HESI Fundamentals Exam Test Bank — Questions with Verified Correct Answers & Rationales + Quick Reference Study Notes
This is a comprehensive, high-yield test bank for the HESI Fundamentals Exam updated for 2023. It covers all major Fundamentals of Nursing topics — with verified correct answers, detailed rationales, and a bonus quick reference study notes section for every item.
What's Inside:
Patient Safety & Mobility – Bedrest, positioning, shearing forces, fall prevention, safe patient transfers, transfer belts, mechanical lifts, roller boards, restraint use, proper body mechanics, ambulation, orthostatic hypotension
Medication Administration – Routes (PO, IV, IM, NG), 3 checks, rights of medication administration, IVPB infusion calculations, Nipride, KCl, furosemide, metolazone, heparin, digoxin, theophylline, PRN vs. around-the-clock analgesics, medication variance, informed consent
Nutrition & Hydration – Nutritional assessment, protein needs, lactation, low-sodium/low-protein diets, high cholesterol diet modifications, fluid volume deficit and overload, dark amber urine, TPN administration, vitamin B12, folate, vegan diets
Infection Control & Asepsis – Chain of infection (6 links), 5 stages of infection, medical vs. surgical asepsis, Standard Precautions, Contact/Droplet/Airborne precautions, Protective/Reverse isolation, PPE use and removal, sterile field, sterile glove technique, hand hygiene, barrier gloves
Wound Care & Pressure Ulcers – Pressure ulcer staging, prevention, Unna's paste boot, wound drainage types (serous, serosanguineous, purulent), wet-to-moist dressings, debridement
Elimination – Urinary catheter care, irrigation, urosepsis prevention, urinary retention, bladder distention, fecal impaction, digital removal, enema administration, Sims' position, constipation, bowel elimination, colostomy care
Fluid, Electrolyte & Acid-Base Balance – Isotonic, hypotonic, hypertonic IV solutions, hyperkalemia, hypocalcemia, Chvostek's sign, Trousseau's sign, fluid volume deficit and overload, electrolyte imbalances
Pain Management – Acute vs. chronic vs. intractable pain, WHO pain relief ladder, pain assessment (PQRST), nonpharmacologic interventions (heat, ice, biofeedback), analgesic administration, patient-controlled analgesia
Perioperative Nursing – Preoperative assessment, consent, premedication, postoperative complications, deep breathing and coughing, early ambulation, wound care, dressing changes
Ethical & Legal Issues – Advance directives, DNR, informed consent, patient rights, autonomy, confidentiality, HIPAA, assault and battery, negligence, malpractice, durable power of attorney, cultural competence
End-of-Life & Palliative Care – Hospice care, stages of grief and dying (Kubler-Ross), DNR, comfort measures, spiritual distress, family support, postmortem care
Vital Signs & Assessment – Blood pressure, cuff size, pulse, respiratory assessment, temperature, oxygen saturation, pain assessment, physical assessment techniques, neurological and neurovascular assessment
Therapeutic Communication – Nurse-client communication, culturally sensitive care, family-centered care, client education, learning objectives, documentation and reporting
Nursing Process – Assessment, diagnosis, planning, implementation, evaluation, nursing diagnosis statements, outcome identification, evaluation of care, documentation
Basic Nursing Skills – Bed making, bed cradle, bed bath, personal hygiene, oral care, range of motion exercises, positioning (Fowler's, Sims', prone, dorsal recumbent, lithotomy, orthopedic), heat and cold application, nasogastric tube care and feeding, rectal suppository administration, tracheostomy care, oxygen therapy
Quick Reference Study Notes – PASS, RACE, patient positions, chain of infection, 5 stages of infection, asepsis, precautions, medication administration, IM sites, lab values, IV solutions, pain management, hypoxia, hypocalcemia, hyponatremia, Trousseau sign, defibrillation, ketones/DKA, nursing process, and more
Why Choose This Guide?
100% Verified Answers – Every question includes the correct answer with detailed rationale
Exam-Focused – Questions mirror the actual HESI Fundamentals Exam format
Comprehensive – Covers all units taught in Fundamentals of Nursing
Updated for 2023 – Reflects the most current test bank content
Bonus Quick Reference Notes – Includes PASS, RACE, lab values, IV solutions, and more for rapid review
Real-World Scenarios – Includes practical application questions (e.g., elderly client with fractured hip, nasogastric tube medications, hospice pain management, wrist restraints, lactating mother, levofloxacin timing, passive ROM, IV infusion sites, blood pressure cuff size, heat application, cholesterol teaching, patient transfers, enema administration, Jehovah's Witness beliefs, ice pack application, Nipride calculation, NG tube feeding, theophylline dosing, KCl infusion, weight loss regimen, metolazone calculation, furosemide calculation, heparin aPTT, digoxin teaching, chemotherapy lab values, NG tube nausea, goniometer assessment, crying client, translator request, allergy teaching, low-sodium diet, Unna's paste boot, end-stage renal failure, new staff nurse, medication variance, constipation, diarrhea and incontinence, preoperative consent, orthostatic hypotension, UAP lifting, intractable pain, needle aspiration consent, femoral pulse, rectal suppository, urinary catheter irrigation, urinary catheter assessment, rectal suppository holding breath, subjective data, bolus feeding vomit, Cambodian culture, barrier gloves, sterile liquids, sterile procedure contamination, patient transfer, sacral ulcer prevention, Sims' position, passive ROM, active ROM)
Statistics & Guidelines – Includes specific numbers tested on exams (cimetidine 150 ml/hr, Nipride 124 gtt/min, KCl 63 ml/hr, metolazone 1½ tablets, furosemide 1.5 ml, heparin aPTT 65 seconds, WBC 3,000/mm³, blood pressure 138/60, temperature 95.8°F, urine output 100 ml, specific gravity 1.002-1.028, creatinine 0.5-1.2 mg/dL, albumin, PT, troponin, aPTT, QID )
Instant Download – PDF format, ready to study immediately
Who Is This For?
