1
HESI Fundamentals 2025 Exam for Herzing
University includes 100 accurate and verified
questions covering foundational nursing concepts such
as the nursing process, patient safety, infection control,
basic care and comfort, communication, and ethical
practice. Designed to evaluate readiness for clinical
practice and NCLEX-style assessments.
After completing an assessment and determining that a client has a
problem, which action should the nurse perform next?
A) Determine the etiology of the problem.
B) Prioritize nursing care interventions.
C) Plan appropriate interventions.
D) Collaborate with the client to set goals. - ANSWER-A) Determine
the etiology of the problem
Rationale; Before planning care, the nurse should determine the etiology,
or cause, of the problem (A), because this will help determine (B, C, and
D).
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The nurse notices that the Hispanic parents of a toddler who returns
from surgery offer the child only the broth that comes on the clear liquid
tray. Other liquids, including gelatin, popsicles, and juices, remain
untouched. What explanation is most appropriate for this behavior?
A) The belief is held that the "evil eye" enters the child if anything cold
is ingested.
B) After surgery the child probably has refused all foods except broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition. - ANSWER-D) Hot remedies restore balance after
surgery, which is considered a "cold" condition
Rationale; Common parental practices and health beliefs among
Hispanic, Chinese, Filipino, and Arab cultures classify diseases, areas of
the body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup, should
be used to restore the healthy balance within the body, so (D) is the
correct interpretation. (A, B, and C) are not correct interpretations of the
noted behavior. "Chi" is a Chinese belief that an innate energy enters and
leaves the body via certain locations and pathways and maintains health.
The "evil eye," or "mal ojo," is believed by many cultures to be related
to the balance of health and illness but is unrelated to dietary practice.
,3
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
Rationale; 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?
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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
Rationale; 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
HESI Fundamentals 2025 Exam for Herzing
University includes 100 accurate and verified
questions covering foundational nursing concepts such
as the nursing process, patient safety, infection control,
basic care and comfort, communication, and ethical
practice. Designed to evaluate readiness for clinical
practice and NCLEX-style assessments.
After completing an assessment and determining that a client has a
problem, which action should the nurse perform next?
A) Determine the etiology of the problem.
B) Prioritize nursing care interventions.
C) Plan appropriate interventions.
D) Collaborate with the client to set goals. - ANSWER-A) Determine
the etiology of the problem
Rationale; Before planning care, the nurse should determine the etiology,
or cause, of the problem (A), because this will help determine (B, C, and
D).
,2
The nurse notices that the Hispanic parents of a toddler who returns
from surgery offer the child only the broth that comes on the clear liquid
tray. Other liquids, including gelatin, popsicles, and juices, remain
untouched. What explanation is most appropriate for this behavior?
A) The belief is held that the "evil eye" enters the child if anything cold
is ingested.
B) After surgery the child probably has refused all foods except broth.
C) Eating broth strengthens the child's innate energy called "chi."
D) Hot remedies restore balance after surgery, which is considered a
"cold" condition. - ANSWER-D) Hot remedies restore balance after
surgery, which is considered a "cold" condition
Rationale; Common parental practices and health beliefs among
Hispanic, Chinese, Filipino, and Arab cultures classify diseases, areas of
the body, and illnesses as "hot" or "cold" and must be balanced to
maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup, should
be used to restore the healthy balance within the body, so (D) is the
correct interpretation. (A, B, and C) are not correct interpretations of the
noted behavior. "Chi" is a Chinese belief that an innate energy enters and
leaves the body via certain locations and pathways and maintains health.
The "evil eye," or "mal ojo," is believed by many cultures to be related
to the balance of health and illness but is unrelated to dietary practice.
,3
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
Rationale; 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?
, 4
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
Rationale; 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
