NURSING · 2026/2027 LATEST UPDATE
HESI RN Fundamentals of
Nursing Exam 2026
Basic Nursing Skills, Safety,
Documentation
Complete Study Guide
160+ Verified Exam Questions · Rated A+ · Guaranteed Results
V Basic Nursing Skills & ADLs V Safety & Infection Control
V Vital Signs Assessment V Documentation & Legal/Ethical
V Medication Administration V Mobility, Hygiene & Comfort
V IV Therapy & Fluid Mgmt V Fall Prevention Strategies
V Patient Assessment V Emergency Response Protocols
Instant PDF Download · 100% Verified Answers · Score 90%+
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 1
, BEST SELLER · NURSING
HESI RN Fundamentals of
Nursing Exam 2026 Basic Nursing
Skills, Safety, Documentation
2026/2027 — Q&A with Verified Answers
A+
Rated
Every section. Every topic. 100% correct answers guaranteed.
Used by 5,000+ nursing students to pass on their first attempt.
Used by 5,000+ students · 100% Verified Answers · 2026/2027 Latest Update
Basic Nursing Skills Safety & Infection Control Documentation Legal/Ethical Issues Mobility
Hygiene & Comfort IV Therapy Vital Signs
Instant PDF Download
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 2
,SECTION 1 | Basic Nursing Skills & ADLs | Q1-Q45 | HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation 2026/2027
Q1 Question 1 of 160
Q1. A 72-year-old female patient is admitted to the medical-surgical unit with dehydration. The nurse
assesses the patient's skin turgor by pinching the skin over the sternum. The skin remains tented for
10 seconds before returning to position. What does this finding indicate to the nurse?
A. The patient has severe dehydration requiring immediate fluid replacement
B. The patient has moderate dehydration and needs oral fluid encouragement
C. The patient has normal skin elasticity for her age
D. The patient has adequate hydration status
Correct Answer: A
Rationale:
Tenting of skin that persists for 10 seconds indicates severe dehydration in an older adult. While skin turgor is less
reliable in elderly patients due to natural loss of elasticity, prolonged tenting remains a significant indicator of fluid
deficit. Option C is incorrect because prolonged tenting suggests severe rather than moderate dehydration,
requiring IV fluid replacement rather than oral encouragement alone.
Q2 Question 2 of 160
Q2. A nurse is caring for a 58-year-old male patient who has just returned from surgery with a
nasogastric tube connected to low intermittent suction. The patient complains of nausea and the nurse
observes 200 mL of greenish fluid in the collection container over the past 4 hours. What is the most
appropriate nursing action?
A. Clamp the nasogastric tube for 30 minutes to rest the stomach
B. Irrigate the nasogastric tube with 50 mL of normal saline to assess patency
C. Remove the nasogastric tube since it is causing the patient nausea
D. Increase the suction setting to high continuous to remove more gastric contents
Correct Answer: B
Rationale:
The nurse should first assess tube patency by irrigating with normal saline. A clogged or malpositioned tube can
cause nausea due to accumulation of gastric contents. Clamping the tube would worsen nausea by allowing fluid
buildup. Removing the tube without assessment is premature, and increasing suction without checking patency
could harm the gastric mucosa.
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 4
, SECTION 1 | Basic Nursing Skills & ADLs | Q1-Q45 | HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation 2026/2027
Q3 Question 3 of 160
Q3. A 45-year-old patient with type 2 diabetes mellitus is learning to perform self-blood glucose
monitoring at home. The patient asks the nurse which finger is best to use for obtaining a capillary
blood sample. Which response by the nurse is most appropriate?
A. Use the thumb because it has the best blood supply
B. Use the index finger because it is the easiest to access
C. Use the side of the ring or middle finger to reduce pain and obtain an adequate sample
D. Use the tip of any finger because it provides the largest drop of blood
Correct Answer: C
Rationale:
The side of the ring or middle finger is recommended because it has fewer nerve endings than the fingertip pad,
reducing pain while still providing an adequate blood sample. The thumb and index finger are more sensitive and
are used frequently for grasping, making them less ideal. The fingertip pad has more nerve endings and is more
painful to puncture.
Q4 Question 4 of 160
Q4. A nurse is preparing to administer a cleansing enema to a 68-year-old patient who is scheduled for
a colonoscopy. The patient has a history of congestive heart failure. Which modification to the enema
procedure is most important for the nurse to implement?
A. Position the patient in the left lateral Sims position instead of the left lateral decubitus position
B. Use cold solution to stimulate peristalsis more effectively
C. Administer the enema more slowly over a longer period of time
D. Use a smaller volume of solution to prevent fluid overload
Correct Answer: D
Rationale:
Patients with congestive heart failure are at risk for fluid overload, so the nurse should use a smaller volume of
solution. A standard cleansing enema uses 500-1000 mL, which could cause fluid retention and volume overload
in a heart failure patient. Cold solution causes cramping, and while slow administration is reasonable, volume
reduction is the priority safety modification.
