HESI Fundamentals Exam Test Bank 2026 All Updated
Questions, Rationales & Verified Answers | A+ Graded
CHAMBERLAIN UNIVERSITY
College of Nursing
HESI Fundamentals of Nursing – Comprehensive Test Bank
Course: NURS 210 – Fundamentals of Nursing
Exam Type: Comprehensive Practice Test Bank
Total Questions: 300+
Format: Multiple Choice, True/False, Short Answer, NGN-Style Scenarios
Test Bank Versions: Version 1, Version 2, & Version 3 Combined
TABLE OF CONTENTS
1. Exam Overview & Instructions …………………………………………………………… 3
2. Multiple Choice Questions (75 questions – 150 points) ………………………………… 4
3. True / False Questions (20 questions – 20 points) …………………………………… 18
4. Short Answer Questions (5 questions – 15 points) …………………………………… 20
5. NGN-Style Case Scenarios (3 questions – 15 points) ………………………………… 22
6. Complete Answer Key with Detailed Rationales ……………………………………… 25
7. Key Concepts & Study Keywords ………………………………………………………… 33
1. EXAM OVERVIEW & INSTRUCTIONS
,This comprehensive test bank is designed to prepare nursing students for the HESI
Fundamentals of Nursing Exam for the 2026 testing cycle. The HESI Fundamentals exam is a
standardized assessment used by nursing programs nationwide to evaluate students'
foundational nursing knowledge and clinical judgment skills.
What is the HESI Fundamentals Exam?
The HESI (Health Education Systems, Inc.) Fundamentals exam assesses a nursing student's
knowledge of basic nursing concepts, including patient safety, infection control, basic care, vital
signs, pharmacology basics, health assessment, and clinical decision-making.
Exam Format
| Feature | Detail |
||--|
| Number of Questions | 55-75 multiple-choice questions per version |
| Question Types | Multiple choice, select all that apply, ordered response, NGN-style case
scenarios |
| Time Limit | Typically 60-90 minutes |
| Versions Available | V1, V2, V3 (all covered in this test bank) |
Key Topics Covered
- Patient Safety & Mobility – Fall prevention, restraints, body mechanics
- Infection Control – Standard precautions, transmission-based precautions, hand hygiene
- Basic Care & Comfort – Hygiene, nutrition, elimination, sleep
- Vital Signs – Assessment, normal ranges, variations
- Pharmacology Basics – Medication administration, calculations, safety
- Health Assessment – Head-to-toe assessment, abnormal findings
- Clinical Decision-Making – ADPIE, Maslow's Hierarchy, QSEN competencies
- Communication – Therapeutic communication techniques
- Legal & Ethical Issues – Informed consent, HIPAA, advanced directives
How to Use This Test Bank
1. Read each question carefully before selecting your answer
2. Review the rationale for each answer to understand the "why" behind correct and incorrect
options
3. Identify knowledge gaps and focus your study on weak areas
4. Practice NGN-style scenarios to improve clinical judgment skills
,2. MULTIPLE CHOICE QUESTIONS
Choose the single best answer for each question. Each question has one correct answer unless
otherwise noted.
Section A: Patient Safety & Mobility (Questions 1-15)
Q1. A nurse is caring for a client who is at risk for falls. Which of the following actions should the
nurse take first?
A) Place the client in a room near the nurses' station
B) Complete a fall risk assessment
C) Apply a bed alarm
D) Instruct the client to call for assistance
Rationale: The nurse should first complete a fall risk assessment to identify specific risk factors
and determine the appropriate interventions. Assessment is the first step of the nursing process
(ADPIE).
Q2. A client is using a cane for ambulation. Which of the following actions by the client indicates
proper use of the cane?
A) Holding the cane on the stronger side
B) Holding the cane on the weaker side
C) Advancing the cane with the stronger leg
D) Holding the cane 24 inches from the body
Rationale: The cane should be held on the stronger side of the body, with the elbow flexed at
approximately 15-30 degrees. The cane and weaker leg move forward together, followed by the
stronger leg.
Q3. A nurse is applying restraints to a client who is confused and pulling at IV lines. Which of
the following actions is appropriate?
A) Obtain a written prescription from the provider
B) Apply restraints tightly to prevent movement
C) Remove restraints every 4 hours for skin assessment
D) Tie restraints to the side rails of the bed
, Rationale: A written prescription from the provider is required before applying restraints in most
situations. Restraints should be applied loosely enough to allow some movement, removed
every 2 hours for skin assessment and toileting, and tied to the bed frame (not side rails) with a
quick-release knot.
Q4. A nurse is teaching a client about fire safety in the home. Which of the following statements
by the client indicates understanding?
A) "I should keep a fire extinguisher in the kitchen."
B) "I should call 911 before trying to extinguish a fire."
C) "I should have a fire escape plan with two ways out of each room."
D) "I should use water to extinguish a grease fire."
Rationale: A fire escape plan with two ways out of each room is essential for safety. Fire
extinguishers should be kept in the kitchen, but calling 911 should occur after ensuring personal
safety. Water should NOT be used on grease fires.
Q5. A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions
should the nurse take to ensure safety?
A) Assess the client's ability to bear weight
B) Position the chair perpendicular to the bed
C) Use the client's arms to pull them up
D) Stand with feet close together for stability
Rationale: The nurse should first assess the client's ability to bear weight and follow transfer
guidelines. The chair should be positioned at a 45-degree angle to the bed, not perpendicular.
The nurse should use proper body mechanics with feet shoulder-width apart.
Q6. A client is on contact precautions. Which of the following actions by the nurse is correct?
