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HESI FUNDAMENTALS PRACTICE EXAM (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
HESI Fundamentals Practice Questions –
1. A patient is receiving IV fluids at 125 mL/hr. The nurse notices swelling at the IV site. What is the first
action the nurse should take?
A) Increase the IV rate
B) Apply a warm compress
C) Stop the IV and restart in a different site
D) Elevate the patient’s arm
Answer: C) Stop the IV and restart in a different site
2. Which of the following is an example of primary prevention?
A) Administering insulin for a diabetic patient
B) Immunizing children against measles
C) Performing a colonoscopy for a patient with a family history of cancer
D) Providing physical therapy after a stroke
Answer: B) Immunizing children against measles
3. A nurse is caring for a patient who is NPO before surgery. The patient asks why. What is the correct
explanation?
A) To prevent aspiration during anesthesia
B) To reduce risk of infection
C) To ensure faster wound healing
D) To lower blood pressure
Answer: A) To prevent aspiration during anesthesia
4. Which of the following vital signs indicates early shock in an adult?
A) BP 120/80 mmHg, HR 88 bpm, RR 18
B) BP 90/60 mmHg, HR 120 bpm, RR 24
2026 2027 GRADED A+
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C) BP 140/90 mmHg, HR 60 bpm, RR 16
D) BP 110/70 mmHg, HR 80 bpm, RR 20
Answer: B) BP 90/60 mmHg, HR 120 bpm, RR 24
5. A nurse is teaching a patient about proper hand hygiene. Which of the following statements by the
patient indicates understanding?
A) “I only need to wash my hands before eating.”
B) “I should wash my hands for at least 20 seconds.”
C) “Hand sanitizer is not effective if my hands are clean.”
D) “I should wear gloves instead of washing my hands.”
Answer: B) “I should wash my hands for at least 20 seconds.”
6. Which patient is at highest risk for developing pressure injuries?
A) 25-year-old with a broken arm
B) 80-year-old bedridden patient with incontinence
C) 45-year-old post-operative appendectomy patient ambulating
D) 60-year-old with controlled hypertension
Answer: B) 80-year-old bedridden patient with incontinence
7. A patient reports shortness of breath and chest tightness after taking a new medication. What is the
nurse’s priority action?
A) Document the reaction
B) Administer oxygen
C) Notify the healthcare provider immediately
D) Assess vital signs
Answer: C) Notify the healthcare provider immediately
8. Which lab result requires immediate intervention?
A) Sodium 138 mEq/L
B) Potassium 6.2 mEq/L
2026 2027 GRADED A+
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C) Hemoglobin 13 g/dL
D) Glucose 100 mg/dL
Answer: B) Potassium 6.2 mEq/L
9. A patient is scheduled for a morning dose of insulin but is NPO. What should the nurse do?
A) Skip the insulin
B) Give insulin with water
C) Hold insulin and notify the provider
D) Administer insulin as scheduled
Answer: C) Hold insulin and notify the provider
10. Which of the following is the correct technique for administering a subcutaneous injection?
A) Insert at a 45–90° angle, pinch skin
B) Insert at 10–15° angle, do not pinch
C) Insert at 90° angle, aspirate
D) Insert at 30° angle, rub the site after injection
Answer: A) Insert at a 45–90° angle, pinch skin
11. A patient has a Foley catheter. Which action reduces the risk of infection?
A) Keep the drainage bag below bladder level
B) Empty the bag once a day
C) Disconnect the catheter from the bag frequently
D) Wipe the catheter with alcohol every hour
Answer: A) Keep the drainage bag below bladder level
12. Which of the following is a sign of hypoglycemia?
A) Polyuria and polydipsia
B) Sweating, confusion, and tremors
C) Flushed skin and dry mucous membranes
D) Elevated blood glucose
Answer: B) Sweating, confusion, and tremors
2026 2027 GRADED A+
, 4|Page
13. Which nursing intervention is appropriate for a patient with constipation?
A) Encourage increased fiber intake
B) Administer opioids
C) Restrict fluid intake
D) Avoid ambulation
Answer: A) Encourage increased fiber intake
14. A nurse is delegating a task to a CNA. Which task is appropriate?
A) Administering oral medications
B) Measuring vital signs
C) Performing patient assessment
D) Changing IV fluids
Answer: B) Measuring vital signs
15. The nurse is caring for a patient with COPD. Which oxygen delivery method is most appropriate for
chronic management at home?
A) Simple face mask at 10 L/min
B) Nasal cannula at 1–3 L/min
C) Non-rebreather mask at 15 L/min
D) Venturi mask at 50%
Answer: B) Nasal cannula at 1–3 L/min
16. Which patient position promotes lung expansion in a patient with dyspnea?
A) Supine
B) Prone
C) High Fowler’s
D) Trendelenburg
Answer: C) High Fowler’s
2026 2027 GRADED A+
HESI FUNDAMENTALS PRACTICE EXAM (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+
HESI Fundamentals Practice Questions –
1. A patient is receiving IV fluids at 125 mL/hr. The nurse notices swelling at the IV site. What is the first
action the nurse should take?
