HESI - Fundamentals Test Bank (2026) Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI - Fundamentals Test Bank (2026) Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood

pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement?

• Tell the UAP to use a larger cuff at the next scheduled assessment.
• Reassess the client's blood pressure using a larger cuff.
• Have the unit educator review this procedure with the UAPs.
• Teach the UAP the correct technique for assessing blood pressure.

Correct Answer: B. Reassess the client's blood pressure using a larger cuff.

• 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?

• Loosen the right wrist restraint.
• Apply a pulse oximeter to the right hand.
• Compare hand color bilaterally.
• Palpate the right radial pulse.

Correct Answer: A. Loosen the right wrist restraint.

• An elderly client with a fractured left hip is on strict bedrest. Which nursing measure

is essential to the client's nursing care?

• Massage any reddened areas for at least five minutes.
• Encourage active range of motion exercises on extremities.
• Position the client laterally, prone, and dorsally in sequence.

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• Gently lift the client when moving into a desired position.

Correct Answer: D. Gently lift the client when moving into a desired position.

• 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 nurse implement?

• Acknowledge that she is supporting the arm correctly.
• Encourage her to keep the joint covered to maintain warmth.
• Reinforce the need to grip directly under the joint for better support.
• Instruct her to grip directly over the joint for better motion.

Correct Answer: A. Acknowledge that she is supporting the arm correctly.

• Low levels of _____ are associated with malnutrition.

Correct Answer: Albumin

• What is the most important reason for starting intravenous infusions in the upper

extremities rather than the lower extremities of adults?

• It is more difficult to find a superficial vein in the feet and ankles.
• A decreased flow rate could result in the formation of a thrombosis.
• A cannulated extremity is more difficult to move when the leg or foot is used.
• Veins are located deep in the feet and ankles, resulting in a more painful procedure.

Correct Answer: B. A decreased flow rate could result in the formation of a thrombosis.

• 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?

• Clamp the tube for 20 minutes.
• Flush the tube with water.
• Administer the medications as prescribed.
• Crush the tablets and dissolve in sterile water.

Correct Answer: B. Flush the tube with water.

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• The nurse is assessing the nutritional status of several clients. Which client has the

greatest nutritional need for additional intake of protein?

• A college-age track runner with a sprained ankle.
• A lactating woman nursing her 3-day-old infant.
• A school-aged child with Type 2 diabetes.
• An elderly man being treated for a peptic ulcer.

Correct Answer: B. A lactating woman nursing her 3-day-old infant.

• 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?

• Give an around-the-clock schedule for administration of analgesics.
• Administer analgesic medication as needed when the pain is severe.
• Provide medication to keep the client sedated and unaware of stimuli.
• Offer a medication-free period so that the client can do daily activities.

Correct Answer: A. Give an around-the-clock schedule for administration of analgesics.

• 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?

• Contact the healthcare provider and complete a medication variance form.
• Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
• Notify the charge nurse and complete an incident report to explain the missed dose.
• Give the missed dose at 1300 and change the schedule to administer daily at 1300.

Correct Answer: D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.

• A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives

from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?

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Correct Answer: 150 mL/hr

• Twenty minutes after beginning a heat application, the client states that the

heating pad no longer feels warm enough. What is the best response by the nurse?

• That means you have derived the maximum benefit, and the heat can be removed.
• Your blood vessels are becoming dilated and removing the heat from the site.
• We will increase the temperature 5 degrees when the pad no longer feels warm.
• The body's receptors adapt over time as they are exposed to heat.

Correct Answer: D. The body's receptors adapt over time as they are exposed to heat.

• The nurse is instructing a client with high cholesterol about diet and lifestyle

modification. What comment from the client indicates that the teaching has been effective?

• If I exercise at least two times weekly for one hour, I will lower my cholesterol.
• I need to avoid eating proteins, including red meat.
• I will limit my intake of beef to 4 ounces per week.
• My blood level of low density lipoproteins needs to increase.

Correct Answer: C. I will limit my intake of beef to 4 ounces per week.

• The UAPs working on a chronic neuro unit ask the nurse to help them determine

the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client?

• Place the chair at a right angle to the bed on the client's left side before moving.
• Assist the client to a standing position, then place the right hand on the armrest.
• Have the client place the left foot next to the chair and pivot to the left before sitting.
• Move the chair parallel to the right side of the bed, and stand the client on the right foot.

Correct Answer: D. Move the chair parallel to the right side of the bed, and stand the client on the right foot.

• An unlicensed assistive personnel (UAP) places a client in a left lateral position

prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?