HESI Fundamentals Practice Exam
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client has a low sodium level. Which symptom should the nurse monitor for first?
A. Increased appetite
✔✔B. Confusion and altered mental status
C. Increased urination
D. Bradycardia
Which action is most appropriate for a client experiencing shortness of breath?
✔✔A. Elevate the head of the bed
B. Have the client lie flat
C. Encourage prolonged deep sleep
D. Restrict fluid intake
A nurse is caring for a client with a Foley catheter. Which action helps prevent infection?
A. Irrigate the catheter routinely
✔✔B. Maintain a closed drainage system
1
,C. Disconnect tubing daily for cleaning
D. Use alcohol wipes on the meatus multiple times per day
Which action is priority for a client with a suspected infection?
A. Administer pain medication
✔✔B. Obtain vital signs and cultures
C. Provide high-calorie meals
D. Encourage bed rest
Which site is appropriate for intramuscular injection in adults?
A. Deltoid in infants
✔✔B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis in adults
Which nursing intervention promotes safe ambulation for a client with weakness?
✔✔A. Have the client use a walker and ensure proper footwear
B. Let the client walk freely without supervision
2
,C. Only encourage bed exercises
D. Place the client in a wheelchair permanently
A client reports pain rated 9/10. What is the priority nursing action?
A. Document the pain in the chart
✔✔B. Assess the pain further and administer prescribed analgesics
C. Encourage rest only
D. Call family members
Which technique is correct for performing hand hygiene?
A. Rinsing hands quickly under cold water
✔✔B. Washing with soap and warm water for at least 20 seconds
C. Using hand sanitizer without removing gloves
D. Drying hands on a shared towel
A nurse is monitoring a client on IV therapy. Which finding requires immediate action?
A. Slight redness at the IV site
B. Mild discomfort
3
, ✔✔C. Swelling, redness, and warmth at the insertion site
D. Small amount of urine output
Which position is best for a client with respiratory distress?
✔✔A. High Fowler’s position
B. Supine
C. Trendelenburg
D. Lateral
Which action is most appropriate to prevent deep vein thrombosis in hospitalized clients?
✔✔A. Encourage early ambulation
B. Keep the client on strict bed rest
C. Restrict fluid intake
D. Massage the legs vigorously
A client has hypoglycemia. Which intervention is most appropriate?
A. Administer insulin
✔✔B. Provide fast-acting glucose or juice
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client has a low sodium level. Which symptom should the nurse monitor for first?
A. Increased appetite
✔✔B. Confusion and altered mental status
C. Increased urination
D. Bradycardia
Which action is most appropriate for a client experiencing shortness of breath?
✔✔A. Elevate the head of the bed
B. Have the client lie flat
C. Encourage prolonged deep sleep
D. Restrict fluid intake
A nurse is caring for a client with a Foley catheter. Which action helps prevent infection?
A. Irrigate the catheter routinely
✔✔B. Maintain a closed drainage system
1
,C. Disconnect tubing daily for cleaning
D. Use alcohol wipes on the meatus multiple times per day
Which action is priority for a client with a suspected infection?
A. Administer pain medication
✔✔B. Obtain vital signs and cultures
C. Provide high-calorie meals
D. Encourage bed rest
Which site is appropriate for intramuscular injection in adults?
A. Deltoid in infants
✔✔B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis in adults
Which nursing intervention promotes safe ambulation for a client with weakness?
✔✔A. Have the client use a walker and ensure proper footwear
B. Let the client walk freely without supervision
2
,C. Only encourage bed exercises
D. Place the client in a wheelchair permanently
A client reports pain rated 9/10. What is the priority nursing action?
A. Document the pain in the chart
✔✔B. Assess the pain further and administer prescribed analgesics
C. Encourage rest only
D. Call family members
Which technique is correct for performing hand hygiene?
A. Rinsing hands quickly under cold water
✔✔B. Washing with soap and warm water for at least 20 seconds
C. Using hand sanitizer without removing gloves
D. Drying hands on a shared towel
A nurse is monitoring a client on IV therapy. Which finding requires immediate action?
A. Slight redness at the IV site
B. Mild discomfort
3
, ✔✔C. Swelling, redness, and warmth at the insertion site
D. Small amount of urine output
Which position is best for a client with respiratory distress?
✔✔A. High Fowler’s position
B. Supine
C. Trendelenburg
D. Lateral
Which action is most appropriate to prevent deep vein thrombosis in hospitalized clients?
✔✔A. Encourage early ambulation
B. Keep the client on strict bed rest
C. Restrict fluid intake
D. Massage the legs vigorously
A client has hypoglycemia. Which intervention is most appropriate?
A. Administer insulin
✔✔B. Provide fast-acting glucose or juice
4
