age 1 of 99
BSN HESI 225 Fundamentals of Nursing PRACTICE
EXAM STUDY GUIDE 2025/2026 ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS <LATEST
VERSION>
The nurse prepares to administer a medication that comes in
tablet for through a client's gastrostomy tube. Which actions
should the nurse implement? (Select all that apply)
a. Position client in Fowler's position
b. Aspirate gastric contents at the start and end of the
procedure
c. Mix crushed medication with tube feeding
,age 2 of 99
d. Pour dissolved medication into a syringe and inject into G
tube
e. Flush tube with 30 cc of lukewarm water prior and after the
medication administration .......Answer.........a. Position client in
Fowler's position
e. Flush tube with 30 cc of lukewarm water prior to and after
the medication administration
Rationale:
Choices A and E describe the correct execution of the listed steps
of medication administration. Fowler's position promotes the
downward flow of the medication into the stomach and
decreases the risk for medication reflux and aspiration. The
client should be maintained in Fowler's position during the
procedure and for 30 minutes after the medication
,age 3 of 99
administration. The tube should be flushed before and after the
medication administration to clean the tubing and prevent
blockage. Lukewarm water (room temperature) should be used
to prevent abdominal cramping. To prevent volume overload, no
more than 30 ml should be administered per flush.
The nurse notes that a client who is receiving oxygen by nasal
cannula continues to remove the oxygen prongs from the nares.
What action should the nurse take?
a. tape the oxygen tubing to the client's nares
b. assess why the client removes the nasal cannula
c. increase the oxygen flow rate
d. change the nasal cannula to a mask .......Answer.........b. assess
why the client removes the nasal cannula
, age 4 of 99
Rationale:
Using the nursing process, the nurse would first assess why the
client is removing the nasal cannula from the nares. Nasal prongs
can cause discomfort in the nose or around the ears. If the client
reports discomfort, the nurse can troubleshoot based on their
symptoms to ensure proper oxygen delivery (e.g., if nasal
irritation is present, the air can be humidified, etc.)
The nurse is caring for a client on hospice who was started on a
25 mcg/hr Fentanyl patch yesterday at 0800. The nurse
completes an assessment today at 2000 and reviews the
following assessment data:
Yesterday 0800
BP 98/60
BSN HESI 225 Fundamentals of Nursing PRACTICE
EXAM STUDY GUIDE 2025/2026 ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS <LATEST
VERSION>
The nurse prepares to administer a medication that comes in
tablet for through a client's gastrostomy tube. Which actions
should the nurse implement? (Select all that apply)
a. Position client in Fowler's position
b. Aspirate gastric contents at the start and end of the
procedure
c. Mix crushed medication with tube feeding
,age 2 of 99
d. Pour dissolved medication into a syringe and inject into G
tube
e. Flush tube with 30 cc of lukewarm water prior and after the
medication administration .......Answer.........a. Position client in
Fowler's position
e. Flush tube with 30 cc of lukewarm water prior to and after
the medication administration
Rationale:
Choices A and E describe the correct execution of the listed steps
of medication administration. Fowler's position promotes the
downward flow of the medication into the stomach and
decreases the risk for medication reflux and aspiration. The
client should be maintained in Fowler's position during the
procedure and for 30 minutes after the medication
,age 3 of 99
administration. The tube should be flushed before and after the
medication administration to clean the tubing and prevent
blockage. Lukewarm water (room temperature) should be used
to prevent abdominal cramping. To prevent volume overload, no
more than 30 ml should be administered per flush.
The nurse notes that a client who is receiving oxygen by nasal
cannula continues to remove the oxygen prongs from the nares.
What action should the nurse take?
a. tape the oxygen tubing to the client's nares
b. assess why the client removes the nasal cannula
c. increase the oxygen flow rate
d. change the nasal cannula to a mask .......Answer.........b. assess
why the client removes the nasal cannula
, age 4 of 99
Rationale:
Using the nursing process, the nurse would first assess why the
client is removing the nasal cannula from the nares. Nasal prongs
can cause discomfort in the nose or around the ears. If the client
reports discomfort, the nurse can troubleshoot based on their
symptoms to ensure proper oxygen delivery (e.g., if nasal
irritation is present, the air can be humidified, etc.)
The nurse is caring for a client on hospice who was started on a
25 mcg/hr Fentanyl patch yesterday at 0800. The nurse
completes an assessment today at 2000 and reviews the
following assessment data:
Yesterday 0800
BP 98/60
