HESI - Fundamentals practice Exam 2025–2026
Accurate Real Exam Questions and Verified
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The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler?
A) Immediately after exhalation.
B) During the inhalation
C) At the end of three inhalations.
D) Immediately after inhalation - answer>>>B) During the inhalation
The client should be instructed to deliver the medication during the last part of inhalation (B). After the
medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and
breath held for several seconds to allow for distribution of the medication. The client should not deliver
the dose as stated in (A or D), and should deliver no more than two inhalations at a time (C).
A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse
that he understands he is to take three doses of the medication each day. Since, at the time of
discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the
client to follow?
A) 9 a.m., 1 p.m., and 5 p.m.
B) 8 a.m., 4 p.m., and midnight.
C) Before breakfast, before lunch and before dinner.
D) With breakfast, with lunch, and with dinner. - answer>>>B) 8 a.m., 4 p.m., and midnight
Theophylline should be administered on a regular around-the-clock schedule (B) to provide the best
bronchodilating effect and reduce the potential for adverse effects. (A, C, and D) do not provide around-
the-clock dosing. Food may alter absorption of the medication (D).
Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The scored tablets are labeled grain
1.5 per tablet. How many tablets should the nurse plan to administer?
A) 0.5 tablet.
,B) 1 tablet.
C) 1.5 tablets.
D) 2 tablets. - answer>>>B) 1 tablet
15 gr=1 Gm. Converting the prescribed dose of 0.1 grams to grains requires multiplying 0.1 × 15 = 1.5
grains. The tablets come in 1.5 grains, so the nurse should plan to administer 1 tablet (B).
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A) It is more difficult to find a superficial vein in the feet and ankles.
B) A decreased flow rate could result in the formation of a thrombosis.
C) A cannulated extremity is more difficult to move when the leg or foot is used.
D) Veins are located deep in the feet and ankles, resulting in a more painful procedure - answer>>>B) A
decreased flow rate could result in the formation of a thrombosis
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-threatening.
Superficial veins are often very easy (A) to find in the feet and legs. Handling a leg or foot with an IV (C)
is probably not any more difficult than handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important reason for using the upper extremities.
Pain (D) is not a consideration
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A) A college-age track runner with a sprained ankle.
B) A lactating woman nursing her 3-day-old infant.
C) A school-aged child with Type 2 diabetes.
D) An elderly man being treated for a peptic ulcer. - answer>>>B) A lactating woman nursing her 3-day-
old infant
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all conditions
that require protein, but do not have the increased metabolic protein demands of lactation
,A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs?
A) Autopsy of the body is prohibited.
B) Blood transfusions are forbidden.
C) Alcohol use in any form is not allowed.
D) A vegetarian diet must be followed - answer>>>B) Blood transfusions are forbidden
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism prohibits (A). Buddhism
forbids the use of (C) and drugs. Many of these sects are vegetarian (D), but the direct impact on
nursing care is (B).
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>>>D) Ensure the accuracy of the blood type
match
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
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR) prescription.
When the client stops breathing, the nurse performs cardiopulmonary resuscitation (CPR) and
successfully revives the client. What legal issues could be brought against the nurse?
A) Assault.
B) Battery.
C) Malpractice.
D) False imprisonment. - answer>>>B) Battery
Civil laws protect individual rights and include intentional torts, such as assault (an intentional threat to
engage in harmful contact with another) or battery (unwanted touching). Performing any procedure
, against the client's wishes can potentially poise a legal issue, such as battery (B), even if the procedure is
of questionable benefit to the client. (A, C, and D) are not examples against the client's request
During the daily nursing assessment, a client begins to cry and states that the majority of family and
friends have stopped calling and visiting. What action should the nurse take?
A) Listen and show interest as the client expresses these feelings.
B) Reinforce that this behavior means they were not true friends.
C) Ask the healthcare provider for a psychiatric consult.
D) Continue with the assessment and tell the client not to worry. - answer>>>A) Listen and show
interest as the client expresses these feelings
When a client begins to cry and express feelings, a therapeutic nursing intervention is to listen and show
interest as the client expresses feelings (A). (B) is not therapeutic option and the nurse does not know
the dynamics of their relationships. (C) is not indicated at this time. (D) is non-therapeutic and offers
false hope
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>>>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
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an
adolescent?
A) Height in inches or centimeters.
Accurate Real Exam Questions and Verified
Correct Answers JUST RELEASED
The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-
delivered medication to demonstrate correct use of the inhaler?
A) Immediately after exhalation.
B) During the inhalation
C) At the end of three inhalations.
