HESI FUNDAMENTALS PRACTICE EXAM QUESTIONS
AND ANSWERS 2026/2027 LATEST UPDATE
The nurse observes that a male client has removed the Observe the appearance of the skin under the ice pack (The first action taken by the
covering from an ice park applied to his knee. What action nurse should be to assess the skin for any possible thermal injury. If no injury to the skin
should the nurse take first? has occurred, the nurse can take the other actions.)
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.
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans 124 gtt/min
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?
The healthcare provider prescribes an IV infusion of 1000 ml of 83 gtt/min
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 been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow rate at how
many gtt/min?
Which assessment data provides the most accurate Examining a chest x-ray obtained after the tubing was inserted
determination of proper placement of a nasogastric tube?
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 11/21
, Three days following a surgery, a male client observes his B. Instruct the client that the stoma will become smaller when the initial swelling
colostomy for the first time. He becomes quite upset and tells diminishes (Postoperative swelling causes enlargement of the stoma. The nurse can teach
the nurse that it is much bigger than he expected. What is the the client that the stoma will become smaller when swelling is diminished (B). This will help
best response by the nurse? reduce the client's anxiety and promote acceptance of the colostomy. (A) does not
A. Reassure the client that he will become accustomed to the provide helpful teaching or support. (C) is a useful action, and may be taken after the
stoma appearance in time. nurse provides pertinent teaching. The client is not yet demonstrating readiness to learn
B. Instruct the client that the stoma will become much smaller colostomy care. (D)
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.
A female client with a nasogastric tube attached to low B. Reposition the client on her side. (The immediate priority is to determine if the tube is
suction states that she is nauseated. The nurse assesses that functioning correctly, which would then relieve the client's nausea. The least invasive
there has been no drainage through the nasogastric tube in intervention (B) should be attempted first, followed by (A and C), unless either of these
the last two hours. What action should the nurse take first? interventions is contraindicated. If these measures are unsuccessful, the client may require
A. Irrigate the nasogastric tube with sterile normal saline. an antiemetic (D))
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.
A hospitalized male client is receiving nasogastric tube C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the 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.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling.
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 12/21
, A male client tells the nurse that he does not know where he is D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to
or what year it is. What data should the nurse document that is memory of the distant past. The client is able to express himself without difficulty (B), and
most accurate? does not demonstrate diminished attention span. (C).
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
A client with chronic kidney disease (CKD) selects a scrambled A. Commend the client for selecting a high biologic value protein. (Foods such as eggs
egg for his breakfast. What action should the nurse take? and milk (A) are high biologic proteins which are allowed because they are complete
A. Commend the client for selecting a high biologic value proteins and supply the essential amino acids that are necessary for growth and cell
protein. repair. Orange juice is rich in potassium and should not be encouraged. The client has
B. Remind the client that protein in the diet should be avoided. made a good diet choice so (D) is not necessary.)
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary
management of CKD.
When assisting an 82 year old client to ambulate, it is important Upper torso (The center of gravity for adults is the hips. However, as the person grows
for the nurse to realize that the center of gravity for an elderly older, a stooped posture is common because of the changes from osteoporosis and
person is the-- normal bone degeneration, and the knees, hips, and elbows flex. This stooped posture
results in the upper torso becoming the center of gravity for older persons.)
In developing a plan of care for a client with dementia, the B. often follows relocation to new surroundings (Relocation (B) often results in confusion
nurse should remember that confusion in the elderly among elderly clients-- moving is stressful for anyone. (A) is stereotypical judgement.
A. is to be expected, and progresses with age Stress in the elderly often manifests itself as confusion, so (C) is wrong. Adequate sleep is
B. often follows relocation to new surroundings not a prevention (D) for confusion.)
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
A postoperative client will need to perform daily dressing C. demonstrates the wound care procedure correctly
changes after discharge. Which outcome statement best (A return demonstration of a procedure (C) provides an objective assessment of the
demonstrates the client's readiness to manage his wound care client's ability to perform a task, while (A and B) are subjective measures. (D) is important,
after discharge? The client but is less of a priority than the the nurse's assessment of the client's ability to complete
A. asks relevant questions regarding the dressing change wound care.)
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 13/21
AND ANSWERS 2026/2027 LATEST UPDATE
The nurse observes that a male client has removed the Observe the appearance of the skin under the ice pack (The first action taken by the
covering from an ice park applied to his knee. What action nurse should be to assess the skin for any possible thermal injury. If no injury to the skin
should the nurse take first? has occurred, the nurse can take the other actions.)
