Fundamentals Hesi Practice Test Bank with a Review
of 220 Questions and Correct Detailed Answers/ Hesi
Fundamentals 2026-2027 Practice Test (New!)
A client is in contact isolation due to stage IV coccyx wound infected with
methicillin-resistant Staphylococcus aureus (MRSA). The nurse plans
interventions to prevent multiple reentries to the client's room. In which order
should the nurse perform the interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
At 0100 on a male client's second postoperative night, the client states he is
unstable to sleep and plans to read until feeling sleepy. What action should the
nurse implement?
A) Leave the room and close the door to the client's room.
B) Assess the appearance of the client's surgical dressing.
C) Bring the client a prescribed PRN sedative-hypnotic.
D) Discuss symptoms of sleep deprivation with the client.
C) Bring the client a prescribed PRN sedative-hypnotic.
The nurse is preparing to irrigate a client's indwelling urinary catheter using an
open technique. What action should the nurse take after applying gloves?
A) Empty the client's urinary drainage bag.
B) Draw up the irrigating solution into the syringe.
C) Secure the client's catheter to the drainage tubing.
D) Use aseptic technique to instill the irrigating solution.
B) Draw up the irrigating solution into the syringe.
1
,Which client care requires the nurse to wear barrier gloves as required by the
protocol for Standard Precautions?
A) Removing the empty food tray from a client with a urinary catheter.
B) Washing and combing the hair of a client with a fractured leg in traction.
C) Administering oral medications to a cooperative client with a wound infection.
D) Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease.
D) Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease.
What action should the nurse implement to prevent the formation of a sacral ulcer
for a client who is immobile?
A) Maintain in a lateral position using protective wrist and vest devices.
B) Position prone with a small pillow below the diaphragm.
C) Raise the head and knee gatch when lying in a supine position.
D) Transfer into a wheelchair close to the nurse's station for observation.
B) Position prone with a small pillow below the diaphragm.
The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvement project on social media that addresses coronary artery disease
(CAD). Which action should the nurse implement to protect client privacy?
A) Remove identifying information of the clients who participated.
B) Recall that authored content may be legally discoverable.
C) Share material from credible, peer reviewed sources only.
D) Respect all copyright laws when adding website content.
A) Remove identifying information of the clients who participated.
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains the risks and benefits of the procedure, and then
leaves to set up for the procedure. When the nurse presents the consent form for
signature, the client hesitates and asks how the wires will keep his heart going.
2
,Which action should the nurse take?
A) Answer the client's specific questions with a short understandable explanation.
B) Postpone the procedure until the client understands the risks and benefits.
C) Call the client's next of kin and ask them to provide verbal consent.
D) Page the healthcare provider to return and provide additional explanation.
B) Postpone the procedure until the client understands the risks and benefits.
The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise the hinge joints, which action should the nurse instruct the client to
perform?
A) Tilt the pelvis forwards and backwards.
B) Bend the arm by flexing the ulnar to the humerus.
C) Turn the head to the right and left.
D) Extend the arm at the side and rotate in circles.
B) Bend the arm by flexing the ulnar to the humerus.
A postoperative client has three different PRN analgesics prescribed for different
levels of pain. The nurse inadvertently administers a dose that is not within the
prescribed parameters. What actions should the nurse take first?
A) Assess for side effects of the medication.
B) Document the client's responses.
C) Complete a medication error report.
D) Determine if the pain was relieved.
A) Assess for side effects of the medication.
When assessing a male client, the nurse finds that he is fatigue, and is experiencing
muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings,
the nurse plans to check the client's laboratory values to validate the existence of
which?
A) Hyperphosphatemia.
B) Hypocalcemia.
C) Hypermagnesemia.
D) Hypokalemia.
3
, D) Hypokalemia.
A female client's significant other has been at her bedside providing reassurances
and support for the past 3 days, as desired by the client. The client's estranged
husband arrives and demands that the significant other not be allowed to visit or be
given condition updates. Which intervention should the nurse implement?
A) Obtain a prescription from the healthcare provider regarding visitation
privileges.
B) Request a consultation with the ethics committee for resolution of the situation.
C) Encourage the client to speak with her husband regarding his disruptive
behavior.
D) Communicate the client's wishes to all members of the multidisciplinary team.
B) Request a consultation with the ethics committee for resolution of the situation.
When measuring vital signs, the nurse observes that a client is using accessory
neck muscles during respiration. What follow-up action should the nurses take
first?
A) Determine pulse pressure.
B) Auscultate heart sounds.
C) Measure oxygen saturation.
D) Check for neck vein distention.
D) Check for neck vein distention.
To avoid nerve injury, what location should the nurse select to administer a 3 mL
IM injection?
A) Ventrogluteal.
B) Outer upper quadrant of the buttock.
C) Two inches below the acromion process.
D) Vastus lateralis.
A) Ventrogluteal.
Which instruction should the nurse include in the discharge teaching plan for an
adult client with hypernatremia?
A) Monitor daily urine output volume.
4
of 220 Questions and Correct Detailed Answers/ Hesi
Fundamentals 2026-2027 Practice Test (New!)
