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Introduction
Preparing for the HESI Fundamentals Retake 2026 proctored exam requires more than
memorization—it demands critical thinking, clinical judgment, and a solid understanding of
core nursing principles. This comprehensive practice exam is carefully designed to reflect the
structure and difficulty level of real HESI testing, helping nursing students build confidence
and improve performance under exam conditions.
This guide includes high-quality, NCLEX-style multiple-choice questions covering essential
topics such as patient safety, infection control, pharmacology basics, mobility, nutrition,
documentation, and ethical nursing care
1. A nurse enters a patient’s room and notices the patient suddenly becomes short of breath
while lying flat in bed. What is the nurse’s priority initial intervention?
A. Administer prescribed pain medication immediately
B. Notify the healthcare provider after documenting findings
C. Assist the patient into a high Fowler’s position to improve lung expansion
D. Provide oral fluids to reduce discomfort
Answer: C
Positioning the patient upright improves ventilation and is the fastest noninvasive intervention
for acute dyspnea.
2. A nurse is caring for a postoperative patient who reports calf pain, warmth, and swelling
in one leg. What action should the nurse take first?
A. Massage the affected leg to relieve discomfort
B. Encourage ambulation to improve circulation
, C. Report findings immediately due to possible deep vein thrombosis
D. Apply heat packs to the affected area
Answer: C
These symptoms indicate possible DVT, and immediate reporting prevents life-threatening
pulmonary embolism.
3. When administering medications, a nurse notes that a patient’s identification band is
missing. What is the most appropriate action before proceeding?
A. Ask another nurse to identify the patient
B. Use the room number as identification
C. Obtain a new identification band and verify patient identity using two identifiers
D. Administer medication and document later
Answer: C
Proper identification is required to prevent medication errors and ensure patient safety.
4. A nurse is caring for a patient on contact precautions due to an infectious condition.
Which action demonstrates correct infection control technique?
A. Wearing only a surgical mask when entering the room
B. Removing gloves before leaving the patient’s bedside but keeping gown on
C. Donning gloves and gown before patient contact and removing them before exiting the
room
D. Using sterile gloves for all interactions
Answer: C
Contact precautions require gloves and gown to prevent transmission of organisms via direct
contact.
5. A nurse is assisting a patient with dysphagia during mealtime. Which intervention is
most appropriate to reduce the risk of aspiration?
A. Encourage rapid eating to prevent fatigue
B. Provide thin liquids to ease swallowing
C. Position the patient upright and offer small, controlled bites of food
D. Allow the patient to lie down immediately after eating
Answer: C
Upright positioning and small bites reduce aspiration risk in patients with swallowing
difficulties.