HESI Fundamentals Practice Ex
am 2026
,HESI Fundamentals Practice Ex
am 2026
Question 1
A nurse is preparing to perform hand hygiene using an alcohol-based
hand rub. Which technique should the nurse employ to ensure effective
cleansing?
• A) Apply the product to the palm of one hand and rub hands
together covering all surfaces until the hands are completely dry.
• B) Apply a small amount and rinse thoroughly with warm water
after 10 seconds.
• C) Rub hands vigorously with the product until the hands feel cool,
then wipe them dry with a paper towel.
• D) Apply the sanitizer only to the fingertips and thumbs where
microbial load is highest.
Correct Answer: A) Apply the product to the palm of one hand and rub
hands together covering all surfaces until the hands are completely
dry.
• Rationale: Alcohol-based hand sanitizer should be applied to the
palm, and hands must be rubbed together, covering all surfaces
(including between fingers and nails) until the alcohol completely
evaporates and hands are dry, which takes about 15 to 30
seconds.
Question 2
,HESI Fundamentals Practice Ex
am 2026
A nurse discovers a small fire in a utility room on the hospital unit.
According to the RACE fire response protocol, what is the nurse's
immediate first action?
• A) Extinguish the fire using a Class C fire extinguisher.
• B) Rescue and remove clients and staff from the immediate
danger zone.
• C) Alarm the facility by pulling the nearest fire alarm and calling
the emergency code.
• D) Confine the fire by closing all doors and windows to the utility
room.
Correct Answer: B) Rescue and remove clients and staff from the
immediate danger zone.
• Rationale: The acronym RACE stands for Rescue (remove clients in
immediate danger), Alarm (activate the fire alarm and report),
Confine (close doors and windows), and Extinguish/Evacuate. Life
safety (Rescue) is always the first priority.
Question 3
When initiating the nursing process for a newly admitted client, what is
the nurse's first and most critical step?
• A) Formulating measurable nursing diagnoses based on lab
results.
, HESI Fundamentals Practice Ex
am 2026
• B) Collecting comprehensive subjective and objective client data
through assessment.
• C) Establishing a timeline for expected client outcomes.
• D) Evaluating the effectiveness of previous nursing interventions.
Correct Answer: B) Collecting comprehensive subjective and objective
client data through assessment.
• Rationale: Assessment is the first phase of the nursing process. It
involves systematic data collection (subjective and objective)
which forms the foundation for all subsequent steps: diagnosis,
planning, implementation, and evaluation.
Question 4
A nurse is caring for an agitated client who requires physical wrist
restraints. Which nursing action is mandatory when managing
restraints?
• A) Tie the restraint straps securely to the movable side rail to
ensure easy adjustment.
• B) Remove the restraints and assess skin integrity and circulation
at least every 2 hours.
• C) Obtain a standing, open-ended verbal prescription from the
physician valid for 7 days.
• D) Keep the client in a continuous supine position while restraints
are applied.
am 2026
,HESI Fundamentals Practice Ex
am 2026
Question 1
A nurse is preparing to perform hand hygiene using an alcohol-based
hand rub. Which technique should the nurse employ to ensure effective
cleansing?
• A) Apply the product to the palm of one hand and rub hands
together covering all surfaces until the hands are completely dry.
• B) Apply a small amount and rinse thoroughly with warm water
after 10 seconds.
• C) Rub hands vigorously with the product until the hands feel cool,
then wipe them dry with a paper towel.
• D) Apply the sanitizer only to the fingertips and thumbs where
microbial load is highest.
Correct Answer: A) Apply the product to the palm of one hand and rub
hands together covering all surfaces until the hands are completely
dry.
• Rationale: Alcohol-based hand sanitizer should be applied to the
palm, and hands must be rubbed together, covering all surfaces
(including between fingers and nails) until the alcohol completely
evaporates and hands are dry, which takes about 15 to 30
seconds.
Question 2
,HESI Fundamentals Practice Ex
am 2026
A nurse discovers a small fire in a utility room on the hospital unit.
According to the RACE fire response protocol, what is the nurse's
immediate first action?
• A) Extinguish the fire using a Class C fire extinguisher.
• B) Rescue and remove clients and staff from the immediate
danger zone.
• C) Alarm the facility by pulling the nearest fire alarm and calling
the emergency code.
• D) Confine the fire by closing all doors and windows to the utility
room.
Correct Answer: B) Rescue and remove clients and staff from the
immediate danger zone.
• Rationale: The acronym RACE stands for Rescue (remove clients in
immediate danger), Alarm (activate the fire alarm and report),
Confine (close doors and windows), and Extinguish/Evacuate. Life
safety (Rescue) is always the first priority.
Question 3
When initiating the nursing process for a newly admitted client, what is
the nurse's first and most critical step?
• A) Formulating measurable nursing diagnoses based on lab
results.
, HESI Fundamentals Practice Ex
am 2026
• B) Collecting comprehensive subjective and objective client data
through assessment.
• C) Establishing a timeline for expected client outcomes.
• D) Evaluating the effectiveness of previous nursing interventions.
Correct Answer: B) Collecting comprehensive subjective and objective
client data through assessment.
• Rationale: Assessment is the first phase of the nursing process. It
involves systematic data collection (subjective and objective)
which forms the foundation for all subsequent steps: diagnosis,
planning, implementation, and evaluation.
Question 4
A nurse is caring for an agitated client who requires physical wrist
restraints. Which nursing action is mandatory when managing
restraints?
• A) Tie the restraint straps securely to the movable side rail to
ensure easy adjustment.
• B) Remove the restraints and assess skin integrity and circulation
at least every 2 hours.
• C) Obtain a standing, open-ended verbal prescription from the
physician valid for 7 days.
• D) Keep the client in a continuous supine position while restraints
are applied.
