HESI FUNDAMENTALS VERSION 3 EXAM QUESTIONS & ANSWERS 2026-2027 (R… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI Fundamentals Version
3 Exam Questions &
Answers 2026-2027
(Rationales)
Verified Answers Exam Ready With Rationales
81 QUESTIONS
DOCUMENT OVERVIEW
This document provides 81 HESI Fundamentals Version 3 questions with correct answers and detailed
rationales, covering essential nursing practice. It is suitable for studying, reviewing core concepts, and
preparing for certification exams by offering direct access to tested material and clear explanations of
nursing principles.
CONTENTS
01 Safety and Infection Control Q1–Q19
02 Therapeutic Interventions Q20–Q62
03 Assessment and Monitoring Q63–Q81
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 81
The practical nurse is checking client care equipment in the clinic for proper functionality. Which finding
should the PN identify as a piece of equipment in need of repair
CORRECT ANSWER
intravenous pump alarms constantly
RATIONALE
A continuously alarming intravenous pump indicates a malfunction, potentially leading to inaccurate medication
delivery or infusion cessation, which compromises patient safety and requires immediate repair. This tests the
understanding of equipment safety indicators and the nurse's responsibility in maintaining functional medical
devices.
Q2 QUESTION 2 OF 81
Which equipment malfunction should the practical nurse report as having the highest risk to client safety>
CORRECT ANSWER
intravenous pump screen does not light up when turned on
RATIONALE
An inoperable intravenous pump screen prevents accurate medication infusion rate and volume monitoring, posing
an immediate and severe risk of medication errors and adverse patient outcomes. This malfunction directly impairs
the nurse's ability to ensure safe and therapeutic drug delivery.
Q3 QUESTION 3 OF 81
Which action by another nurse should the practical nurse report as a breach of client confidentiality?
CORRECT ANSWER
Visitors are told to wear a mask because the client has tuberculosis
Page 2
, RATIONALE
Disclosing a client's diagnosis, even to visitors for infection control, constitutes a breach of confidentiality under
HIPAA, as it reveals protected health information without the client's explicit consent. The key concept is the
protection of patient privacy regarding their medical conditions.
Q4 QUESTION 4 OF 81
A client with a possible mumps infection is admitted to an acute care facility. Which infection control
precaution should the PN implement
CORRECT ANSWER
wear a mask or respirator within 3 feet of the client.
RATIONALE
Mumps is transmitted via respiratory droplets, necessitating droplet precautions to prevent airborne spread when
within close proximity. Therefore, wearing a mask within 3 feet of the client interrupts droplet transmission.
Q5 QUESTION 5 OF 81
Which disposable product should the practical nurse place in a biohazard container?
CORRECT ANSWER
Peri-pads saturated with rubra lochia for a client who is one day post-vaginal delivery.
RATIONALE
Blood-soaked items, such as peri-pads saturated with rubra lochia, are considered infectious waste and must be
disposed of in a biohazard container to prevent the transmission of pathogens. This addresses the principle of
standard precautions for handling potentially infectious bodily fluids.
Q6 QUESTION 6 OF 81
Page 3
, A client is receiving supplemental oxygen. The practical nurse walks in the room and sees a fire in the bedside
wastebasket. Which action should the PN take first?
CORRECT ANSWER
take client out of the room
RATIONALE
Prioritize life safety by removing the client from immediate danger, as the risk of smoke inhalation and burns
outweighs extinguishing the fire first. This action addresses the most critical threat to the client's well-being in a fire
emergency.
Q7 QUESTION 7 OF 81
A client who is demonstrating violent behavior is restrained by personnel using a 4 man maneuver. Two days
later, the practice nurse sees that the clients arm is ecchimotic and mottled. What finding is most important
for the PN to document.
CORRECT ANSWER
radial pulse
RATIONALE
Assessment of the radial pulse is paramount to evaluate for compromised circulation distal to the restraint site,
which can lead to neurovascular damage. This finding directly addresses potential complications of the physical
restraint maneuver.
Q8 QUESTION 8 OF 81
The practical nurse is reviewing the schedule of yearly inservice programs for competency-based nursing
care. Which criteria should the PN use in selecting programs that provide the best content to maintain
nursing competency?
