HESI Fundamentals Actual Exam
2026/2027 | Verified Questions
Elsevier Evolve | Verified Q&A | Professional Nursing Students
and Candidates
50 Questions | 2026/2027 HESI Fundamentals Examination
Introduction
This 50-question original HESI Fundamentals Actual Exam 2026/2027 covers Foundations of Nursing
and the Nursing Process, Safety and Infection Control, Basic Care and Comfort, and Pharmacological
and Parenteral Therapies. The questions are designed to reinforce HESI Fundamentals objectives for
actual exam readiness and clinical proficiency through safe nursing judgment, patient-centred
communication, infection prevention, comfort support, and medication safety.
Actual Questions
Domain: Foundations of Nursing and the Nursing Process
1. Which phase of the nursing process involves collecting subjective and objective
information about the patient?
A. Planning.
B. Documentation only.
C. Implementation.
D. Assessment.
Correct Answer: D
Rationale: Assessment establishes the database for nursing decisions. It includes patient reports,
observation, physical findings, and information from appropriate sources.
2. What is the purpose of a nursing diagnosis?
A. To determine the insurance benefit.
B. To identify human responses to health conditions that nurses can address.
C. To prescribe medication.
D. To replace the medical diagnosis.
Correct Answer: B
Rationale: A nursing diagnosis describes a patient response or risk that guides nursing interventions. It
differs from a medical diagnosis, which identifies disease or pathology.
3. Which outcome is written in a measurable patient-centred format?
A. The patient will identify two ways to reduce fall risk before discharge.
B. The patient will understand safety someday.
C. The nurse will teach safety.
D. Fall prevention will be addressed.
Correct Answer: A
Rationale: A useful outcome names the patient behaviour and a measurable criterion or time frame. It
guides selection of interventions and later reassessment.
HESI Fundamentals Actual Exam 2026/2027 | Verified Questions
, 4. What occurs during implementation of the nursing process?
A. The nurse removes goals from the care plan.
B. The nurse avoids communicating changes.
C. The nurse carries out planned interventions and documents relevant patient responses.
D. The nurse chooses a medical diagnosis.
Correct Answer: C
Rationale: Implementation is the action phase of nursing care. It includes performing interventions,
coordinating care, and documenting the care and response.
5. What is the purpose of reassessment after an intervention?
A. To prove the original plan can never change.
B. To determine the patient response and whether the plan should continue, change, or end.
C. To replace assessment with opinion.
D. To avoid documenting the intervention.
Correct Answer: B
Rationale: Reassessment determines whether the intervention achieved the intended outcome and
whether a different action or escalation is needed.
6. When delegating a task, what remains the registered nurse’s responsibility?
A. Transferring all accountability to the assistive person.
B. Avoiding communication about the task.
C. Delegating tasks outside the other person’s role.
D. Appropriate assessment, delegation decision, supervision, and follow-up.
Correct Answer: D
Rationale: Delegation requires attention to patient stability, task, person, communication, supervision,
and follow-up. Accountability for nursing judgment remains with the nurse.
7. What is the nurse’s role regarding informed consent for a procedure?
A. Provide the provider’s detailed procedural explanation independently.
B. Witness the signature as required, verify that the provider obtained consent, and report questions or
uncertainty.
C. Tell the patient that refusal is not permitted.
D. Sign for a capable patient.
Correct Answer: B
Rationale: The provider performing the procedure is responsible for explaining risks, benefits, and
alternatives. The nurse witnesses the signature, checks understanding concerns, and reports them.
8. What is patient advocacy?
A. Promising an outcome outside the nurse’s control.
B. Withholding questions from the care team.
C. Making choices without patient involvement.
D. Acting to protect the patient’s rights, preferences, safety, and access to understandable information.
Correct Answer: D
Rationale: Advocacy supports the patient’s voice and safety. It includes communicating concerns,
supporting informed choices, and seeking help when needed.
