HESI V2
Fundamentals | Nightingale College | Latest
2026 Practice Questions & Verified Answers
with Detailed Rationales
THIS STUDY GUIDE INCLUDES:
• ✅ HESI Fundamentals V2 practice questions
• ✅ Verified questions and answers
• ✅ Detailed answer rationales
• ✅ Fundamentals of Nursing review
• ✅ NCLEX-style clinical application questions
• ✅ Comprehensive exam review
• ✅ Printable PDF format
, HESI Fundamentals V2 | Nightingale College | Latest
2026 Practice Questions & Verified Answers with
Detailed Rationales
Question 1
The nurse observes a newly admitted older adult female take short steps
and walk very slowly while pushing a walker in front of her. What action
should the nurse take in response to these observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at faster pace.
C) Suggest that the client use a wheelchair instead of a walker.
D) Place client on bedrest until the healthcare provider is notified.
Answer: A) Complete a full fall risk assessment of the client.
Rationale: The observation of short steps and slow walking while pushing
a walker indicates potential mobility issues and fall risk. The nurse should
first complete a full fall risk assessment (A) to identify specific risk factors
and implement appropriate interventions. Teaching the client to take
longer steps at a faster pace (B) could increase fall risk. Suggesting a
wheelchair (C) is premature without assessment. Placing on bedrest (D) is
unnecessary and could lead to further deconditioning.
Question 2
,While suctioning a client's nasopharynx, the nurse observes that the client's
oxygen saturation remains at 94%, which is the same reading obtained
prior to starting the procedure. What action should the nurse take in
response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
Answer: C) Complete the intermittent suction of the nasopharynx.
Rationale: Since the client's oxygen saturation has not dropped from the
baseline reading of 94% during suctioning, it is safe to complete the
intermittent suctioning (C). Repositioning the pulse oximeter (A) is
unnecessary as the reading is stable. Stopping suctioning (B) is not
indicated. Applying an oxygen mask (D) is not needed as the client is
maintaining adequate oxygenation.
Question 3
An older woman with end stage heart disease is hospitalized for severe
heart failure. She is alert, oriented, and requests that no heroic measures
are implemented if her breathing stops. What action should the nurse take
first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
, C) Set up a family conference to discuss the client's.
D) Consult the palliative care team about client's care.
Answer: A) Discuss with the client her meaning of heroic measures.
Rationale: The nurse should first discuss with the client what she means by
"heroic measures" (A) to clarify her wishes and ensure understanding. A
DNR prescription (B) should be obtained after clarification of the client's
wishes. Setting up a family conference (C) or consulting palliative care (D)
may be appropriate later but should not precede clarification of the client's
own wishes.
Question 4
A client diagnosed with primary open-angle glaucoma received a
prescription for biotic eye drops, pilocarpine HCl (Pilocarpine). What
instruction should the nurse plan to include in this client's teaching?
A) "Do not allow the dropper bottle to touch the eye."
B) "Administer the medication directly on the cornea."
C) "Squeeze your eye closed after administering the drops."
D) "Wash your hands after each administration of eye drops."
Answer: A) "Do not allow the dropper bottle to touch the eye."
Rationale: The dropper bottle should not touch the eye (A) to prevent
contamination of the medication and potential eye injury. Medication
should be administered in the conjunctival sac, not directly on the cornea
(B). Squeezing the eye closed (C) can force medication out of the eye. Hand
Fundamentals | Nightingale College | Latest
2026 Practice Questions & Verified Answers
with Detailed Rationales
THIS STUDY GUIDE INCLUDES:
• ✅ HESI Fundamentals V2 practice questions
• ✅ Verified questions and answers
• ✅ Detailed answer rationales
• ✅ Fundamentals of Nursing review
• ✅ NCLEX-style clinical application questions
• ✅ Comprehensive exam review
• ✅ Printable PDF format
, HESI Fundamentals V2 | Nightingale College | Latest
2026 Practice Questions & Verified Answers with
Detailed Rationales
Question 1
The nurse observes a newly admitted older adult female take short steps
and walk very slowly while pushing a walker in front of her. What action
should the nurse take in response to these observations?
A) Complete a full fall risk assessment of the client.
B) Teach the client to take longer steps at faster pace.
C) Suggest that the client use a wheelchair instead of a walker.
D) Place client on bedrest until the healthcare provider is notified.
Answer: A) Complete a full fall risk assessment of the client.
Rationale: The observation of short steps and slow walking while pushing
a walker indicates potential mobility issues and fall risk. The nurse should
first complete a full fall risk assessment (A) to identify specific risk factors
and implement appropriate interventions. Teaching the client to take
longer steps at a faster pace (B) could increase fall risk. Suggesting a
wheelchair (C) is premature without assessment. Placing on bedrest (D) is
unnecessary and could lead to further deconditioning.
Question 2
,While suctioning a client's nasopharynx, the nurse observes that the client's
oxygen saturation remains at 94%, which is the same reading obtained
prior to starting the procedure. What action should the nurse take in
response to this finding?
A) Reposition the pulse oximeter clip to obtain a new reading.
B) Stop suctioning until the pulse oximeter reading is above 95%.
C) Complete the intermittent suction of the nasopharynx.
D) Apply an oxygen mask over the client's nose and mouth.
Answer: C) Complete the intermittent suction of the nasopharynx.
Rationale: Since the client's oxygen saturation has not dropped from the
baseline reading of 94% during suctioning, it is safe to complete the
intermittent suctioning (C). Repositioning the pulse oximeter (A) is
unnecessary as the reading is stable. Stopping suctioning (B) is not
indicated. Applying an oxygen mask (D) is not needed as the client is
maintaining adequate oxygenation.
Question 3
An older woman with end stage heart disease is hospitalized for severe
heart failure. She is alert, oriented, and requests that no heroic measures
are implemented if her breathing stops. What action should the nurse take
first?
A) Discuss with the client her meaning of heroic measures.
B) Obtain a "do not resuscitate" (DNR) prescription.
, C) Set up a family conference to discuss the client's.
D) Consult the palliative care team about client's care.
Answer: A) Discuss with the client her meaning of heroic measures.
Rationale: The nurse should first discuss with the client what she means by
"heroic measures" (A) to clarify her wishes and ensure understanding. A
DNR prescription (B) should be obtained after clarification of the client's
wishes. Setting up a family conference (C) or consulting palliative care (D)
may be appropriate later but should not precede clarification of the client's
own wishes.
Question 4
A client diagnosed with primary open-angle glaucoma received a
prescription for biotic eye drops, pilocarpine HCl (Pilocarpine). What
instruction should the nurse plan to include in this client's teaching?
A) "Do not allow the dropper bottle to touch the eye."
B) "Administer the medication directly on the cornea."
C) "Squeeze your eye closed after administering the drops."
D) "Wash your hands after each administration of eye drops."
Answer: A) "Do not allow the dropper bottle to touch the eye."
Rationale: The dropper bottle should not touch the eye (A) to prevent
contamination of the medication and potential eye injury. Medication
should be administered in the conjunctival sac, not directly on the cornea
(B). Squeezing the eye closed (C) can force medication out of the eye. Hand