CORRECT ANSWER
complex procedures that are done only a few times a month.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI Fundamentals Version
3 Exam Questions &
Answers 2026-2027
(Rationales)
Verified Answers Exam Ready With Rationales
81 QUESTIONS
DOCUMENT OVERVIEW
This document provides 81 HESI Fundamentals Version 3 questions with correct answers and detailed
rationales, covering essential nursing practice. It is suitable for studying, reviewing core concepts, and
preparing for certification exams by offering direct access to tested material and clear explanations of
nursing principles.
CONTENTS
01 Safety and Infection Control Q1–Q19
02 Therapeutic Interventions Q20–Q62
03 Assessment and Monitoring Q63–Q81
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 81
The practical nurse is checking client care equipment in the clinic for proper functionality. Which finding
should the PN identify as a piece of equipment in need of repair
CORRECT ANSWER
intravenous pump alarms constantly
RATIONALE
A continuously alarming intravenous pump indicates a malfunction, potentially leading to inaccurate medication
delivery or infusion cessation, which compromises patient safety and requires immediate repair. This tests the
understanding of equipment safety indicators and the nurse's responsibility in maintaining functional medical
devices.
Q2 QUESTION 2 OF 81
Which equipment malfunction should the practical nurse report as having the highest risk to client safety>
CORRECT ANSWER
intravenous pump screen does not light up when turned on
RATIONALE
An inoperable intravenous pump screen prevents accurate medication infusion rate and volume monitoring, posing
an immediate and severe risk of medication errors and adverse patient outcomes. This malfunction directly impairs
the nurse's ability to ensure safe and therapeutic drug delivery.
Q3 QUESTION 3 OF 81
Which action by another nurse should the practical nurse report as a breach of client confidentiality?
CORRECT ANSWER
Visitors are told to wear a mask because the client has tuberculosis
Page 2
, RATIONALE
Disclosing a client's diagnosis, even to visitors for infection control, constitutes a breach of confidentiality under
HIPAA, as it reveals protected health information without the client's explicit consent. The key concept is the
protection of patient privacy regarding their medical conditions.
Q4 QUESTION 4 OF 81
A client with a possible mumps infection is admitted to an acute care facility. Which infection control
precaution should the PN implement
CORRECT ANSWER
wear a mask or respirator within 3 feet of the client.
RATIONALE
Mumps is transmitted via respiratory droplets, necessitating droplet precautions to prevent airborne spread when
within close proximity. Therefore, wearing a mask within 3 feet of the client interrupts droplet transmission.
Q5 QUESTION 5 OF 81
Which disposable product should the practical nurse place in a biohazard container?
CORRECT ANSWER
Peri-pads saturated with rubra lochia for a client who is one day post-vaginal delivery.
RATIONALE
Blood-soaked items, such as peri-pads saturated with rubra lochia, are considered infectious waste and must be
disposed of in a biohazard container to prevent the transmission of pathogens. This addresses the principle of
standard precautions for handling potentially infectious bodily fluids.
Q6 QUESTION 6 OF 81
Page 3
, A client is receiving supplemental oxygen. The practical nurse walks in the room and sees a fire in the bedside
wastebasket. Which action should the PN take first?
CORRECT ANSWER
take client out of the room
RATIONALE
Prioritize life safety by removing the client from immediate danger, as the risk of smoke inhalation and burns
outweighs extinguishing the fire first. This action addresses the most critical threat to the client's well-being in a fire
emergency.
Q7 QUESTION 7 OF 81
A client who is demonstrating violent behavior is restrained by personnel using a 4 man maneuver. Two days
later, the practice nurse sees that the clients arm is ecchimotic and mottled. What finding is most important
for the PN to document.
CORRECT ANSWER
radial pulse
RATIONALE
Assessment of the radial pulse is paramount to evaluate for compromised circulation distal to the restraint site,
which can lead to neurovascular damage. This finding directly addresses potential complications of the physical
restraint maneuver.
Q8 QUESTION 8 OF 81
The practical nurse is reviewing the schedule of yearly inservice programs for competency-based nursing
care. Which criteria should the PN use in selecting programs that provide the best content to maintain
nursing competency?
CORRECT ANSWER
complex procedures that are done only a few times a month.
Page 4
