HESI FUNDAMENTALS EXAM 5 FINAL PRACTICE
SET 2026 COMPLETE STUDY GUIDE WITH
SAFETY, INFECTION CONTROL, AND BASIC
CARE QUESTIONS
◉ Three days following 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 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 the
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).
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the
anterior ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: C) Reposition in a Sim's position with the client's weight on
the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall
results, so the UAP should reposition the client in the Sims' position,
which distributes the client's weight to the anterior ilium (C). (A) is
inaccurate. (B and D) should be implemented once the client is
positioned
,◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets.
Answer: C) 1½ tablets
◉ An elderly male client who suffered a cerebral vascular accident is
receiving tube feedings via a gastrostomy tube. The nurse knows
that the best position for this client during administration of the
feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine
Answer: B) Fowler's
, The client should be positioned in a semi-sitting (Fowler's) (B)
position 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. In (A and/or C), the client is placed on the
abdomen, an unsafe position for feeding. Placing the client in (D)
increases the risk of aspiration
◉ A resident in a skilled nursing facility for short-term rehabilitation
after a hip replacement tells the nurse, "I don't want any more blood
taken for those useless tests." Which narrative documentation
should the nurse enter in the client's medical record?
A) Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B) Blood specimens not collected because client no longer wants
blood tests performed.
C) Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D) Client irritable, uncooperative, and refuses to have blood
collected. Healthcare provider notified
Answer: C) Healthcare provider notified of client's refusal to have
blood specimens collected for testing
SET 2026 COMPLETE STUDY GUIDE WITH
SAFETY, INFECTION CONTROL, AND BASIC
CARE QUESTIONS
◉ Three days following 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 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 the
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).
◉ An unlicensed assistive personnel (UAP) places a client in a left
lateral position prior to administering a soap suds enema. Which
instruction should the nurse provide the UAP?
A) Position the client on the right side of the bed in reverse
Trendelenburg.
B) Fill the enema container with 1000 ml of warm water and 5 ml of
castile soap.
C) Reposition in a Sim's position with the client's weight on the
anterior ilium.
D) Raise the side rails on both sides of the bed and elevate the bed to
waist level.
Answer: C) Reposition in a Sim's position with the client's weight on
the anterior ilium
The left sided Sims' position allows the enema solution to follow the
anatomical course of the intestines and allows the best overall
results, so the UAP should reposition the client in the Sims' position,
which distributes the client's weight to the anterior ilium (C). (A) is
inaccurate. (B and D) should be implemented once the client is
positioned
,◉ The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A) ½ tablet.
B) 1 tablet.
C) 1½ tablets.
D) 2 tablets.
Answer: C) 1½ tablets
◉ An elderly male client who suffered a cerebral vascular accident is
receiving tube feedings via a gastrostomy tube. The nurse knows
that the best position for this client during administration of the
feedings is
A) prone.
B) Fowler's.
C) Sims'.
D) supine
Answer: B) Fowler's
, The client should be positioned in a semi-sitting (Fowler's) (B)
position 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. In (A and/or C), the client is placed on the
abdomen, an unsafe position for feeding. Placing the client in (D)
increases the risk of aspiration
◉ A resident in a skilled nursing facility for short-term rehabilitation
after a hip replacement tells the nurse, "I don't want any more blood
taken for those useless tests." Which narrative documentation
should the nurse enter in the client's medical record?
A) Healthcare provider notified of failure to collect specimens for
prescribed blood studies.
B) Blood specimens not collected because client no longer wants
blood tests performed.
C) Healthcare provider notified of client's refusal to have blood
specimens collected for testing.
D) Client irritable, uncooperative, and refuses to have blood
collected. Healthcare provider notified
Answer: C) Healthcare provider notified of client's refusal to have
blood specimens collected for testing
