HESI Fundamentals 2 Practice Exam Prep
HESI FUNDAMENTALS 2 PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+|BRAND NEW VERSION!!
An elderly male client who is unresponsive following a cerebral vascular accident
(CVA) is receiving bolus enteral feeding through a gastrostomy tube. What is the
best client position for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sims
d. supine
Answer: b. fowlers
Rationale: the client should be positioned in a semi-sitting fowlers position (b)
during feeding to decrease the occurrence of aspiration. A gastrostomy tube
known as a PEG tube, due to placement by a percutaneous endoscopic
gastrostomy procedure is inserted directly into the stomach through an incision in
the abdomen for long-term administration of nutrition and hydration in the
debilitated client. (a and / c) the client is placed on the abdomen, an unsafe
position for feeding. Placing a client in supine (d) position increases risk for
aspiration
Which action is most important for the nurse to implement when donning sterile
gloves?
a. maintain thumb at a 90 degree angle
b. hold hands with fingers down while gloving
1|Page
, HESI Fundamentals 2 Practice Exam Prep
c. keep gloved hands above the elbows
d. put the glove on the dominant hand first
Answer: c. keep gloved hands above the elbows
Rationale: gloved hands below waist level are considered unsterile (c). (a and b)
are not essential to maintaining asepsis. While it may be helpful to put the glove
on the dominant hand first (d) it is not necessary to ensure asepsis
The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in the teaching plan?
a. avoid any types of sprays, powders, or perfumes
b. wearing a mask while cleaning will not help to avoid allergens
c. purchase any type of clothing, but be sure it is washed before wearing it
d. pollen count is related to hay fever, not to allergies
Answer: a. avoid any types of sprays, powders, or perfumes
Rationale: the client with allergies should be instructed to reduce any exposure to
pollen, dust, fumes, odors, sprays, powders, and perfumes (a). The client should be
encouraged to wear a mask when working around dust or pollen (b). Clients with
allergies should avoid any clothing that causes itching; washing clothes will not
prevent an allergic reaction to some fabrics (c). Pollen count is related to allergens
(d) and the client should be instructed to stay indoors when pollen count is high.
A 73 year old female client with hemiarthroplasty of the left hip due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction
should the nurse include in this client's teaching plan?
a. in 8 weeks you will be able to bend at the waist to reach items on the floor
b. place a pillow between your knees while lying in bed to prevent hip dislocation
2|Page
, HESI Fundamentals 2 Practice Exam Prep
c. it is safe to use a walker to get out of bed, but you need assistance when
walking
d. take pain medication 30 minutes after your physical therapy sessions
Answer: b. place a pillow between your knees while lying in bed to prevent hip
dislocation
Rationale: the client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow between
the knees to maintain abduction of the hips (b). Clients should be instructed to
avoid bending at the waist (a), to seek assistance for both standing and walking
until they are stable on a walker or cane (c) and to take pain medication 30
minutes before physical therapy rather than waiting until the pain level is high
after therapy
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for 15 seconds, large amounts of thick yellow secretions return. What
action should the nurse implement next?
a. encourage the client to cough to help loosen secretions
b. advise the client to increase the intake of oral fluids
c. rotate the suction catheter to obtain any remaining secretions
d. re-oxygenate the client before attempting to suction again
Answer: d. re-oxygenate the client before attempting to suction again
Rationale: suctioning should not be continued for longer than 10-15 seconds, since
the client's oxygenation is compromised during this dime (d). (a,b,c) may be
performed after the client is re-oxygenated and additional suctioning is performed
3|Page
, HESI Fundamentals 2 Practice Exam Prep
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
Answer: b. measure the pulse and capillary refill distal to the infiltration
Rationale: 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 from 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 of less
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 suggest compartment syndrome have been
examined
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
a. remain calm with the client and record abnormal results in chart
b. notify the medication nurse immediately if the pule or blood pressure is low
c. report the results of the vital signs to the nurse
d. reassure the client that the vital signs are normal
Answer: c. report the results of the vital signs to the nurse
4|Page
HESI FUNDAMENTALS 2 PRACTICE EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+|BRAND NEW VERSION!!
