Description

HESI Foundations of Nursing Final Exam 2026

Question 2

HESI Foundations of Nursing Final Exam 2026. The healthcare provider prescribes a bolus of 0.9% sodium chloride at 20 mL/kg over one hour for a toddler with dehydration after several days of vomiting and diarrhea. The toddler weighs 44 pounds. The practical nurse should program the infusion pump to deliver how many mL/hour? (Enter the numerical value only.)

• 400

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Question 3

A client with a diagnosis of bipolar disorder is taking lithium and divalproex sodium. In assessing this client, which symptom should the practical nurse (PN) report to the healthcare provider (HCP) immediately?

• A Noticeable fine hand tremors.
• B Reports having blurred vision.
• C Describes having a dry mouth.
• D Recent significant hair loss.

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Question 4

After administering an analgesic, which response is the best indicator to the practical nurse (PN) that the medication was effective? HESI Foundations of Nursing Final Exam 2026

• A Change in systolic blood pressure reading from 120 to 114 mm Hg.
• B Client appears cheerful and talks easily with family members.
• C Spouse reports to nurse that client seems less restless.
• D Client reports change in pain intensity from 7 to 3 on a 0 to 10 scale.

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Question 5

A client with type 1 diabetes mellitus is receiving glargine insulin 10 units subcutaneous every morning upon arising and regular insulin 30 minutes before meals. When should the practical nurse (PN) recommend that the client perform self-monitoring of blood glucose (SMBG)?

• Two hours postprandial.
• B Time of glargine peak action.  HESI Foundations of Nursing Final Exam 2026.
• C Before each meal.
• D Prior to bedtime.

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Question 6

The practical nurse (PN) prepares to administer morphine 10 mg IM to a postoperative client. Before administering morphine, the PN should recognize the necessity for monitoring which parameter(s)?

• A Nausea and vomiting.
• B Constipation and distention.
• C Palpitations, bradycardia, and edema.
• D Dyspnea, respiratory depth, and respiratory rate.

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Question 7

Review H and P, and nurses’ note. Which actions are appropriate for the practical nurse (PN) caring for this child? Select all that apply.

• A Have the child sign a treatment contract promising he will participate in therapy
• B Ask the mother to bring a familiar object from home
• C Develop a trusting relationship with the child
• D Notify the mother that social services will be notified if she does not visit regularly
• E Avoid mentioning anything about the mother to the child

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Question 8

The practical nurse (PN) is providing postoperative care for a client with peptic ulcer disease (PUD) who underwent gastric surgery. The client received a prescription for ondansetron 32 mg in 50 mL of 0.9% sodium chloride IV prior to anesthesia. The client now describes experiencing a headache, dry mouth, musculoskeletal pain, profuse sweating, and photophobia. The PN should recognize which symptom(s) may be attributed to the administration of ondansetron? Select all that apply.

• A Musculoskeletal pain.
• B Dry mouth.
• C Photophobia.  HESI Foundations of Nursing Final Exam 2026.
• D Profuse sweating.
• E Headache.

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Question 9

The practical nurse (PN) reviews a client’s medication history and learns that the client takes an anticoagulant and has recently started taking phenytoin. Which instruction should the PN provide when assigning the client’s morning care to unlicensed assistive personnel (UAP)? HESI Foundations of Nursing Final Exam 2026

• A Elevate both feet on two pillows.
• B Protect skin from injury and bruising.
• C Initiate hourly turning schedule.
• D Measure temperature every 4 hours.

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