HESI FUNDAMENTALS 2025-2025 EXAM QUESTIONS

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HESI FUNDAMENTALS 2025-2025 EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -43 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer?

• 0.5 ml.
• 1 ml.
• 1.5 ml.
• 2 ml

Answer:

?- Using ratio and proportion: 8mg: 1ml :: 4mg:Xml 8X=4 X=0.5 Correct Answer: A Question 2: 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?

• Record the coughing incident. No further action is required at this time.
• Stop the feeding, explain to the family why it is being stopped, and notify the healthcare

provider.

• After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
• Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling

Answer:

?- Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small bore feeding tube upward into the esophagus, placing the client at increased risk for aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube with 30 ml of air) for acidic (stomach) or alkaline (intestine) values is a more sensitive method for these tubes, and the nurse should assess tube placement in this way prior to taking any other action (C). (A and

• are not indicated. The auscultating method (D) has been found to be unreliable for small-bore

feeding tubes.

Correct Answer: C

Question 3: After completing an assessment and determining that a client has a problem, which action should the nurse perform next?

• Determine the etiology of the problem.
• Prioritize nursing care interventions.
• Plan appropriate interventions.
• Collaborate with the client to set goals

Answer:

?- Before planning care, the nurse should determine the etiology, or cause, of the problem (A), because

this will help determine (B, C, and D). Correct Answer: A

Question 4: 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

Answer:

?- Venous return is usually better in the upper extremities. Cannulation of the veins in the lower extremities increases the risk ofthrombus formation (B) which, if dislodged, could be life-threatening.Superficial veins are often very easy (A) to find in the feet and legs. Handling a leg or foot with an IV (C) is probably not any more difficult than handling an arm or hand. Even if the nurse did believe moving a cannulated leg was more difficult, this is not the most important reason for using the upper extremities.Pain (D) is not a consideration.

Correct Answer: B

Question 5: The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO.Zaroxolyn is available in 5 mg tablets. How much should the nurse plan to administer?

• ½ tablet.
• 1 tablet.
• 1½ tablets.
• 2 tablets

Answer:

?- (C) is the correct calculation: D/H × Q = 7.5/5 × 1 tablet = 1½ tablets.

Correct Answer: C

Question 6: A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours.At what rate should the nurse set the client's intravenous infusion pump?

• 13 ml/hour.
• 63 ml/hour.
• 80 ml/hour.
• 125 ml/hour

Answer:

?-(B)is the correct calculation: To calculate this problem correctly, remember that the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour.

Correct Answer: B

Question 7: 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

Answer:

?- (D) uses the client's stronger side, the right side, for weight-bearing during the transfer, and is the

safest approach to take. (A, B, and

• are unsafe methods of transfer and include the use of poor body mechanics by the caregiver.

Correct Answer: D

Question 8: Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an adolescent?

• Height in inches or centimeters.
• Weight in kilograms or pounds.
• Triceps skin fold thickness.
• Upper arm circumference

Answer:

?- Upper arm circumference (D) is an indirect measure of muscle mass. (A and

• do not distinguish between fat(adipose) and muscularity. (C)is a measure of body fat. Correct

Answer: D

Question 9: 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

• 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.

Answer:

?- To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse should document the reason for the late dose, but (A and

• are not warranted. (B) could result in increased blood levels of the drug.

Correct Answer: D