1|Page
HESI FUNDAMENTALS TEST BANK 2025-2026 WITH
VERIFIED ANSWERS AND RATIONALES,100%
CORRECT, ALREADY GRADED A+
1.
A nurse is caring for a client with a nasogastric tube for gastric decompression.
Which action should the nurse take to ensure proper tube placement?
A. Auscultate air injected into the stomach
B. Check for gastric residual volume
C. Verify pH of aspirated contents
D. Secure the tube with adhesive tape
Correct Answer: C
Rationale: Checking the pH of gastric aspirate is the most reliable bedside method
for verifying tube placement (pH ≤ 5 suggests gastric placement). Auscultation is
unreliable.
2.
The nurse is teaching a client about incentive spirometry after abdominal surgery.
What is the primary purpose of this intervention?
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A. Reduce pain during deep breathing
B. Prevent atelectasis and improve lung expansion
C. Clear secretions from the airway
D. Strengthen intercostal muscles
Correct Answer: B
Rationale: Incentive spirometry encourages deep breathing, promotes alveolar
expansion, and prevents postoperative pulmonary complications like atelectasis.
3.
A client with limited mobility requires range-of-motion (ROM) exercises. What is
the main goal of performing ROM?
A. Increase muscle size
B. Prevent contractures and maintain joint flexibility
C. Improve circulation to the heart
D. Reduce oxygen consumption
Correct Answer: B
Rationale: ROM exercises help prevent stiffness, maintain mobility, and avoid
complications like contractures in immobile clients.
4.
Which nursing action demonstrates aseptic technique during wound care?
A. Using clean gloves to change a dressing
B. Washing hands after the procedure
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C. Donning sterile gloves before applying a new dressing
D. Covering the wound with a bandage from a bedside table
Correct Answer: C
Rationale: Aseptic (sterile) technique prevents introduction of pathogens. Sterile
gloves and sterile supplies are required for surgical wound care.
5.
The nurse is preparing to administer an intramuscular injection. What is the
preferred site for a healthy adult?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: B
Rationale: The ventrogluteal site is safest for adults because it avoids major
nerves and blood vessels, unlike the dorsogluteal.
6.
A client reports shortness of breath while lying flat. The nurse should place the
client in which position?
A. Prone
B. Supine
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C. Fowler’s
D. Sims’
Correct Answer: C
Rationale: Fowler’s position (semi- or high-Fowler’s) promotes lung expansion
and ease of breathing by elevating the head of the bed.
7.
Which assessment finding best indicates adequate peripheral circulation?
A. Capillary refill less than 4 seconds
B. Skin warm and dry
C. Capillary refill less than 2 seconds
D. Pulse rate of 90 bpm
Correct Answer: C
Rationale: Normal capillary refill time is less than 2 seconds; delays may indicate
impaired circulation.
8.
A nurse is reinforcing discharge teaching for a client prescribed furosemide. Which
statement shows the need for further teaching?
A. “I will weigh myself daily.”
B. “I will eat foods rich in potassium.”
C. “I will limit my fluid intake to 500 mL daily.”
D. “I will take the medication in the morning.”
HESI FUNDAMENTALS TEST BANK 2025-2026 WITH
VERIFIED ANSWERS AND RATIONALES,100%
CORRECT, ALREADY GRADED A+
1.
A nurse is caring for a client with a nasogastric tube for gastric decompression.
Which action should the nurse take to ensure proper tube placement?
A. Auscultate air injected into the stomach
B. Check for gastric residual volume
C. Verify pH of aspirated contents
D. Secure the tube with adhesive tape
Correct Answer: C
Rationale: Checking the pH of gastric aspirate is the most reliable bedside method
for verifying tube placement (pH ≤ 5 suggests gastric placement). Auscultation is
unreliable.
2.
The nurse is teaching a client about incentive spirometry after abdominal surgery.
What is the primary purpose of this intervention?
,2|Page
A. Reduce pain during deep breathing
B. Prevent atelectasis and improve lung expansion
C. Clear secretions from the airway
D. Strengthen intercostal muscles
Correct Answer: B
Rationale: Incentive spirometry encourages deep breathing, promotes alveolar
expansion, and prevents postoperative pulmonary complications like atelectasis.
3.
A client with limited mobility requires range-of-motion (ROM) exercises. What is
the main goal of performing ROM?
A. Increase muscle size
B. Prevent contractures and maintain joint flexibility
C. Improve circulation to the heart
D. Reduce oxygen consumption
Correct Answer: B
Rationale: ROM exercises help prevent stiffness, maintain mobility, and avoid
complications like contractures in immobile clients.
4.
Which nursing action demonstrates aseptic technique during wound care?
A. Using clean gloves to change a dressing
B. Washing hands after the procedure
,3|Page
C. Donning sterile gloves before applying a new dressing
D. Covering the wound with a bandage from a bedside table
Correct Answer: C
Rationale: Aseptic (sterile) technique prevents introduction of pathogens. Sterile
gloves and sterile supplies are required for surgical wound care.
5.
The nurse is preparing to administer an intramuscular injection. What is the
preferred site for a healthy adult?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: B
Rationale: The ventrogluteal site is safest for adults because it avoids major
nerves and blood vessels, unlike the dorsogluteal.
6.
A client reports shortness of breath while lying flat. The nurse should place the
client in which position?
A. Prone
B. Supine
, 4|Page
C. Fowler’s
D. Sims’
Correct Answer: C
Rationale: Fowler’s position (semi- or high-Fowler’s) promotes lung expansion
and ease of breathing by elevating the head of the bed.
7.
Which assessment finding best indicates adequate peripheral circulation?
A. Capillary refill less than 4 seconds
B. Skin warm and dry
C. Capillary refill less than 2 seconds
D. Pulse rate of 90 bpm
Correct Answer: C
Rationale: Normal capillary refill time is less than 2 seconds; delays may indicate
impaired circulation.
8.
A nurse is reinforcing discharge teaching for a client prescribed furosemide. Which
statement shows the need for further teaching?
A. “I will weigh myself daily.”
B. “I will eat foods rich in potassium.”
C. “I will limit my fluid intake to 500 mL daily.”
D. “I will take the medication in the morning.”
