HESI FUNDAMENTALS PRACTICE EXAM
2026 COMPLETE REVIEW WITH
QUESTIONS AND RATIONALES|
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,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 diminishes (Postoperative swelling causes enlargement of the stoma. The nurse
tells the nurse that it is much bigger than he expected. can teach the client that the stoma will become smaller when swelling is
What is the best response by the nurse? diminished (B). This will help reduce the client's anxiety and promote acceptance
A. Reassure the client that he will become accustomed to of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful
the stoma appearance in time. action, and may be taken after the nurse provides pertinent teaching. The client is
B. Instruct the client that the stoma will become much not yet demonstrating readiness to learn colostomy care. (D)
smaller 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
suction states that she is nauseated. The nurse assesses tube is functioning correctly, which would then relieve the client's nausea. The
that there has been no drainage through the nasogastric least invasive intervention (B) should be attempted first, followed by (A and C),
tube in the last two hours. What action should the nurse unless either of these interventions is contraindicated. If these measures are
take first? unsuccessful, the client may require an antiemetic (D))
A. Irrigate the nasogastric tube with sterile normal saline.
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male client is receiving nasogastric tube C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from
feedings via a small-bore tube and a continuous pump the tube.
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.
A male client tells the nurse that he does not know where D. is disoriented to place and time (The client is exhibiting disorientation (D). (A)
he is or what year it is. What data should the nurse refers to memory of the distant past. The client is able to express himself without
document that is most accurate? difficulty (B), and 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 A. Commend the client for selecting a high biologic value protein. (Foods such as
scrambled egg for his breakfast. What action should the eggs and milk (A) are high biologic proteins which are allowed because they are
nurse take? complete proteins and supply the essential amino acids that are necessary for
A. Commend the client for selecting a high biologic value growth and cell repair. Orange juice is rich in potassium and should not be
protein. encouraged. The client has made a good diet choice so (D) is not necessary.)
B. Remind the client that protein in the diet should be
avoided.
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 Upper torso (The center of gravity for adults is the hips. However, as the person
important for the nurse to realize that the center of grows older, a stooped posture is common because of the changes from
gravity for an elderly person is the-- osteoporosis and 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, B. often follows relocation to new surroundings (Relocation (B) often results in
the nurse should remember that confusion in the elderly confusion among elderly clients-- moving is stressful for anyone. (A) is
A. is to be expected, and progresses with age stereotypical judgement. Stress in the elderly often manifests itself as confusion,
B. often follows relocation to new surroundings so (C) is wrong. Adequate sleep is 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
demonstrates the client's readiness to manage his wound the client's ability to perform a task, while (A and B) are subjective measures. (D) is
care after discharge? The client important, but is less of a priority than the the nurse's assessment of the client's
A. asks relevant questions regarding the dressing change ability to complete 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
A client who is 5 '5" tall and weighs 200 pounds is B. "What vitamin and mineral supplements do you take?"
scheduled for surgery the next day. What question is (Vitamin and mineral supplements (B) may impact medications used during the
most important for the nurse to include during the operative period. (A and C) are appropriate questions for long-term dietary
preoperative assessment? counseling. The nature of the surgery and anesthesia will determine the need for a
A. What is your daily calorie consumption? clear liquid diet (D), rather than the client's preference.)
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?"
During the initial morning assessment, a male client D. Encourage additional oral intake of juices and water.
denies dysuria but reports that his urine appears dark
amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water.
2026 COMPLETE REVIEW WITH
QUESTIONS AND RATIONALES|
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,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 diminishes (Postoperative swelling causes enlargement of the stoma. The nurse
tells the nurse that it is much bigger than he expected. can teach the client that the stoma will become smaller when swelling is
What is the best response by the nurse? diminished (B). This will help reduce the client's anxiety and promote acceptance
A. Reassure the client that he will become accustomed to of the colostomy. (A) does not provide helpful teaching or support. (C) is a useful
the stoma appearance in time. action, and may be taken after the nurse provides pertinent teaching. The client is
B. Instruct the client that the stoma will become much not yet demonstrating readiness to learn colostomy care. (D)
smaller 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
suction states that she is nauseated. The nurse assesses tube is functioning correctly, which would then relieve the client's nausea. The
that there has been no drainage through the nasogastric least invasive intervention (B) should be attempted first, followed by (A and C),
tube in the last two hours. What action should the nurse unless either of these interventions is contraindicated. If these measures are
take first? unsuccessful, the client may require an antiemetic (D))
A. Irrigate the nasogastric tube with sterile normal saline.
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
feedings via a small-bore tube and a continuous pump the tube.
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.
A male client tells the nurse that he does not know where D. is disoriented to place and time (The client is exhibiting disorientation (D). (A)
he is or what year it is. What data should the nurse refers to memory of the distant past. The client is able to express himself without
document that is most accurate? difficulty (B), and 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 A. Commend the client for selecting a high biologic value protein. (Foods such as
scrambled egg for his breakfast. What action should the eggs and milk (A) are high biologic proteins which are allowed because they are
nurse take? complete proteins and supply the essential amino acids that are necessary for
A. Commend the client for selecting a high biologic value growth and cell repair. Orange juice is rich in potassium and should not be
protein. encouraged. The client has made a good diet choice so (D) is not necessary.)
B. Remind the client that protein in the diet should be
avoided.
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 Upper torso (The center of gravity for adults is the hips. However, as the person
important for the nurse to realize that the center of grows older, a stooped posture is common because of the changes from
gravity for an elderly person is the-- osteoporosis and 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, B. often follows relocation to new surroundings (Relocation (B) often results in
the nurse should remember that confusion in the elderly confusion among elderly clients-- moving is stressful for anyone. (A) is
A. is to be expected, and progresses with age stereotypical judgement. Stress in the elderly often manifests itself as confusion,
B. often follows relocation to new surroundings so (C) is wrong. Adequate sleep is 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
demonstrates the client's readiness to manage his wound the client's ability to perform a task, while (A and B) are subjective measures. (D) is
care after discharge? The client important, but is less of a priority than the the nurse's assessment of the client's
A. asks relevant questions regarding the dressing change ability to complete 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
A client who is 5 '5" tall and weighs 200 pounds is B. "What vitamin and mineral supplements do you take?"
scheduled for surgery the next day. What question is (Vitamin and mineral supplements (B) may impact medications used during the
most important for the nurse to include during the operative period. (A and C) are appropriate questions for long-term dietary
preoperative assessment? counseling. The nature of the surgery and anesthesia will determine the need for a
A. What is your daily calorie consumption? clear liquid diet (D), rather than the client's preference.)
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?"
During the initial morning assessment, a male client D. Encourage additional oral intake of juices and water.
denies dysuria but reports that his urine appears dark
amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water.