D) Immediately after inhalation - answer>>>B) During the inhalation
The client should be instructed to deliver the medication during the last part of inhalation (B). After the
medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and
breath held for several seconds to allow for distribution of the medication. The client should not deliver
the dose as stated in (A or D), and should deliver no more than two inhalations at a time (C).
A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse
that he understands he is to take three doses of the medication each day. Since, at the time of
discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the
client to follow?
A) 9 a.m., 1 p.m., and 5 p.m.
B) 8 a.m., 4 p.m., and midnight.
C) Before breakfast, before lunch and before dinner.
D) With breakfast, with lunch, and with dinner. - answer>>>B) 8 a.m., 4 p.m., and midnight
Theophylline should be administered on a regular around-the-clock schedule (B) to provide the best
bronchodilating effect and reduce the potential for adverse effects. (A, C, and D) do not provide around-
the-clock dosing. Food may alter absorption of the medication (D).
Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The scored tablets are labeled grain
1.5 per tablet. How many tablets should the nurse plan to administer?
A) 0.5 tablet.
,B) 1 tablet.
C) 1.5 tablets.
D) 2 tablets. - answer>>>B) 1 tablet
15 gr=1 Gm. Converting the prescribed dose of 0.1 grams to grains requires multiplying 0.1 × 15 = 1.5
grains. The tablets come in 1.5 grains, so the nurse should plan to administer 1 tablet (B).
What is the most important reason for starting intravenous infusions in the upper extremities rather
than the lower extremities of adults?
A) It is more difficult to find a superficial vein in the feet and ankles.
B) A decreased flow rate could result in the formation of a thrombosis.
C) A cannulated extremity is more difficult to move when the leg or foot is used.
D) Veins are located deep in the feet and ankles, resulting in a more painful procedure - answer>>>B) A
decreased flow rate could result in the formation of a thrombosis
Venous return is usually better in the upper extremities. Cannulation of the veins in the lower
extremities increases the risk of thrombus formation (B) which, if dislodged, could be life-threatening.
Superficial veins are often very easy (A) to find in the feet and legs. Handling a leg or foot with an IV (C)
is probably not any more difficult than handling an arm or hand. Even if the nurse did believe moving a
cannulated leg was more difficult, this is not the most important reason for using the upper extremities.
Pain (D) is not a consideration
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A) A college-age track runner with a sprained ankle.
B) A lactating woman nursing her 3-day-old infant.
C) A school-aged child with Type 2 diabetes.
D) An elderly man being treated for a peptic ulcer. - answer>>>B) A lactating woman nursing her 3-day-
old infant
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all conditions
that require protein, but do not have the increased metabolic protein demands of lactation
,A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse
have for planning care in terms of the client's beliefs?
A) Autopsy of the body is prohibited.
B) Blood transfusions are forbidden.
C) Alcohol use in any form is not allowed.
D) A vegetarian diet must be followed - answer>>>B) Blood transfusions are forbidden
Blood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism prohibits (A). Buddhism
forbids the use of (C) and drugs. Many of these sects are vegetarian (D), but the direct impact on
nursing care is (B).
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>>>D) Ensure the accuracy of the blood type
match
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
On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR) prescription.
When the client stops breathing, the nurse performs cardiopulmonary resuscitation (CPR) and
successfully revives the client. What legal issues could be brought against the nurse?
A) Assault.
B) Battery.
C) Malpractice.
D) False imprisonment. - answer>>>B) Battery
Civil laws protect individual rights and include intentional torts, such as assault (an intentional threat to
engage in harmful contact with another) or battery (unwanted touching). Performing any procedure
, against the client's wishes can potentially poise a legal issue, such as battery (B), even if the procedure is
of questionable benefit to the client. (A, C, and D) are not examples against the client's request
During the daily nursing assessment, a client begins to cry and states that the majority of family and
friends have stopped calling and visiting. What action should the nurse take?
A) Listen and show interest as the client expresses these feelings.
B) Reinforce that this behavior means they were not true friends.
C) Ask the healthcare provider for a psychiatric consult.
D) Continue with the assessment and tell the client not to worry. - answer>>>A) Listen and show
interest as the client expresses these feelings
When a client begins to cry and express feelings, a therapeutic nursing intervention is to listen and show
interest as the client expresses feelings (A). (B) is not therapeutic option and the nurse does not know
the dynamics of their relationships. (C) is not indicated at this time. (D) is non-therapeutic and offers
false hope
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>>>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
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an
adolescent?
A) Height in inches or centimeters.
