HESI Fundamentals Practice Exam

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HESI Fundamentals Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client has a low sodium level. Which symptom should the nurse monitor for first?

• Increased appetite

✔✔B. Confusion and altered mental status

• Increased urination
• Bradycardia

Which action is most appropriate for a client experiencing shortness of breath?✔✔A. Elevate the head of the bed

• Have the client lie flat
• Encourage prolonged deep sleep
• Restrict fluid intake

A nurse is caring for a client with a Foley catheter. Which action helps prevent infection?

• Irrigate the catheter routinely

✔✔B. Maintain a closed drainage system 1 / 4

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• Disconnect tubing daily for cleaning
• Use alcohol wipes on the meatus multiple times per day

Which action is priority for a client with a suspected infection?

• Administer pain medication

✔✔B. Obtain vital signs and cultures

• Provide high-calorie meals
• Encourage bed rest

Which site is appropriate for intramuscular injection in adults?

• Deltoid in infants

✔✔B. Ventrogluteal

• Dorsogluteal
• Vastus lateralis in adults

Which nursing intervention promotes safe ambulation for a client with weakness?✔✔A. Have the client use a walker and ensure proper footwear

• Let the client walk freely without supervision 2 / 4

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• Only encourage bed exercises
• Place the client in a wheelchair permanently

A client reports pain rated 9/10. What is the priority nursing action?

• Document the pain in the chart

✔✔B. Assess the pain further and administer prescribed analgesics

• Encourage rest only
• Call family members

Which technique is correct for performing hand hygiene?

• Rinsing hands quickly under cold water

✔✔B. Washing with soap and warm water for at least 20 seconds

• Using hand sanitizer without removing gloves
• Drying hands on a shared towel

A nurse is monitoring a client on IV therapy. Which finding requires immediate action?

• Slight redness at the IV site
• Mild discomfort 3 / 4

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✔✔C. Swelling, redness, and warmth at the insertion site

• Small amount of urine output

Which position is best for a client with respiratory distress?✔✔A. High Fowler’s position

• Supine
• Trendelenburg
• Lateral

Which action is most appropriate to prevent deep vein thrombosis in hospitalized clients?✔✔A. Encourage early ambulation

• Keep the client on strict bed rest
• Restrict fluid intake
• Massage the legs vigorously

A client has hypoglycemia. Which intervention is most appropriate?

• Administer insulin

✔✔B. Provide fast-acting glucose or juice

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