NEW HESI RN FUNDAMENTALS 2 FILES
REAL 2026-2027 QUESTIONS & ANSWERS |
COMPLETE 180 QS TEST BANK | HESI RN
FUNDAMENTALS
TABLE OF CONTENTS
• SECTION 1: BASIC NURSING SKILLS & CLIENT CARE (Questions
1-30)
• SECTION 2: PATIENT ASSESSMENT & MONITORING (Questions
31-60)
• SECTION 3: MEDICATION ADMINISTRATION &
CALCULATIONS (Questions 61-85)
• SECTION 4: SAFETY & INFECTION CONTROL (Questions 86-110)
• SECTION 5: LEGAL, ETHICAL & DOCUMENTATION (Questions
111-135)
• SECTION 6: NUTRITION, ELIMINATION & MOBILITY (Questions
136-160)
• SECTION 7: PSYCHOSOCIAL & SPIRITUAL CARE (Questions 161-
180)
Question 1 (Multiple choice)
The nurse is discharging an adult woman who was hospitalized for 5 days for
treatment of pneumonia. While the nurse is reviewing the prescribed medications,
the client appears anxious. What action is most important for the nurse to
implement?
A) Ask the client if she has any questions about the medications
B) Provide written instructions that are easy to follow
C) Call the healthcare provider to simplify the medication regimen
D) Ask a family member to be present during the teaching
,Answer: B (Providing written instructions that are easy to follow helps reduce
anxiety and ensures the client has a reference for medication information after
discharge. Anxiety can interfere with learning, and written materials provide
reinforcement.)
Question 2 (Multiple choice)
Which assessment finding is most significant in determining the level of assistance
a client needs with personal care?
A) Ability to ambulate independently
B) Disorientation to time, place, and person
C) Presence of a chronic illness
D) Age of the client
Answer: B (Disorientation to time, place, and person indicates cognitive
impairment that significantly affects the client's ability to perform personal care
safely. This finding is most significant in determining the level of assistance
needed.)
Question 3 (Multiple choice)
Eight hours after the removal of an indwelling catheter, a male client reports low
abdominal pain, and palpation of the bladder indicates that it is distended and dull
percussion. Even after assisting the client to a standing position, he is unable to
void. What action should the nurse take?
A) Encourage the client to drink more fluids
B) Run water in the sink to stimulate voiding
C) Apply warm compresses to the lower abdomen
D) Prepare to reinsert the urinary catheter
Answer: D (The client has urinary retention with a distended bladder and is unable
to void. Reinsertion of the urinary catheter is necessary to relieve the distention
and prevent bladder damage.)
Question 4 (Multiple choice)
,The nurse notices a male client grimacing as he moves from the bed to a chair, but
when asked about his pain he denies having any pain. Which intervention should
the nurse implement first?
A) Document that the client denies pain
B) Administer pain medication as prescribed
C) Encourage the client to use non-pharmacological pain relief
D) Ask the client what is making him grimace
Answer: D (The nurse should first ask the client what is making him grimace to
assess the reason for the nonverbal cue. Clients may deny pain for various reasons,
and further assessment is needed.)
Question 5 (Multiple choice)
The nurse notes that a client has cyanosis of the toes and fingertips. Which vital
sign should the nurse obtain first?
A) Blood pressure
B) Respiratory rate
C) Temperature
D) Heart rate
Answer: B (Cyanosis of the extremities indicates poor oxygenation or circulation.
The respiratory rate should be assessed first to determine if the client is
experiencing respiratory compromise.)
Question 6 (Multiple choice)
The charge nurse observes a new graduate nurse demonstrate the administration of
two different liquid medications through a gastrostomy tube used for continuous
feeding. What actions should the nurse take? (Select all that apply)
A) Confirm that the nurse determined the amount of gastric residual
B) Add the liquid volumes when documenting fluid intake
C) Instruct the nurse to administer each medication separately
D) Flush the tube with water between medications
E) Administer medications together to save time
, Answer: A, C, D (The nurse should confirm that gastric residual was checked,
instruct the nurse to administer each medication separately, and flush the tube
between medications. Medications should never be mixed together or administered
simultaneously.)
Question 7 (Multiple choice)
The nurse inserts a catheter for nasotracheal suctioning as seen in the picture. What
action should the nurse take next?
A) Apply continuous suction
B) Apply intermittent suction
C) Remove the catheter immediately
D) Advance the catheter further
Answer: B (Intermittent suction should be applied during nasotracheal suctioning
to prevent mucosal damage. Continuous suction can cause tissue trauma and
hypoxia.)
Question 8 (Multiple choice)
A client who is 2 days postoperative for thoracic surgery is complaining of
incisional pain 2 hours after receiving his pain medication. He rates his pain as 5
on a pain scale of 1 to 10. After placing a call to the healthcare provider, what
should the nurse do next?
A) Administer the prescribed as-needed pain medication
B) Reposition the client and offer non-pharmacological comfort measures
C) Reassess the client's pain and document the response
D) Wait for the healthcare provider to return the call
Answer: C (The nurse should reassess the client's pain and document the response
after the call is placed. Pain management is ongoing and requires continuous
assessment.)
