HESI Basic Care And Comfort Exam
(2026 Edition)|| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section 1: Mobility & Positioning (Questions 1–15)
1. A nurse is teaching a patient about using a cane. Which statement indicates
correct understanding?
A. “I will hold the cane on my weak side.”
B. “I will move the cane forward at the same time as my weak leg.”
C. “I will hold the cane on my strong side and move it with my weak leg.”
D. “I will hold the cane on my weak side and move it with my strong leg.”
Rationale: The cane is held on the strong side to support the weak leg. The cane
moves forward with the weak leg to provide stability.
2. A patient is on strict bed rest. To prevent plantar flexion contractures, the
nurse should:
A. Place a pillow under the knees.
B. Apply a footboard or high-top sneakers.
C. Remove all bedding from the feet.
D. Perform range of motion once a week.
Rationale: Footboards or sneakers maintain dorsiflexion, preventing foot drop
(plantar flexion contracture). Pillows under knees increase flexion contracture risk.
,3. Which patient is at highest risk for falling?
A. A 45-year-old post-op day 2.
B. A 70-year-old with a history of stroke and taking antihypertensives.
C. A 30-year-old with a fractured tibia.
D. A 50-year-old with pneumonia.
Rationale: Advanced age, stroke history, and antihypertensive use increase fall risk
due to weakness, gait instability, and orthostatic hypotension.
4. Logrolling is indicated for which patient?
A. A patient with hip fracture.
B. A patient with spinal surgery.
C. A patient with knee replacement.
D. A patient with arm amputation.
Rationale: Logrolling maintains spinal alignment. Used for spinal surgery, injury,
or suspected cord trauma.
5. A patient with left-sided weakness needs help moving up in bed. The nurse
should:
A. Pull from the head of the bed alone.
B. Use a friction-reducing sheet and ask for assistance.
C. Lift under the patient’s armpits.
D. Raise head of bed to 90 degrees first.
Rationale: Friction-reducing sheets decrease shear forces. Two people reduce
injury risk to patient and nurse.
6. Trochanter rolls are used to:
A. Prevent foot drop.
B. Prevent external rotation of hips.
C. Maintain hand in functional position.
D. Support lumbar curve.
Rationale: Trochanter rolls (rolled towels along outer thighs) prevent external
rotation of hips when supine.
, 7. A patient is in a supine position for 2 hours. Which area is most at risk for
pressure injury?
A. Scapula.
B. Heel.
C. Sacrum.
D. Elbow.
Rationale: Sacrum is the most common pressure point in supine position due to
bony prominence and prolonged contact.
8. To promote independence with eating for a patient with tremors, the nurse
should provide:
A. Standard metal utensils.
B. Weighted utensils with large grips.
C. Straws only.
D. Finger foods exclusively.
Rationale: Weighted utensils reduce tremors; large grips ease handling for those
with fine motor impairment.
9. A patient with a right hip replacement should avoid which position?
A. Keeping knees apart with abductor pillow.
B. Sitting on a firm chair with arms.
C. Crossing legs at the ankles or knees.
D. Using a raised toilet seat.
Rationale: Leg crossing increases dislocation risk post-total hip arthroplasty
(posterior approach).
10. Which assistive device provides the most stability?
A. Single-point cane.
B. Quad cane.
C. Walker.
D. Crutches.
(2026 Edition)|| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section 1: Mobility & Positioning (Questions 1–15)
1. A nurse is teaching a patient about using a cane. Which statement indicates
correct understanding?
A. “I will hold the cane on my weak side.”
B. “I will move the cane forward at the same time as my weak leg.”
C. “I will hold the cane on my strong side and move it with my weak leg.”
D. “I will hold the cane on my weak side and move it with my strong leg.”
Rationale: The cane is held on the strong side to support the weak leg. The cane
moves forward with the weak leg to provide stability.
2. A patient is on strict bed rest. To prevent plantar flexion contractures, the
nurse should:
A. Place a pillow under the knees.
B. Apply a footboard or high-top sneakers.
C. Remove all bedding from the feet.
D. Perform range of motion once a week.
Rationale: Footboards or sneakers maintain dorsiflexion, preventing foot drop
(plantar flexion contracture). Pillows under knees increase flexion contracture risk.
,3. Which patient is at highest risk for falling?
A. A 45-year-old post-op day 2.
B. A 70-year-old with a history of stroke and taking antihypertensives.
C. A 30-year-old with a fractured tibia.
D. A 50-year-old with pneumonia.
Rationale: Advanced age, stroke history, and antihypertensive use increase fall risk
due to weakness, gait instability, and orthostatic hypotension.
4. Logrolling is indicated for which patient?
A. A patient with hip fracture.
B. A patient with spinal surgery.
C. A patient with knee replacement.
D. A patient with arm amputation.
Rationale: Logrolling maintains spinal alignment. Used for spinal surgery, injury,
or suspected cord trauma.
5. A patient with left-sided weakness needs help moving up in bed. The nurse
should:
A. Pull from the head of the bed alone.
B. Use a friction-reducing sheet and ask for assistance.
C. Lift under the patient’s armpits.
D. Raise head of bed to 90 degrees first.
Rationale: Friction-reducing sheets decrease shear forces. Two people reduce
injury risk to patient and nurse.
6. Trochanter rolls are used to:
A. Prevent foot drop.
B. Prevent external rotation of hips.
C. Maintain hand in functional position.
D. Support lumbar curve.
Rationale: Trochanter rolls (rolled towels along outer thighs) prevent external
rotation of hips when supine.
, 7. A patient is in a supine position for 2 hours. Which area is most at risk for
pressure injury?
A. Scapula.
B. Heel.
C. Sacrum.
D. Elbow.
Rationale: Sacrum is the most common pressure point in supine position due to
bony prominence and prolonged contact.
8. To promote independence with eating for a patient with tremors, the nurse
should provide:
A. Standard metal utensils.
B. Weighted utensils with large grips.
C. Straws only.
D. Finger foods exclusively.
Rationale: Weighted utensils reduce tremors; large grips ease handling for those
with fine motor impairment.
9. A patient with a right hip replacement should avoid which position?
A. Keeping knees apart with abductor pillow.
B. Sitting on a firm chair with arms.
C. Crossing legs at the ankles or knees.
D. Using a raised toilet seat.
Rationale: Leg crossing increases dislocation risk post-total hip arthroplasty
(posterior approach).
10. Which assistive device provides the most stability?
A. Single-point cane.
B. Quad cane.
C. Walker.
D. Crutches.