Nursing students preparing for the HESI Fundamentals Exam
PNLE reviewees preparing for the nursing board exam
NLE reviewees preparing for the nursing licensure exam
NCLEX candidates reviewing fundamentals of nursing
Nursing students in Fundamentals of Nursing, Basic Nursing Skills, and Foundations of Nursing Practice courses
Anyone needing a comprehensive review of fundamentals of nursing concepts
Tutors and instructors seeking a question bank for fundamentals of nursing review
Foreign nursing licensure candidates reviewing fundamentals of nursing content
Review centers and nurse educators developing practice tests
Content preview
HESI Fundamentals Exam Test Bank
– Quick Reference Study Notes
PASS, RACE, Patient Positions, Chain of
Infection, Asepsis, Precautions,
Medication Administration, Lab Values,
IV Solutions, Pain Management & More
PASS (Fire Extinguisher Use)
What does PASS stand for?
Answer: Pull the pin, Aim for the base of the flames,
Squeeze handle, Sweep
Rationale: PASS is the acronym used for operating a fire
extinguisher: Pull the pin, Aim at the base of the fire, Squeeze the
handle, and Sweep from side to side.
RACE (Fire Emergency Response)
What does RACE stand for?
Answer: Rescue the patient, Activate alarm, Confine or
contain, Extinguish
Rationale: RACE is the acronym used during a fire emergency:
Rescue anyone in immediate danger, Activate the fire alarm,
Confine the fire by closing doors, and Extinguish the fire if safe to do
so.
Fever & Antipyretics
Why should you think carefully before giving an antipyretic?
Answer: Because fever up to a certain point is beneficial
Rationale: Fever is a natural defense mechanism that helps the
body fight infection. Suppressing fever unnecessarily may interfere
with the body's immune response.
1
,Patient Positions
Dorsal Recumbent Position
Answer: Supine with knees flexed; used to promote
relaxation of abdominal muscles
Rationale: The dorsal recumbent position involves lying supine
with knees flexed, which helps relax the abdominal muscles and is
used for various examinations and procedures.
Lithotomy Position
Answer: Dorsal recumbent position with feet in stirrups
Rationale: The lithotomy position is a variation of the dorsal
recumbent position where the feet are placed in stirrups, commonly
used for gynecological and obstetrical procedures.
Sims' Position
Answer: Flexion of the hip and knees in a side-lying position;
used to examine the rectal area and if a female is unable to
assume the lithotomy position
Rationale: Sims' position involves lying on the side with the hip and
knees flexed, used for rectal examinations and when a female
cannot assume the lithotomy position.
Prone Position
Answer: Lying on stomach
Rationale: The prone position involves lying on the stomach, which
can provide pressure relief over the sacrum and is used for certain
procedures and assessments.
Fowler's and Semi-Fowler's Position
2
, Answer: Laying on back with head of bed elevated 60
degrees for Fowler's and 30-45 degrees for semi-Fowler's
Rationale: Fowler's position has the head of the bed elevated 60
degrees, while semi-Fowler's has it elevated 30-45 degrees. These
positions are used to promote lung expansion and ease breathing.
Orthopedic Position
Answer: For shortness of breath; leaning forward over a
table with a pillow
Rationale: The orthopedic position involves leaning forward over a
table with a pillow, which helps ease breathing by maximizing lung
expansion.
Chain of Infection
Chain of infection (6 links)
Answer: 1) Infectious agent, 2) Reservoir, 3) Portal of exit,
4) Mode of transmission, 5) Portal of entry, 6) Susceptible
host
Rationale: The chain of infection consists of six links that must all
be present for an infection to occur. Breaking any link prevents
infection.
5 Stages of Infection
5 stages of infection
Answer: Incubation, prodromal, illness, decline,
convalescence
Rationale: The five stages of infection are incubation (pathogen
enters and multiplies), prodromal (early nonspecific symptoms),
illness (specific symptoms), decline (symptoms subside), and
convalescence (recovery).
Asepsis
3