A) Wear an N95 respirator
B) Wear gloves and a gown
C) Place the client in a negative pressure room
D) Wear a mask and eye protection
Questions, Rationales & Verified Answers | A+ Graded
CHAMBERLAIN UNIVERSITY
College of Nursing
HESI Fundamentals of Nursing – Comprehensive Test Bank
Course: NURS 210 – Fundamentals of Nursing
Exam Type: Comprehensive Practice Test Bank
Total Questions: 300+
Format: Multiple Choice, True/False, Short Answer, NGN-Style Scenarios
Test Bank Versions: Version 1, Version 2, & Version 3 Combined
TABLE OF CONTENTS
1. Exam Overview & Instructions …………………………………………………………… 3
2. Multiple Choice Questions (75 questions – 150 points) ………………………………… 4
3. True / False Questions (20 questions – 20 points) …………………………………… 18
4. Short Answer Questions (5 questions – 15 points) …………………………………… 20
5. NGN-Style Case Scenarios (3 questions – 15 points) ………………………………… 22
6. Complete Answer Key with Detailed Rationales ……………………………………… 25
7. Key Concepts & Study Keywords ………………………………………………………… 33
1. EXAM OVERVIEW & INSTRUCTIONS
,This comprehensive test bank is designed to prepare nursing students for the HESI
Fundamentals of Nursing Exam for the 2026 testing cycle. The HESI Fundamentals exam is a
standardized assessment used by nursing programs nationwide to evaluate students'
foundational nursing knowledge and clinical judgment skills.
What is the HESI Fundamentals Exam?
The HESI (Health Education Systems, Inc.) Fundamentals exam assesses a nursing student's
knowledge of basic nursing concepts, including patient safety, infection control, basic care, vital
signs, pharmacology basics, health assessment, and clinical decision-making.
Exam Format
| Feature | Detail |
||--|
| Number of Questions | 55-75 multiple-choice questions per version |
| Question Types | Multiple choice, select all that apply, ordered response, NGN-style case
scenarios |
| Time Limit | Typically 60-90 minutes |
| Versions Available | V1, V2, V3 (all covered in this test bank) |
Key Topics Covered
- Patient Safety & Mobility – Fall prevention, restraints, body mechanics
- Infection Control – Standard precautions, transmission-based precautions, hand hygiene
- Basic Care & Comfort – Hygiene, nutrition, elimination, sleep
- Vital Signs – Assessment, normal ranges, variations
- Pharmacology Basics – Medication administration, calculations, safety
- Health Assessment – Head-to-toe assessment, abnormal findings
- Clinical Decision-Making – ADPIE, Maslow's Hierarchy, QSEN competencies
- Communication – Therapeutic communication techniques
- Legal & Ethical Issues – Informed consent, HIPAA, advanced directives
How to Use This Test Bank
1. Read each question carefully before selecting your answer
2. Review the rationale for each answer to understand the "why" behind correct and incorrect
options
3. Identify knowledge gaps and focus your study on weak areas
4. Practice NGN-style scenarios to improve clinical judgment skills
,2. MULTIPLE CHOICE QUESTIONS
Choose the single best answer for each question. Each question has one correct answer unless
otherwise noted.
Section A: Patient Safety & Mobility (Questions 1-15)
Q1. A nurse is caring for a client who is at risk for falls. Which of the following actions should the
nurse take first?
A) Place the client in a room near the nurses' station
B) Complete a fall risk assessment
C) Apply a bed alarm
D) Instruct the client to call for assistance
Rationale: The nurse should first complete a fall risk assessment to identify specific risk factors
and determine the appropriate interventions. Assessment is the first step of the nursing process
(ADPIE).
Q2. A client is using a cane for ambulation. Which of the following actions by the client indicates
proper use of the cane?
A) Holding the cane on the stronger side
B) Holding the cane on the weaker side
C) Advancing the cane with the stronger leg
D) Holding the cane 24 inches from the body
Rationale: The cane should be held on the stronger side of the body, with the elbow flexed at
approximately 15-30 degrees. The cane and weaker leg move forward together, followed by the
stronger leg.
Q3. A nurse is applying restraints to a client who is confused and pulling at IV lines. Which of
the following actions is appropriate?
A) Obtain a written prescription from the provider
B) Apply restraints tightly to prevent movement
C) Remove restraints every 4 hours for skin assessment
D) Tie restraints to the side rails of the bed
, Rationale: A written prescription from the provider is required before applying restraints in most
situations. Restraints should be applied loosely enough to allow some movement, removed
every 2 hours for skin assessment and toileting, and tied to the bed frame (not side rails) with a
quick-release knot.
Q4. A nurse is teaching a client about fire safety in the home. Which of the following statements
by the client indicates understanding?
A) "I should keep a fire extinguisher in the kitchen."
B) "I should call 911 before trying to extinguish a fire."
C) "I should have a fire escape plan with two ways out of each room."
D) "I should use water to extinguish a grease fire."
Rationale: A fire escape plan with two ways out of each room is essential for safety. Fire
extinguishers should be kept in the kitchen, but calling 911 should occur after ensuring personal
safety. Water should NOT be used on grease fires.
Q5. A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions
should the nurse take to ensure safety?
A) Assess the client's ability to bear weight
B) Position the chair perpendicular to the bed
C) Use the client's arms to pull them up
D) Stand with feet close together for stability
Rationale: The nurse should first assess the client's ability to bear weight and follow transfer
guidelines. The chair should be positioned at a 45-degree angle to the bed, not perpendicular.
The nurse should use proper body mechanics with feet shoulder-width apart.
Q6. A client is on contact precautions. Which of the following actions by the nurse is correct?
A) Wear an N95 respirator
B) Wear gloves and a gown
C) Place the client in a negative pressure room
D) Wear a mask and eye protection
