RN Fundamentals HESI Latest Exam Prep Test Bank
Review - 250 Most Recently Tested Questions and
Correct Answers with Rationales/ Fundamentals of
Nursing Hesi Exam Prep 2026-2027 (Newest!)
When turning an immobile bedridden client without assistance, which action by
the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of bed.
Option A can cause client injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in terms of safety than use
of the bed rails.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
1
,Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - ANSWER-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining selections
are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
2
,1000 mL bag of normal saline - ANSWER-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for
an 80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed
to flush the line. The remaining items are needed to start an IV.
How many mL will the nurse document on the client's intake and output record
from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ANSWER-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
The nurse observes a UAP taking a client's blood pressure in the lower extremity.
Which observation of this procedure requires the nurse to intervene with the UAP's
approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the client's
arm. - ANSWER-B
Rationale: When obtaining the blood pressure in the lower extremities, the
popliteal pulse is the site for auscultation when the blood pressure cuff is applied
3
, around the thigh. The nurse should intervene with the UAP who has applied the
cuff on the lower leg. Option A ensures an accurate assessment, and option C
provides the best access to the artery. Systolic pressure in the popliteal artery is
usually 10 to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is
often awake until midnight playing and is then very difficult to awaken in the
morning for school. Which assessment data should the nurse obtain in response to
the mother's concern?
A.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is experiencing
D.
Description of the family's home environment - ANSWER-D
Rationale: School-age children often resist bedtime. The nurse should begin by
assessing the environment of the home to determine factors that may not be
conducive to the establishment of bedtime rituals that promote sleep. Option A
often causes daytime fatigue rather than resistance to going to sleep. Option B is
unlikely to provide useful data. The nurse cannot determine option C.
The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What action has the
highest priority in decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
4
Review - 250 Most Recently Tested Questions and
Correct Answers with Rationales/ Fundamentals of
Nursing Hesi Exam Prep 2026-2027 (Newest!)
When turning an immobile bedridden client without assistance, which action by
the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. - ANSWER-B
Rationale: Because the nurse can only stand on one side of the bed, bed rails
should be up on the opposite side to ensure that the client does not fall out of bed.
Option A can cause client injury to the skin or joint. Options C and D are useful
techniques while turning a client but have less priority in terms of safety than use
of the bed rails.
The nurse is preparing to initiate parenteral nutrition (PN) for a client. What
actions will the nurse consider when administering PN? (Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.
B.
1
,Have a second nurse double check the PN before connecting the solution.
C.
Have a second IV line in place for administering IV medications.
D.
Assure the infusion time for the PN does not exceed 24 hours.
E.
Tell the client a feeling of being full should occur with PN.
F.
Return amber and cloudy solutions of PN to the pharmacy. - ANSWER-A, D, F
Rationale: There are no issues with antibody incompatibility with PN, so there is
no need to double check the PN, or start a second IV line. PN is administered
through the venous system and does not satiate the client. The remaining selections
are true about the administration of PN.
The nurse is preparing to insert an IV, and cap off the IV with an intermittent
infusion devise for an 80-year-old who is prescribed IV antibiotics every 8 hours.
The client is taking po fluids well. What supplies will the nurse take into the room
for this procedure? (Select all that apply.)
A.
A 16 gauge IV catheter
B.
Normal saline in a 10 mL syringe
C.
Clear plastic sterile bandage
D.
Skin preparation antiseptic swab
E.
2
,1000 mL bag of normal saline - ANSWER-B, C, D
Rationale: Items not needed to insert an IV for intermittent antibiotic therapy for
an 80-year-old are a 16 gauge intracath; the intracath is too large. Large bore
intracaths are for rapid infusions. A small bag of NS, e.g. 250 mL, will be needed
to flush the line. The remaining items are needed to start an IV.
How many mL will the nurse document on the client's intake and output record
from the items listed? _____ mL
1200 mL water
4 ounce container of gelatin
8 ounces of orange juice
355 mL can of soda1 cup of soup - ANSWER-Answer: 2155
Rationale: 1200 + 240 (8 oz) + 240 (1 cup) + 120 (4 oz) + 355 = 2155
The nurse observes a UAP taking a client's blood pressure in the lower extremity.
Which observation of this procedure requires the nurse to intervene with the UAP's
approach?
A.
The cuff wraps around the girth of the leg.
B.
The UAP auscultates the popliteal pulse with the cuff on the lower leg.
C.
The client is placed in a prone position.
D.
The systolic reading is 20 mm Hg higher than the blood pressure in the client's
arm. - ANSWER-B
Rationale: When obtaining the blood pressure in the lower extremities, the
popliteal pulse is the site for auscultation when the blood pressure cuff is applied
3
, around the thigh. The nurse should intervene with the UAP who has applied the
cuff on the lower leg. Option A ensures an accurate assessment, and option C
provides the best access to the artery. Systolic pressure in the popliteal artery is
usually 10 to 40 mm Hg higher than in the brachial artery.
During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is
often awake until midnight playing and is then very difficult to awaken in the
morning for school. Which assessment data should the nurse obtain in response to
the mother's concern?
A.
The occurrence of any episodes of sleep apnea
B.
The child's blood pressure, pulse, and respirations
C.
Length of rapid eye movement (REM) sleep that the child is experiencing
D.
Description of the family's home environment - ANSWER-D
Rationale: School-age children often resist bedtime. The nurse should begin by
assessing the environment of the home to determine factors that may not be
conducive to the establishment of bedtime rituals that promote sleep. Option A
often causes daytime fatigue rather than resistance to going to sleep. Option B is
unlikely to provide useful data. The nurse cannot determine option C.
The nurse identifies a potential for infection in a client with partial-thickness
(second-degree) and full-thickness (third-degree) burns. What action has the
highest priority in decreasing the client's risk of infection?
A.
Administration of plasma expanders
B.
4