An elderly male client who is unresponsive following a cerebral vascular accident
(CVA) is receiving bolus enteral feeding through a gastrostomy tube. What is the
best client position for administration of the bolus tube feedings?
a. prone
b. fowler's
c. sims
d. supine
Answer: b. fowlers
Rationale: the client should be positioned in a semi-sitting fowlers position (b)
during feeding to decrease the occurrence of aspiration. A gastrostomy tube
known as a PEG tube, due to placement by a percutaneous endoscopic
gastrostomy procedure is inserted directly into the stomach through an incision in
the abdomen for long-term administration of nutrition and hydration in the
debilitated client. (a and / c) the client is placed on the abdomen, an unsafe
position for feeding. Placing a client in supine (d) position increases risk for
aspiration
Which action is most important for the nurse to implement when donning sterile
gloves?
a. maintain thumb at a 90 degree angle
b. hold hands with fingers down while gloving
1|Page
, HESI Fundamentals 2 Practice Exam Prep
c. keep gloved hands above the elbows
d. put the glove on the dominant hand first
Answer: c. keep gloved hands above the elbows
Rationale: gloved hands below waist level are considered unsterile (c). (a and b)
are not essential to maintaining asepsis. While it may be helpful to put the glove
on the dominant hand first (d) it is not necessary to ensure asepsis
The nurse is teaching a client with numerous allergies how to avoid allergens.
Which instruction should be included in the teaching plan?
a. avoid any types of sprays, powders, or perfumes
b. wearing a mask while cleaning will not help to avoid allergens
c. purchase any type of clothing, but be sure it is washed before wearing it
d. pollen count is related to hay fever, not to allergies
Answer: a. avoid any types of sprays, powders, or perfumes
Rationale: the client with allergies should be instructed to reduce any exposure to
pollen, dust, fumes, odors, sprays, powders, and perfumes (a). The client should be
encouraged to wear a mask when working around dust or pollen (b). Clients with
allergies should avoid any clothing that causes itching; washing clothes will not
prevent an allergic reaction to some fabrics (c). Pollen count is related to allergens
(d) and the client should be instructed to stay indoors when pollen count is high.
A 73 year old female client with hemiarthroplasty of the left hip due to a fracture
resulting from a fall. In reviewing hip precautions with the client, which instruction
should the nurse include in this client's teaching plan?
a. in 8 weeks you will be able to bend at the waist to reach items on the floor
b. place a pillow between your knees while lying in bed to prevent hip dislocation
2|Page
, HESI Fundamentals 2 Practice Exam Prep
c. it is safe to use a walker to get out of bed, but you need assistance when
walking
d. take pain medication 30 minutes after your physical therapy sessions
Answer: b. place a pillow between your knees while lying in bed to prevent hip
dislocation
Rationale: the client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow between
the knees to maintain abduction of the hips (b). Clients should be instructed to
avoid bending at the waist (a), to seek assistance for both standing and walking
until they are stable on a walker or cane (c) and to take pain medication 30
minutes before physical therapy rather than waiting until the pain level is high
after therapy
The nurse is performing nasotracheal suctioning. After suctioning the client's
trachea for 15 seconds, large amounts of thick yellow secretions return. What
action should the nurse implement next?
a. encourage the client to cough to help loosen secretions
b. advise the client to increase the intake of oral fluids
c. rotate the suction catheter to obtain any remaining secretions
d. re-oxygenate the client before attempting to suction again
Answer: d. re-oxygenate the client before attempting to suction again
Rationale: suctioning should not be continued for longer than 10-15 seconds, since
the client's oxygenation is compromised during this dime (d). (a,b,c) may be
performed after the client is re-oxygenated and additional suctioning is performed
3|Page
, HESI Fundamentals 2 Practice Exam Prep
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
Answer: b. measure the pulse and capillary refill distal to the infiltration
Rationale: 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 from 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 of less
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 suggest compartment syndrome have been
examined
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
a. remain calm with the client and record abnormal results in chart
b. notify the medication nurse immediately if the pule or blood pressure is low
c. report the results of the vital signs to the nurse
d. reassure the client that the vital signs are normal
Answer: c. report the results of the vital signs to the nurse
4|Page
