HESI Fundamentals V.2 Exam Prep
HESI FUNDAMENTALS V.2 EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client's infusion of normal saline infiltrated earlier today, and approximately 500
mL of saline infused into the subcutaneous tissue. The client is now complaining
of excruciating arm pain and demanding stronger pain medications. What initial
action is most important for the nurse to take?
A) Ask about any past history of drug abuse or addiction.
B) Measure the pulse volume and capillary refill distal to the infiltration.
C) Compress the infiltrated tissue to measure the degree of edema.
D) Evaluate the extent of ecchymosis over the forearm area.
B) Measure the pulse volume and capillary refill distal to the infiltration.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which
can progress to complete loss of the peripheral pulse in the extremity.
Compartment syndrome occurs when external pressure (usually from a cast) or
internal pressure (usually form subcutaneous infused fluid), exceeds capillary
perfusion pressure resulting in decreased blood flow to the extremity. (A) should
not be pursued until physical causes of the pain are ruled out. (C) is less of a
priority than determining the effects of the edema on circulation and nerve
function. Further assessment of the client's ecchymosis can be delayed until the
signs of edema and compression that suggest compartment syndrome have been
examined (D).
1|Page
, HESI Fundamentals V.2 Exam Prep
When assessing a client with wrist restraints, the nurse observes that the fingers
on the right hand are blue. What action should the nurse implement first?
A) Loosen the right wrist restraint.
B) Apply a pulse oximeter to the right hand.
C) Compare hand color bilaterally.
D) Palpate the right radial pulse.
A) Loosen the right wrist restraint.
The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry
(B) measures saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression- the restraints.
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A) Massage any reddened areas for at least five minutes.
B) Encourage active range of motion exercises on extremities.
C) Position the client laterally, prone, and dorsally in sequence.
D) Gently lift the client when moving into a desired position.
D) Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should NOT be massaged (A) since this may
increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
2|Page
, HESI Fundamentals V.2 Exam Prep
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed to
the chair. What method describes the correct transfer procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before
moving.
B) Assist the client to a standing position, then place the right hand on the
armrest.
C) Have the client place the left foot next to the chair and pivot to the left before
sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
D) Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
A) Clamp the tube for 20 minutes.
B) Flush the tube with water.
C) Administer the medications as prescribed.
D) Crush the tablets and dissolve in sterile water.
B) Flush the tube with water.
The NGT should be flushed before, after, and in between each medication
administered (B). Once all medications are administered, the NGT should be
3|Page
, HESI Fundamentals V.2 Exam Prep
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing
has been flushed.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A) Contact the healthcare provider and complete a medication variance form.
B) Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C) Notify the charge nurse and complete an incident report to explain the missed
dose.
D) Give the missed dose at 1300 and change the schedule to administer daily at
1300.
D) Give the missed dose at 1300 and change the schedule to administer daily at
1300.
To ensure that a therapeutic level of medication is maintained, the nurse should
administer dose as soon as possible, and revise the administration schedule
accordingly to prevent dangerously increasing the level of medication in the
bloodstream (D). The nurse should document the reason for the late dose, but (A
and C) are not warranted. (B) could result in increased blood levels of the drug.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A) Give an around-the-clock schedule for administration of analgesics.
B) Administer analgesic medication as needed when the pain is severe.
4|Page
HESI FUNDAMENTALS V.2 EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client's infusion of normal saline infiltrated earlier today, and approximately 500
mL of saline infused into the subcutaneous tissue. The client is now complaining
of excruciating arm pain and demanding stronger pain medications. What initial
action is most important for the nurse to take?
A) Ask about any past history of drug abuse or addiction.
B) Measure the pulse volume and capillary refill distal to the infiltration.
C) Compress the infiltrated tissue to measure the degree of edema.
D) Evaluate the extent of ecchymosis over the forearm area.
B) Measure the pulse volume and capillary refill distal to the infiltration.
Pain and diminished pulse volume (B) are signs of compartment syndrome, which
can progress to complete loss of the peripheral pulse in the extremity.
Compartment syndrome occurs when external pressure (usually from a cast) or
internal pressure (usually form subcutaneous infused fluid), exceeds capillary
perfusion pressure resulting in decreased blood flow to the extremity. (A) should
not be pursued until physical causes of the pain are ruled out. (C) is less of a
priority than determining the effects of the edema on circulation and nerve
function. Further assessment of the client's ecchymosis can be delayed until the
signs of edema and compression that suggest compartment syndrome have been
examined (D).
1|Page
, HESI Fundamentals V.2 Exam Prep
When assessing a client with wrist restraints, the nurse observes that the fingers
on the right hand are blue. What action should the nurse implement first?
A) Loosen the right wrist restraint.
B) Apply a pulse oximeter to the right hand.
C) Compare hand color bilaterally.
D) Palpate the right radial pulse.
A) Loosen the right wrist restraint.
The priority nursing action is to restore circulation by loosening the restraint (A),
because blue fingers (cyanosis) indicates decreased circulation. (C and D) are also
important nursing interventions, but do not have the priority of (A). Pulse oximetry
(B) measures saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression- the restraints.
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A) Massage any reddened areas for at least five minutes.
B) Encourage active range of motion exercises on extremities.
C) Position the client laterally, prone, and dorsally in sequence.
D) Gently lift the client when moving into a desired position.
D) Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should NOT be massaged (A) since this may
increase the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected leg. The position
described in (C) is contraindicated for a client with a fractured left hip.
2|Page
, HESI Fundamentals V.2 Exam Prep
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed to
the chair. What method describes the correct transfer procedure for this client?
A) Place the chair at a right angle to the bed on the client's left side before
moving.
B) Assist the client to a standing position, then place the right hand on the
armrest.
C) Have the client place the left foot next to the chair and pivot to the left before
sitting.
D) Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
D) Move the chair parallel to the right side of the bed, and stand the client on the
right foot.
The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
A) Clamp the tube for 20 minutes.
B) Flush the tube with water.
C) Administer the medications as prescribed.
D) Crush the tablets and dissolve in sterile water.
B) Flush the tube with water.
The NGT should be flushed before, after, and in between each medication
administered (B). Once all medications are administered, the NGT should be
3|Page
, HESI Fundamentals V.2 Exam Prep
clamped for 20 minutes (A). (C and D) may be implemented only after the tubing
has been flushed.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
A) Contact the healthcare provider and complete a medication variance form.
B) Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C) Notify the charge nurse and complete an incident report to explain the missed
dose.
D) Give the missed dose at 1300 and change the schedule to administer daily at
1300.
D) Give the missed dose at 1300 and change the schedule to administer daily at
1300.
To ensure that a therapeutic level of medication is maintained, the nurse should
administer dose as soon as possible, and revise the administration schedule
accordingly to prevent dangerously increasing the level of medication in the
bloodstream (D). The nurse should document the reason for the late dose, but (A
and C) are not warranted. (B) could result in increased blood levels of the drug.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed. Which
action should the nurse implement?
A) Give an around-the-clock schedule for administration of analgesics.
B) Administer analgesic medication as needed when the pain is severe.
4|Page
