Hesi Fundamentals Practice Exam 2025–2026
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings though a gastrostomy tube. What is the best client position for administration of
the bolus tube feedings?
A. Prone.
B. Fowler's.
C. Sims'.
D. Supine. - answer>>>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.
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting
from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in
this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions. - answer>>>The client's
affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6
months to a year following the procedure. Hip precautions to prevent dislocation include placing a
pillow between the knees to maintain abduction of the hips (B). Clients should be instructed to avoid
bending at the waist (A), to seek assistance for both standing and walking until they are stable on a
walker or cane (C), and to take pain medication 20 to 30 minutes prior to physical therapy sessions,
rather than waiting until the pain level is high after their therapy.
Correct Answer: B
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based
on these findings, which intervention should the nurse implement first?
,A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - answer>>>An oxygen saturation below
90% indicates inadequate oxygenation. First, the client should be assisted to return to bed (A) to
minimize oxygen demands. Ambulation increases aeration of the lungs to prevent pooling of respiratory
secretions, but the client's activity at this time is depleting oxygen saturation of the blood, so (B) is
contraindicated. Increased activity increases respiratory effort, and oxygen may be necessary to
continue ambulation (C), but first the client should return to bed to rest. Oxygen saturation levels at
different sites should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast. What action should the
nurse take?
A. Commend the client for selecting a high biologic value protein.
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 CRF. - answer>>>Foods such as eggs
and milk (A) are high biologic proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell repair. Although a low-protein
diet is followed (B), some protein is essential. Orange juice is rich in potassium, and should not be
encouraged (C). The client has made a good diet choice, so (D) is not necessary.
Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is
most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
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? - answer>>>Vitamin and mineral supplements (B) may
impact medications used during the operative period. (A and C) are appropriate questions for long-term
dietary counseling. The nature of the surgery and anesthesia will determine the need for a clear liquid
diet (D), rather than the client's preference.
Correct Answer: B
, During the initial morning assessment, a male client 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. - answer>>>Dark amber urine is characteristic of
fluid volume deficit, and the client should be encouraged to increase fluid intake (D). Caffeine, however,
is a diuretic (A), and may worsen the fluid volume deficit. Any type of juice will be beneficial (B), since
the client is not dysuric, a sign of an urinary tract infection. The client needs to restore fluid volume
more than solid foods (C).
Correct Answer: D
Which intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention?
A. Apply a condom catheter.
B. Apply a skin protectant.
C. Encourage increased fluid intake.
D. Assess for bladder distention. - answer>>>Urinary retention is the inability to void all urine collected
in the bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions to
protect the skin of a client with urinary incontinence. (C) may worsen the bladder distention.
Correct Answer: D
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells) as
rapidly as possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match. - answer>>>All interventions should be implemented
prior to administering blood, but (D) has the highest priority. Any time blood is administered, the nurse
should ensure the accuracy of the blood type match in order to prevent a possible hemolytic reaction.
Correct Answer: D
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for
altered nutritional status?
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving
bolus enteral feedings though a gastrostomy tube. What is the best client position for administration of
the bolus tube feedings?
A. Prone.
B. Fowler's.
C. Sims'.
D. Supine. - answer>>>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.
Correct Answer: B
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting
from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in
this client's teaching plan?
A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
C. It is safe to use a walker to get out of bed, but you need assistance when walking.
D. Take pain medication 30 minutes after your physical therapy sessions. - answer>>>The client's
affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6
months to a year following the procedure. Hip precautions to prevent dislocation include placing a
pillow between the knees to maintain abduction of the hips (B). Clients should be instructed to avoid
bending at the waist (A), to seek assistance for both standing and walking until they are stable on a
walker or cane (C), and to take pain medication 20 to 30 minutes prior to physical therapy sessions,
rather than waiting until the pain level is high after their therapy.
Correct Answer: B
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based
on these findings, which intervention should the nurse implement first?
,A. Assist the ambulating client back to the bed.
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. - answer>>>An oxygen saturation below
90% indicates inadequate oxygenation. First, the client should be assisted to return to bed (A) to
minimize oxygen demands. Ambulation increases aeration of the lungs to prevent pooling of respiratory
secretions, but the client's activity at this time is depleting oxygen saturation of the blood, so (B) is
contraindicated. Increased activity increases respiratory effort, and oxygen may be necessary to
continue ambulation (C), but first the client should return to bed to rest. Oxygen saturation levels at
different sites should be evaluated after the client returns to bed (D).
Correct Answer: A
A client with chronic renal failure selects a scrambled egg for his breakfast. What action should the
nurse take?
A. Commend the client for selecting a high biologic value protein.
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 CRF. - answer>>>Foods such as eggs
and milk (A) are high biologic proteins which are allowed because they are complete proteins and
supply the essential amino acids that are necessary for growth and cell repair. Although a low-protein
diet is followed (B), some protein is essential. Orange juice is rich in potassium, and should not be
encouraged (C). The client has made a good diet choice, so (D) is not necessary.
Correct Answer: A
A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is
most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
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? - answer>>>Vitamin and mineral supplements (B) may
impact medications used during the operative period. (A and C) are appropriate questions for long-term
dietary counseling. The nature of the surgery and anesthesia will determine the need for a clear liquid
diet (D), rather than the client's preference.
Correct Answer: B
, During the initial morning assessment, a male client 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. - answer>>>Dark amber urine is characteristic of
fluid volume deficit, and the client should be encouraged to increase fluid intake (D). Caffeine, however,
is a diuretic (A), and may worsen the fluid volume deficit. Any type of juice will be beneficial (B), since
the client is not dysuric, a sign of an urinary tract infection. The client needs to restore fluid volume
more than solid foods (C).
Correct Answer: D
Which intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention?
A. Apply a condom catheter.
B. Apply a skin protectant.
C. Encourage increased fluid intake.
D. Assess for bladder distention. - answer>>>Urinary retention is the inability to void all urine collected
in the bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions to
protect the skin of a client with urinary incontinence. (C) may worsen the bladder distention.
Correct Answer: D
A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells) as
rapidly as possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up.
C. Monitor vital signs q15 minutes for the first hour.
D. Ensure the accuracy of the blood type match. - answer>>>All interventions should be implemented
prior to administering blood, but (D) has the highest priority. Any time blood is administered, the nurse
should ensure the accuracy of the blood type match in order to prevent a possible hemolytic reaction.
Correct Answer: D
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for
altered nutritional status?
