HESI Fundamentals Exam Actual 2026/2027 with Detailed Rationales |
Complete Exam-Style Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 60
Recommended Time: 90 minutes
Passing Threshold: 85%
Exam Format: Multiple Choice Questions (MCQs) with Next Generation NCLEX (NGN)
Style Items
Question Style: Scenario-Based, Applied, Clinical Judgment, and Professional
Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Safe and Effective Care Environment - Management of Care
Question 1: When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
Correct Answer: B
,Rationale: Because the nurse can only stand on one side of the bed, bed rails should be
up on the opposite side to ensure that the client does not fall out of bed. Option A can
cause client injury to the skin or joint. Options C and D are useful techniques while
turning a client but have less priority in terms of safety than use of the bed rails.
Question 2: In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions about the
surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the anesthesia
is administered.
Correct Answer: C
Rationale: The surgeon should be informed immediately that the permit is not signed. It
is the surgeon's responsibility to explain the procedure to the client and obtain the
client's signature on the permit. Although the nurse can witness an operative permit, the
procedure must first be explained by the health care provider or surgeon, including
answering the client's questions. The client's questions should be addressed before the
permit is signed.
,Question 3: The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years.
B. Taking anticoagulants for the past year.
C. Recently completing antibiotic therapy.
D. Having taken laxatives PRN for the last 6 months.
Correct Answer: B
Rationale: Anticoagulants increase the risk for bleeding during surgery, which can pose
a threat for the development of surgical complications. The health care provider should
be informed that the client is taking these medications. Birth control pills may increase
the risk of thrombophlebitis but are not the greatest threat. Recent antibiotic therapy
and occasional laxative use do not pose significant surgical risks.
SECTION 2: Safe and Effective Care Environment - Safety and Infection Control
Question 4: The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention has the
highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders.
B. Use of careful handwashing technique.
C. Application of a topical antibacterial cream.
D. Limiting visitors to the client with burns.
Correct Answer: B
, Rationale: Careful handwashing technique is the single most effective intervention for
the prevention of contamination to all clients. Option A reverses the hypovolemia that
initially accompanies burn trauma, but is not related to decreasing the proliferation of
infective organisms. Options C and D are recommended by various burn centers as
possible ways to reduce the chance of infection, but handwashing is a proven technique
to prevent infection.
Question 5: Which action is most important for the nurse to implement when donning
sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first.
Correct Answer: C
Rationale: Gloved hands held below waist level are considered unsterile. Options A and
B are not essential to maintaining asepsis. While it may be helpful to put the glove on
the dominant hand first, it is not necessary to ensure asepsis.
Question 6: A client with acute hemorrhagic anemia is to receive four units of packed
RBCs as rapidly as possible. Which intervention is most important for the nurse to
implement?
A. Obtain the pre-transfusion hemoglobin level.
Complete Exam-Style Questions | Pass Guaranteed – A+ Graded
EXAM INFORMATION
Total Questions: 60
Recommended Time: 90 minutes
Passing Threshold: 85%
Exam Format: Multiple Choice Questions (MCQs) with Next Generation NCLEX (NGN)
Style Items
Question Style: Scenario-Based, Applied, Clinical Judgment, and Professional
Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Safe and Effective Care Environment - Management of Care
Question 1: When turning an immobile bedridden client without assistance, which action
by the nurse best ensures client safety?
A. Securely grasp the client's arm and leg.
B. Put bed rails up on the side of bed opposite from the nurse.
C. Correctly position and use a turn sheet.
D. Lower the head of the client's bed slowly.
Correct Answer: B
,Rationale: Because the nurse can only stand on one side of the bed, bed rails should be
up on the opposite side to ensure that the client does not fall out of bed. Option A can
cause client injury to the skin or joint. Options C and D are useful techniques while
turning a client but have less priority in terms of safety than use of the bed rails.
Question 2: In completing a client's preoperative routine, the nurse finds that the
operative permit is not signed. The client begins to ask more questions about the
surgical procedure. Which action should the nurse take next?
A. Witness the client's signature to the permit.
B. Answer the client's questions about the surgery.
C. Inform the surgeon that the operative permit is not signed and the client has
questions about the surgery.
D. Reassure the client that the surgeon will answer any questions before the anesthesia
is administered.
Correct Answer: C
Rationale: The surgeon should be informed immediately that the permit is not signed. It
is the surgeon's responsibility to explain the procedure to the client and obtain the
client's signature on the permit. Although the nurse can witness an operative permit, the
procedure must first be explained by the health care provider or surgeon, including
answering the client's questions. The client's questions should be addressed before the
permit is signed.
,Question 3: The nurse is assessing several clients prior to surgery. Which factor in a
client's history poses the greatest threat for complications to occur during surgery?
A. Taking birth control pills for the past 2 years.
B. Taking anticoagulants for the past year.
C. Recently completing antibiotic therapy.
D. Having taken laxatives PRN for the last 6 months.
Correct Answer: B
Rationale: Anticoagulants increase the risk for bleeding during surgery, which can pose
a threat for the development of surgical complications. The health care provider should
be informed that the client is taking these medications. Birth control pills may increase
the risk of thrombophlebitis but are not the greatest threat. Recent antibiotic therapy
and occasional laxative use do not pose significant surgical risks.
SECTION 2: Safe and Effective Care Environment - Safety and Infection Control
Question 4: The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What intervention has the
highest priority in decreasing the client's risk of infection?
A. Administration of plasma expanders.
B. Use of careful handwashing technique.
C. Application of a topical antibacterial cream.
D. Limiting visitors to the client with burns.
Correct Answer: B
, Rationale: Careful handwashing technique is the single most effective intervention for
the prevention of contamination to all clients. Option A reverses the hypovolemia that
initially accompanies burn trauma, but is not related to decreasing the proliferation of
infective organisms. Options C and D are recommended by various burn centers as
possible ways to reduce the chance of infection, but handwashing is a proven technique
to prevent infection.
Question 5: Which action is most important for the nurse to implement when donning
sterile gloves?
A. Maintain thumb at a ninety degree angle.
B. Hold hands with fingers down while gloving.
C. Keep gloved hands above the elbows.
D. Put the glove on the dominant hand first.
Correct Answer: C
Rationale: Gloved hands held below waist level are considered unsterile. Options A and
B are not essential to maintaining asepsis. While it may be helpful to put the glove on
the dominant hand first, it is not necessary to ensure asepsis.
Question 6: A client with acute hemorrhagic anemia is to receive four units of packed
RBCs as rapidly as possible. Which intervention is most important for the nurse to
implement?
A. Obtain the pre-transfusion hemoglobin level.