A) Increase the IV rate
B) Apply a warm compress
C) Stop the IV and restart in a different site
D) Elevate the patient’s arm
Answer: C) Stop the IV and restart in a different site
2. Which of the following is an example of primary prevention?
A) Administering insulin for a diabetic patient
B) Immunizing children against measles
C) Performing a colonoscopy for a patient with a family history of cancer
D) Providing physical therapy after a stroke
Answer: B) Immunizing children against measles
3. A nurse is caring for a patient who is NPO before surgery. The patient asks why. What is the correct
explanation?
A) To prevent aspiration during anesthesia
B) To reduce risk of infection
C) To ensure faster wound healing
D) To lower blood pressure
Answer: A) To prevent aspiration during anesthesia
4. Which of the following vital signs indicates early shock in an adult?
A) BP 120/80 mmHg, HR 88 bpm, RR 18
B) BP 90/60 mmHg, HR 120 bpm, RR 24
2026 2027 GRADED A+
,2|Page
C) BP 140/90 mmHg, HR 60 bpm, RR 16
D) BP 110/70 mmHg, HR 80 bpm, RR 20
Answer: B) BP 90/60 mmHg, HR 120 bpm, RR 24
5. A nurse is teaching a patient about proper hand hygiene. Which of the following statements by the
patient indicates understanding?
A) “I only need to wash my hands before eating.”
B) “I should wash my hands for at least 20 seconds.”
C) “Hand sanitizer is not effective if my hands are clean.”
D) “I should wear gloves instead of washing my hands.”
Answer: B) “I should wash my hands for at least 20 seconds.”
6. Which patient is at highest risk for developing pressure injuries?
A) 25-year-old with a broken arm
B) 80-year-old bedridden patient with incontinence
C) 45-year-old post-operative appendectomy patient ambulating
D) 60-year-old with controlled hypertension
Answer: B) 80-year-old bedridden patient with incontinence
7. A patient reports shortness of breath and chest tightness after taking a new medication. What is the
nurse’s priority action?
A) Document the reaction
B) Administer oxygen
C) Notify the healthcare provider immediately
D) Assess vital signs
Answer: C) Notify the healthcare provider immediately
8. Which lab result requires immediate intervention?
A) Sodium 138 mEq/L
B) Potassium 6.2 mEq/L
2026 2027 GRADED A+
,3|Page
C) Hemoglobin 13 g/dL
D) Glucose 100 mg/dL
Answer: B) Potassium 6.2 mEq/L
9. A patient is scheduled for a morning dose of insulin but is NPO. What should the nurse do?
A) Skip the insulin
B) Give insulin with water
C) Hold insulin and notify the provider
D) Administer insulin as scheduled
Answer: C) Hold insulin and notify the provider
10. Which of the following is the correct technique for administering a subcutaneous injection?
A) Insert at a 45–90° angle, pinch skin
B) Insert at 10–15° angle, do not pinch
C) Insert at 90° angle, aspirate
D) Insert at 30° angle, rub the site after injection
Answer: A) Insert at a 45–90° angle, pinch skin
11. A patient has a Foley catheter. Which action reduces the risk of infection?
A) Keep the drainage bag below bladder level
B) Empty the bag once a day
C) Disconnect the catheter from the bag frequently
D) Wipe the catheter with alcohol every hour
Answer: A) Keep the drainage bag below bladder level
12. Which of the following is a sign of hypoglycemia?
A) Polyuria and polydipsia
B) Sweating, confusion, and tremors
C) Flushed skin and dry mucous membranes
D) Elevated blood glucose
Answer: B) Sweating, confusion, and tremors
2026 2027 GRADED A+
, 4|Page
13. Which nursing intervention is appropriate for a patient with constipation?
A) Encourage increased fiber intake
B) Administer opioids
C) Restrict fluid intake
D) Avoid ambulation
Answer: A) Encourage increased fiber intake
14. A nurse is delegating a task to a CNA. Which task is appropriate?
A) Administering oral medications
B) Measuring vital signs
C) Performing patient assessment
D) Changing IV fluids
Answer: B) Measuring vital signs
15. The nurse is caring for a patient with COPD. Which oxygen delivery method is most appropriate for
chronic management at home?
A) Simple face mask at 10 L/min
B) Nasal cannula at 1–3 L/min
C) Non-rebreather mask at 15 L/min
D) Venturi mask at 50%
Answer: B) Nasal cannula at 1–3 L/min
16. Which patient position promotes lung expansion in a patient with dyspnea?
A) Supine
B) Prone
C) High Fowler’s
D) Trendelenburg
Answer: C) High Fowler’s
2026 2027 GRADED A+
