HESI FUNDAMENTALS
PRACTICE EXAM 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS
The nurse observes that a male client has removed the covering from an
ice park applied to his knee. What action should the nurse take first?
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. - ANSWER
✔✔Observe the appearance of the skin under the ice pack (The first
action taken by the nurse should be to assess the skin for any possible
thermal injury. If no injury to the skin has occurred, the nurse can take
the other actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans 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? - ANSWER ✔✔124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of 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? - ANSWER ✔✔83 gtt/min
Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube? - ANSWER ✔✔Examining a
chest x-ray obtained after the tubing was inserted
Three days following a surgery, a male client observes his colostomy for
the first time. He becomes quite upset and tells the nurse that it is much
bigger than he expected. What is the best response by the nurse?
,A. Reassure the client that he will become accustomed to the stoma
appearance in time.
B. Instruct the client that the stoma will become much 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. - ANSWER ✔✔B. Instruct the client
that the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when swelling is
diminished (B). This will help reduce the client's anxiety and promote
acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse
provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care. (D)
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no
drainage through the nasogastric tube in the last two hours. What action
should the nurse take first?
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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. -
ANSWER ✔✔B. Reposition the client on her side. (The immediate
priority is to determine if the tube is functioning correctly, which would
then relieve the client's nausea. The least invasive intervention (B)
should be attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful, the
client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric 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.
PRACTICE EXAM 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS
The nurse observes that a male client has removed the covering from an
ice park applied to his knee. What action should the nurse take first?
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. - ANSWER
✔✔Observe the appearance of the skin under the ice pack (The first
action taken by the nurse should be to assess the skin for any possible
thermal injury. If no injury to the skin has occurred, the nurse can take
the other actions.)
The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans 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? - ANSWER ✔✔124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml of 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? - ANSWER ✔✔83 gtt/min
Which assessment data provides the most accurate determination of
proper placement of a nasogastric tube? - ANSWER ✔✔Examining a
chest x-ray obtained after the tubing was inserted
Three days following a surgery, a male client observes his colostomy for
the first time. He becomes quite upset and tells the nurse that it is much
bigger than he expected. What is the best response by the nurse?
,A. Reassure the client that he will become accustomed to the stoma
appearance in time.
B. Instruct the client that the stoma will become much 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. - ANSWER ✔✔B. Instruct the client
that the stoma will become smaller when the initial swelling diminishes
(Postoperative swelling causes enlargement of the stoma. The nurse
can teach the client that the stoma will become smaller when swelling is
diminished (B). This will help reduce the client's anxiety and promote
acceptance of the colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the nurse
provides pertinent teaching. The client is not yet demonstrating
readiness to learn colostomy care. (D)
A female client with a nasogastric tube attached to low suction states
that she is nauseated. The nurse assesses that there has been no
drainage through the nasogastric tube in the last two hours. What action
should the nurse take first?
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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. -
ANSWER ✔✔B. Reposition the client on her side. (The immediate
priority is to determine if the tube is functioning correctly, which would
then relieve the client's nausea. The least invasive intervention (B)
should be attempted first, followed by (A and C), unless either of these
interventions is contraindicated. If these measures are unsuccessful, the
client may require an antiemetic (D))
A hospitalized male client is receiving nasogastric 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.
