Page 1 of 495
HESI FUNDAMENTALS 2025/2026 EXAM BANK WITH
CURRENTLTY COMPLETE TESTING QUESTIONS AND
DETAILED CORRECT ANSWERS/GUARANTEED
PASS/TOP-RATED A+.
HESI
Ace your HESI Fundamentals Exam with this comprehensive
guide, designed to master essential nursing concepts, from
basic care and safety to clinical decision-making. This resource
delivers integrated practice questions that build the critical
thinking skills needed for the NCLEX.
The nurse observes that a male client has removed the
covering from an ice park applied to his knee. What action
should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
...... ANSWER ....... Observe the appearance of the skin
under the ice pack (The first action taken by the nurse
should be to assess the skin for any possible thermal
injury. If no injury to the skin has occurred, the nurse can
take the other actions.)
, Page 2 of 495
The nurse mixes 50 mg of Nipride in 250 mL of D5W and
plans to administer the solution at a rate of 5 mcg/kg/min to
a client weighting 182 lbs. Using a drip factor of 60 gtt/mL,
how many drops per minute should the client receive? ......
ANSWER ....... 124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml
of Ringer's Lactate w/ 30 units of Pitocin to run in over 4
hours for a client who has just delivered a 10 pound infant by
cesarean section. The tubing has been changed to a 20
gtt/ml administration set. The nurse plans to set the flow
rate at how many gtt/min? ...... ANSWER ....... 83
gtt/min
Which assessment data provides the most accurate
determination of proper placement of a nasogastric tube?
...... ANSWER ....... Examining a chest x-ray obtained
after the tubing was inserted
Three days following a surgery, a male client observes his
colostomy for the first time. He becomes quite upset and
tells the nurse that it is much bigger than he expected. What
is the best response by the nurse?
, Page 3 of 495
A. Reassure the client that he will become accustomed to
the stoma appearance in time.
B. Instruct the client that the stoma will become much
smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support
group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to
gain confidence with the procedure. ...... ANSWER .......
B. Instruct the client that the stoma will become smaller
when the initial swelling diminishes (Postoperative
swelling causes enlargement of the stoma. The nurse can
teach the client that the stoma will become smaller
when swelling is diminished (B). This will help reduce the
client's anxiety and promote acceptance of the
colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the
nurse provides pertinent teaching. The client is not yet
demonstrating readiness to learn colostomy care. (D)
A female client with a nasogastric tube attached to low
suction states that she is nauseated. The nurse assesses
that there has been no drainage through the nasogastric
tube in the last two hours. What action should the nurse
take first?
A. Irrigate the nasogastric tube with sterile normal saline.
, Page 4 of 495
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five
centimeters.
D. Administer an intravenous antiemetic prescribed for PRN
use. ...... ANSWER ....... B. Reposition the client on her
side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the
client's nausea. The least invasive intervention (B) should
be attempted first, followed by (A and C), unless either of
these interventions is contraindicated. If these measures
are unsuccessful, the client may require an antiemetic
(D))
A hospitalized male client is receiving nasogastric tube
feedings via a small-bore tube and a continuous pump
infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action
is best for the nurse to take?
A. Record the coughing incident. No further action is
required at this time.
B. Stop the feeding, explain to the family why it is being
stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
HESI FUNDAMENTALS 2025/2026 EXAM BANK WITH
CURRENTLTY COMPLETE TESTING QUESTIONS AND
DETAILED CORRECT ANSWERS/GUARANTEED
PASS/TOP-RATED A+.
HESI
Ace your HESI Fundamentals Exam with this comprehensive
guide, designed to master essential nursing concepts, from
basic care and safety to clinical decision-making. This resource
delivers integrated practice questions that build the critical
thinking skills needed for the NCLEX.
The nurse observes that a male client has removed the
covering from an ice park applied to his knee. What action
should the nurse take first?
A. Observe the appearance of the skin under the ice pack.
B. Instruct the client regarding the need for the covering.
C. Reapply the covering after filling with fresh ice.
D. Ask the client how long the ice was applied to the skin.
...... ANSWER ....... Observe the appearance of the skin
under the ice pack (The first action taken by the nurse
should be to assess the skin for any possible thermal
injury. If no injury to the skin has occurred, the nurse can
take the other actions.)
, Page 2 of 495
The nurse mixes 50 mg of Nipride in 250 mL of D5W and
plans to administer the solution at a rate of 5 mcg/kg/min to
a client weighting 182 lbs. Using a drip factor of 60 gtt/mL,
how many drops per minute should the client receive? ......
ANSWER ....... 124 gtt/min
The healthcare provider prescribes an IV infusion of 1000 ml
of Ringer's Lactate w/ 30 units of Pitocin to run in over 4
hours for a client who has just delivered a 10 pound infant by
cesarean section. The tubing has been changed to a 20
gtt/ml administration set. The nurse plans to set the flow
rate at how many gtt/min? ...... ANSWER ....... 83
gtt/min
Which assessment data provides the most accurate
determination of proper placement of a nasogastric tube?
...... ANSWER ....... Examining a chest x-ray obtained
after the tubing was inserted
Three days following a surgery, a male client observes his
colostomy for the first time. He becomes quite upset and
tells the nurse that it is much bigger than he expected. What
is the best response by the nurse?
, Page 3 of 495
A. Reassure the client that he will become accustomed to
the stoma appearance in time.
B. Instruct the client that the stoma will become much
smaller when the initial swelling diminishes.
C. Offer to contact a member of the local ostomy support
group to help him with his concerns.
D. Encourage the client to handle the stoma equipment to
gain confidence with the procedure. ...... ANSWER .......
B. Instruct the client that the stoma will become smaller
when the initial swelling diminishes (Postoperative
swelling causes enlargement of the stoma. The nurse can
teach the client that the stoma will become smaller
when swelling is diminished (B). This will help reduce the
client's anxiety and promote acceptance of the
colostomy. (A) does not provide helpful teaching or
support. (C) is a useful action, and may be taken after the
nurse provides pertinent teaching. The client is not yet
demonstrating readiness to learn colostomy care. (D)
A female client with a nasogastric tube attached to low
suction states that she is nauseated. The nurse assesses
that there has been no drainage through the nasogastric
tube in the last two hours. What action should the nurse
take first?
A. Irrigate the nasogastric tube with sterile normal saline.
, Page 4 of 495
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five
centimeters.
D. Administer an intravenous antiemetic prescribed for PRN
use. ...... ANSWER ....... B. Reposition the client on her
side. (The immediate priority is to determine if the tube is
functioning correctly, which would then relieve the
client's nausea. The least invasive intervention (B) should
be attempted first, followed by (A and C), unless either of
these interventions is contraindicated. If these measures
are unsuccessful, the client may require an antiemetic
(D))
A hospitalized male client is receiving nasogastric tube
feedings via a small-bore tube and a continuous pump
infusion. He reports that he had a bad bout of severe
coughing a few minutes ago, but feels fine now. What action
is best for the nurse to take?
A. Record the coughing incident. No further action is
required at this time.
B. Stop the feeding, explain to the family why it is being
stopped, and notify the HCP.
C. After clearing the tube with 30 ml of air, check the pH of
fluid withdrawn from the tube.