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 5
HESI RN Fundamentals of
Nursing Exam 2026
Basic Nursing Skills, Safety,
Documentation
Complete Study Guide
160+ Verified Exam Questions · Rated A+ · Guaranteed Results
V Basic Nursing Skills & ADLs V Safety & Infection Control
V Vital Signs Assessment V Documentation & Legal/Ethical
V Medication Administration V Mobility, Hygiene & Comfort
V IV Therapy & Fluid Mgmt V Fall Prevention Strategies
V Patient Assessment V Emergency Response Protocols
Instant PDF Download · 100% Verified Answers · Score 90%+
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 1
, BEST SELLER · NURSING
HESI RN Fundamentals of
Nursing Exam 2026 Basic Nursing
Skills, Safety, Documentation
2026/2027 — Q&A with Verified Answers
A+
Rated
Every section. Every topic. 100% correct answers guaranteed.
Used by 5,000+ nursing students to pass on their first attempt.
Used by 5,000+ students · 100% Verified Answers · 2026/2027 Latest Update
Basic Nursing Skills Safety & Infection Control Documentation Legal/Ethical Issues Mobility
Hygiene & Comfort IV Therapy Vital Signs
Instant PDF Download
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 2
,SECTION 1 | Basic Nursing Skills & ADLs | Q1-Q45 | HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation 2026/2027
Q1 Question 1 of 160
Q1. A 72-year-old female patient is admitted to the medical-surgical unit with dehydration. The nurse
assesses the patient's skin turgor by pinching the skin over the sternum. The skin remains tented for
10 seconds before returning to position. What does this finding indicate to the nurse?
A. The patient has severe dehydration requiring immediate fluid replacement
B. The patient has moderate dehydration and needs oral fluid encouragement
C. The patient has normal skin elasticity for her age
D. The patient has adequate hydration status
Correct Answer: A
Rationale:
Tenting of skin that persists for 10 seconds indicates severe dehydration in an older adult. While skin turgor is less
reliable in elderly patients due to natural loss of elasticity, prolonged tenting remains a significant indicator of fluid
deficit. Option C is incorrect because prolonged tenting suggests severe rather than moderate dehydration,
requiring IV fluid replacement rather than oral encouragement alone.
Q2 Question 2 of 160
Q2. A nurse is caring for a 58-year-old male patient who has just returned from surgery with a
nasogastric tube connected to low intermittent suction. The patient complains of nausea and the nurse
observes 200 mL of greenish fluid in the collection container over the past 4 hours. What is the most
appropriate nursing action?
A. Clamp the nasogastric tube for 30 minutes to rest the stomach
B. Irrigate the nasogastric tube with 50 mL of normal saline to assess patency
C. Remove the nasogastric tube since it is causing the patient nausea
D. Increase the suction setting to high continuous to remove more gastric contents
Correct Answer: B
Rationale:
The nurse should first assess tube patency by irrigating with normal saline. A clogged or malpositioned tube can
cause nausea due to accumulation of gastric contents. Clamping the tube would worsen nausea by allowing fluid
buildup. Removing the tube without assessment is premature, and increasing suction without checking patency
could harm the gastric mucosa.
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 4
, SECTION 1 | Basic Nursing Skills & ADLs | Q1-Q45 | HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation 2026/2027
Q3 Question 3 of 160
Q3. A 45-year-old patient with type 2 diabetes mellitus is learning to perform self-blood glucose
monitoring at home. The patient asks the nurse which finger is best to use for obtaining a capillary
blood sample. Which response by the nurse is most appropriate?
A. Use the thumb because it has the best blood supply
B. Use the index finger because it is the easiest to access
C. Use the side of the ring or middle finger to reduce pain and obtain an adequate sample
D. Use the tip of any finger because it provides the largest drop of blood
Correct Answer: C
Rationale:
The side of the ring or middle finger is recommended because it has fewer nerve endings than the fingertip pad,
reducing pain while still providing an adequate blood sample. The thumb and index finger are more sensitive and
are used frequently for grasping, making them less ideal. The fingertip pad has more nerve endings and is more
painful to puncture.
Q4 Question 4 of 160
Q4. A nurse is preparing to administer a cleansing enema to a 68-year-old patient who is scheduled for
a colonoscopy. The patient has a history of congestive heart failure. Which modification to the enema
procedure is most important for the nurse to implement?
A. Position the patient in the left lateral Sims position instead of the left lateral decubitus position
B. Use cold solution to stimulate peristalsis more effectively
C. Administer the enema more slowly over a longer period of time
D. Use a smaller volume of solution to prevent fluid overload
Correct Answer: D
Rationale:
Patients with congestive heart failure are at risk for fluid overload, so the nurse should use a smaller volume of
solution. A standard cleansing enema uses 500-1000 mL, which could cause fluid retention and volume overload
in a heart failure patient. Cold solution causes cramping, and while slow administration is reasonable, volume
reduction is the priority safety modification.
HESI RN Fundamentals of Nursing Exam 2026 Basic Nursing Skills, Safety, Documentation - 2026/2027 | Passing Score: 850 scaled (75%) | Page 5
