100 HESI / NCLEX-STYLE FUNDAMENTALS
PRACTICE QUESTIONS AND ANSWERS 100%
CORRECT!!
, What should a nurse do first if they find a patient on the bathroom floor? - ANSWER
Assess the patient for injury.
Which task can be delegated to a UAP? - ANSWER Assist a stable patient with
ambulation.
What is the priority action for a patient with heart failure showing crackles and increased
dyspnea? - ANSWER Elevate head of bed and give prescribed diuretic.
What should a nurse do if a patient's apical pulse is 54 bpm and they are due for
digoxin? - ANSWER Hold medication and notify provider.
Which intervention best prevents catheter-associated UTI? - ANSWER Maintain closed
drainage system and proper hygiene.
What is the immediate action for a diabetic patient who is diaphoretic, shaky, and
confused? - ANSWER Offer 4 oz (120 mL) fruit juice or glucose gel.
Which sign is most indicative of fluid overload? - ANSWER Bounding pulses and
crackles in lungs.
What should a nurse do first for a patient with COPD and an SpO ₂ of 88%? - ANSWER
Apply supplemental oxygen at low flow (e.g., 1-2 L nasal cannula).
What is the best food choice for a patient on a low-sodium diet? - ANSWER Fresh
apple.
To reduce medication errors, what should a nurse do when preparing medications? -
ANSWER Use two patient identifiers before administration.
Which finding requires immediate intervention after a blood transfusion begins? -
ANSWER Low back pain, fever, and chills.
What should a nurse do for a patient who is NPO for surgery and asks for water? -
ANSWER Refuse and explain the reason for NPO.
PRACTICE QUESTIONS AND ANSWERS 100%
CORRECT!!
, What should a nurse do first if they find a patient on the bathroom floor? - ANSWER
Assess the patient for injury.
Which task can be delegated to a UAP? - ANSWER Assist a stable patient with
ambulation.
What is the priority action for a patient with heart failure showing crackles and increased
dyspnea? - ANSWER Elevate head of bed and give prescribed diuretic.
What should a nurse do if a patient's apical pulse is 54 bpm and they are due for
digoxin? - ANSWER Hold medication and notify provider.
Which intervention best prevents catheter-associated UTI? - ANSWER Maintain closed
drainage system and proper hygiene.
What is the immediate action for a diabetic patient who is diaphoretic, shaky, and
confused? - ANSWER Offer 4 oz (120 mL) fruit juice or glucose gel.
Which sign is most indicative of fluid overload? - ANSWER Bounding pulses and
crackles in lungs.
What should a nurse do first for a patient with COPD and an SpO ₂ of 88%? - ANSWER
Apply supplemental oxygen at low flow (e.g., 1-2 L nasal cannula).
What is the best food choice for a patient on a low-sodium diet? - ANSWER Fresh
apple.
To reduce medication errors, what should a nurse do when preparing medications? -
ANSWER Use two patient identifiers before administration.
Which finding requires immediate intervention after a blood transfusion begins? -
ANSWER Low back pain, fever, and chills.
What should a nurse do for a patient who is NPO for surgery and asks for water? -
ANSWER Refuse and explain the reason for NPO.
