HESI RN FUNDAMENTALS TESTBANK
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Answer: B
Rationale: After a needle stick, the needle is considered used, so the
nurse should discard it and select another needle. Because the needle
was sterile when the nurse was stuck and the needle was not in contact
with any other person's body fluids, the nurse does not need to complete
an incident report or notify the occupational health nurse. Disinfecting a
needle with an alcohol swab is not in accordance with standards for safe
practice and infection control.
⩥ When emptying 350 mL of pale yellow urine from a client's urinal, the
nurse notes that this is the first time the client has voided in 4 hours.
Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
,D. Palpate the client's bladder for distention. Answer: A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
⩥ The nurse is preparing to administer 10 mL of liquid potassium
chloride through a feeding tube, followed by 10 mL of liquid
acetaminophen. Which action should the nurse include in this
procedure?
A. Dilute each of the medications with sterile water prior to
administration.
B. Mix the medications in one syringe before opening the feeding tube.
C. Administer water between the doses of the two liquid medications.
D. Withdraw any fluid from the tube before instilling each medication.
Answer: C
Rationale: Water should be instilled into the feeding tube between
administering the two medications to maintain the patency of the feeding
tube and ensure that the total dose of medication enters the stomach and
does not remain in the tube. These liquid medications do not need to be
diluted when administered via a feeding tube and should be administered
separately, with water instilled between each medication.
⩥ The nurse transcribes the postoperative prescriptions for a client who
returns to the unit following surgery and notes that an antihypertensive
medication that was prescribed preoperatively is not listed. Which action
should the nurse take?
,A. Consult with the pharmacist about the need to continue the
medication.
B. Administer the antihypertensive medication as prescribed
preoperatively.
C. Withhold the medication until the client is fully alert and vital signs
are stable.
D. Contact the health care provider to renew the prescription for the
medication. Answer: D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider if
the antihypertensive medication is not included in the postoperative
prescriptions. The pharmacist does not prescribe medications or renew
prescriptions. The nurse must have a current prescription before
administering any medications.
⩥ A client has a nasogastric tube connected to low intermittent suction.
When administering medications through the nasogastric tube, which
action should the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device. Answer: D
Rationale: The nurse should first turn off the suction and then confirm
placement of the tube in the stomach before instilling the medications.
To prevent immediate removal of the instilled medications and allow
, absorption, the tube should be clamped for a period of time before
reconnecting the suction.
⩥ The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity Answer: B
Rationale: The cephalic vein is large and superficial and identifies the
anatomic name of the vein that is accessed, which should be included in
the documentation. The basilic vein of the arm is used for IV access, not
the brachial vein, which is too deep to be accessed for IV infusion.
Although veins on the dorsal side of the right wrist are visible, they are
fragile and using them would be painful, so they are not recommended
for IV access. Option D is not specific enough for documenting the
location of the IV access.
⩥ The nurse is administering the 0900 medications to a client who was
admitted during the night. Which client statement indicates that the
nurse should further assess the medication order?
A. "At home I take my pills at 8:00 am."
B. "It costs a lot of money to buy all of these pills."
C. "I get so tired of taking pills every day."
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥ After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Answer: B
Rationale: After a needle stick, the needle is considered used, so the
nurse should discard it and select another needle. Because the needle
was sterile when the nurse was stuck and the needle was not in contact
with any other person's body fluids, the nurse does not need to complete
an incident report or notify the occupational health nurse. Disinfecting a
needle with an alcohol swab is not in accordance with standards for safe
practice and infection control.
⩥ When emptying 350 mL of pale yellow urine from a client's urinal, the
nurse notes that this is the first time the client has voided in 4 hours.
Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
C. Notify the health care provider of the findings.
,D. Palpate the client's bladder for distention. Answer: A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
⩥ The nurse is preparing to administer 10 mL of liquid potassium
chloride through a feeding tube, followed by 10 mL of liquid
acetaminophen. Which action should the nurse include in this
procedure?
A. Dilute each of the medications with sterile water prior to
administration.
B. Mix the medications in one syringe before opening the feeding tube.
C. Administer water between the doses of the two liquid medications.
D. Withdraw any fluid from the tube before instilling each medication.
Answer: C
Rationale: Water should be instilled into the feeding tube between
administering the two medications to maintain the patency of the feeding
tube and ensure that the total dose of medication enters the stomach and
does not remain in the tube. These liquid medications do not need to be
diluted when administered via a feeding tube and should be administered
separately, with water instilled between each medication.
⩥ The nurse transcribes the postoperative prescriptions for a client who
returns to the unit following surgery and notes that an antihypertensive
medication that was prescribed preoperatively is not listed. Which action
should the nurse take?
,A. Consult with the pharmacist about the need to continue the
medication.
B. Administer the antihypertensive medication as prescribed
preoperatively.
C. Withhold the medication until the client is fully alert and vital signs
are stable.
D. Contact the health care provider to renew the prescription for the
medication. Answer: D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider if
the antihypertensive medication is not included in the postoperative
prescriptions. The pharmacist does not prescribe medications or renew
prescriptions. The nurse must have a current prescription before
administering any medications.
⩥ A client has a nasogastric tube connected to low intermittent suction.
When administering medications through the nasogastric tube, which
action should the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
D. Turn off the intermittent suction device. Answer: D
Rationale: The nurse should first turn off the suction and then confirm
placement of the tube in the stomach before instilling the medications.
To prevent immediate removal of the instilled medications and allow
, absorption, the tube should be clamped for a period of time before
reconnecting the suction.
⩥ The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to identify
placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity Answer: B
Rationale: The cephalic vein is large and superficial and identifies the
anatomic name of the vein that is accessed, which should be included in
the documentation. The basilic vein of the arm is used for IV access, not
the brachial vein, which is too deep to be accessed for IV infusion.
Although veins on the dorsal side of the right wrist are visible, they are
fragile and using them would be painful, so they are not recommended
for IV access. Option D is not specific enough for documenting the
location of the IV access.
⩥ The nurse is administering the 0900 medications to a client who was
admitted during the night. Which client statement indicates that the
nurse should further assess the medication order?
A. "At home I take my pills at 8:00 am."
B. "It costs a lot of money to buy all of these pills."
C. "I get so tired of taking pills every day."
