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HESI - Fundamentals Test Bank (2025) EXAM 2025 PRACTICE GRADED A+ QUESTIONS
WITH CORRECT ANSWERS 2025-2026 VERIFIED
A client's infusion of normal saline infiltrated earlier today, and approximately
500 ml of saline infused into the subcutaneous tissue. The client is now
complaining of
excruciating arm pain and demanding "stronger pain medications." What
initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
B. Measure the pulse volume and capillary refill distal to the infiltration.
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.
B. Fowler's.
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.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
A client with pneumonia has a decrease in oxygen saturation from 94% to 88%
while ambulating. Based on these findings, which intervention should the
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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.
A. Assist the ambulating client back to the bed.
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.
A. Commend the client for selecting a high biologic value protein.
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?
B. What vitamin and mineral supplements do you take?
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.
D. Encourage additional oral intake of juices and water.
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.
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C. Encourage increased fluid intake.
D. Assess for bladder distention.
D. Assess for bladder distension.
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.
D. Ensure the accuracy of the blood type match.
Low levels of _____ are associated with malnutrition.
- Albumin
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
A. Loosen the right wrist restraint.
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.
B. A lactating woman nursing her 3-day-old infant.
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The
client returns to the unit at 1300. What is the best intervention for the nurse to
implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily
at 1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the
HESI - Fundamentals Test Bank (2025) EXAM 2025 PRACTICE GRADED A+ QUESTIONS
WITH CORRECT ANSWERS 2025-2026 VERIFIED
A client's infusion of normal saline infiltrated earlier today, and approximately
500 ml of saline infused into the subcutaneous tissue. The client is now
complaining of
excruciating arm pain and demanding "stronger pain medications." What
initial action is most important for the nurse to take?
A. Ask about any past history of drug abuse or addiction.
B. Measure the pulse volume and capillary refill distal to the infiltration.
C. Compress the infiltrated tissue to measure the degree of edema.
D. Evaluate the extent of ecchymosis over the forearm area.
B. Measure the pulse volume and capillary refill distal to the infiltration.
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.
B. Fowler's.
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.
B. Place a pillow between your knees while lying in bed to prevent hip dislocation.
A client with pneumonia has a decrease in oxygen saturation from 94% to 88%
while ambulating. Based on these findings, which intervention should the
, Page 2 of 39
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.
A. Assist the ambulating client back to the bed.
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.
A. Commend the client for selecting a high biologic value protein.
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?
B. What vitamin and mineral supplements do you take?
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.
D. Encourage additional oral intake of juices and water.
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.
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C. Encourage increased fluid intake.
D. Assess for bladder distention.
D. Assess for bladder distension.
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.
D. Ensure the accuracy of the blood type match.
Low levels of _____ are associated with malnutrition.
- Albumin
An elderly client with a fractured left hip is on strict bedrest. Which nursing
measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
The nurse is administering medications through a nasogastric tube (NGT)
which is connected to suction. After ensuring correct tube placement, what
action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
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C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
When assessing a client with wrist restraints, the nurse observes that the
fingers on the right hand are blue. What action should the nurse implement
first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
A. Loosen the right wrist restraint.
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.
B. A lactating woman nursing her 3-day-old infant.
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The
client returns to the unit at 1300. What is the best intervention for the nurse to
implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
C. Notify the charge nurse and complete an incident report to explain the
missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily
at 1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at
1300.
While instructing a male client's wife in the performance of passive range-of-
motion exercises to his contracted shoulder, the nurse observes that she is
holding his arm above and below the elbow. What nursing action should the
