HESI Fundamentals
Practice Exam –
Questions, Verified
Answers & Detailed
Rationales (NCLEX Prep
2026)
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Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, The nurse observes that a male client has removed the Observe the appearance of the skin under the ice pack (The first action taken by the
covering from an ice park applied to his knee. What action nurse should be to assess the skin for any possible thermal injury. If no injury to the
should the nurse take first? skin has occurred, the nurse can take the other actions.)
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.
The nurse mixes 50 mg of Nipride in 250 mL of D5W and 124 gtt/min
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?
The healthcare provider prescribes an IV infusion of 1000 83 gtt/min
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?
Which assessment data provides the most accurate Examining a chest x-ray obtained after the tubing was inserted
determination of proper placement of a nasogastric tube?
Three days following a surgery, a male client observes his B. Instruct the client that the stoma will become smaller when the initial swelling
colostomy for the first time. He becomes quite upset and diminishes (Postoperative swelling causes enlargement of the stoma. The nurse
tells the nurse that it is much bigger than he expected. can teach the client that the stoma will become smaller when swelling is diminished
What is the best response by the nurse? (B). This will help reduce the client's anxiety and promote acceptance of the
A. Reassure the client that he will become accustomed to colostomy. (A) does not provide helpful teaching or support. (C) is a useful action,
the stoma appearance in time. and may be taken after the nurse provides pertinent teaching. The client is not yet
B. Instruct the client that the stoma will become much demonstrating readiness to learn colostomy care. (D)
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.
A female client with a nasogastric tube attached to low B. Reposition the client on her side. (The immediate priority is to determine if the
suction states that she is nauseated. The nurse assesses tube is functioning correctly, which would then relieve the client's nausea. The least
that there has been no drainage through the nasogastric invasive intervention (B) should be attempted first, followed by (A and C), unless
tube in the last two hours. What action should the nurse either of these interventions is contraindicated. If these measures are unsuccessful,
take first? the client may require an antiemetic (D))
A. Irrigate the nasogastric tube with sterile normal saline.
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.
A hospitalized male client is receiving nasogastric tube C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the
feedings via a small-bore tube and a continuous pump tube.
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.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling.
Practice Exam –
Questions, Verified
Answers & Detailed
Rationales (NCLEX Prep
2026)
| Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, The nurse observes that a male client has removed the Observe the appearance of the skin under the ice pack (The first action taken by the
covering from an ice park applied to his knee. What action nurse should be to assess the skin for any possible thermal injury. If no injury to the
should the nurse take first? skin has occurred, the nurse can take the other actions.)
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.
The nurse mixes 50 mg of Nipride in 250 mL of D5W and 124 gtt/min
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?
The healthcare provider prescribes an IV infusion of 1000 83 gtt/min
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?
Which assessment data provides the most accurate Examining a chest x-ray obtained after the tubing was inserted
determination of proper placement of a nasogastric tube?
Three days following a surgery, a male client observes his B. Instruct the client that the stoma will become smaller when the initial swelling
colostomy for the first time. He becomes quite upset and diminishes (Postoperative swelling causes enlargement of the stoma. The nurse
tells the nurse that it is much bigger than he expected. can teach the client that the stoma will become smaller when swelling is diminished
What is the best response by the nurse? (B). This will help reduce the client's anxiety and promote acceptance of the
A. Reassure the client that he will become accustomed to colostomy. (A) does not provide helpful teaching or support. (C) is a useful action,
the stoma appearance in time. and may be taken after the nurse provides pertinent teaching. The client is not yet
B. Instruct the client that the stoma will become much demonstrating readiness to learn colostomy care. (D)
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.
A female client with a nasogastric tube attached to low B. Reposition the client on her side. (The immediate priority is to determine if the
suction states that she is nauseated. The nurse assesses tube is functioning correctly, which would then relieve the client's nausea. The least
that there has been no drainage through the nasogastric invasive intervention (B) should be attempted first, followed by (A and C), unless
tube in the last two hours. What action should the nurse either of these interventions is contraindicated. If these measures are unsuccessful,
take first? the client may require an antiemetic (D))
A. Irrigate the nasogastric tube with sterile normal saline.
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.
A hospitalized male client is receiving nasogastric tube C. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the
feedings via a small-bore tube and a continuous pump tube.
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.
D. Inject 30 ml of air into the tube while auscultating the
epigastrium for gurgling.