A client is in contact isolation due to stage IV coccyx wound infected with
methicillin-resistant Staphylococcus aureus (MRSA). The nurse plans
interventions to prevent multiple reentries to the client's room. In which order
should the nurse perform the interventions?
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
B) Perform tracheostomy care, change coccyx dressing, restart the IV.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
D) Change coccyx dressing, restart the IV, perform tracheostomy care.
C) Restart the IV, perform tracheotomy care, change coccyx dressing.
At 0100 on a male client's second postoperative night, the client states he is
unstable to sleep and plans to read until feeling sleepy. What action should the
nurse implement?
A) Leave the room and close the door to the client's room.
B) Assess the appearance of the client's surgical dressing.
C) Bring the client a prescribed PRN sedative-hypnotic.
D) Discuss symptoms of sleep deprivation with the client.
C) Bring the client a prescribed PRN sedative-hypnotic.
The nurse is preparing to irrigate a client's indwelling urinary catheter using an
open technique. What action should the nurse take after applying gloves?
A) Empty the client's urinary drainage bag.
B) Draw up the irrigating solution into the syringe.
C) Secure the client's catheter to the drainage tubing.
D) Use aseptic technique to instill the irrigating solution.
B) Draw up the irrigating solution into the syringe.
1
,Which client care requires the nurse to wear barrier gloves as required by the
protocol for Standard Precautions?
A) Removing the empty food tray from a client with a urinary catheter.
B) Washing and combing the hair of a client with a fractured leg in traction.
C) Administering oral medications to a cooperative client with a wound infection.
D) Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease.
D) Emptying the urinary catheter drainage bag for a client with Alzheimer's
disease.
What action should the nurse implement to prevent the formation of a sacral ulcer
for a client who is immobile?
A) Maintain in a lateral position using protective wrist and vest devices.
B) Position prone with a small pillow below the diaphragm.
C) Raise the head and knee gatch when lying in a supine position.
D) Transfer into a wheelchair close to the nurse's station for observation.
B) Position prone with a small pillow below the diaphragm.
The nursing staff in the cardiovascular intensive care unit are creating a continuous
quality improvement project on social media that addresses coronary artery disease
(CAD). Which action should the nurse implement to protect client privacy?
A) Remove identifying information of the clients who participated.
B) Recall that authored content may be legally discoverable.
C) Share material from credible, peer reviewed sources only.
D) Respect all copyright laws when adding website content.
A) Remove identifying information of the clients who participated.
A male client with unstable angina needs a cardiac catheterization, so the
healthcare provider explains the risks and benefits of the procedure, and then
leaves to set up for the procedure. When the nurse presents the consent form for
signature, the client hesitates and asks how the wires will keep his heart going.
2
,Which action should the nurse take?
A) Answer the client's specific questions with a short understandable explanation.
B) Postpone the procedure until the client understands the risks and benefits.
C) Call the client's next of kin and ask them to provide verbal consent.
D) Page the healthcare provider to return and provide additional explanation.
B) Postpone the procedure until the client understands the risks and benefits.
The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise the hinge joints, which action should the nurse instruct the client to
perform?
A) Tilt the pelvis forwards and backwards.
B) Bend the arm by flexing the ulnar to the humerus.
C) Turn the head to the right and left.
D) Extend the arm at the side and rotate in circles.
B) Bend the arm by flexing the ulnar to the humerus.
A postoperative client has three different PRN analgesics prescribed for different
levels of pain. The nurse inadvertently administers a dose that is not within the
prescribed parameters. What actions should the nurse take first?
A) Assess for side effects of the medication.
B) Document the client's responses.
C) Complete a medication error report.
D) Determine if the pain was relieved.
A) Assess for side effects of the medication.
When assessing a male client, the nurse finds that he is fatigue, and is experiencing
muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings,
the nurse plans to check the client's laboratory values to validate the existence of
which?
A) Hyperphosphatemia.
B) Hypocalcemia.
C) Hypermagnesemia.
D) Hypokalemia.
3
, D) Hypokalemia.
A female client's significant other has been at her bedside providing reassurances
and support for the past 3 days, as desired by the client. The client's estranged
husband arrives and demands that the significant other not be allowed to visit or be
given condition updates. Which intervention should the nurse implement?
A) Obtain a prescription from the healthcare provider regarding visitation
privileges.
B) Request a consultation with the ethics committee for resolution of the situation.
C) Encourage the client to speak with her husband regarding his disruptive
behavior.
D) Communicate the client's wishes to all members of the multidisciplinary team.
B) Request a consultation with the ethics committee for resolution of the situation.
When measuring vital signs, the nurse observes that a client is using accessory
neck muscles during respiration. What follow-up action should the nurses take
first?
A) Determine pulse pressure.
B) Auscultate heart sounds.
C) Measure oxygen saturation.
D) Check for neck vein distention.
D) Check for neck vein distention.
To avoid nerve injury, what location should the nurse select to administer a 3 mL
IM injection?
A) Ventrogluteal.
B) Outer upper quadrant of the buttock.
C) Two inches below the acromion process.
D) Vastus lateralis.
A) Ventrogluteal.
Which instruction should the nurse include in the discharge teaching plan for an
adult client with hypernatremia?
A) Monitor daily urine output volume.
4