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.
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans 124 gtt/min
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?
The healthcare provider prescribes an IV infusion of 1000 ml of 83 gtt/min
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 been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow rate at how
many gtt/min?
Which assessment data provides the most accurate Examining a chest x-ray obtained after the tubing was inserted
determination of proper placement of a nasogastric tube?
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 11/21
, Three days following a surgery, a male client observes his B. Instruct the client that the stoma will become smaller when the initial swelling
colostomy for the first time. He becomes quite upset and tells diminishes (Postoperative swelling causes enlargement of the stoma. The nurse can teach
the nurse that it is much bigger than he expected. What is the the client that the stoma will become smaller when swelling is diminished (B). This will help
best response by the nurse? reduce the client's anxiety and promote acceptance of the colostomy. (A) does not
A. Reassure the client that he will become accustomed to the provide helpful teaching or support. (C) is a useful action, and may be taken after the
stoma appearance in time. nurse provides pertinent teaching. The client is not yet demonstrating readiness to learn
B. Instruct the client that the stoma will become much smaller colostomy care. (D)
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.
A female client with a nasogastric tube attached to low B. Reposition the client on her side. (The immediate priority is to determine if the tube is
suction states that she is nauseated. The nurse assesses that functioning correctly, which would then relieve the client's nausea. The least invasive
there has been no drainage through the nasogastric tube in intervention (B) should be attempted first, followed by (A and C), unless either of these
the last two hours. What action should the nurse take first? interventions is contraindicated. If these measures are unsuccessful, the client may require
A. Irrigate the nasogastric tube with sterile normal saline. an antiemetic (D))
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.
A hospitalized male client is receiving nasogastric tube C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the 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.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling.
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 12/21
, A male client tells the nurse that he does not know where he is D. is disoriented to place and time (The client is exhibiting disorientation (D). (A) refers to
or what year it is. What data should the nurse document that is memory of the distant past. The client is able to express himself without difficulty (B), and
most accurate? does not demonstrate diminished attention span. (C).
A. demonstrates loss of remote memory
B. exhibits expressive dysphasia
C. has a diminished attention span
D. is disoriented to place and time
A client with chronic kidney disease (CKD) selects a scrambled A. Commend the client for selecting a high biologic value protein. (Foods such as eggs
egg for his breakfast. What action should the nurse take? and milk (A) are high biologic proteins which are allowed because they are complete
A. Commend the client for selecting a high biologic value proteins and supply the essential amino acids that are necessary for growth and cell
protein. repair. Orange juice is rich in potassium and should not be encouraged. The client has
B. Remind the client that protein in the diet should be avoided. made a good diet choice so (D) is not necessary.)
C. Suggest that the client also select orange juice, to promote
absorption.
D. Encourage the client to attend classes on dietary
management of CKD.
When assisting an 82 year old client to ambulate, it is important Upper torso (The center of gravity for adults is the hips. However, as the person grows
for the nurse to realize that the center of gravity for an elderly older, a stooped posture is common because of the changes from osteoporosis and
person is the-- normal bone degeneration, and the knees, hips, and elbows flex. This stooped posture
results in the upper torso becoming the center of gravity for older persons.)
In developing a plan of care for a client with dementia, the B. often follows relocation to new surroundings (Relocation (B) often results in confusion
nurse should remember that confusion in the elderly among elderly clients-- moving is stressful for anyone. (A) is stereotypical judgement.
A. is to be expected, and progresses with age Stress in the elderly often manifests itself as confusion, so (C) is wrong. Adequate sleep is
B. often follows relocation to new surroundings not a prevention (D) for confusion.)
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep
A postoperative client will need to perform daily dressing C. demonstrates the wound care procedure correctly
changes after discharge. Which outcome statement best (A return demonstration of a procedure (C) provides an objective assessment of the
demonstrates the client's readiness to manage his wound care client's ability to perform a task, while (A and B) are subjective measures. (D) is important,
after discharge? The client but is less of a priority than the the nurse's assessment of the client's ability to complete
A. asks relevant questions regarding the dressing change wound care.)
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care
https://quizlet.com/392783152/hesi-fundamentals-practice-exam-flash-cards/ 13/21
