HESI Fundamentals Practice Exam | Complete Study Guide & Q&A

1|Page


HESI FUNDAMENTALS PRACTICE EXAM (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED THIS YEAR
HESI Fundamentals — Practice Questions

Q1. Which action is the best way to prevent hospital-acquired infections?
A. Perform proper hand hygiene
B. Wear gloves only when touching bodily fluids
C. Change gloves once per shift
D. Avoid disinfecting equipment



Q2. What is the normal range for adult body temperature (oral)?
A. 97–99°C
B. 36–38°C (96.8–100.4°F)
C. 35–37°C
D. 38–40°C



Q3. Which patient position is best for breathing difficulty?
A. Supine
B. Prone
C. High Fowler’s
D. Trendelenburg



Q4. Which technique reduces the risk of pressure ulcers?
A. Reposition the patient every 2 hours
B. Keep the patient in one position
C. Avoid using pillows
D. Use only hard mattresses



Q5. What is the first step in using a fire extinguisher?
A. Pull the pin
B. Aim at the flames
C. Pull the pin and hold the extinguisher upright
D. Spray in a circular motion




2026 2027 GRADED A+

,2|Page


Q6. Which of the following indicates a patient is at risk for falls?
A. Young age
B. History of falls
C. Active lifestyle
D. Good vision



Q7. What is the correct way to identify a patient before medication administration?
A. Use two identifiers (e.g., name and date of birth)
B. Ask the patient once
C. Check the room number only
D. Verify with family member



Q8. Which PPE is required when caring for a patient with tuberculosis?
A. N95 respirator
B. Surgical mask
C. Gown only
D. Gloves only



Q9. What is the priority when a patient has shortness of breath?
A. Assess airway and oxygenation
B. Document the complaint
C. Give pain medication
D. Start IV fluids



Q10. Which of the following is the correct needle disposal practice?
A. Dispose immediately in a sharps container
B. Recap and put in trash
C. Leave on bedside table
D. Flush down sink



Medical-Surgical Nursing Basics

Q11. Which lab value indicates normal potassium levels?
A. 2.8 mEq/L
B. 3.5–5.0 mEq/L



2026 2027 GRADED A+

,3|Page


C. 5.5–6.5 mEq/L
D. 2.0–3.0 mEq/L



Q12. Which fluid is isotonic?
A. 0.45% NaCl
B. 0.9% NaCl
C. 3% NaCl
D. D5W after infusion



Q13. A patient with dehydration should receive which intervention first?
A. Administer antibiotics
B. Start IV fluids
C. Perform physical therapy
D. Measure blood glucose



Q14. Which electrolyte imbalance is indicated by muscle cramps, weakness, and irregular
heartbeat?
A. Hypernatremia
B. Hypokalemia
C. Hypocalcemia
D. Hypermagnesemia



Q15. Which diet is recommended for a patient with hypertension?
A. Low-sodium
B. High-fat
C. High-sugar
D. Low-protein



Q16. Which vital sign is most concerning in an adult patient?
A. BP 120/80 mmHg
B. Temp 37°C
C. HR 130 bpm
D. RR 16




2026 2027 GRADED A+

, 4|Page


Q17. Which IV solution is hypertonic?
A. 0.9% NaCl
B. 3% NaCl
C. D5W
D. Lactated Ringer’s



Q18. A patient has a heart rate of 45 bpm and dizziness. What should the nurse do first?
A. Assess the patient for symptoms and notify provider
B. Administer pain medication
C. Take blood pressure only
D. Document and leave



Q19. Which assessment finding suggests hypoglycemia?
A. Sweating, confusion, tremors
B. Nausea and vomiting
C. High blood pressure
D. Constipation



Q20. Which position promotes venous return?
A. Elevate legs
B. Trendelenburg
C. Supine with head elevated
D. Prone



Pharmacology Basics

Q21. Which route of medication has the fastest absorption?
A. IV
B. Oral
C. Subcutaneous
D. Topical



Q22. Which medication requires monitoring of potassium levels?
A. Furosemide (Lasix)
B. Acetaminophen



2026 2027 GRADED A+