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Harvard Nursing Review: HESI Fundamentals Exam 2025 – Advanced Q&A Guide with Clinical Rationales

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This professionally curated HESI Fundamentals Exam 2025 Guide reflects the rigorous academic standards associated with top-tier institutions like Harvard. It contains over 300 expertly formulated practice questions, clear explanations, and evidence-based rationales aligned with current nursing frameworks and NCLEX standards. Designed for nursing students at both undergraduate (RN) and diploma (PN) levels, this guide provides comprehensive coverage of: Basic patient care & safety Infection prevention Nursing process and documentation Ethical and legal principles Patient communication and education

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20 Multiple choice questions

Term 1 of 20
The practical nurse (PN) is assisting a client plan a balanced vegetarian diet that provides the
highest in protein quality. Which selection should the PN recommend to the client?

Fish


Soybeans

Potatoes

Lima Beans

Term 2 of 20

During insertion of a nasogastric tube (NGT) into the right nares, the client starts to cough. Which
action should the practical nurse (PN) implement?

Remove the NGT completely and start over.


Ask the client to hold their breath.

Continue inserting the NGT without stopping.

Withdraw the NGT to the oral pharynx, repostion client's head and reinsert.

Term 3 of 20
The practical nurse (PN) is checking the surgical dressing for a client who arrived on the
postoperative unit an hour ago. The dressing has an increase in the accumulation of
serosanguinous drainage. what nursing action should the PN take?

Ignore the drainage and monitor for other signs.


Apply a larger dressing over the area.

Mark the outlined area of drainage with date, time and initials.


Change the dressing immediately without assessment.

, Term 4 of 20

Which action should the practical nurse (PN) implement when administering a subcutaneous
injection to a client who weighs 325 pounds?

administer the injection through clothing.


use an insulin syringe for the injection.

select a needle with a shorter shaft.


select a needle with a longer shaft.

Term 5 of 20

What is most important for the practical nurse (PN) to include when performing pain assessment
after giving an analgesic?

Ask the client to describe their pain in detail without a scale.

Use a pain scale to describe the intensity.


Focus solely on the client's emotional response to pain.

Ignore the client's feedback and rely on observation only.

Term 6 of 20
For several days after her husband's death, a client who is admitted with acute depression repeats
over and over, I should have made him go to the doctor when he said he didn't feel well. Which
descriptor should the practical nurse use to document the client's feedings?

Loss And Loneliness.

Sadness.

Guilt.


Anger.

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