HESI Fundamentals V.2 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is teaching a patient how to use an incentive spirometer after surgery. Which instruction
is most important?
A. Exhale fully before placing lips on the mouthpiece
✔✔B. Inhale slowly and deeply to raise the indicator
C. Breathe quickly to fill the device with air
D. Hold breath for one second then exhale immediately
When providing oral care to an unconscious patient, which action is a priority?
A. Using a soft-bristled toothbrush
B. Cleaning the tongue with a tongue depressor
✔✔C. Positioning the patient in a side-lying position
D. Applying lip balm before brushing
A nurse is reinforcing teaching about a low-sodium diet. Which food choice shows correct
understanding?
1
,A. Canned soup
✔✔B. Fresh fruit
C. Processed cheese
D. Smoked bacon
When entering a patient’s room to deliver care, what is the first action the nurse should take?
✔✔A. Perform hand hygiene
B. Identify the patient
C. Gather all supplies
D. Explain the procedure
A nurse is preparing to apply a wrist restraint. What is the priority before application?
A. Place padding around the wrist
✔✔B. Obtain a provider’s order
C. Explain to the patient the purpose of the restraint
D. Document the need for the restraint
2
,A patient is prescribed oxygen therapy via nasal cannula at 2 L/min. Which finding indicates
correct use?
A. The prongs point upward toward the nostrils
B. The patient removes it during meals
✔✔C. The tubing is secured without excessive tightness
D. The flow meter reads 5 L/min
When documenting in the medical record, the nurse should:
A. Use pencil for corrections
B. Leave blank lines for future notes
✔✔C. Record facts and observations, not opinions
D. Document only at the end of the shift
A nurse is caring for a patient on contact precautions. Which PPE is required?
A. N95 mask and sterile gloves
✔✔B. Gown and gloves
C. Surgical mask and gown
D. Eye protection only
3
, Which assessment finding requires immediate intervention?
A. Temperature of 99.0°F (37.2°C)
B. Blood pressure of 118/70 mm Hg
✔✔C. Respiratory rate of 8 breaths/min
D. Heart rate of 80 beats/min
The nurse observes a patient using a walker incorrectly. What should the nurse do first?
✔✔A. Stop the activity and provide teaching
B. Notify the physical therapist
C. Document the observation in the chart
D. Adjust the walker height later
When removing personal protective equipment (PPE), which item should the nurse remove first?
✔✔A. Gloves
B. Gown
C. Goggles
D. Mask
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is teaching a patient how to use an incentive spirometer after surgery. Which instruction
is most important?
A. Exhale fully before placing lips on the mouthpiece
✔✔B. Inhale slowly and deeply to raise the indicator
C. Breathe quickly to fill the device with air
D. Hold breath for one second then exhale immediately
When providing oral care to an unconscious patient, which action is a priority?
A. Using a soft-bristled toothbrush
B. Cleaning the tongue with a tongue depressor
✔✔C. Positioning the patient in a side-lying position
D. Applying lip balm before brushing
A nurse is reinforcing teaching about a low-sodium diet. Which food choice shows correct
understanding?
1
,A. Canned soup
✔✔B. Fresh fruit
C. Processed cheese
D. Smoked bacon
When entering a patient’s room to deliver care, what is the first action the nurse should take?
✔✔A. Perform hand hygiene
B. Identify the patient
C. Gather all supplies
D. Explain the procedure
A nurse is preparing to apply a wrist restraint. What is the priority before application?
A. Place padding around the wrist
✔✔B. Obtain a provider’s order
C. Explain to the patient the purpose of the restraint
D. Document the need for the restraint
2
,A patient is prescribed oxygen therapy via nasal cannula at 2 L/min. Which finding indicates
correct use?
A. The prongs point upward toward the nostrils
B. The patient removes it during meals
✔✔C. The tubing is secured without excessive tightness
D. The flow meter reads 5 L/min
When documenting in the medical record, the nurse should:
A. Use pencil for corrections
B. Leave blank lines for future notes
✔✔C. Record facts and observations, not opinions
D. Document only at the end of the shift
A nurse is caring for a patient on contact precautions. Which PPE is required?
A. N95 mask and sterile gloves
✔✔B. Gown and gloves
C. Surgical mask and gown
D. Eye protection only
3
, Which assessment finding requires immediate intervention?
A. Temperature of 99.0°F (37.2°C)
B. Blood pressure of 118/70 mm Hg
✔✔C. Respiratory rate of 8 breaths/min
D. Heart rate of 80 beats/min
The nurse observes a patient using a walker incorrectly. What should the nurse do first?
✔✔A. Stop the activity and provide teaching
B. Notify the physical therapist
C. Document the observation in the chart
D. Adjust the walker height later
When removing personal protective equipment (PPE), which item should the nurse remove first?
✔✔A. Gloves
B. Gown
C. Goggles
D. Mask
4
