HESI FUNDAMENTALS FINAL
EXAM PRACTICE TEST 2026
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A nurse is preparing to insert an indwelling urinary catheter.
Which technique is correct?
a) Use sterile gloves only
b) Clean perineum with antiseptic from back to front
c) Maintain sterile field and open catheter package away from body
d) Apply lubricant to the balloon port
Rationale: Maintaining a sterile field and opening the catheter package away from
the body prevents contamination. The balloon port is not lubricated; lubricant is
applied to the catheter tip.
2. A patient with a nasogastric tube for decompression reports
nausea and abdominal distention. What should the nurse do
first?
a) Irrigate the tube
b) Check tube placement and ensure suction is functioning
c) Remove the tube immediately
d) Reposition the patient on the left side
, Rationale: Nausea and distention suggest tube malfunction or displacement.
Checking placement and suction is the priority before other interventions.
3. Which patient is at highest risk for falls?
a) 45-year-old postoperative day 1
b) 82-year-old with history of stroke and using a cane
c) 30-year-old with migraine
d) 55-year-old with mild arthritis
Rationale: Elderly + neurological deficit + mobility aid use = high fall risk. Age and
stroke history increase risk most significantly.
4. A nurse observes smoke from an electrical outlet in a
patient’s room. What is the first action?
a) Pull the fire alarm
b) Remove the patient from the room
c) Use a fire extinguisher
d) Turn off the main electrical supply
Rationale: RACE: Rescue (remove patient) → Alarm → Contain → Extinguish. Patient
safety first.
5. A patient with dysphagia is at risk for aspiration. Which
intervention is most appropriate?
a) Place in supine position for meals
b) Offer thin liquids
c) Thicken liquids to nectar or honey consistency
d) Use a large-bore straw
Rationale: Thickened liquids slow flow through the pharynx, reducing aspiration risk.
Thin liquids and straws increase risk.
EXAM PRACTICE TEST 2026
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A nurse is preparing to insert an indwelling urinary catheter.
Which technique is correct?
a) Use sterile gloves only
b) Clean perineum with antiseptic from back to front
c) Maintain sterile field and open catheter package away from body
d) Apply lubricant to the balloon port
Rationale: Maintaining a sterile field and opening the catheter package away from
the body prevents contamination. The balloon port is not lubricated; lubricant is
applied to the catheter tip.
2. A patient with a nasogastric tube for decompression reports
nausea and abdominal distention. What should the nurse do
first?
a) Irrigate the tube
b) Check tube placement and ensure suction is functioning
c) Remove the tube immediately
d) Reposition the patient on the left side
, Rationale: Nausea and distention suggest tube malfunction or displacement.
Checking placement and suction is the priority before other interventions.
3. Which patient is at highest risk for falls?
a) 45-year-old postoperative day 1
b) 82-year-old with history of stroke and using a cane
c) 30-year-old with migraine
d) 55-year-old with mild arthritis
Rationale: Elderly + neurological deficit + mobility aid use = high fall risk. Age and
stroke history increase risk most significantly.
4. A nurse observes smoke from an electrical outlet in a
patient’s room. What is the first action?
a) Pull the fire alarm
b) Remove the patient from the room
c) Use a fire extinguisher
d) Turn off the main electrical supply
Rationale: RACE: Rescue (remove patient) → Alarm → Contain → Extinguish. Patient
safety first.
5. A patient with dysphagia is at risk for aspiration. Which
intervention is most appropriate?
a) Place in supine position for meals
b) Offer thin liquids
c) Thicken liquids to nectar or honey consistency
d) Use a large-bore straw
Rationale: Thickened liquids slow flow through the pharynx, reducing aspiration risk.
Thin liquids and straws increase risk.