Question 9 (Multiple choice)
REAL 2026-2027 QUESTIONS & ANSWERS |
COMPLETE 180 QS TEST BANK | HESI RN
FUNDAMENTALS
TABLE OF CONTENTS
• SECTION 1: BASIC NURSING SKILLS & CLIENT CARE (Questions
1-30)
• SECTION 2: PATIENT ASSESSMENT & MONITORING (Questions
31-60)
• SECTION 3: MEDICATION ADMINISTRATION &
CALCULATIONS (Questions 61-85)
• SECTION 4: SAFETY & INFECTION CONTROL (Questions 86-110)
• SECTION 5: LEGAL, ETHICAL & DOCUMENTATION (Questions
111-135)
• SECTION 6: NUTRITION, ELIMINATION & MOBILITY (Questions
136-160)
• SECTION 7: PSYCHOSOCIAL & SPIRITUAL CARE (Questions 161-
180)
Question 1 (Multiple choice)
The nurse is discharging an adult woman who was hospitalized for 5 days for
treatment of pneumonia. While the nurse is reviewing the prescribed medications,
the client appears anxious. What action is most important for the nurse to
implement?
A) Ask the client if she has any questions about the medications
B) Provide written instructions that are easy to follow
C) Call the healthcare provider to simplify the medication regimen
D) Ask a family member to be present during the teaching
,Answer: B (Providing written instructions that are easy to follow helps reduce
anxiety and ensures the client has a reference for medication information after
discharge. Anxiety can interfere with learning, and written materials provide
reinforcement.)
Question 2 (Multiple choice)
Which assessment finding is most significant in determining the level of assistance
a client needs with personal care?
A) Ability to ambulate independently
B) Disorientation to time, place, and person
C) Presence of a chronic illness
D) Age of the client
Answer: B (Disorientation to time, place, and person indicates cognitive
impairment that significantly affects the client's ability to perform personal care
safely. This finding is most significant in determining the level of assistance
needed.)
Question 3 (Multiple choice)
Eight hours after the removal of an indwelling catheter, a male client reports low
abdominal pain, and palpation of the bladder indicates that it is distended and dull
percussion. Even after assisting the client to a standing position, he is unable to
void. What action should the nurse take?
A) Encourage the client to drink more fluids
B) Run water in the sink to stimulate voiding
C) Apply warm compresses to the lower abdomen
D) Prepare to reinsert the urinary catheter
Answer: D (The client has urinary retention with a distended bladder and is unable
to void. Reinsertion of the urinary catheter is necessary to relieve the distention
and prevent bladder damage.)
Question 4 (Multiple choice)
,The nurse notices a male client grimacing as he moves from the bed to a chair, but
when asked about his pain he denies having any pain. Which intervention should
the nurse implement first?
A) Document that the client denies pain
B) Administer pain medication as prescribed
C) Encourage the client to use non-pharmacological pain relief
D) Ask the client what is making him grimace
Answer: D (The nurse should first ask the client what is making him grimace to
assess the reason for the nonverbal cue. Clients may deny pain for various reasons,
and further assessment is needed.)
Question 5 (Multiple choice)
The nurse notes that a client has cyanosis of the toes and fingertips. Which vital
sign should the nurse obtain first?
A) Blood pressure
B) Respiratory rate
C) Temperature
D) Heart rate
Answer: B (Cyanosis of the extremities indicates poor oxygenation or circulation.
The respiratory rate should be assessed first to determine if the client is
experiencing respiratory compromise.)
Question 6 (Multiple choice)
The charge nurse observes a new graduate nurse demonstrate the administration of
two different liquid medications through a gastrostomy tube used for continuous
feeding. What actions should the nurse take? (Select all that apply)
A) Confirm that the nurse determined the amount of gastric residual
B) Add the liquid volumes when documenting fluid intake
C) Instruct the nurse to administer each medication separately
D) Flush the tube with water between medications
E) Administer medications together to save time
, Answer: A, C, D (The nurse should confirm that gastric residual was checked,
instruct the nurse to administer each medication separately, and flush the tube
between medications. Medications should never be mixed together or administered
simultaneously.)
Question 7 (Multiple choice)
The nurse inserts a catheter for nasotracheal suctioning as seen in the picture. What
action should the nurse take next?
A) Apply continuous suction
B) Apply intermittent suction
C) Remove the catheter immediately
D) Advance the catheter further
Answer: B (Intermittent suction should be applied during nasotracheal suctioning
to prevent mucosal damage. Continuous suction can cause tissue trauma and
hypoxia.)
Question 8 (Multiple choice)
A client who is 2 days postoperative for thoracic surgery is complaining of
incisional pain 2 hours after receiving his pain medication. He rates his pain as 5
on a pain scale of 1 to 10. After placing a call to the healthcare provider, what
should the nurse do next?
A) Administer the prescribed as-needed pain medication
B) Reposition the client and offer non-pharmacological comfort measures
C) Reassess the client's pain and document the response
D) Wait for the healthcare provider to return the call
Answer: C (The nurse should reassess the client's pain and document the response
after the call is placed. Pain management is ongoing and requires continuous
assessment.)
Question 9 (Multiple choice)
