change coccyx dressing, perform tracheostomy care, restart the IV line.
B Change coccyx dressing, restart the IV line, perform tracheostomy care.
A hospitalized client who has an advance directive and healthcare power of
attorney is receiving enteral nutrition through a nasogastric (NG) tube. The
client vomits and appears to be choking. Which action should the nurse take?
A Review the advanced directive document.
B Irrigate the nasogastric tube with water.
C Elevate the head of the bed 45 degrees.
D Perform oropharyngeal suctioning.
C Elevate the head of the bed 45 degrees.
The nurse observes a client on a clear liquid diet has a cup of coffee on the
breakfast tray implement?
A Determine which member of the nursing staff brought the cup of coffee to
the client.
B Remind the client no milk or creamer can be added to the coffee.
C Remove the coffee from the tray, advising the client that it is not included in
the diet.
D Consult with the dietitian to learn if the client is allowed to drink coffee.
B Remind the client no milk or creamer can be added to the coffee.
The healthcare provider prescribes a 24-hour urine specimen to be collected
for creatinine clearance. The client is eager to go home and tells the nurse that
the first sample was put in the urinal 2 hours ago. Which action should the
nurse implement?
A Empty the sample into the 24 hour container.
B Begin the collection the next day.
C Observe the sample for sediment.
D Start collecting the specimen with the next void.
B Begin the collection the next day.
