HESI Fundamentals of Nursing –
Practice Questions and correct Answers
2025
1. Which action by the nurse best demonstrates patient-centered care?
A. Administering medications exactly on time
B. Involving the patient in developing their plan of care
C. Documenting care promptly after it is delivered
D. Delegating tasks to the appropriate personnel
2. What is the most effective way to prevent the spread of infection in a
healthcare setting?
A. Wearing gloves with all patient contact
B. Performing hand hygiene before and after patient care
C. Using personal protective equipment (PPE) at all times
D. Isolating all patients with fevers
3. A nurse is caring for a patient with dysphagia. Which nursing intervention is
appropriate?
A. Encourage the patient to lie down after meals
B. Instruct the patient to tuck their chin while swallowing
C. Serve large portions to stimulate appetite
D. Offer fluids through a straw
,4. Which vital sign change should the nurse report to the healthcare provider
immediately?
A. Pulse 90 bpm
B. Respiratory rate 8 breaths/min
C. Blood pressure 118/76 mm Hg
D. Temperature 99.1°F (37.3°C)
5. A nurse prepares to administer medication through a nasogastric (NG) tube.
What should the nurse do first?
A. Crush the medication and mix with water
B. Verify tube placement
C. Flush the tube with saline
D. Position the patient flat
6. Which of the following is a breach of patient confidentiality?
A. Talking to the patient about their care plan
B. Discussing patient information with a colleague in the cafeteria
C. Providing information to the patient’s legal guardian
D. Sharing information with the interdisciplinary team
7. A patient who speaks limited English needs discharge instructions. What
should the nurse do?
A. Use family members as interpreters
B. Use a trained medical interpreter
C. Give written instructions in English
D. Speak slowly and loudly
8. Which method is best for checking placement of a nasogastric feeding tube?
A. Instilling air and auscultating the stomach
B. Obtaining a radiographic confirmation
, C. Checking the patient's gag reflex
D. Measuring the length of the exposed tube
9. What is the priority nursing action after discovering a fire in a patient’s room?
A. Remove the patient from the room
B. Activate the fire alarm
C. Contain the fire
D. Extinguish the fire
10. The nurse is evaluating the effectiveness of a pain medication. Which finding
indicates it was effective?
A. The patient requests a different medication
B. The patient reports decreased pain
C. The patient’s vital signs are stable
D. The patient appears to be resting
11. When ambulating a patient who is weak and unsteady, the nurse should:
A. Walk behind the patient
B. Use a wheelchair instead of walking
C. Walk slightly ahead and to the side, holding the gait belt
D. Let the patient walk independently to promote strength
12. Which of the following is the correct technique when donning sterile gloves?
A. Touch only the outside of the glove when putting it on
B. Use one hand to put on both gloves
C. Touch only the inside of the glove when putting it on
D. Put gloves on before opening the sterile package
13. The nurse notes that a patient’s urine output is 20 mL/hr. This is considered:
A. Normal output
B. Below normal output
Practice Questions and correct Answers
2025
1. Which action by the nurse best demonstrates patient-centered care?
A. Administering medications exactly on time
B. Involving the patient in developing their plan of care
C. Documenting care promptly after it is delivered
D. Delegating tasks to the appropriate personnel
2. What is the most effective way to prevent the spread of infection in a
healthcare setting?
A. Wearing gloves with all patient contact
B. Performing hand hygiene before and after patient care
C. Using personal protective equipment (PPE) at all times
D. Isolating all patients with fevers
3. A nurse is caring for a patient with dysphagia. Which nursing intervention is
appropriate?
A. Encourage the patient to lie down after meals
B. Instruct the patient to tuck their chin while swallowing
C. Serve large portions to stimulate appetite
D. Offer fluids through a straw
,4. Which vital sign change should the nurse report to the healthcare provider
immediately?
A. Pulse 90 bpm
B. Respiratory rate 8 breaths/min
C. Blood pressure 118/76 mm Hg
D. Temperature 99.1°F (37.3°C)
5. A nurse prepares to administer medication through a nasogastric (NG) tube.
What should the nurse do first?
A. Crush the medication and mix with water
B. Verify tube placement
C. Flush the tube with saline
D. Position the patient flat
6. Which of the following is a breach of patient confidentiality?
A. Talking to the patient about their care plan
B. Discussing patient information with a colleague in the cafeteria
C. Providing information to the patient’s legal guardian
D. Sharing information with the interdisciplinary team
7. A patient who speaks limited English needs discharge instructions. What
should the nurse do?
A. Use family members as interpreters
B. Use a trained medical interpreter
C. Give written instructions in English
D. Speak slowly and loudly
8. Which method is best for checking placement of a nasogastric feeding tube?
A. Instilling air and auscultating the stomach
B. Obtaining a radiographic confirmation
, C. Checking the patient's gag reflex
D. Measuring the length of the exposed tube
9. What is the priority nursing action after discovering a fire in a patient’s room?
A. Remove the patient from the room
B. Activate the fire alarm
C. Contain the fire
D. Extinguish the fire
10. The nurse is evaluating the effectiveness of a pain medication. Which finding
indicates it was effective?
A. The patient requests a different medication
B. The patient reports decreased pain
C. The patient’s vital signs are stable
D. The patient appears to be resting
11. When ambulating a patient who is weak and unsteady, the nurse should:
A. Walk behind the patient
B. Use a wheelchair instead of walking
C. Walk slightly ahead and to the side, holding the gait belt
D. Let the patient walk independently to promote strength
12. Which of the following is the correct technique when donning sterile gloves?
A. Touch only the outside of the glove when putting it on
B. Use one hand to put on both gloves
C. Touch only the inside of the glove when putting it on
D. Put gloves on before opening the sterile package
13. The nurse notes that a patient’s urine output is 20 mL/hr. This is considered:
A. Normal output
B. Below normal output