HESI Fundamentals Actual Exam 2026/2027 | Verified Questions
2026/2027 | Verified Questions
Elsevier Evolve | Verified Q&A | Professional Nursing Students
and Candidates
50 Questions | 2026/2027 HESI Fundamentals Examination
Introduction
This 50-question original HESI Fundamentals Actual Exam 2026/2027 covers Foundations of Nursing
and the Nursing Process, Safety and Infection Control, Basic Care and Comfort, and Pharmacological
and Parenteral Therapies. The questions are designed to reinforce HESI Fundamentals objectives for
actual exam readiness and clinical proficiency through safe nursing judgment, patient-centred
communication, infection prevention, comfort support, and medication safety.
Actual Questions
Domain: Foundations of Nursing and the Nursing Process
1. Which phase of the nursing process involves collecting subjective and objective
information about the patient?
A. Planning.
B. Documentation only.
C. Implementation.
D. Assessment.
Correct Answer: D
Rationale: Assessment establishes the database for nursing decisions. It includes patient reports,
observation, physical findings, and information from appropriate sources.
2. What is the purpose of a nursing diagnosis?
A. To determine the insurance benefit.
B. To identify human responses to health conditions that nurses can address.
C. To prescribe medication.
D. To replace the medical diagnosis.
Correct Answer: B
Rationale: A nursing diagnosis describes a patient response or risk that guides nursing interventions. It
differs from a medical diagnosis, which identifies disease or pathology.
3. Which outcome is written in a measurable patient-centred format?
A. The patient will identify two ways to reduce fall risk before discharge.
B. The patient will understand safety someday.
C. The nurse will teach safety.
D. Fall prevention will be addressed.
Correct Answer: A
Rationale: A useful outcome names the patient behaviour and a measurable criterion or time frame. It
guides selection of interventions and later reassessment.
HESI Fundamentals Actual Exam 2026/2027 | Verified Questions
, 4. What occurs during implementation of the nursing process?
A. The nurse removes goals from the care plan.
B. The nurse avoids communicating changes.
C. The nurse carries out planned interventions and documents relevant patient responses.
D. The nurse chooses a medical diagnosis.
Correct Answer: C
Rationale: Implementation is the action phase of nursing care. It includes performing interventions,
coordinating care, and documenting the care and response.
5. What is the purpose of reassessment after an intervention?
A. To prove the original plan can never change.
B. To determine the patient response and whether the plan should continue, change, or end.
C. To replace assessment with opinion.
D. To avoid documenting the intervention.
Correct Answer: B
Rationale: Reassessment determines whether the intervention achieved the intended outcome and
whether a different action or escalation is needed.
6. When delegating a task, what remains the registered nurse’s responsibility?
A. Transferring all accountability to the assistive person.
B. Avoiding communication about the task.
C. Delegating tasks outside the other person’s role.
D. Appropriate assessment, delegation decision, supervision, and follow-up.
Correct Answer: D
Rationale: Delegation requires attention to patient stability, task, person, communication, supervision,
and follow-up. Accountability for nursing judgment remains with the nurse.
7. What is the nurse’s role regarding informed consent for a procedure?
A. Provide the provider’s detailed procedural explanation independently.
B. Witness the signature as required, verify that the provider obtained consent, and report questions or
uncertainty.
C. Tell the patient that refusal is not permitted.
D. Sign for a capable patient.
Correct Answer: B
Rationale: The provider performing the procedure is responsible for explaining risks, benefits, and
alternatives. The nurse witnesses the signature, checks understanding concerns, and reports them.
8. What is patient advocacy?
A. Promising an outcome outside the nurse’s control.
B. Withholding questions from the care team.
C. Making choices without patient involvement.
D. Acting to protect the patient’s rights, preferences, safety, and access to understandable information.
Correct Answer: D
Rationale: Advocacy supports the patient’s voice and safety. It includes communicating concerns,
supporting informed choices, and seeking help when needed.
HESI Fundamentals Actual Exam 2026/2027 | Verified Questions
