HESI Fundamentals Practice Exam 2026-2027 |
Actual Exam Questions with 100% Correct
Answers & Rationales | Pass Your Evolve HESI |
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Section 1: Safe and Effective Care Environment (Questions 1-30)
1. A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to verify the client's identity?
A) Ask the client to state their name and date of birth
B) Check the client's room number
C) Ask the client's roommate to confirm the client's identity
D) Verify the client's identity using only the wristband
Correct Answer: A
Rationale: The nurse should use at least two client identifiers, such as the client's name and
date of birth, as recommended by The Joint Commission. The client should be asked to
state their identity rather than confirming a name provided by the nurse, as this helps
ensure accuracy. Room numbers are not reliable identifiers, and relying only on the
wristband or asking a roommate does not meet safety standards [citation:7].
, 2. A nurse is caring for a client who has a new prescription for oxygen therapy at 2
L/min via nasal cannula. Which of the following safety measures should the nurse
implement?
A) Place a "No Smoking" sign on the client's door
B) Apply petroleum jelly to the client's nares
C) Remove the client's cotton blankets from the room
D) Place the oxygen tank in the client's bathroom
Correct Answer: A
Rationale: Oxygen supports combustion, so a "No Smoking" sign should be placed
prominently to alert staff and visitors of the fire risk. Petroleum jelly should not be used as it
is flammable; water-based lubricants are preferred. Cotton blankets do not pose a
significant fire risk with oxygen use, and oxygen tanks should be secured in a stand, not
stored in the bathroom where moisture and confined space create additional
hazards [citation:7].
3. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions demonstrates proper sterile technique?
A) Opening the sterile kit and placing it on the client's bed
B) Wearing sterile gloves and touching only the sterile field
C) Cleansing the meatus from the anal area toward the pubic area
D) Maintaining the sterile catheter in the sterile package until use
Correct Answer: D
, Rationale: The sterile catheter should remain in its sterile package until the moment of
insertion to maintain sterility. The sterile field should be placed on a clean, dry surface, not
directly on the bed. While wearing sterile gloves, the nurse must maintain sterility by
keeping gloved hands above waist level. Cleansing should be performed from the pubic
area toward the anal area (front to back) to prevent contamination from the anal
area [citation:7].
4. A nurse is caring for a client who has a prescription for a continuous IV infusion.
Which of the following actions should the nurse take to prevent infection?
A) Change the IV tubing every 72 hours
B) Apply a transparent dressing over the IV site
C) Wear clean gloves when inserting the IV catheter
D) Clean the IV site with alcohol in a circular motion outward
Correct Answer: D
Rationale: Cleaning the IV site with alcohol in a circular motion from the center outward
helps remove microorganisms and prevents recontamination of the cleaned area. IV tubing
should typically be changed every 24 hours for blood products and lipid emulsions, and
every 72-96 hours for other solutions. Sterile, not clean, gloves are required for IV insertion.
The dressing should be changed per facility protocol, typically every 24-48 hours [citation:7].
, 5. A nurse is receiving a telephone prescription from a provider for a client. Which of
the following actions should the nurse take?
A) Write the prescription on the client's chart and sign it
B) Ask the provider to spell the medication name
C) Repeat the prescription back to the provider
D) Administer the medication immediately after writing it
Correct Answer: C
Rationale: The nurse should repeat the prescription back to the provider to verify accuracy.
This is a critical safety measure to prevent errors. The nurse should write the prescription,
including the date and time, read it back, and obtain verification. The provider should be
asked to sign the prescription as soon as possible. Administering immediately without
verification is unsafe [citation:7].
6. A nurse is preparing to administer a blood transfusion. Which of the following is
the priority action?
A) Obtain a signed consent
B) Verify client identification
C) Assess vital signs
D) Check blood compatibility
Correct Answer: B
Actual Exam Questions with 100% Correct
Answers & Rationales | Pass Your Evolve HESI |
Newest Version
Section 1: Safe and Effective Care Environment (Questions 1-30)
1. A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to verify the client's identity?
A) Ask the client to state their name and date of birth
B) Check the client's room number
C) Ask the client's roommate to confirm the client's identity
D) Verify the client's identity using only the wristband
Correct Answer: A
Rationale: The nurse should use at least two client identifiers, such as the client's name and
date of birth, as recommended by The Joint Commission. The client should be asked to
state their identity rather than confirming a name provided by the nurse, as this helps
ensure accuracy. Room numbers are not reliable identifiers, and relying only on the
wristband or asking a roommate does not meet safety standards [citation:7].
, 2. A nurse is caring for a client who has a new prescription for oxygen therapy at 2
L/min via nasal cannula. Which of the following safety measures should the nurse
implement?
A) Place a "No Smoking" sign on the client's door
B) Apply petroleum jelly to the client's nares
C) Remove the client's cotton blankets from the room
D) Place the oxygen tank in the client's bathroom
Correct Answer: A
Rationale: Oxygen supports combustion, so a "No Smoking" sign should be placed
prominently to alert staff and visitors of the fire risk. Petroleum jelly should not be used as it
is flammable; water-based lubricants are preferred. Cotton blankets do not pose a
significant fire risk with oxygen use, and oxygen tanks should be secured in a stand, not
stored in the bathroom where moisture and confined space create additional
hazards [citation:7].
3. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions demonstrates proper sterile technique?
A) Opening the sterile kit and placing it on the client's bed
B) Wearing sterile gloves and touching only the sterile field
C) Cleansing the meatus from the anal area toward the pubic area
D) Maintaining the sterile catheter in the sterile package until use
Correct Answer: D
, Rationale: The sterile catheter should remain in its sterile package until the moment of
insertion to maintain sterility. The sterile field should be placed on a clean, dry surface, not
directly on the bed. While wearing sterile gloves, the nurse must maintain sterility by
keeping gloved hands above waist level. Cleansing should be performed from the pubic
area toward the anal area (front to back) to prevent contamination from the anal
area [citation:7].
4. A nurse is caring for a client who has a prescription for a continuous IV infusion.
Which of the following actions should the nurse take to prevent infection?
A) Change the IV tubing every 72 hours
B) Apply a transparent dressing over the IV site
C) Wear clean gloves when inserting the IV catheter
D) Clean the IV site with alcohol in a circular motion outward
Correct Answer: D
Rationale: Cleaning the IV site with alcohol in a circular motion from the center outward
helps remove microorganisms and prevents recontamination of the cleaned area. IV tubing
should typically be changed every 24 hours for blood products and lipid emulsions, and
every 72-96 hours for other solutions. Sterile, not clean, gloves are required for IV insertion.
The dressing should be changed per facility protocol, typically every 24-48 hours [citation:7].
, 5. A nurse is receiving a telephone prescription from a provider for a client. Which of
the following actions should the nurse take?
A) Write the prescription on the client's chart and sign it
B) Ask the provider to spell the medication name
C) Repeat the prescription back to the provider
D) Administer the medication immediately after writing it
Correct Answer: C
Rationale: The nurse should repeat the prescription back to the provider to verify accuracy.
This is a critical safety measure to prevent errors. The nurse should write the prescription,
including the date and time, read it back, and obtain verification. The provider should be
asked to sign the prescription as soon as possible. Administering immediately without
verification is unsafe [citation:7].
6. A nurse is preparing to administer a blood transfusion. Which of the following is
the priority action?
A) Obtain a signed consent
B) Verify client identification
C) Assess vital signs
D) Check blood compatibility
Correct Answer: B
